ATLS 10th Edition Post Test () Actual
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ATLS 10th Edition – Post-Test Practice
Long • Most-Tested • Difficult
1. Airway with Cervical Spine Injury
A 28-year-old male presents after a high-speed MVC with GCS 6, stridor, and cervical spine
tenderness. What is the most appropriate next step?
A. Insert an oropharyngeal airway
B. Perform a surgical cricothyrotomy immediately
C. Apply manual inline stabilization and perform rapid sequence intubation
D. Hyperextend the neck and insert an endotracheal tube
,Correct Answer: C
Rationale:
Airway management is priority, but neck motion must be minimized. Rapid sequence
intubation with manual inline stabilization is standard in ATLS for patients with suspected
cervical spine injury.
2. Hypotensive Trauma Patient
A 32-year-old male presents with hypotension (BP 70/40), tachycardia, and distended abdomen
after a blunt trauma. FAST exam shows free fluid. What is the most likely cause?
A. Tension pneumothorax
B. Cardiac tamponade
C. Intra-abdominal hemorrhage
D. Spinal shock
Correct Answer: C
Rationale:
Hypotension with abdominal distension and free fluid on FAST indicates intra-abdominal
bleeding, requiring rapid resuscitation and surgical intervention.
3. Massive Transfusion Protocol
A trauma patient with ongoing hemorrhage has received 6 units PRBCs in the first hour. What is
the best next step according to ATLS 10th Edition?
A. Continue PRBCs only
B. Activate massive transfusion protocol with balanced ratios of RBC:FFP:Platelets
C. Switch to crystalloids only
D. Stop transfusion and wait
Correct Answer: B
Rationale:
ATLS recommends early balanced resuscitation (RBC, FFP, platelets) for massive hemorrhage to
prevent coagulopathy.
4. Tension Pneumothorax Recognition
Which of the following is the classic triad of tension pneumothorax?
,A. Hypotension, absent breath sounds, tracheal deviation
B. Hypertension, tachypnea, cyanosis
C. Bradycardia, hypotension, muffled heart sounds
D. Fever, tachycardia, hypotension
Correct Answer: A
Rationale:
Hypotension, absent breath sounds on affected side, and tracheal deviation are classic for
tension pneumothorax and require immediate needle decompression.
5. Pelvic Fracture with Shock
A patient with a pelvic fracture is hypotensive and tachycardic. Initial resuscitation with
crystalloids is inadequate. What is the next step?
A. Apply pelvic binder and activate massive transfusion
B. Immediate CT scan
C. Observation
D. Administer IV antibiotics only
Correct Answer: A
Rationale:
Hemodynamically unstable pelvic fractures require mechanical stabilization and early blood
product resuscitation to control hemorrhage.
6. Circulation Assessment
Which is NOT a reliable indicator of shock in a trauma patient?
A. Mental status changes
B. Skin color and capillary refill
C. Heart rate alone
D. Blood pressure trend
Correct Answer: C
Rationale:
Heart rate alone is insufficient; ATLS emphasizes trends in vitals, perfusion, and mental status
for shock recognition.
, 7. Pediatric Trauma Airway
A 5-year-old with facial trauma and stridor after a fall. Which is the preferred airway
management according to ATLS?
A. Nasopharyngeal airway
B. Bag-mask ventilation only
C. Endotracheal intubation with inline stabilization
D. Immediate tracheostomy
Correct Answer: C
Rationale:
Children with airway compromise require careful intubation, with inline stabilization if cervical
spine injury is suspected.
8. Secondary Survey Component
Which is part of the secondary survey in ATLS?
A. Rapid sequence intubation
B. Head-to-toe examination, patient history (AMPLE)
C. Needle thoracostomy
D. Chest decompression
Correct Answer: B
Rationale:
Secondary survey includes head-to-toe assessment, history, vitals, and labs, after life-
threatening conditions are addressed.
9. Neurogenic Shock
A patient with spinal cord injury at T2 presents with hypotension and bradycardia. Which is
true?
A. Hypotension is due to bleeding
B. Bradycardia and hypotension indicate neurogenic shock
C. Give large-volume crystalloids as first-line
D. Tachycardia is expected
Correct Answer: B
Questions and Verified Answers, 100% Guarantee
Pass
ATLS 10th Edition – Post-Test Practice
Long • Most-Tested • Difficult
1. Airway with Cervical Spine Injury
A 28-year-old male presents after a high-speed MVC with GCS 6, stridor, and cervical spine
tenderness. What is the most appropriate next step?
A. Insert an oropharyngeal airway
B. Perform a surgical cricothyrotomy immediately
C. Apply manual inline stabilization and perform rapid sequence intubation
D. Hyperextend the neck and insert an endotracheal tube
,Correct Answer: C
Rationale:
Airway management is priority, but neck motion must be minimized. Rapid sequence
intubation with manual inline stabilization is standard in ATLS for patients with suspected
cervical spine injury.
2. Hypotensive Trauma Patient
A 32-year-old male presents with hypotension (BP 70/40), tachycardia, and distended abdomen
after a blunt trauma. FAST exam shows free fluid. What is the most likely cause?
A. Tension pneumothorax
B. Cardiac tamponade
C. Intra-abdominal hemorrhage
D. Spinal shock
Correct Answer: C
Rationale:
Hypotension with abdominal distension and free fluid on FAST indicates intra-abdominal
bleeding, requiring rapid resuscitation and surgical intervention.
3. Massive Transfusion Protocol
A trauma patient with ongoing hemorrhage has received 6 units PRBCs in the first hour. What is
the best next step according to ATLS 10th Edition?
A. Continue PRBCs only
B. Activate massive transfusion protocol with balanced ratios of RBC:FFP:Platelets
C. Switch to crystalloids only
D. Stop transfusion and wait
Correct Answer: B
Rationale:
ATLS recommends early balanced resuscitation (RBC, FFP, platelets) for massive hemorrhage to
prevent coagulopathy.
4. Tension Pneumothorax Recognition
Which of the following is the classic triad of tension pneumothorax?
,A. Hypotension, absent breath sounds, tracheal deviation
B. Hypertension, tachypnea, cyanosis
C. Bradycardia, hypotension, muffled heart sounds
D. Fever, tachycardia, hypotension
Correct Answer: A
Rationale:
Hypotension, absent breath sounds on affected side, and tracheal deviation are classic for
tension pneumothorax and require immediate needle decompression.
5. Pelvic Fracture with Shock
A patient with a pelvic fracture is hypotensive and tachycardic. Initial resuscitation with
crystalloids is inadequate. What is the next step?
A. Apply pelvic binder and activate massive transfusion
B. Immediate CT scan
C. Observation
D. Administer IV antibiotics only
Correct Answer: A
Rationale:
Hemodynamically unstable pelvic fractures require mechanical stabilization and early blood
product resuscitation to control hemorrhage.
6. Circulation Assessment
Which is NOT a reliable indicator of shock in a trauma patient?
A. Mental status changes
B. Skin color and capillary refill
C. Heart rate alone
D. Blood pressure trend
Correct Answer: C
Rationale:
Heart rate alone is insufficient; ATLS emphasizes trends in vitals, perfusion, and mental status
for shock recognition.
, 7. Pediatric Trauma Airway
A 5-year-old with facial trauma and stridor after a fall. Which is the preferred airway
management according to ATLS?
A. Nasopharyngeal airway
B. Bag-mask ventilation only
C. Endotracheal intubation with inline stabilization
D. Immediate tracheostomy
Correct Answer: C
Rationale:
Children with airway compromise require careful intubation, with inline stabilization if cervical
spine injury is suspected.
8. Secondary Survey Component
Which is part of the secondary survey in ATLS?
A. Rapid sequence intubation
B. Head-to-toe examination, patient history (AMPLE)
C. Needle thoracostomy
D. Chest decompression
Correct Answer: B
Rationale:
Secondary survey includes head-to-toe assessment, history, vitals, and labs, after life-
threatening conditions are addressed.
9. Neurogenic Shock
A patient with spinal cord injury at T2 presents with hypotension and bradycardia. Which is
true?
A. Hypotension is due to bleeding
B. Bradycardia and hypotension indicate neurogenic shock
C. Give large-volume crystalloids as first-line
D. Tachycardia is expected
Correct Answer: B
