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ATLS WRITTEN EXAM -ADVANCED TRAUMA LIFE SUPPORT |ACTUAL QUESTIONS & VERIFIED ANSWERS|A+ GRADED|BRAND NEW 2026/2027 UPDATE

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ATLS WRITTEN EXAM -ADVANCED TRAUMA LIFE SUPPORT |ACTUAL QUESTIONS & VERIFIED ANSWERS|A+ GRADED|BRAND NEW 2026/2027 UPDATE

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QUESTIONS & VERIFIED ANSWERS|A+ GRADED|BRAND NEW



What is the primary goal of treating TBI? How is this done?

ANSWER

preventing secondary brain injury. This is done by maintaining blood pressure and providing
adequate profusion.



After managing ABCDEs of TBI what MUST be identified if present? How is this done?

ANSWER

mass lesion that requires surgical evacuation is critical! this is done with CT. NOTE: obtaining
a CT should not delay patient transfer to trauma center.



Which brain lobes do the following hold:

1. anterior fossa:

2. middle fossa:

3. posterior fossa:

ANSWER

1. anterior fossa: frontal lobes

2. middle fossa: temporal lobes

3. posterior fossa: lower brainstem and cerebellum



What are the 3 layers of the meninges?

ANSWER

dura mater, arachnoid mater, pia mater



What does the dura mater adhere firmly to?


1

,ANSWER

the skull. it is tough and fibrous



What layer of the meninges splits into two leaves as specific sites to enclose large venous si-
nuses? What do these sinuses do?

ANSWER

dura mater.

these sinuses provide major venous drainage from the brain.



What is the midline sinus of of the brain that splits into two sinuses: bilateral transverse and
sigmoid sinus? What side are these bigger on?

ANSWER

The main sinus enclosed by the dura major is the midline superior sagital sinus. This splits
into the sigmoid and bilateral transverse sinuses which are larger on the right side.



What are the arteries that lie between the skull and the dura mater (epidural space)?

ANSWER

meningeal arteries.



What is the most commonly injured meningeal artery and where is it located?

ANSWER

middle meningeal artery.

Located over the temporal fossa



T/F: the arachnoid mater is fused to the dura mater?

ANSWER

FALSE: not attached. This produces a potential space for a subdural hematoma




2

, In a subdural hematoma, what is the cause?

ANSWER

injury to bridging veins that extend from brain surface to the sinuses within the dura.



_______ fills the space between the arachnoid and pia mater?

ANSWER

CSF. this cushions the brain and spinal cord.



What location of brain hemorrhage is frequently seen in brain contusion or injury to major
blood vessels at base of brain?

ANSWER

subarachnoid.



The ____ and _____ contain the reticular activating system which is responsible for ____.

ANSWER

midbrain and upper pons

state of alertness



What important function resides in the medulla?

ANSWER

cardiorespiratory centers.



What important functions are in the following brain segments:

1. left hemisphere:

2. frontal lobe:

3. parietal lobe:

4. temporal:



3

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