1 | Page
ATLS POST TEST MCQ EXAM QUESTION BANK 2026 |
ACTUAL EXAM QUESTIONS AND CORERECT ANSWERS
(VERIFIED) | GRADED A+ | GUARANTEED PASS.
An 18 y/o man is brought to the ED after smashing his motorcycle
into a tree. He is conscious and alert, but paralyzed in both legs
and arms. His skin is pale and cold. He complains of thirst and
difficulty in breathing. His airway is clear. His BP is 60/40 and his
pulse is 140 bpm. Breath sounds are full and equal bilaterally. He
should
A. Undergo exploratory celiotomy
B. Be treated for neurogenic shock
C. Be treated for hypovolemic shock
D. Undergo immediate nasotracheal intubation
E. be placed in cervical traction tongs before any other treatment
is instituted
C. Be treated for hypovolemic shock
Which one of the following statements concerning massive
hemothorax is true?
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A. It is usually caused by blunt thoracic trauma
B. It is commonly confused with pneumothorax
C. The diagnosis should be confirmed by upright, plain chest xray
prior to treatment
D. The initial draining of 1000ml of blood after chest tube
insertion requires immediate thoracotomy
E. The condition should be suspected in situations with shock
and unilateral absent breath sounds
E. The condition should be suspected in situations with shock and
unilateral absent breath sounds
A 14-year-old female is brought to the ED after falling from a
horse. She is immobilized on a long spine board with a hard
collar and blocks. Cervical spine x-ray:
A. Will show cervical spine injury in more than 20% of these
patients
B. Will exclude cervical spine injury if no abnormalities are found
on the x-rays
C. Are not needed if she is awake, alert, neurologically normal,
and has no neck pain or midline tenderness
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D. Should be performed before a dressing potential breathing or
circulatory problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1
--> 1:normal, >1 anterior, <1 posterior
C. Are not needed if she is awake, alert, neurologically normal,
and has no neck pain or midline tenderness
Cervical spine injury
A. Is excluded by a normal neurologic exam
B. Is not present if the patient has normal range of motion
C. Can be detected safely by careful flexion and extension of the
neck
D. Can be excluded by a crosstable lateral x-ray of the c-spine
E. May be first manifested by neurologic deficit after movement
of the neck
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E. May be first manifested by neurologic deficit after movement
of the neck
The principle of balanced resuscitation is:
A) Permissive hypotension and early plasma infusion
B) Equal amounts of crystalloid and colloids
C) Simultaneous management of breathing and circulation
D) Maintenance of a normal acid base balance
E) Achieving a pulse rate <90
A) Permissive hypotension and early plasma infusion
Healthy young male in a motor vehicle crash is brought to the
emergency department with a blood pressure of 84/60, pulse 123,
GCS 10. The patient moans when his pelvis is palpated. After
initiating fluid resuscitation, the next step in management is:
A) Placement of a pelvic binder
B) Transfer to a trauma center
C) Pelvic x-ray
ATLS POST TEST MCQ EXAM QUESTION BANK 2026 |
ACTUAL EXAM QUESTIONS AND CORERECT ANSWERS
(VERIFIED) | GRADED A+ | GUARANTEED PASS.
An 18 y/o man is brought to the ED after smashing his motorcycle
into a tree. He is conscious and alert, but paralyzed in both legs
and arms. His skin is pale and cold. He complains of thirst and
difficulty in breathing. His airway is clear. His BP is 60/40 and his
pulse is 140 bpm. Breath sounds are full and equal bilaterally. He
should
A. Undergo exploratory celiotomy
B. Be treated for neurogenic shock
C. Be treated for hypovolemic shock
D. Undergo immediate nasotracheal intubation
E. be placed in cervical traction tongs before any other treatment
is instituted
C. Be treated for hypovolemic shock
Which one of the following statements concerning massive
hemothorax is true?
,2 | Page
A. It is usually caused by blunt thoracic trauma
B. It is commonly confused with pneumothorax
C. The diagnosis should be confirmed by upright, plain chest xray
prior to treatment
D. The initial draining of 1000ml of blood after chest tube
insertion requires immediate thoracotomy
E. The condition should be suspected in situations with shock
and unilateral absent breath sounds
E. The condition should be suspected in situations with shock and
unilateral absent breath sounds
A 14-year-old female is brought to the ED after falling from a
horse. She is immobilized on a long spine board with a hard
collar and blocks. Cervical spine x-ray:
A. Will show cervical spine injury in more than 20% of these
patients
B. Will exclude cervical spine injury if no abnormalities are found
on the x-rays
C. Are not needed if she is awake, alert, neurologically normal,
and has no neck pain or midline tenderness
,3 | Page
D. Should be performed before a dressing potential breathing or
circulatory problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1
--> 1:normal, >1 anterior, <1 posterior
C. Are not needed if she is awake, alert, neurologically normal,
and has no neck pain or midline tenderness
Cervical spine injury
A. Is excluded by a normal neurologic exam
B. Is not present if the patient has normal range of motion
C. Can be detected safely by careful flexion and extension of the
neck
D. Can be excluded by a crosstable lateral x-ray of the c-spine
E. May be first manifested by neurologic deficit after movement
of the neck
, 4 | Page
E. May be first manifested by neurologic deficit after movement
of the neck
The principle of balanced resuscitation is:
A) Permissive hypotension and early plasma infusion
B) Equal amounts of crystalloid and colloids
C) Simultaneous management of breathing and circulation
D) Maintenance of a normal acid base balance
E) Achieving a pulse rate <90
A) Permissive hypotension and early plasma infusion
Healthy young male in a motor vehicle crash is brought to the
emergency department with a blood pressure of 84/60, pulse 123,
GCS 10. The patient moans when his pelvis is palpated. After
initiating fluid resuscitation, the next step in management is:
A) Placement of a pelvic binder
B) Transfer to a trauma center
C) Pelvic x-ray
