ATLS POST
TEST 2026
QUESTIONS
&
ANSWERS
, 6
1. The primary indication for transferring a 4. Which one of the following statements
patient to a higher level trauma center is: regarding patients with thoracic spine injuries is
TRUE?
unavailability of a surgeon or operating room Log-rolling may be destabilizing to
staff. fractures from T-12 to L-1.
multiple system injuries, including severe Adequate immobilization can be
head injury. accomplished with the scoop stretcher.
resource limitations as determined by the Spinal cord injury below T-10 usually spares
transferring doctor. bowel and bladder function.
resource limitations as determined by the Hyperflexion fractures in the upper
A Venezia,
hospital nei vicoli che i turisti
administration. nonspine
thoracic trovano mai, unstable.
are inherently
c'era una
widened mediastinum bottega
on chest x-ray senza insegna.
Dentro,
These patients rarelyun uomo
present withdi
spinal
followingnome Orsino
blunt thoracic dipingeva sogni. shock in association with cord injury.
trauma.
Non metaforicamente. I clienti entravano, si
2. teen-aged bicycle sedevano b y su
rider is hit by una sedia di 5.
a truck velluto
young manrosso, chiudevano
sustains a ritle wound to the mid-
traveling at a high rategliofocchi
speed. eIndescrivevano
the il abdomen.
sogno più He isbello
broughtchepromptly to the
emergency department, avessero mai bleeding
she is actively fatto. Orsinoemergency
ascoltava in silenzio,
department poi
by prehospital
from open fractures of dipingeva.
her legs, and has personnel. His skin is cool and diaphoretic, and
abrasions on her chest Il and
quadro era wall.
abdominal sempreHer pronto his il giorno
systolic blooddopo. E quando
pressure is 58 rnm Hg.
blood pressure is 80/50 il cliente
mm Hg, lo guardava,
heart rate is rientrava
Warmed nel sognofluids
crystalloid — are initiated without
completamente, con tutti i improvement
140 beats per minute, respiratory rate is 8
sensi. in his vital signs. The next, most
breaths per minute, and GCS score is 6. appropriate step is to perform:
Una sera arrivò una bambina di forse dieci anni,
The first step in managing this patient is to: a celiotomy.
sola. Non aveva soldi. Disse che il suo sogno era
an abdominal CT scan.
l'unico
obtain a lateral cervical posto
spine x-ray.dove rivedeva sua madre. diagnostic laparoscopy.
insert a centralOrsino non disse
venous pressure line.
nulla. Lavorò tutta la notte,ultrasonography.
abdominal usando
colori
administer 2 liters of chesolution.
crystalloid non aveva mai mescolatoa diagnostic
prima — colori lavage.
peritoneal
che intubation
perform endotracheal brillavano andleggermente al buio.
La mattina dopo, quando la bambina aprì gli occhi
ventilation.
6. young woman sustains a severe head he ad injury
apply the PASGdopo averthe
and inflate guardato
leg
il quadro, stava sorridendo in
as the result of a motor vehicular crash. In the
modo diverso. Non il sorriso
compartments.
di chi ha
emergency ricevuto
department, herun
GCS score is 6. Her
regalo, ma di chi ha ricordato qualcosa di
blood pressure is 140/90 mm Hg and her heart
3. Contraindication to fondamentale.
nasogastric intubation is rate is 80 beats per minute. She is intubated and
the presence of a: Orsino guardò il quadro rimasto sul cavalletto.
is being mechanically Era Her pupils are
ventilated.
vuoto. Aveva dato alla bambina
gastric perforation. 3 mm innon una
size and copia
equall
equally del to light.
y reactive
sogno, ma
diaphragmatic il sogno vero. L'ultimo
rupture. There is nocheothergli rimaneva.
apparent injury. The most
Chiuse la bottega serenamente.
open depressed skull fracture. important principle to follow in the early
fracture of the cervical spine. management of her head injury is to:
fracture of the cribriform plate.
administer an osmotic diuretic.
prevent secondary brain injury.
, RRERERETEFWGFFDHDF
aggressively treat systemic hypertension. 9. 8-year-old girl is an unrestrained passenger
reduce metabolic requirements of the in a vehicle struck from behind. In the
brain. emergency department, her blood pressure is
distinguish between intracranial hematoma 80/60 mm Hg, heart rate is 80 beats per minute,
and cerebral edema. and respiratory rate is 16 breaths per minute.
Her GCS score is 14. She complains that her
legs feel "funny and won't move right;"
7. 22-year-old man is brought to the hospital
however, her spine x-rays do not show a
A Venezia, nei vicoli che i turisti
after crashing his motorcycle into a telephone
non
fracture trovano A
or dislocation. mai,
spinal cord injury in
pole. He is unconscious and in profound shock.
c'era una bottega senza insegna. Dentro, un uomo di
this child:
He has no open wounds or obvious fractures.
nome Orsino dipingeva sogni. is most likely a central cord syndrome.
The cause of his shock is MOST LIKELY
caused by: Non metaforicamente. I clienti entravano,
must be diagnosed bysimagnetic resonance
sedevano su una sedia di velluto rosso, chiudevano imaging.
a subdural hematoma.
can be excluded by obtaining a CT of the
gli occhi hematoma.
e descrivevano il sogno più bello che entire spine.
an epidural
avessero
a transected maicord.
lumbar spinal fatto. Orsino ascoltava
in silenzio, poi
may exist in the absence of objective
dipingeva.
a transected cervical spinal cord.
findings on x-ray studies.
hemorrhage intoIlthe quadro
chest or era sempre pronto il giorno
abdomen.
dopo. E ofquando
is unlikely because the incomplete
il cliente lo guardava, rientrava nel sogno of
calcification —the vertebral bodies.
8. 30-year-old mancompletamente, con tutti i sensi.
is struck by a car traveling
at 56 kph (35 mph). Una sera
He has arrivò
obvious una bambina
fractures of di forse dieci anni,
10. Immediate chest tube insertion is indicated
sola.
the left tibia near the knee,Non
pain aveva soldi. Disseforche
in the pelvic whichil suo
of thesogno
following eraconditions?
l'unico posto dove rivedeva sua madre.
area, and severe dyspnea. His heart rate is 180 Pneumothorax
beats per minute, andOrsino non disse
his respiratory nulla.
rate is 48 Lavorò tutta la notte, usando
Pneumomediastinum
breaths per minutecolori
with noche
breathnon aveva
sounds heardmai mescolato prima — colori
Massive hemothorax
che brillavano leggermente al buio.
in the left chest. A tension pneumothorax is Diaphragmatic rupture
relieved by immediate needle decompression
La mattina dopo, quando la bambina aprì
and tube thoracostomy. Subsequently, his heart
gli occhiemphysema
Subcutaneous
rate decreases to 140dopobeatsaver guardato
per minute, his il quadro, stava sorridendo in
modo todiverso.
respiratory rate decreases 36 breathsNon per il sorriso11.di18-year-old,
chi ha ricevuto
helmetedun motorcyclist is
minute, and his bloodregalo, mais 80/50
pressure di chiinm haHg. ricordato qualcosa
brought di
by ambulance to the emergency
fondamentale.
Warmed Ringer's lactate is administered department following a high-speed crash.
intravenously. TheOrsino guardò
next priority shouldilbequadro
to: rimasto sul cavalletto.
Prehospital persormel report Erathat he was thrown
vuoto.and
perform a urethrogram Aveva dato alla bambina
cystogram.
non(50
15 meters unafeet)copia
off his del
bfice. He has a
perform external sogno,
fixation ma
of theilpelvis.
sogno vero. L'ultimo
che gli rimaneva.
history of hypotension prior to arrival in the
emergency department, but is now awake, alert,
Chiuse la bottega serenamente.
obtain abdominal and pelvic CT scans.
perform arterial embolization of the pelvic and conversational. Which of the following
vessels. statements is TRUE?
perform diagnostic peritoneal lavage or Cerebral perfiision is intacto
abdominal ultrasound. Intravascular volume status is normal.
The patient has sensitive vasomotor
reflexes.
2
TEST 2026
QUESTIONS
&
ANSWERS
, 6
1. The primary indication for transferring a 4. Which one of the following statements
patient to a higher level trauma center is: regarding patients with thoracic spine injuries is
TRUE?
unavailability of a surgeon or operating room Log-rolling may be destabilizing to
staff. fractures from T-12 to L-1.
multiple system injuries, including severe Adequate immobilization can be
head injury. accomplished with the scoop stretcher.
resource limitations as determined by the Spinal cord injury below T-10 usually spares
transferring doctor. bowel and bladder function.
resource limitations as determined by the Hyperflexion fractures in the upper
A Venezia,
hospital nei vicoli che i turisti
administration. nonspine
thoracic trovano mai, unstable.
are inherently
c'era una
widened mediastinum bottega
on chest x-ray senza insegna.
Dentro,
These patients rarelyun uomo
present withdi
spinal
followingnome Orsino
blunt thoracic dipingeva sogni. shock in association with cord injury.
trauma.
Non metaforicamente. I clienti entravano, si
2. teen-aged bicycle sedevano b y su
rider is hit by una sedia di 5.
a truck velluto
young manrosso, chiudevano
sustains a ritle wound to the mid-
traveling at a high rategliofocchi
speed. eIndescrivevano
the il abdomen.
sogno più He isbello
broughtchepromptly to the
emergency department, avessero mai bleeding
she is actively fatto. Orsinoemergency
ascoltava in silenzio,
department poi
by prehospital
from open fractures of dipingeva.
her legs, and has personnel. His skin is cool and diaphoretic, and
abrasions on her chest Il and
quadro era wall.
abdominal sempreHer pronto his il giorno
systolic blooddopo. E quando
pressure is 58 rnm Hg.
blood pressure is 80/50 il cliente
mm Hg, lo guardava,
heart rate is rientrava
Warmed nel sognofluids
crystalloid — are initiated without
completamente, con tutti i improvement
140 beats per minute, respiratory rate is 8
sensi. in his vital signs. The next, most
breaths per minute, and GCS score is 6. appropriate step is to perform:
Una sera arrivò una bambina di forse dieci anni,
The first step in managing this patient is to: a celiotomy.
sola. Non aveva soldi. Disse che il suo sogno era
an abdominal CT scan.
l'unico
obtain a lateral cervical posto
spine x-ray.dove rivedeva sua madre. diagnostic laparoscopy.
insert a centralOrsino non disse
venous pressure line.
nulla. Lavorò tutta la notte,ultrasonography.
abdominal usando
colori
administer 2 liters of chesolution.
crystalloid non aveva mai mescolatoa diagnostic
prima — colori lavage.
peritoneal
che intubation
perform endotracheal brillavano andleggermente al buio.
La mattina dopo, quando la bambina aprì gli occhi
ventilation.
6. young woman sustains a severe head he ad injury
apply the PASGdopo averthe
and inflate guardato
leg
il quadro, stava sorridendo in
as the result of a motor vehicular crash. In the
modo diverso. Non il sorriso
compartments.
di chi ha
emergency ricevuto
department, herun
GCS score is 6. Her
regalo, ma di chi ha ricordato qualcosa di
blood pressure is 140/90 mm Hg and her heart
3. Contraindication to fondamentale.
nasogastric intubation is rate is 80 beats per minute. She is intubated and
the presence of a: Orsino guardò il quadro rimasto sul cavalletto.
is being mechanically Era Her pupils are
ventilated.
vuoto. Aveva dato alla bambina
gastric perforation. 3 mm innon una
size and copia
equall
equally del to light.
y reactive
sogno, ma
diaphragmatic il sogno vero. L'ultimo
rupture. There is nocheothergli rimaneva.
apparent injury. The most
Chiuse la bottega serenamente.
open depressed skull fracture. important principle to follow in the early
fracture of the cervical spine. management of her head injury is to:
fracture of the cribriform plate.
administer an osmotic diuretic.
prevent secondary brain injury.
, RRERERETEFWGFFDHDF
aggressively treat systemic hypertension. 9. 8-year-old girl is an unrestrained passenger
reduce metabolic requirements of the in a vehicle struck from behind. In the
brain. emergency department, her blood pressure is
distinguish between intracranial hematoma 80/60 mm Hg, heart rate is 80 beats per minute,
and cerebral edema. and respiratory rate is 16 breaths per minute.
Her GCS score is 14. She complains that her
legs feel "funny and won't move right;"
7. 22-year-old man is brought to the hospital
however, her spine x-rays do not show a
A Venezia, nei vicoli che i turisti
after crashing his motorcycle into a telephone
non
fracture trovano A
or dislocation. mai,
spinal cord injury in
pole. He is unconscious and in profound shock.
c'era una bottega senza insegna. Dentro, un uomo di
this child:
He has no open wounds or obvious fractures.
nome Orsino dipingeva sogni. is most likely a central cord syndrome.
The cause of his shock is MOST LIKELY
caused by: Non metaforicamente. I clienti entravano,
must be diagnosed bysimagnetic resonance
sedevano su una sedia di velluto rosso, chiudevano imaging.
a subdural hematoma.
can be excluded by obtaining a CT of the
gli occhi hematoma.
e descrivevano il sogno più bello che entire spine.
an epidural
avessero
a transected maicord.
lumbar spinal fatto. Orsino ascoltava
in silenzio, poi
may exist in the absence of objective
dipingeva.
a transected cervical spinal cord.
findings on x-ray studies.
hemorrhage intoIlthe quadro
chest or era sempre pronto il giorno
abdomen.
dopo. E ofquando
is unlikely because the incomplete
il cliente lo guardava, rientrava nel sogno of
calcification —the vertebral bodies.
8. 30-year-old mancompletamente, con tutti i sensi.
is struck by a car traveling
at 56 kph (35 mph). Una sera
He has arrivò
obvious una bambina
fractures of di forse dieci anni,
10. Immediate chest tube insertion is indicated
sola.
the left tibia near the knee,Non
pain aveva soldi. Disseforche
in the pelvic whichil suo
of thesogno
following eraconditions?
l'unico posto dove rivedeva sua madre.
area, and severe dyspnea. His heart rate is 180 Pneumothorax
beats per minute, andOrsino non disse
his respiratory nulla.
rate is 48 Lavorò tutta la notte, usando
Pneumomediastinum
breaths per minutecolori
with noche
breathnon aveva
sounds heardmai mescolato prima — colori
Massive hemothorax
che brillavano leggermente al buio.
in the left chest. A tension pneumothorax is Diaphragmatic rupture
relieved by immediate needle decompression
La mattina dopo, quando la bambina aprì
and tube thoracostomy. Subsequently, his heart
gli occhiemphysema
Subcutaneous
rate decreases to 140dopobeatsaver guardato
per minute, his il quadro, stava sorridendo in
modo todiverso.
respiratory rate decreases 36 breathsNon per il sorriso11.di18-year-old,
chi ha ricevuto
helmetedun motorcyclist is
minute, and his bloodregalo, mais 80/50
pressure di chiinm haHg. ricordato qualcosa
brought di
by ambulance to the emergency
fondamentale.
Warmed Ringer's lactate is administered department following a high-speed crash.
intravenously. TheOrsino guardò
next priority shouldilbequadro
to: rimasto sul cavalletto.
Prehospital persormel report Erathat he was thrown
vuoto.and
perform a urethrogram Aveva dato alla bambina
cystogram.
non(50
15 meters unafeet)copia
off his del
bfice. He has a
perform external sogno,
fixation ma
of theilpelvis.
sogno vero. L'ultimo
che gli rimaneva.
history of hypotension prior to arrival in the
emergency department, but is now awake, alert,
Chiuse la bottega serenamente.
obtain abdominal and pelvic CT scans.
perform arterial embolization of the pelvic and conversational. Which of the following
vessels. statements is TRUE?
perform diagnostic peritoneal lavage or Cerebral perfiision is intacto
abdominal ultrasound. Intravascular volume status is normal.
The patient has sensitive vasomotor
reflexes.
2
