ATLS Post Test 1, 2, 3 & 4 | 10th Edition |
Updated 2025/2026 | 200 Real Exam Q&A
A 36-year-old woman is beaten about the head and face and is brought to the
local community hospital in full spinal immobilization. Her BP is 13088, HR
70/minutes, and RR 18/minute. Pulse oximetry indicated 98% while she was
given 100% O2 via a non rebreather mask. Her airway is clear. She has marked
swellings on her face and several lacerations of her scalp that are not actively
bleeding. She does not respond to verbal stimuli, but localizes to painful
stiumuli and opens her eyes. She moves all extremities equally. The remainder
of her physical exam is normal. There is no neurosurgeon at the local hospital.
After ensuring the patient airway, the most appropriate course of action is to:
A. Admit the patient to the hospital for observation
B. Obtain x-ray of her facial bones prior to transfer
C. Obtain complete x-ray evaluation of the cervical spine
D. Transfer the patient to a neurosurgeon without performing a CT-sca
D. Transfer the patient to a neurosurgeon without performing a CT-scan
For the trauma patient with cerebral edema, hypercarbia should be avoided to
prevent:
A. metabolic acidosis
B. Respiratory acidosis
C. Cerebral vasodilatation
D. Neurogenic pulmonary edema
E. Reciprocal high level of PaCO2
C. Cerebral vasodilatation
,A 29 y/o male is brought to the ED after being involved in a motor vehicular
collision when his car struck a bridge abutment. He is intoxicated, has GCS 13
and complains of abdominal pain. His BP was 80mmHg systolic by palpation on
admission, but rapidly increased to 110/70 with the administration of IV fluid.
His heart rate is 120/minute. The chest x-ray show loss of aortic know, widening
of mediastinum, no rib fracture and no hemopneumothorax. Contrast
angiography:
A. Is not indicated
B. Should be performed after CT scan of the chest
C. Is positive ofr aortic rupture in 80% of similar cases
D. Is not necessary if the CT-scan of the chest is normal
E. Should be performed after DPL
D. Is not necessary if the CT-scan of the chest is normal
Important screening x-rays to obtain in the multiple system trauma patient are:
A. Skull, chest and abdomen
B. Chest, abdomen and pelvis
C. Skull cervical spine and pelvis
D. Cervical spine, chest and pelvis
E. Cervical spine, chest and abdomen
D. Cervical spine, chest and pelvis
All of the following statement regarding pulse oxymetry are true EXCEPT
A. excessive surrounding room light can interfere with the accuracy of the
reading
B. Significant levels of dysfunctional hemoglobin can affect the accuracy of the
reading
C. It provides a continuous measurement of the partial pressure of oxygen
D. It is dependent on differential light absorption by oxygenated and
deoxygenated hemoglobin
E. It provides a continuous, non-invasiv measurement of pulse rate that is
updated with each HR
C. It provides a continuous measurement of the partial pressure of oxygen
,Bronchial intubation at the right or left mainstem bronchus can easily occuring
during infant endotracheal intubation because
A. The trachea is relatively short
B. The distance from the lips to the larynx is relatively short
C. The use of tubes without cuffs allow the tube to slip easily
D. The mainstem bronchi are less angulated in their relation to the trachea
E. Do litte friction exist between endotracheal tube and the wall of the trachea.
A. The trachea is relatively short
A 52 y/o woman sustaining 50% total body surface burns in an explosion. She
has burns around the chest and both upper arms. Adequate resuscitation is
initiated. She is nasotracheally intubated and is being mechanically ventilated.
Her CarboxyHb level is 10%. Her arterial blood gas reveals PaO2 of 40mmHg,
PaCo2 of 60mmHg and pH of 7,25. Appropriate immediate management at the
time is to
A. Ensure adequate tissue perfusion
B. Increase the rate of fluid resuscitation
C. Add PEEP
D. Reassess for the presence of pneumothorax
E. Administer IV narcotics in small amounts
?A. Ensure adequate tissue perfusion
All of the following suggest urethral injury EXCEPT
A. scrotal hematoma
B. Blood in rectal lumen
C. Blod in external urethral meatus
D. High riding prostate on rectal exam
E. Absence of a palpable prostate on rectal exam
E. Absence of a palpable prostate on rectal exam
Which one of the following is recommended method for threating frostbite?
A. Moist heat
B. Early amputation
C. Padding and elevation
, D. Vasodilators and heparin
E. Topical application of silversulphadiazine
A. Moist heat
A 32-year-old mans right leg is trapped beneath his overturned car for nearly
two hours before he is extricated. On arrival in the ED, both lower extremities
are cool, mottled, insensate and motionless. Despite normal vital signs, pulses
cannot be palpated below the femoral vessels and the muscles of the lower
extremities are firm and hard. During the initial management of this patient,
which of the followin is most likely to improve chances for limb salvage?
A. Apply skeletal traction
B. Administering anticoagulant drugs
C. Administering trombolytic thearpy
D. Performing lower extremity fasciotomies
E. Immediately transfer the patient to a trauma care
D. Performing lower extremity fasciotomies
A 26 y/o seat belted driver is brought to the ED after a car crash. Primary survey
reveals no evidence of serious injury except for diffuse, mild abdominal
tenderness. Bowel sounds are hypoactive and liver dullness is questionable.
Abdominal films reveal free air. The patient should
A. Undergo peritoneal lavage
B. Undergo promp celiotomy
C. Have a contrast x-ray of her GI-tract
D. Be carefully observed for further evidence of intraabdominal injury
E. Be suspected of having a ruptured diaphragm and accompanying
pneumothorax.
B. Undergo promp celiotomy
The least likely cause of a depressed level of consiousness in the multisystem
injured patient is:
A. shock
B. Head injury
C. Hyperglycemia
Updated 2025/2026 | 200 Real Exam Q&A
A 36-year-old woman is beaten about the head and face and is brought to the
local community hospital in full spinal immobilization. Her BP is 13088, HR
70/minutes, and RR 18/minute. Pulse oximetry indicated 98% while she was
given 100% O2 via a non rebreather mask. Her airway is clear. She has marked
swellings on her face and several lacerations of her scalp that are not actively
bleeding. She does not respond to verbal stimuli, but localizes to painful
stiumuli and opens her eyes. She moves all extremities equally. The remainder
of her physical exam is normal. There is no neurosurgeon at the local hospital.
After ensuring the patient airway, the most appropriate course of action is to:
A. Admit the patient to the hospital for observation
B. Obtain x-ray of her facial bones prior to transfer
C. Obtain complete x-ray evaluation of the cervical spine
D. Transfer the patient to a neurosurgeon without performing a CT-sca
D. Transfer the patient to a neurosurgeon without performing a CT-scan
For the trauma patient with cerebral edema, hypercarbia should be avoided to
prevent:
A. metabolic acidosis
B. Respiratory acidosis
C. Cerebral vasodilatation
D. Neurogenic pulmonary edema
E. Reciprocal high level of PaCO2
C. Cerebral vasodilatation
,A 29 y/o male is brought to the ED after being involved in a motor vehicular
collision when his car struck a bridge abutment. He is intoxicated, has GCS 13
and complains of abdominal pain. His BP was 80mmHg systolic by palpation on
admission, but rapidly increased to 110/70 with the administration of IV fluid.
His heart rate is 120/minute. The chest x-ray show loss of aortic know, widening
of mediastinum, no rib fracture and no hemopneumothorax. Contrast
angiography:
A. Is not indicated
B. Should be performed after CT scan of the chest
C. Is positive ofr aortic rupture in 80% of similar cases
D. Is not necessary if the CT-scan of the chest is normal
E. Should be performed after DPL
D. Is not necessary if the CT-scan of the chest is normal
Important screening x-rays to obtain in the multiple system trauma patient are:
A. Skull, chest and abdomen
B. Chest, abdomen and pelvis
C. Skull cervical spine and pelvis
D. Cervical spine, chest and pelvis
E. Cervical spine, chest and abdomen
D. Cervical spine, chest and pelvis
All of the following statement regarding pulse oxymetry are true EXCEPT
A. excessive surrounding room light can interfere with the accuracy of the
reading
B. Significant levels of dysfunctional hemoglobin can affect the accuracy of the
reading
C. It provides a continuous measurement of the partial pressure of oxygen
D. It is dependent on differential light absorption by oxygenated and
deoxygenated hemoglobin
E. It provides a continuous, non-invasiv measurement of pulse rate that is
updated with each HR
C. It provides a continuous measurement of the partial pressure of oxygen
,Bronchial intubation at the right or left mainstem bronchus can easily occuring
during infant endotracheal intubation because
A. The trachea is relatively short
B. The distance from the lips to the larynx is relatively short
C. The use of tubes without cuffs allow the tube to slip easily
D. The mainstem bronchi are less angulated in their relation to the trachea
E. Do litte friction exist between endotracheal tube and the wall of the trachea.
A. The trachea is relatively short
A 52 y/o woman sustaining 50% total body surface burns in an explosion. She
has burns around the chest and both upper arms. Adequate resuscitation is
initiated. She is nasotracheally intubated and is being mechanically ventilated.
Her CarboxyHb level is 10%. Her arterial blood gas reveals PaO2 of 40mmHg,
PaCo2 of 60mmHg and pH of 7,25. Appropriate immediate management at the
time is to
A. Ensure adequate tissue perfusion
B. Increase the rate of fluid resuscitation
C. Add PEEP
D. Reassess for the presence of pneumothorax
E. Administer IV narcotics in small amounts
?A. Ensure adequate tissue perfusion
All of the following suggest urethral injury EXCEPT
A. scrotal hematoma
B. Blood in rectal lumen
C. Blod in external urethral meatus
D. High riding prostate on rectal exam
E. Absence of a palpable prostate on rectal exam
E. Absence of a palpable prostate on rectal exam
Which one of the following is recommended method for threating frostbite?
A. Moist heat
B. Early amputation
C. Padding and elevation
, D. Vasodilators and heparin
E. Topical application of silversulphadiazine
A. Moist heat
A 32-year-old mans right leg is trapped beneath his overturned car for nearly
two hours before he is extricated. On arrival in the ED, both lower extremities
are cool, mottled, insensate and motionless. Despite normal vital signs, pulses
cannot be palpated below the femoral vessels and the muscles of the lower
extremities are firm and hard. During the initial management of this patient,
which of the followin is most likely to improve chances for limb salvage?
A. Apply skeletal traction
B. Administering anticoagulant drugs
C. Administering trombolytic thearpy
D. Performing lower extremity fasciotomies
E. Immediately transfer the patient to a trauma care
D. Performing lower extremity fasciotomies
A 26 y/o seat belted driver is brought to the ED after a car crash. Primary survey
reveals no evidence of serious injury except for diffuse, mild abdominal
tenderness. Bowel sounds are hypoactive and liver dullness is questionable.
Abdominal films reveal free air. The patient should
A. Undergo peritoneal lavage
B. Undergo promp celiotomy
C. Have a contrast x-ray of her GI-tract
D. Be carefully observed for further evidence of intraabdominal injury
E. Be suspected of having a ruptured diaphragm and accompanying
pneumothorax.
B. Undergo promp celiotomy
The least likely cause of a depressed level of consiousness in the multisystem
injured patient is:
A. shock
B. Head injury
C. Hyperglycemia
