ATLS EXAM SCRIPT WITH VIEW AHEAD
TESTED QUESTIONS AND DETAILED
SOLUTIONS 2026.
⫸ complete spine x-rays. Ans: A construction worker falls two
stories from a building and sustains bilateral calcaneal fractures. In
the emergency department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower back. Lower
extremity pulses are strong and there is no other deformity. The
suspected diagnosis is most likely to be confirmed by:
⫸ evidence of improved perfusion after fluid resuscitation could
include improvement in GCS on reevaluation. Ans: which of the
following is true regarding the initial resuscitation of a trauma
patient?
⫸ determine GCS. Ans: in managing a patient with a severe
traumatic brain injury, the most important initial step is to:
⫸ an ABG would demonstrate a base deficit between -6 and -
10mEq/L and his BP will be decreased with a narrow pulse pressure.
Ans: A previously healthy, 70-kg (154-pound) man suffers an
estimated acute blood loss of 2 liters. Which one of the following
statements applies to this patient?
, ⫸ increasing the volume of blood loss to produce maternal
hypotension. Ans: The physiological hypervolemia of pregnancy has
clinical significance in the management of the severely injured, gravid
woman by:
⫸ urinary output of 0.5mL/kg/hr. Ans: The best assessment of fluid
resuscitation of the adult burn patient is:
⫸ evidence of inadequate organ perfusion. Ans: the diagnosis of
shock must include:
⫸ direct pressure on the wound. Ans: A 7-year-old boy is brought to
the emergency department by his parents several minutes after he fell
through a window. He is bleeding profusely from a 6-cm wound of his
medial right thigh. Immediate management of the wound should
consist of:
⫸ cerebral vasoconstriction with diminished perfusion. Ans: for the
patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent
⫸ perform an exploratory laporatomy. Ans: After being involved in a
motor vehicle crash, a 25-year-old man is brought to a hospital that
has surgery capabilities available.. Computed tomography of the chest
and abdomen shows an aortic injury and splenic laceration with free
abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The
next step is:
TESTED QUESTIONS AND DETAILED
SOLUTIONS 2026.
⫸ complete spine x-rays. Ans: A construction worker falls two
stories from a building and sustains bilateral calcaneal fractures. In
the emergency department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower back. Lower
extremity pulses are strong and there is no other deformity. The
suspected diagnosis is most likely to be confirmed by:
⫸ evidence of improved perfusion after fluid resuscitation could
include improvement in GCS on reevaluation. Ans: which of the
following is true regarding the initial resuscitation of a trauma
patient?
⫸ determine GCS. Ans: in managing a patient with a severe
traumatic brain injury, the most important initial step is to:
⫸ an ABG would demonstrate a base deficit between -6 and -
10mEq/L and his BP will be decreased with a narrow pulse pressure.
Ans: A previously healthy, 70-kg (154-pound) man suffers an
estimated acute blood loss of 2 liters. Which one of the following
statements applies to this patient?
, ⫸ increasing the volume of blood loss to produce maternal
hypotension. Ans: The physiological hypervolemia of pregnancy has
clinical significance in the management of the severely injured, gravid
woman by:
⫸ urinary output of 0.5mL/kg/hr. Ans: The best assessment of fluid
resuscitation of the adult burn patient is:
⫸ evidence of inadequate organ perfusion. Ans: the diagnosis of
shock must include:
⫸ direct pressure on the wound. Ans: A 7-year-old boy is brought to
the emergency department by his parents several minutes after he fell
through a window. He is bleeding profusely from a 6-cm wound of his
medial right thigh. Immediate management of the wound should
consist of:
⫸ cerebral vasoconstriction with diminished perfusion. Ans: for the
patient with severe traumatic brain injury, profound hypocarbia
should be avoided to prevent
⫸ perform an exploratory laporatomy. Ans: After being involved in a
motor vehicle crash, a 25-year-old man is brought to a hospital that
has surgery capabilities available.. Computed tomography of the chest
and abdomen shows an aortic injury and splenic laceration with free
abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The
next step is:
