ATLS POST-TEST EXAM |ACTUAL EXAM WITH
FREQUENTLY TESTED 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) ALREADY
GRADED A+ REVISED EDITION 2025/2026 BRAND NEW!!!
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:
a) compartment pressures
b) retrograde urethrogram
c) Doppler-ultrasound studies
d) complete spine x-ray series - ✓✓Correct Ans d) complete spine x-ray series
In managing the head-injured patient, the most important initial step is to:
a) obtain c-spine film.
b) secure the airway.
c) support the circulation.
d) control scalp hemorrhage. - ✓✓Correct Ans b) secure the airway.
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His
blood pressure is initially 80/40 mm Hg. After 2 liters of crystalloid solution his blood pressure
increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is
28 breaths per minute. His breath sounds are decreased in the left hemithorax, and after initial IV
1|Pa ge
,fluid resuscitation, a closed tube thoracostomy is performed for decreased left breath sounds with
the return of a small amount of blood and no air leak. After chest tube insertion, the most
appropriate next step is:
a) reexamine the chest.
b) perform an aortogram.
c) obtain a CT scan of the chest.
d) obtain arterial blood gas analyses - ✓✓Correct Ans a) reexamine the chest
Which one of the following physical findings suggests a cause of hypotension other than spinal
cord injury?
a) priapism.
b) bradycardia.
c) diaphragmatic breathing.
d) presence of deep tendon reflexes. - ✓✓Correct Ans d) presence of deep tendon reflexes.
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?
a) His pulse pressure will be widened.
b) His urinary output will be at the lower limits of normal.
c) He will have tachycardia, but no change in his systolic blood pressure.
d) His systolic blood pressure will be decreased with a narrowed pulse pressure. - ✓✓Correct
Ans d) His systolic blood pressure will be decreased with a narrowed pulse pressure.
2|Pa ge
,The physiologic hypervolemia of pregnancy has clinical significance in the management of the
severely injured, gravid woman by:
a) reducing the need for blood transfusion.
b) increasing the risk of pulmonary edema.
c) increasing the volume of blood loss to produce maternal hypotension.
d) complicating the mangement of closed head injury. - ✓✓Correct Ans c) increasing the volume
of blood loss to produce maternal hypotension.
The best assessment of fluid resuscitation of the burn patient is:
a) adequate urinary output.
b) reversal of systemic acidosis.
c) normalization of the heart rate.
d) a normal central venous pressure. - ✓✓Correct Ans a) adequate urinary output.
The diagnosis of shock must include:
a) increased vascular resistance.
b) evidence of inadequate organ perfusion.
c) acidosis.
d) hypoxemia. - ✓✓Correct Ans b) evidence of inadequate organ perfusion.
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:
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, a) application of a tourniquet.
b) direct pressure on the wound.
c) packing the wound with gauze.
d) direct pressure on the femoral artery at the groin. - ✓✓Correct Ans b) direct pressure on the
wound.
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to
prevent:
a) respiratory acidosis.
b) metabolic acidosis.
c) cerebral vasoconstriction with diminished perfusion.
d) neurogenic pulmonary edema. - ✓✓Correct Ans c) cerebral vasoconstriction with diminished
perfusion.
A 25-year-old man is brought to a hospital with a general surgeon after being involved in a motor
vehicle crash. Computed tomography 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:
a) contrast angiography.
b) transfer to a higher level trauma center.
c) exploratory laparotomy.
d) infuse additional crystalloids. - ✓✓Correct Ans c) exploratory laparotomy.
Which one of the following statements regarding abdominal trauma in the pregnant patient is
TRUE?
4|Pa ge
FREQUENTLY TESTED 250 QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) ALREADY
GRADED A+ REVISED EDITION 2025/2026 BRAND NEW!!!
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:
a) compartment pressures
b) retrograde urethrogram
c) Doppler-ultrasound studies
d) complete spine x-ray series - ✓✓Correct Ans d) complete spine x-ray series
In managing the head-injured patient, the most important initial step is to:
a) obtain c-spine film.
b) secure the airway.
c) support the circulation.
d) control scalp hemorrhage. - ✓✓Correct Ans b) secure the airway.
A 22-year-old man is hypotensive and tachycardic after a shotgun wound to the left shoulder. His
blood pressure is initially 80/40 mm Hg. After 2 liters of crystalloid solution his blood pressure
increases to 122/84 mm Hg. His heart rate is now 100 beats per minute and his respiratory rate is
28 breaths per minute. His breath sounds are decreased in the left hemithorax, and after initial IV
1|Pa ge
,fluid resuscitation, a closed tube thoracostomy is performed for decreased left breath sounds with
the return of a small amount of blood and no air leak. After chest tube insertion, the most
appropriate next step is:
a) reexamine the chest.
b) perform an aortogram.
c) obtain a CT scan of the chest.
d) obtain arterial blood gas analyses - ✓✓Correct Ans a) reexamine the chest
Which one of the following physical findings suggests a cause of hypotension other than spinal
cord injury?
a) priapism.
b) bradycardia.
c) diaphragmatic breathing.
d) presence of deep tendon reflexes. - ✓✓Correct Ans d) presence of deep tendon reflexes.
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?
a) His pulse pressure will be widened.
b) His urinary output will be at the lower limits of normal.
c) He will have tachycardia, but no change in his systolic blood pressure.
d) His systolic blood pressure will be decreased with a narrowed pulse pressure. - ✓✓Correct
Ans d) His systolic blood pressure will be decreased with a narrowed pulse pressure.
2|Pa ge
,The physiologic hypervolemia of pregnancy has clinical significance in the management of the
severely injured, gravid woman by:
a) reducing the need for blood transfusion.
b) increasing the risk of pulmonary edema.
c) increasing the volume of blood loss to produce maternal hypotension.
d) complicating the mangement of closed head injury. - ✓✓Correct Ans c) increasing the volume
of blood loss to produce maternal hypotension.
The best assessment of fluid resuscitation of the burn patient is:
a) adequate urinary output.
b) reversal of systemic acidosis.
c) normalization of the heart rate.
d) a normal central venous pressure. - ✓✓Correct Ans a) adequate urinary output.
The diagnosis of shock must include:
a) increased vascular resistance.
b) evidence of inadequate organ perfusion.
c) acidosis.
d) hypoxemia. - ✓✓Correct Ans b) evidence of inadequate organ perfusion.
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:
3|Pa ge
, a) application of a tourniquet.
b) direct pressure on the wound.
c) packing the wound with gauze.
d) direct pressure on the femoral artery at the groin. - ✓✓Correct Ans b) direct pressure on the
wound.
For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to
prevent:
a) respiratory acidosis.
b) metabolic acidosis.
c) cerebral vasoconstriction with diminished perfusion.
d) neurogenic pulmonary edema. - ✓✓Correct Ans c) cerebral vasoconstriction with diminished
perfusion.
A 25-year-old man is brought to a hospital with a general surgeon after being involved in a motor
vehicle crash. Computed tomography 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:
a) contrast angiography.
b) transfer to a higher level trauma center.
c) exploratory laparotomy.
d) infuse additional crystalloids. - ✓✓Correct Ans c) exploratory laparotomy.
Which one of the following statements regarding abdominal trauma in the pregnant patient is
TRUE?
4|Pa ge
