ATLS Post Test. MCQ With Answers 2025 Updated
WITH VERIFIED SOLUTIONS RATED A+
Which of the following is least reliable for diagnosing esophageal intubation? - correct answer -ETT
above carina on chest x ray
Which of the following signs necessitates the need for a definitive airway in severe trauma patient? -
correct answer -Severe maxillofacial trauma
Twenty seven people are severely injured in an aircraft crash at a local airport. The principles of triage
include: - correct answer -Produce the greatest number of survivors based on available resources
Which of the following statements are correct? - correct answer -Cerebral contusions may coalesce to
form an intracerebral hematoma
The primary indication for transferring a patient to a higher level trauma center is: - correct answer -
Resource limitations as determined by the transferring doctor
A teenaged bicycle rider is hit by a truck traveling at high speed. In the emergency department, she is
actively bleeding from open fractures of her legs, and has abrasions on her chest and abdominal wall.
Her blood pressure is 80/50 mm Hg, heart rate is 140 beats per minute, respiratory rate is 8 breaths per
minute, and GCS score is 6. The first step in managing this patient is to:
a) obtain a lateral cervical spine xray.
b) administer 2 liters of crystalloid solution.
c) insert a central venous pressure line.
, d) perform endotracheal intubation and ventilation. - correct answer -D. Perform endotracheal
intubation and ventilation
Contraindication to nasogastric intubation is the presence of a: - correct answer -Fracture of the
cribiform plate
Which of the following statements regarding patients with thoracic spine injuries is true? - correct
answer -Log rolling may be destabilizing to fractures from T12-L1
A young man sustains a rifle wound to the mid-abdomen. He is brought promptly to the ED by
prehospital personnel. His skin is cool and diaphoretic, and his systolic blood pressure is 58mmHg.
Warmed crystalloid fluids are initiated without improvement in his vital signs. The next, most
appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - correct answer -A celiotomy
Young women sustains a severe head injury as the result of a motor vehicle crash. In the emergency
department her GCS is 6. Her BP is 140/90 mmHg and her HR is 80. She is intubated and is being
mechanically ventilated. Her pupils are 3 mm in size and equally reactive to light. There is no other
apparent injury. The more important principle to follow in the early management of her head injury is
to: - correct answer -Prevent secondary brain injury
22 year old man is brought to the hospital after crashing his motorcycle into a telephone pole. He is
unconscious and in profound shock. He has no open wounds or obvious fractures. The cause of his
shocks is most likely caused by: - correct answer -Hemorrhage into the chest of abdomen
30 year old man is struck by a car traveling 35mph. He has obvious fractures of the left tibia near the
knee, pain in the pelvis area, and severe dyspnea. His HR is 180, RR 48 bpm with no breath sounds heard
in the left chest. A tension PTX is relieved by immediate needle decompression and tube thoracostomy.
Subsequently his HR decreased to 140, his RR decreased to 36 bpm, and BP 80/50 mmHg. Warmed LR is
administered intravenously. The next priority should be to: - correct answer -Perform external fixation
of the pelvis
WITH VERIFIED SOLUTIONS RATED A+
Which of the following is least reliable for diagnosing esophageal intubation? - correct answer -ETT
above carina on chest x ray
Which of the following signs necessitates the need for a definitive airway in severe trauma patient? -
correct answer -Severe maxillofacial trauma
Twenty seven people are severely injured in an aircraft crash at a local airport. The principles of triage
include: - correct answer -Produce the greatest number of survivors based on available resources
Which of the following statements are correct? - correct answer -Cerebral contusions may coalesce to
form an intracerebral hematoma
The primary indication for transferring a patient to a higher level trauma center is: - correct answer -
Resource limitations as determined by the transferring doctor
A teenaged bicycle rider is hit by a truck traveling at high speed. In the emergency department, she is
actively bleeding from open fractures of her legs, and has abrasions on her chest and abdominal wall.
Her blood pressure is 80/50 mm Hg, heart rate is 140 beats per minute, respiratory rate is 8 breaths per
minute, and GCS score is 6. The first step in managing this patient is to:
a) obtain a lateral cervical spine xray.
b) administer 2 liters of crystalloid solution.
c) insert a central venous pressure line.
, d) perform endotracheal intubation and ventilation. - correct answer -D. Perform endotracheal
intubation and ventilation
Contraindication to nasogastric intubation is the presence of a: - correct answer -Fracture of the
cribiform plate
Which of the following statements regarding patients with thoracic spine injuries is true? - correct
answer -Log rolling may be destabilizing to fractures from T12-L1
A young man sustains a rifle wound to the mid-abdomen. He is brought promptly to the ED by
prehospital personnel. His skin is cool and diaphoretic, and his systolic blood pressure is 58mmHg.
Warmed crystalloid fluids are initiated without improvement in his vital signs. The next, most
appropriate, step is to perform:
A. a laparotomy
B. An abdominal CT-scan
C. Diagnostic laparoscopy
D. Abdominal ultrasonography
E. A diagnostic peritoneal lavage - correct answer -A celiotomy
Young women sustains a severe head injury as the result of a motor vehicle crash. In the emergency
department her GCS is 6. Her BP is 140/90 mmHg and her HR is 80. She is intubated and is being
mechanically ventilated. Her pupils are 3 mm in size and equally reactive to light. There is no other
apparent injury. The more important principle to follow in the early management of her head injury is
to: - correct answer -Prevent secondary brain injury
22 year old man is brought to the hospital after crashing his motorcycle into a telephone pole. He is
unconscious and in profound shock. He has no open wounds or obvious fractures. The cause of his
shocks is most likely caused by: - correct answer -Hemorrhage into the chest of abdomen
30 year old man is struck by a car traveling 35mph. He has obvious fractures of the left tibia near the
knee, pain in the pelvis area, and severe dyspnea. His HR is 180, RR 48 bpm with no breath sounds heard
in the left chest. A tension PTX is relieved by immediate needle decompression and tube thoracostomy.
Subsequently his HR decreased to 140, his RR decreased to 36 bpm, and BP 80/50 mmHg. Warmed LR is
administered intravenously. The next priority should be to: - correct answer -Perform external fixation
of the pelvis
