ATLS POST TEST EXAM QUESTIONS AND ANSWERS 2025.pdf

ATLS POST TEST EXAM QUESTIONS
AND ANSWERS 2025


AA22AyearAoldAmaleAisAbroughtAbyAambulanceAtoAaAsmallAcommunityAhospitalAafterAfallingA
fromAtheAtopAofAanA8AfootAladder.AInitially,AheAwasAfoundAtoAhaveAaAlargeArightA
pneumothorax.AAAchestAtubeAwasAinsertedAandAconnectedAtoAanAunderwaterAsealA
drainageAcollectionAsystemAwithAnegativeApressure.AAArepeatACXRAdemonstratesAaA
residual,AlargeArightApneumothorax.AAfterAtransferringAtheApatientAtoAaAverifiedAtraumaA
center,AaAthirdAchestAx-rayArevealsAaApersistentArightApneumothorax.ATheAchestAtubeA
appearsAtoAbeAfunctioningA
andAinAgoodAposition.AheAremainsAhemodynamicallyAnormalAwithAnoAsignsAofArespiratoryA
distress. ATheAmostAlikelyAcauseAforAtheApersistentArightApneumothoraxAis:
A.AFlailAchest
B.ADiaphragmaticAinjury
C.APulmonaryAcontusion
D.AEsophagealAperforation
E.ATracheobronchialAinjuryA-ACORRECTAANSWERSA-E.ATracheobronchialAinjury
WhichAofAtheAfollowingAisALEASTAreliableAforAdiagnosingAESOPHAGEALAintubation?
A.AsymmetricalAchestAwallAmovement
B.Aend-tidalACO2
C.AbilateralAbreathAsounds
D.AoxygenAsaturationA>92%
E.AETTAaboveAcarinaAonAchestAx-rayA-
ACORRECTAANSWERSAD.AoxygenAsaturationA>92%

->AifAitAsaysAESOPHAGEAL,AgoAwithAthisAanswer
WhichAofAtheAfollowingAsignsAnecessitatesAtheAneedAforAaAdefinitiveAairwayAinAsevereAtrau
maApatient?
A.AfacialAlacerations
B.ArepeatedAvomiting
C.AsevereAmaxillofacialAtrauma
D.AsternalAfracture
E.AGCSA12A-ACORRECTAANSWERSA-C.ASevereAmaxillofacialAtrauma
TwentyAsevenApeopleAareAseverelyAinjuredAinAanAaircraftAcrashAatAaAlocalAairport.ATheAprin
ciplesAofAtriageAinclude:
A.AestablishAaAtriageAsiteAwithinAtheAinternalAperimeterAofAtheAcrashAsite
B.AtreatAonlyAtheAmostAseverelyAinjuredApatientsAfirst
C.AimmediatelyAtransportAallApatientsAtoAtheAnearestAhospital
D.AtreatAtheAgreatestAnumberAofApatientsAinAtheAshortestAperiodAofAtime

,E.AproduceAtheAgreatestAnumberAofAsurvivorsAbasedAonAavailableAresourcesA-
ACORRECTAANSWERSA-

E.AProduceAtheAgreatestAnumberAofAsurvivorsAbasedAonAavailableAresources
WhichAofAtheAfollowingAstatementsAareAcorrect?
A.ACerebralAcontusionsAmayAcoalesceAtoAformAanAintracerebralAhematoma
B.AEpiduralAhematomasAareAusuallyAseenAinAtheAfrontalAregion
C.ASubduralAhematomasAareAcausedAbyAinjuryAtoAtheAmiddleAmeningealAartery
D.ASubduralAhematomasAtypicallyAhaveAaAlenticularAshapeAonACT
E.ATheAassociatedAbrainAdamageAisAmoreAsevereAinAepiduralAhematomasA-
ACORRECTAANSWERSA-

A.ACerebralAcontusionsAmayAcoalesceAtoAformAanAintracerebralAhematoma
EM:AEpidural,AmiddleAmeningeal
SuB:ASubdural,ABridgingAveins
AnA18AyearAoldAmaleAisAbroughtAtoAtheAEDAafterAbeingAshot.AHeAhasAoneAbulletAwoundAjustA
belowAtheArightAclavicleAandAanotherAjustAbelowAtheAcostalAmarginAinAtheArightAposteriorAaxi
llaryAline.AHisAbloodApressureAisA110/60,AheartArateAofA90,AandArespiratoryArateAofA34.AAfterA
ensuringAaApatentAairwayAandAinsertingA2AlargeAcaliberAIVAlines,AtheAnextAmostAappropriate
AstepAisAto:

A.AObtainAaAportableAchestAx-ray
B.AAdministerAaAbolusAofAadditionalAIVAfluid
C.APerformAaAlaparatomy
D.AObtainAanAabdominalACTAscan
E.APerformAdiagnosticAperitonealAlavageA-
ACORRECTAANSWERSAA.AObtainAaAportableAchestAx-ray

needAmoreAinfoAonAchest,AnotAabdomen
WhichAofAtheAfollowingAshouldAbeAperformedAFIRSTAinAanyApatientAwhoseAinjuriesAmayAinc
ludeAmultipleAclosedAextremityAfractures?
A.AAAthoroughAassessmentAofAfourAlimbAperfusion
B.AManueversAtoApreventAnecrosisAofAtheAskin
C.AExtremityAcompartmentAsyndromeArelease
D.AEnsuringAadequateAoxygenationAandAventilation
E.AEvaluationAforAoccultAcrushAsyndromeA-
ACORRECTAANSWERSAD.AEnsuringAadequateAoxygenationAandAventilation

(ABC's)
AA22AyearAoldAmaleAsustainsAaAshotgunAwoundAtoAtheAshoulderAandAchestAatAcloseArange.A
HisABPAisA80/40AandAHRA130.AAfterA2ALAofAcrystalloidAsolutionAareArapidlyAinfused,AhisABPAi
ncreasesAtoA122/84AandAHRAdecreasesAtoA100.AHeAisAtachypneicAwithARRAofA28.AOnAPE,Ah
isAbreathAsoundsAareAdecreasedAatAtheAleftAupperAchestAwithAdullnessAonApercussion.AAAla
rgeAcaliberAtubeAthoracostomyAisAinsertedAintoAtheAfifthAintercostalAspaceAwithAtheAreturnAof
A200AmLAofAbloodAandAnoAairAleak.ATheAmostAappropriateAnextAstepAis:

A.AInsertAaAfoleyAcatheter
B.ABeginAtoAtransfuseAOAnegativeAblood
C.APerformAthoracotomy

, D.AObtainAaACTAChest/Abd
E.ARepeatAtheAphysicalAexamAofAtheAchestA-
ACORRECTAANSWERSAE.ARepeatAtheAphysicalAexamAofAtheAchest




decreasedAbreathAsoundsAw/dullnessA->Ahemothorax,AneedAtubeAtoAdrain vs.
decreased/absentAbreathAsoundsAw/hyperresonanceA-
>AtensionApneumonia,AneedAneedleAdecompressionAfollowedAbyAtube
WhichAoneAofAtheAfollowingAstatementsAconcerningAspineAandAspinalAcordAtraumaAisATRU
E?
A.AAAnormalAlateralACAspineAfilmAexcludesAinjury
B.AAAvertebralAinjuryAisAunlikelyAinAtheAabsenceAofAphysicalAfindingsAofAaAcordAinjury
C.AAApatientAwithAaAsuspectedAspineAinjuryArequiresAimmobilizationAonAaAshortAspine
D.ADiaphragmaticAbreathingAinAanAunconsciousApatientAwhoAhasAfallenAisAaAsignAofAspineAi
njury
E.ADeterminationAofAwhetherAaAspinalAcordAlesionAisAcompleteAorAincompleteAmustAbeAmad
eAinAtheAprimaryAsurveyA-ACORRECTAANSWERSA-
B.AAAvertebralAinjuryAisAunlikelyAinAtheAabsenceAofAphysicalAfindingsAofAaAcordAinjury
AA17AyearAoldAfemaleAisAbroughtAtoAtheAEDAfollowingAaA6AfeetAfallAontoAconcrete.ASheAisAun
responsiveAandAfoundAtoAhaveAaARRAofA32,ABPAofA90/60,AandAHRAofA68.ATheAFIRSTAstepAi
nAtreatmentAis:
A.AAdministeringAvasopressors
B.AEstablishingAIVAaccessAforAdrug-assistedAintubation
C.ASeekingAtheAcauseAofAherAdecreasedAlevelAofAconsciousness
D.AApplyingAoxygenAandAmaintainingAairway
E.AExcludingAhemorrhageAasAaAcauseAofAshockA-
ACORRECTAANSWERSAD.AApplyingAoxygenAandAmaintainingAairway

FirstA=AABCs
SignsAandAsymptomsAofAairwayAcompromiseAincludeAallAofAtheAfollowingAexcept:
A.AChangeAinAvoice
B.AStridor
C.ATachypea
D.ADyspneaAandAagitation
E.ADecreasedApulseApressureA-ACORRECTAANSWERSA-E.ADecreasedApulseApressure
AA47AyearAoldAhouseApainterAisAbroughtAtoAtheAhospitalAafterAfallingA20AfeetAfromAaAladderAa
ndAlandingAstraddledAonAaAfence.AExaminationAofAhisAperineumArevealsAextensiveAecchym
osis.AThereAisAbloodAinAtheAexternalAurethralAmeatus.ATheAinitialAdiagnosticAstudyAforAtheAe
valuationAofAtheAurinaryAtractAshouldAbe:
A.Acystoscopy
B.Acystography
C.AintravenousApyelography
D.ACTAscan
E.AretrogradeAurethrographyA-ACORRECTAANSWERSA-E.AretrogradeAurethrography -
>AanyAecchymosis,AneedsAtoAbeAdoneAbeforeAcatheter!