2025/2026 UPDATE
ATLS Pre Module MCQ
With verified And Answers
(PASSING 100% GUARANTEED)
A 22-year-old man is hypotensive and tachycardic after a shotgun
wound to the left shoulder. His blood pressure is initially 80/40 mm
Hg. After initial fluid resuscitation his blood pressure increases to
122/84 mm Hg. His heart rate is now 100 beats per minute and his
respiratory rate is 28 breaths per minute. A tube thoracostomy is
performed for decreased left chest breath sounds with the return of a
small amount of blood and no air leak. After chest tube insertion, the
most appropriate next step is:
A) Reexamine the chest
B) Aortogram
C) Chest CT
D) ABG
E) TOE - ANS>>A
A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is alert,
vital signs are normal, and he is complaining of severe pain in both
heels and his lower back. Lower extremity pulses are strong and
there is no other deformity. The suspected diagnosis is most likely to
be confirmed by:
A) Angiography
, E) Complete spine x-ray series - ANS>>E
Which of the following is true regarding the initial resuscitation of a
trauma patient?
A) A patient that presents with a torso gunshot wound and is
hypotensive should receive crystalloid fluid resuscitation until the
blood pressure is normal
B) Evidence of improved perfusion after fluid resuscitation could
include improvement in Glasgow coma scale score on reevaluation
C) Massive transfusion is defined as transfusion of more than >10 of
packed red blood cells and plasma in 24 hours
D) When tranexamic acid is administered by pre-hospital providers a
second dose is required within 24 hours
E) Fluid resuscitation is far more important than bleeding control in
trauma patients - ANS>>B
In managing a patient with a severe traumatic brain injury, the most
important initial step is to:
A) Secure the airway
B) Obtain a c-spine film
C) Support the circulation
D) Control scalp hemorrhage
E) Determine the GCS score - ANS>>A
A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters.
Which one of the following statements applies to this patient?
A) His pulse pressure will be widened.
B) His urinary output will be at the lower limits of normal.
C) He will have tachycardia, but no change in his systolic blood
pressure.
D) An ABG would demonstrate a base deficit between -6 and -10
ATLS Pre Module MCQ
With verified And Answers
(PASSING 100% GUARANTEED)
A 22-year-old man is hypotensive and tachycardic after a shotgun
wound to the left shoulder. His blood pressure is initially 80/40 mm
Hg. After initial fluid resuscitation his blood pressure increases to
122/84 mm Hg. His heart rate is now 100 beats per minute and his
respiratory rate is 28 breaths per minute. A tube thoracostomy is
performed for decreased left chest breath sounds with the return of a
small amount of blood and no air leak. After chest tube insertion, the
most appropriate next step is:
A) Reexamine the chest
B) Aortogram
C) Chest CT
D) ABG
E) TOE - ANS>>A
A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is alert,
vital signs are normal, and he is complaining of severe pain in both
heels and his lower back. Lower extremity pulses are strong and
there is no other deformity. The suspected diagnosis is most likely to
be confirmed by:
A) Angiography
, E) Complete spine x-ray series - ANS>>E
Which of the following is true regarding the initial resuscitation of a
trauma patient?
A) A patient that presents with a torso gunshot wound and is
hypotensive should receive crystalloid fluid resuscitation until the
blood pressure is normal
B) Evidence of improved perfusion after fluid resuscitation could
include improvement in Glasgow coma scale score on reevaluation
C) Massive transfusion is defined as transfusion of more than >10 of
packed red blood cells and plasma in 24 hours
D) When tranexamic acid is administered by pre-hospital providers a
second dose is required within 24 hours
E) Fluid resuscitation is far more important than bleeding control in
trauma patients - ANS>>B
In managing a patient with a severe traumatic brain injury, the most
important initial step is to:
A) Secure the airway
B) Obtain a c-spine film
C) Support the circulation
D) Control scalp hemorrhage
E) Determine the GCS score - ANS>>A
A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters.
Which one of the following statements applies to this patient?
A) His pulse pressure will be widened.
B) His urinary output will be at the lower limits of normal.
C) He will have tachycardia, but no change in his systolic blood
pressure.
D) An ABG would demonstrate a base deficit between -6 and -10
