ATLSPOST j1
TEST2026
j1 j1
QUESTIONS
j1
&
ANSWERS
, ATLS POST TEST 2026 QUESTIONS & ANSWER j1 j1 j1 j1 j1 j1
1. The primary indication for transferring a
j1 j1 j1 j1 j1 4. Which one of the following stat
j1 j1 j1 j1 j1 j1
patient to a higher level trauma center is:
j1 j1 j1 j1 j1 j1 j1 j1 patients with thoracic spine injur
j1 j1 j1 j1 j1
unavailability of a surgeon or operating room j1 j1 j1 j1 j1 j1 j 1 j 1 Log-rollingmaybe destab j1 j1 j1
staff. fracturesfromT-1 j1 j1
j1 multiple system injuries, including severe j1 j1 j1 j1 j 1 Adequate immobilizatio j1
head injury. j1 accomplished with the scoop j1 j1 j1
resource limitations as determined by the j1 j1 j1 j1 j1 j 1 Spinal cord injury below T-10 usually j1 j1 j1 j1 j1
transferringdoctor. j1 bowel and bladde j1 j1
resource limitations as determined by the j1 j1 j1 j1 j1 j 1 j 1 Hyperflexionfracturesinth j1 j1 j1
hospitaladministration. j1 thoracicspineareinherentlyu j1 j1 j1 j1
j1 widened mediastinum on chest x-ray j1 j1 j1 j1 j 1 These patients rarely present wit j1 j1 j1 j1
following blunt thoracic trauma. j 1 j 1 j 1 shock in association with c j1 j1 j1 j1
2. teen-aged bicycle rider is hit by a truck j1 j1 j1 j1 j1 j1 j1 5. young man sustains a ritle wou j1 j1 j1 j1 j1
traveling at a high rate of speed. In the
j1 j1 j1 j1 j1 j1 j1 j 1 j1 abdomen. He is brought promptl
j1 j1 j1 j1 j1
emergency department, she is actively bleeding
j1 j1 j1 j1 j1 j1 emergency department by preho
j1 j1 j1 j1
from open fractures of her legs, and has
j1 j1 j1 j1 j1 j1 j1 j1 His skin is cool and diaphoretic, a
j1 j1 j1 j1 j1 j1 j1
abrasions on her chest and abdominal wall. Her
j1 j1 j1 j1 j1 j1 j 1 j1 blood pressure is 58 rnm Hg. War
j1 j1 j1 j1 j1 j1 j1
blood pressure is 80/50 mm Hg, heart rate is 140
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 fluids are initiated without impr
j1 j1 j 1 j1 j1
beatsperminute,respiratoryrateis8 breaths
j1 j1 j1 j1 j1 j1 j1 j1 vital signs. The next, most approp
j1 j1 j1 j1 j1 j1
per minute, and GCS score is 6.
j1 j1 j1 j1 j1 j1 j1 perform:
j1
The first step in managing this patient is to:
j1 j1 j1 j1 j1 j1 j1 j1 a j1
j 1 an abdomi j1
obtain a lateral cervical spine x-ray. j1 j1 j1 j1 j1 j 1 diagnostic laparo j1
j 1 insert a central venous pressure line. j1 j1 j1 j1 j1 j 1 abdominalultraso j1
j 1 administer 2liters ofcrystalloidsolution. j1 j1 j1 j1 j1 a diagnostic peritone
j1 j1
j 1 perform endotracheal intubation and j1 j1 j1
ventilation.
apply the PASG and inflate the leg j1 j1 j1 j1 j1 j1
6. young woman sustains a seve j1 j1 j1 j1
compartments. as the result of a motor vehicula
j1 j1 j1 j1 j1 j1 j1
emergencydepartment,herGCS
j1 j1 j1 j1
bloodpressureis140/90mmHg
j1 j1 j1 j1 j1 j1
3. Contraindication to nasogastric intubation is j1 j1 j1 j1 rate is 80 beats per minute. She is
j1 j1 j1 j1 j1 j1 j1 j1
the presence of a:
j1 j1 j1 j1 beingmechanicallyventilated.H
j1 j1 j1 j1
gastric perforation. j1 mm in size and equally reactive
j1 j1 j1 j1 j1 j1
diaphragmaticrupture. j1 no other apparent injury. The m
j1 j1 j1 j1 j1 j1
j 1 opendepressedskullfracture. j1 j1 j1 principle to follow in the early m
j1 j1 j1 j1 j1 j1 j1
j 1 fractureofthecervicalspine. j1 j1 j1 j1 her head injury is to:
j1 j1 j1 j1 j1
j 1 fracture ofthecribriform plate. j1 j1 j1 j1
, aggressively treat systemic hypertension. j1 j1 j1 9.8-year-oldgirlisanunrestrain
j1 j1 j1 j1 j1
reducemetabolicrequirementsofthe j1 j1 j1 j1 a vehicle struck from behind. In
j1 j1 j1 j1 j1 j 1
brain. department,herbloodpressure
j1 j1 j1 j1
j1 distinguishbetweenintracranialhematoma j1 j1 j1 heart rate is 80 beats per minute
j1 j1 j1 j1 j1 j1 j1
and cerebral edema. j1 j1 rateis16breathsperminute. Her
j1 j1 j1 j1 j1 j1 j1
She complains that her legs feel
j1 j1 j1 j1 j1 j1
won't move right;" however, h
j1 j1 j 1 j1 j1
7. 22-year-old man is brought to the hospital
do not show a fracture or disloc
j1 j1 j1 j1 j1 j1
j1 j1 j1 j1 j1 j1 j1
after crashing his motorcycle into a telephone
cord injury in this child:
j1 j1 j1 j1 j1 j1 j1
j1 j1 j1 j1 j1
pole.Heisunconsciousandinprofoundshock.
j1 j1 j1 j1 j1 j1 j1 j1
ismostlikelyacentralcordsyn
j1 j1 j1 j1 j1 j1
He has no open wounds or obvious fractures.
j1 j1 j1 j1 j1 j1 j1 j1
must be diagnosed by magnetic re j1 j1 j1 j1 j1
The cause of his shock is MOST LIKELY
j1 j1 j1 j1 j1 j1 j1 j1
j caused by:
1 j1
a subdural hematoma.j1 j1 j 1 j 1 j 1
can be excluded by obtaining a CT
j1 j1 j1 j1 j1 j1
an epidural hematoma. j1 j1 j1
en
j 1 a transected lumbar spinal cord.
j1 j1 j1 j1 j1
mayexistintheabsenceofobj j1 j1 j1 j1 j1 j1
j 1 a transected cervical spinal cord.
j1 j1 j1 j1 j 1
findings on x-ra j1 j1
j 1
hemorrhage into the chest or abdomen. j1 j1 j1 j1 j1
is unlikely because of the inco
j1 j1 j1 j1 j1
calcification of the vertebr j 1 j 1 j 1
8. 30-year-old man is struck by a car
j 1 j 1 j 1 j 1 j 1 j 1 j 1
traveling at 56 kph (35 mph). He has obvious
j 1 j1 j1 j1 j1 j1 j 1 j1 j1
10. Immediate chest tube inserti j1 j1 j1
fractures of the left tibia near the knee, pain in the
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1
for which of the following condi
j1 j1 j1 j1 j1 j1
pelvic area, and severe dyspnea. His heart rate is
j1 j1 j1 j1 j1 j 1 j1 j1 j1
Pne
180 beats per minute, and his respiratory rate is
j1 j1 j1 j1 j1 j1 j1 j1 j1
j 1 Pneumom
48 breaths per minute with no breath sounds
j1 j1 j1 j1 j1 j1 j1 j1
j 1 Massive h j1
heard in the left chest. A tension pneumothorax is
j1 j1 j1 j1 j1 j1 j1 j1 j1
j 1 Diaphragm
relieved by immediate needle decompression and
j1 j1 j1 j1 j1 j1
j 1 Subcutaneouse j1
tube thoracostomy. Subsequently, his heart rate
j1 j 1 j1 j1 j1 j1
decreases to 140 beats per minute, his
j1 j1 j1 j1 j1 j 1 j1
11. 18-year-old, helmeted moto
respiratory rate decreases to 36 breaths per
j1 j1
j1 j1 j1 j1 j1 j1 j1
brought by ambulance to the em
minute, and his blood pressure is 80/50 inm Hg.
j1 j1 j1 j1 j1 j1
j1 j1 j1 j1 j1 j1 j1 j1 j1
department following a high-sp
Warmed Ringer's lactate is administered
j1 j1 j1 j1
j1 j1 j1 j 1 j1
Prehospitalpersormelreporttha
intravenously. The next priority should be to:
j1 j1 j1 j1
j1 j1 j1 j1 j1 j1 j1
15 meters (50 feet) off his bfice.
j1 j1 j1 j1 j1 j1 j1
perform a urethrogram and cystogram. j1 j1 j1 j1
ofhypotensionprior to arrivalin
j1 j1 j1 j1 j1 j1
j 1 perform external fixation of the pelvis. j1 j1 j1 j1 j1
department, but is now awake, al
j1 j1 j1 j1 j1 j1
j 1 obtainabdominalandpelvicCTscans. j1 j1 j1 j1 j1
conversational. Which of the fol
j1 j1 j1 j1 j1
j 1 perform arterial embolization of the pelvic j1 j1 j1 j1 j1
statements is TRUE?
j1 j1 j1
vessels.
TEST2026
j1 j1
QUESTIONS
j1
&
ANSWERS
, ATLS POST TEST 2026 QUESTIONS & ANSWER j1 j1 j1 j1 j1 j1
1. The primary indication for transferring a
j1 j1 j1 j1 j1 4. Which one of the following stat
j1 j1 j1 j1 j1 j1
patient to a higher level trauma center is:
j1 j1 j1 j1 j1 j1 j1 j1 patients with thoracic spine injur
j1 j1 j1 j1 j1
unavailability of a surgeon or operating room j1 j1 j1 j1 j1 j1 j 1 j 1 Log-rollingmaybe destab j1 j1 j1
staff. fracturesfromT-1 j1 j1
j1 multiple system injuries, including severe j1 j1 j1 j1 j 1 Adequate immobilizatio j1
head injury. j1 accomplished with the scoop j1 j1 j1
resource limitations as determined by the j1 j1 j1 j1 j1 j 1 Spinal cord injury below T-10 usually j1 j1 j1 j1 j1
transferringdoctor. j1 bowel and bladde j1 j1
resource limitations as determined by the j1 j1 j1 j1 j1 j 1 j 1 Hyperflexionfracturesinth j1 j1 j1
hospitaladministration. j1 thoracicspineareinherentlyu j1 j1 j1 j1
j1 widened mediastinum on chest x-ray j1 j1 j1 j1 j 1 These patients rarely present wit j1 j1 j1 j1
following blunt thoracic trauma. j 1 j 1 j 1 shock in association with c j1 j1 j1 j1
2. teen-aged bicycle rider is hit by a truck j1 j1 j1 j1 j1 j1 j1 5. young man sustains a ritle wou j1 j1 j1 j1 j1
traveling at a high rate of speed. In the
j1 j1 j1 j1 j1 j1 j1 j 1 j1 abdomen. He is brought promptl
j1 j1 j1 j1 j1
emergency department, she is actively bleeding
j1 j1 j1 j1 j1 j1 emergency department by preho
j1 j1 j1 j1
from open fractures of her legs, and has
j1 j1 j1 j1 j1 j1 j1 j1 His skin is cool and diaphoretic, a
j1 j1 j1 j1 j1 j1 j1
abrasions on her chest and abdominal wall. Her
j1 j1 j1 j1 j1 j1 j 1 j1 blood pressure is 58 rnm Hg. War
j1 j1 j1 j1 j1 j1 j1
blood pressure is 80/50 mm Hg, heart rate is 140
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 fluids are initiated without impr
j1 j1 j 1 j1 j1
beatsperminute,respiratoryrateis8 breaths
j1 j1 j1 j1 j1 j1 j1 j1 vital signs. The next, most approp
j1 j1 j1 j1 j1 j1
per minute, and GCS score is 6.
j1 j1 j1 j1 j1 j1 j1 perform:
j1
The first step in managing this patient is to:
j1 j1 j1 j1 j1 j1 j1 j1 a j1
j 1 an abdomi j1
obtain a lateral cervical spine x-ray. j1 j1 j1 j1 j1 j 1 diagnostic laparo j1
j 1 insert a central venous pressure line. j1 j1 j1 j1 j1 j 1 abdominalultraso j1
j 1 administer 2liters ofcrystalloidsolution. j1 j1 j1 j1 j1 a diagnostic peritone
j1 j1
j 1 perform endotracheal intubation and j1 j1 j1
ventilation.
apply the PASG and inflate the leg j1 j1 j1 j1 j1 j1
6. young woman sustains a seve j1 j1 j1 j1
compartments. as the result of a motor vehicula
j1 j1 j1 j1 j1 j1 j1
emergencydepartment,herGCS
j1 j1 j1 j1
bloodpressureis140/90mmHg
j1 j1 j1 j1 j1 j1
3. Contraindication to nasogastric intubation is j1 j1 j1 j1 rate is 80 beats per minute. She is
j1 j1 j1 j1 j1 j1 j1 j1
the presence of a:
j1 j1 j1 j1 beingmechanicallyventilated.H
j1 j1 j1 j1
gastric perforation. j1 mm in size and equally reactive
j1 j1 j1 j1 j1 j1
diaphragmaticrupture. j1 no other apparent injury. The m
j1 j1 j1 j1 j1 j1
j 1 opendepressedskullfracture. j1 j1 j1 principle to follow in the early m
j1 j1 j1 j1 j1 j1 j1
j 1 fractureofthecervicalspine. j1 j1 j1 j1 her head injury is to:
j1 j1 j1 j1 j1
j 1 fracture ofthecribriform plate. j1 j1 j1 j1
, aggressively treat systemic hypertension. j1 j1 j1 9.8-year-oldgirlisanunrestrain
j1 j1 j1 j1 j1
reducemetabolicrequirementsofthe j1 j1 j1 j1 a vehicle struck from behind. In
j1 j1 j1 j1 j1 j 1
brain. department,herbloodpressure
j1 j1 j1 j1
j1 distinguishbetweenintracranialhematoma j1 j1 j1 heart rate is 80 beats per minute
j1 j1 j1 j1 j1 j1 j1
and cerebral edema. j1 j1 rateis16breathsperminute. Her
j1 j1 j1 j1 j1 j1 j1
She complains that her legs feel
j1 j1 j1 j1 j1 j1
won't move right;" however, h
j1 j1 j 1 j1 j1
7. 22-year-old man is brought to the hospital
do not show a fracture or disloc
j1 j1 j1 j1 j1 j1
j1 j1 j1 j1 j1 j1 j1
after crashing his motorcycle into a telephone
cord injury in this child:
j1 j1 j1 j1 j1 j1 j1
j1 j1 j1 j1 j1
pole.Heisunconsciousandinprofoundshock.
j1 j1 j1 j1 j1 j1 j1 j1
ismostlikelyacentralcordsyn
j1 j1 j1 j1 j1 j1
He has no open wounds or obvious fractures.
j1 j1 j1 j1 j1 j1 j1 j1
must be diagnosed by magnetic re j1 j1 j1 j1 j1
The cause of his shock is MOST LIKELY
j1 j1 j1 j1 j1 j1 j1 j1
j caused by:
1 j1
a subdural hematoma.j1 j1 j 1 j 1 j 1
can be excluded by obtaining a CT
j1 j1 j1 j1 j1 j1
an epidural hematoma. j1 j1 j1
en
j 1 a transected lumbar spinal cord.
j1 j1 j1 j1 j1
mayexistintheabsenceofobj j1 j1 j1 j1 j1 j1
j 1 a transected cervical spinal cord.
j1 j1 j1 j1 j 1
findings on x-ra j1 j1
j 1
hemorrhage into the chest or abdomen. j1 j1 j1 j1 j1
is unlikely because of the inco
j1 j1 j1 j1 j1
calcification of the vertebr j 1 j 1 j 1
8. 30-year-old man is struck by a car
j 1 j 1 j 1 j 1 j 1 j 1 j 1
traveling at 56 kph (35 mph). He has obvious
j 1 j1 j1 j1 j1 j1 j 1 j1 j1
10. Immediate chest tube inserti j1 j1 j1
fractures of the left tibia near the knee, pain in the
j1 j1 j1 j1 j1 j1 j1 j1 j1 j1 j1
for which of the following condi
j1 j1 j1 j1 j1 j1
pelvic area, and severe dyspnea. His heart rate is
j1 j1 j1 j1 j1 j 1 j1 j1 j1
Pne
180 beats per minute, and his respiratory rate is
j1 j1 j1 j1 j1 j1 j1 j1 j1
j 1 Pneumom
48 breaths per minute with no breath sounds
j1 j1 j1 j1 j1 j1 j1 j1
j 1 Massive h j1
heard in the left chest. A tension pneumothorax is
j1 j1 j1 j1 j1 j1 j1 j1 j1
j 1 Diaphragm
relieved by immediate needle decompression and
j1 j1 j1 j1 j1 j1
j 1 Subcutaneouse j1
tube thoracostomy. Subsequently, his heart rate
j1 j 1 j1 j1 j1 j1
decreases to 140 beats per minute, his
j1 j1 j1 j1 j1 j 1 j1
11. 18-year-old, helmeted moto
respiratory rate decreases to 36 breaths per
j1 j1
j1 j1 j1 j1 j1 j1 j1
brought by ambulance to the em
minute, and his blood pressure is 80/50 inm Hg.
j1 j1 j1 j1 j1 j1
j1 j1 j1 j1 j1 j1 j1 j1 j1
department following a high-sp
Warmed Ringer's lactate is administered
j1 j1 j1 j1
j1 j1 j1 j 1 j1
Prehospitalpersormelreporttha
intravenously. The next priority should be to:
j1 j1 j1 j1
j1 j1 j1 j1 j1 j1 j1
15 meters (50 feet) off his bfice.
j1 j1 j1 j1 j1 j1 j1
perform a urethrogram and cystogram. j1 j1 j1 j1
ofhypotensionprior to arrivalin
j1 j1 j1 j1 j1 j1
j 1 perform external fixation of the pelvis. j1 j1 j1 j1 j1
department, but is now awake, al
j1 j1 j1 j1 j1 j1
j 1 obtainabdominalandpelvicCTscans. j1 j1 j1 j1 j1
conversational. Which of the fol
j1 j1 j1 j1 j1
j 1 perform arterial embolization of the pelvic j1 j1 j1 j1 j1
statements is TRUE?
j1 j1 j1
vessels.
