ATLS Exam Test Bank & Practice Test (Latest 2026/2027) 175 Questions with Verified Answers | 100% Correct.

ATLS Exam Test Bank & Practice Test
(Latest 2026/2027) 175 Questions with
Verified Answers | 100% Correct.

Question:

A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has
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obvious fractures of the left tibia near the knee, pain in the pelvic area,
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and severe dyspnea. His heart rate is 182 beats per minute, and his
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respiratory rate is 48 breaths per minute with no breath sounds heard in
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the left chest. A tension pneumothorax is relieved by immediate needle
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decompression and tube thoracostomy. Subsequently, his heart rate
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decreases to 144 beats per minute, his respirartory rate decreases to 36
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breaths per minute and his blood pressure is 81/53 mmHg. Warmed
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Ringers lactate is adminstered intravenously. The next priority should be
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to:

A. Perform external fixation of the pelvis
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B. Obtain abdominal and pelvic CT-scans
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C. Perform arterial embolization of the pelvic vessel
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D. Perform diagnostic peritoneal lavage or FAST
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E. Perform a urethrogram and cystogram?
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Answer:

D. Perform diagnostic peritoneal lavage or FAST
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,Question:

A 42-year-old man, injured in a motor vehicle crash, suffers a closed head
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injury, multiple palpable left rib fractures, and bilateral femur fractures. He
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is intubated orotracheally without difficulty. Initially, his ventilations are
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easily assisted with a bag-mask device. It becomes more difficult to
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ventilate the patient over the next 5 minutes, and his hemoglobin oxygen
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saturation level decreases from 98% to 89%. The most appropriate next
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step is to: i,- i,-




A. Obtain a chest x-ray
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B. Decrease the tidal volume
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C. Decrease PEEP
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D. Increase the rate of assisted ventilations
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E. Perform needle decompression of the left chest.?
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Answer:

A. Obtain a chest x-ray
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Question:

A 30-year-old man sustains a severely comminuted, open, distal right
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femur fracture in a motorcycle crash. The wound is actively bleeding.
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Normal sensation is present over the lateral aspect of the foot but
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decreased over the medial foot and great toe. Normal motion of the foot
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is observed. Dorsalis pedis and posterior tibial pulses are easily palpable
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on the left, but heard only by Doppler on the right. Immediate efforts to
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improve circulation to the injured extremity should involve:
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,A. Immediate angiography
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B. Tamponade of the wound with a pressure dressing
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C. Wound exploration and removal of bony fragments
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D. Realignment of the fracture segments with a traction splint
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E. Fasciotomy of all four compartments in the lower extremity?
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Answer:

B. Tamponade of the wound with a pressure dressing
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Question:

An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to the
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ED following a crash. He had decreased level of consciousness at the
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scene, but then was alert and conversational during transportation. Now
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his GCS is only 11. Which of the following statements is TRUE?
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A. Cerebral perfusion is intact
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B. Intravascular volume status is normal
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C. The patient is in a postictal state
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D. Intra-abdominal visceral injury is unlikely
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E. The patient probably has an acute epidural hematoma?
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Answer:

E. The patient probably has an acute epidural hematoma
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Question:

, A previously healthy, 70kg (175 pound) man suffers an estimated acute
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blood loss of two liters. Which one of the following statements apply to
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this patient?
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A. His pulse pressure will be widened
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B. His urinary output will be at the lower limits of normal
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C. He will have tachycardia, but no change in systolic blood pressure
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D. His systolic blood pressure will be decreased with a narrowed, pulse
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pressure

E. His systolic blood pressure will be maintained with an elevated diastolic
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pressure.?

Answer:

E. His systolic blood pressure will be maintained with an elevated diastolic
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pressure.




Question:

The physioclogic hypervolemia of pregnancy has clinical significance in
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the management of the severely injured gravid woman by
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A. Reducing the need for blood transfusion
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B. Increasing the risk of pulmonary edema
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C. Complicating the management of closed head injury
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D. Increasing the volume of blood loss to produce shock/maternal
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hypotension

E. Reducing the volume of crystalloid required for resuscitation?
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Answer: