10th Edition ATLS Combined 2025/2026
Exam Questions and Answers | 100%
Solved
MIST Pneumonic [10.1] - 🧠 ANSWER ✔✔Mechanism (and time) of Injury
Injuries found and suspected
Symptoms and signs
Treatment Initiated
Primary Survey (ABCDE) [10.1] - 🧠 ANSWER ✔✔A-airway/cervical spine,
B-breathing,
c-circulation with hemorrhage control
,d-disability (assess Neuro status)
e-exposure/environmental control
DOPE [Ultimate ATLS Prep] - 🧠 ANSWER ✔✔Reasons for deterioration in
an intubated patient
Dislodgement
Obstruction
Pneumothorax
Equipment Failure
Shock index calculation [Ultimate ATLS Prep] - 🧠 ANSWER ✔✔HR/SBP
Normal = 0.5=0.7
Volume Loss = >0.9
AMPLE [10.1] - 🧠 ANSWER ✔✔(Allergies, Medications, Past
Illnesses/Pregnancy, Last Meal, Events/Environment related to injury)
Definitive airway definition - 🧠 ANSWER ✔✔Tube placed in trachea with
cuff inflated below vocal cords, tube connected to a form of oxygen
,enriched assisted ventilation and the airway secured in place with an
appropriate stabilizing method.
[10.2, pg24]
Laryngeal Trauma Triad of Signs - 🧠 ANSWER ✔✔Hoarseness (dysphonia)
Subcutaneous Emphysema
Palpable fracture
Tx: flexible endoscopic intubation
Dx : CT scan
[10.2, pg25]
"abdominal breathing" or "diaphragmatic breathing" could be caused by - 🧠
ANSWER ✔✔Injury to below C3.
These maintain diaphragmatic function, but lose intercostal and abdominal
muscle contribution to respiration.
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3
, These patients display a seesaw pattern of breathing.
[10.2, pg26]
LEMON pneumonic - 🧠 ANSWER ✔✔Assessment for Difficult Intubation
Look Externally - small mouth, overbite, facial trauma
Evaluate the 3-3-2 Rule - evaluates alignment of pharyngeal, laryngeal,
and oral aes. 3FB between teeth, 3FB between hyoid bone and chin(tip of
mentum), 2FB between throid notch and floor of mouth.
Mallampati (PUSH)
Opstruction
Neck mobility
[10.2, pg28]
Pulse Oximetry that correllates with PaO2 of >70mmHg - 🧠 ANSWER
✔✔95%