ATLS 10TH Edition POST TEST 1,2,3 & 4 Questions And Answers 2026 update

ATLS 10TH Edition POST TEST 1,2,3 & 4
Questions And Answers
2026 update
TABLE OF CONTENT
ATLS POST TEST 1 ..................... 15
ATLS POST TEST 2… ................. 35
ATLS POST TEST 3… .................. 42
ATLS POST TEST 4 ...................... 77




ATLS POST TEST 1
A h,22-year-old h,man h,is h,hypotensive h,and h,tachycardic h,after h,a h,shotgun h,wound h,to h,the h,left h,shoulder.
h, His h,blood h,pressure h,is h,initially h,80/40 h,mm h,Hg. h,After h,initial h,fluid h,resuscitation h,his h,blood h,pressure
h, increases h,to h,122/84 h,mm h,Hg. h,His h,heart h,rate h,is h,now h,100 h,beats h,per h,minute h,and h,his h,respiratory
h, rate h,is h,28 h,breaths h,per h,minute. h,A h,tube h,thoracostomy h,is h,performed h,for h,decreased h,left h,chest
h, breath h,sounds h,with h,the h,return h,of h,a h,small h,amount h,of h,blood h,and h,no h,air h,leak. h,After h,chest h,tube
h, insertion, h,the h,most h,appropriate h,next h,step h,is:
Select h,one:
a.
reexamine h,the h,chest
h, b.
perform h,anh,aortogram
h, c.
obtain h,a h,CT h,scan h,of h,the h,chest
h, d. h,obtain h,arterial h,blood h,gas
h, analyses
e.
perform h,transesophageal h,echocardiography h,- h,ANS>>A) h,Reexamine h,the h,chest


A h,construction h,worker h,falls h,two h,stories h,from h,a h,building h,and h,sustains h,bilateral h,calcaneal
h, fractures. h,In h,the h,emergency h,department, h,he h,is h,alert, h,vital h,signs h,are h,normal, h,and h,he h,is
h, complaining h,of h,severe h,pain h,in h,both h,heels h,and h,his h,lower h,back. h,Lower h,extremity h,pulses h,are
h, strong h,and h,there h,is h,no h,other h,deformity. h,The h,suspected h,diagnosis h,is h,most h,likely h,to h,be
h, confirmed h,by:
Select h,one:
a.
angiograph
h,


y h,b.
compartment h,pressures
h, c.

,retrograde h,urethrogram
h, d.
Doppler h,ultrasound h,studies
h, e.
complete h,spine h,x-ray h,series h,- h,ANS>>e) h,Complete h,spine h,x-ray h,series


Which h,of h,the h,following h,is h,true h,regarding h,the h,initial h,resuscitation h,of h,a h,trauma
patient? h,Select h,one:
h,


a.
A h,patient h,that h,presents h,with h,a h,torso h,gunshot h,wound h,and h,is h,hypotensive h,should h,receive
h, crystalloid h,fluid h,resuscitation h,until h,the h,blood h,pressure h,is h,normal h,b.
Evidence h,of h,improved h,perfusion h,after h,fluid h,resuscitation h,could h,include h,improvement h,in h,Glasgow
h, coma h,scale h,score h,on h,reevaluation
c.
Massive h,transfusion h,is h,defined h,as h,transfusion h,of h,more h,than h,>10 h,of h,packed h,red h,blood h,cells h,and
h, plasma h,in h,24 h,hours
d.
When h,tranexamic h,acid h,is h,administered h,by h,pre-hospital h,providers h,a h,second h,dose h,is h,required h,within
h, 24 h,hours
e.
Fluid h,resuscitation h,is h,far h,more h,important h,than h,bleeding h,control h,in h,trauma h,patients h,- h,ANS>>b.
h, Evidence h,of h,improved h,perfusion h,after h,fluid h,resuscitation h,could h,include h,improvement h,in
h, Glasgow h,coma h,scale h,score h,on h,reevaluation


In h,managing h,a h,patient h,with h,a h,severe h,traumatic h,brain h,injury, h,the h,most h,important h,initial h,step h,is
to: h,Select h,one: h,a.
h,



Secure h,the h,airway h,b.
h, obtain h,a h,c-spine h,film
c. h,support h,the
h,


h, circulation h,d.
control h,scalp h,hemorrhage
h, e.
determine h,the h,GCS h,score
h, Feedback
Your h,ANS>> h,is h,corr h,- h,ANS>>a.
h, Secure h,the h,airway


A h,previously h,healthy, h,70-kg h,(154-pound) h,man h,suffers h,an h,estimated h,acute h,blood h,loss h,of h,2
h, liters. h,Which h,one h,of h,the h,following h,statements h,applies h,to h,this h,patient?
Select h,one:
a.
His h,pulse h,pressure h,will h,be h,widened. h,b.
His h,urinary h,output h,will h,be h,at h,the h,lower h,limits h,of h,normal. h,c.
He h,will h,have h,tachycardia, h,but h,no h,change h,in h,his h,systolic h,blood h,pressure.
d. h,An h,ABG h,would h,demonstrate h,a h,base h,deficit h,between h,-6 h,and h,-10
h,


h, mEq/L h,e.

,His h,systolic h,blood h,pressure h,will h,be h,maintained h,with h,an h,elevated h,diastolic h,pressure. h,-
h, ANS>>d. h,An h,ABG h,would h,demonstrate h,a h,base h,deficit h,between h,-6 h,and h,-10 h,mEq/L


The h,physiologic h,hypervolemia h,of h,pregnancy h,has h,clinical h,significance h,in h,the h,management h,of h,the
h, severely h,injured, h,gravid h,woman h,by:
Select h,one:
a.
reducing h,the h,need h,for h,blood h,transfusion
b. resulting h,in h,an h,elevated
hematocrit h,c.
h,


complicating h,the h,management h,of h,closed h,head h,injury h,d. h,reducing h,the
h, volume h,of h,crystalloid h,required h,for h,resuscitation h,e. h,increasing h,the h,volume
h, of h,blood h,loss h,to h,produce h,maternal h,hypotension h,- h,ANS>>e.
increasing h,the h,volume h,of h,blood h,loss h,to h,produce h,maternal h,hypotension


The h,best h,assessment h,of h,fluid h,resuscitation h,of h,the h,adult h,burn h,patient h,is:
h, Select h,one: h,a.
Urine h,output h,of h,0.5 h,mL/kg/hr
h, b. h,normalization h,of h,blood
h, pressure
c. normalization h,of h,the
h, heart h,rate h,d.
measuring h,a h,normal h,central h,venous h,pressure h,e. h,providing h,4
h, mL/kg/percent h,body h,burn/24 h,hours h,of h,crystalloid h,fluid h,- h,ANS>>a. h,Urine
h, output h,of h,0.5 h,mL/kg/hr


The h,diagnosis h,of h,shock h,must h,include:
Select h,one:
a.
h, hypoxemi
a
b. h,acidosis
h, c.
h, hypotensio
n
d. increased h,vascular h,resistance
e. evidence h,of h,inadequate
organ h,perfusion h,- h,ANS>>e.
h,


evidence h,of h,inadequate h,organ h,perfusion


A h,7-year-old h,boy h,is h,brought h,to h,the h,emergency h,department h,by h,his h,parents h,several h,minutes h,after
h, he h,fell h,through h,a h,window. h,He h,is h,bleeding h,profusely h,from h,a h,6-cm h,wound h,of h,his h,medial h,right
h, thigh.
Immediate h,management h,of h,the h,wound h,should h,consist
h, of: h,Select h,one:
a. application h,of h,a
h, tourniquet h,b.
direct h,pressure h,on h,the h,wound

, c.
packing h,the h,wound h,with h,gauze
d. h,direct h,pressure h,on h,the h,femoral h,artery h,at h,the
h, groin h,e. h,debridement h,of h,devitalized h,tissue h,-
h, ANS>>b.
direct h,pressure h,on h,the h,wound


For h,the h,patient h,with h,severe h,traumatic h,brain h,injury, h,profound h,hypocarbia h,should h,be h,avoided h,to
h, prevent: h,Select h,one:
a.
respiratory h,acidosis
b. metabolic
h, acidosis
c.
cerebral h,vasoconstriction h,with h,diminished h,perfusion h,d.
h, neurogenic h,pulmonary h,edema
e. h,shift h,of h,the h,oxyhemoglobin h,dissociation h,curve h,-
h, ANS>>c.
cerebral h,vasoconstriction h,with h,diminished h,perfusion


After h,being h,involved h,in h,a h,motor h,vehicle h,crash, h,a h,25-year-old h,man h,is h,brought h,to h,a h,hospital h,that
h, has h,surgery h,capabilities h,available.. h,Computed h,tomography h,of h,the h,chest h,and h,abdomen h,shows
h, an h,aortic h,injury h,and h,splenic h,laceration h,with h,free h,abdominal h,fluid. h,His h,blood h,pressure h,falls h,to
h, 70 h,mm h,Hg h,after h,CT. h,The h,next h,step h,is:
Select h,one:
a.
obtain h,contrast h,angiography
b. h,transfer h,to h,a h,higher h,level
h, trauma h,center h,c.
perform h,an h,exploratory h,laparotomy
h, d.
infuse h,additional h,crystalloid h,fluids h,e.
Obtain h,transesophageal h,echocardiography h,- h,ANS>>c.
h, perform h,an h,exploratory h,laparotomy


Which h,one h,of h,the h,following h,statements h,regarding h,abdominal h,trauma h,in h,the h,pregnant
h, patient h,is h,TRUE?
Select h,one:
a.
The h,fetus h,is h,in h,jeopardy h,only h,with h,major h,maternal h,abdominal h,trauma. h,b.
h, Leakage h,of h,amniotic h,fluid h,is h,an h,indication h,for h,hospital h,admission. h,c.
Indications h,for h,peritoneal h,lavage h,are h,different h,from h,those h,in h,the h,nonpregnant h,patient. h,d.
With h,penetrating h,trauma, h,injury h,to h,the h,mother's h,abdominal h,hollow h,viscus h,is h,more h,common h,in
h, late h,than h,in h,early h,pregnancy.
e.