1|Page
ATLS POST TEST VERSION 1 AND VERSION 2 NEWEST
2026/2027 ACTUAL EXAM COMPLETE 300 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+|NEW VERSION!!!
Systolic blood pressure starts to decrease in which class of
hemorrhage?
A. Class 0
B. Class 1
C. Class 2
D. Class 3
E. Class 4 - ANSWER-C. Class 2
A 7-year-old boy is brought to the ED 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:
A. Application of a torniquet
B. Direct pressure on the wound
C. Packing the wound with gauze
D. Direct pressure on the femoral artery at the groin
,2|Page
E. Debridement of devitalized tissue - ANSWER-B. Direct
pressure on the wound
For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent:
A. Respiratory alkalosis
B. Metabolic acidosis
C. Cerebral vasoconstriction with diminished perfusion
D. Neurogenic pulmonary edema
E. Shift of the oxyhemoglobin dissociation curve. - ANSWER-C.
Cerebral vasoconstriction with diminished perfusion
A 33-year-old woman is involved in a head-on motor vehicle
crash. It took 30 minutes to extricate her from the car. Upon
arrival in the ED, her heart rate is 120 beats per minute, BP is
90/70mmHg, respiratory rate is 16 breaths per minute, and GCS
is 15. Examination reveals bilaterally equal breath sounds,
anterior chest wall ecchymosis, and distended neck veins. Her
abdomen is flat, soft, and not tender. Her pelvis is stable.
Palpable distal pulses are found in all 4 extremities. Of the
following, the most likely diagnosis is:
A. hemorrhagic shock
,3|Page
B. Cardiac tamponade
C. Massive hemothorax
D. Tension pneumothorax
E. Diaphragmatic rupture. - ANSWER-B. Cardiac tamponade
A hemodynamically normal 10-year-old girls is admitted to the
pediatric intensive care unit for observation after a grade III
(moderately severe) splenic injury has been confirmed by CT.
Which of the following mandates prompt laparotomy?
A. Serum amylase of 200
B. Leukocyte count of 14,000
C. Extraperitoneal bladder rupture
D. Free peritoneal air demonstrated on follow up CT
E. A fall in the hemoglobin level from 12g/dl to 8g/dl over 24
hours - ANSWER-D. Free peritoneal air demonstrated on follow
up CT
A 40-year-old woman restrained driver is transported to the ED
in full spinal immobilization. She is hemodynamically stable and
found to be paraplegic at the level of T10. Neurologic
examination also determines that there is loss of pain and
, 4|Page
temperature sensation with preservation of proprioception and
vibration. These finding are consistent with the diagnosis of :
A. Central cord syndrome
B. Spinal shock syndrome
C. Anterior cord syndrome
D. Complete cord syndrome
E. Brown-Sequard syndrome - ANSWER-C. Anterior cord
syndrome
Hemorrhage of 20% of the patients blood volume is associated
usually with:
A. Oliguria
B. Confusion
C. Hypotension
D. Tachycardia
E. Blood transfusion requirement - ANSWER-D. Tachycardia
Which of the follow statements concerning intraosseous
infusion is TRUE?
ATLS POST TEST VERSION 1 AND VERSION 2 NEWEST
2026/2027 ACTUAL EXAM COMPLETE 300 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+|NEW VERSION!!!
Systolic blood pressure starts to decrease in which class of
hemorrhage?
A. Class 0
B. Class 1
C. Class 2
D. Class 3
E. Class 4 - ANSWER-C. Class 2
A 7-year-old boy is brought to the ED 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:
A. Application of a torniquet
B. Direct pressure on the wound
C. Packing the wound with gauze
D. Direct pressure on the femoral artery at the groin
,2|Page
E. Debridement of devitalized tissue - ANSWER-B. Direct
pressure on the wound
For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent:
A. Respiratory alkalosis
B. Metabolic acidosis
C. Cerebral vasoconstriction with diminished perfusion
D. Neurogenic pulmonary edema
E. Shift of the oxyhemoglobin dissociation curve. - ANSWER-C.
Cerebral vasoconstriction with diminished perfusion
A 33-year-old woman is involved in a head-on motor vehicle
crash. It took 30 minutes to extricate her from the car. Upon
arrival in the ED, her heart rate is 120 beats per minute, BP is
90/70mmHg, respiratory rate is 16 breaths per minute, and GCS
is 15. Examination reveals bilaterally equal breath sounds,
anterior chest wall ecchymosis, and distended neck veins. Her
abdomen is flat, soft, and not tender. Her pelvis is stable.
Palpable distal pulses are found in all 4 extremities. Of the
following, the most likely diagnosis is:
A. hemorrhagic shock
,3|Page
B. Cardiac tamponade
C. Massive hemothorax
D. Tension pneumothorax
E. Diaphragmatic rupture. - ANSWER-B. Cardiac tamponade
A hemodynamically normal 10-year-old girls is admitted to the
pediatric intensive care unit for observation after a grade III
(moderately severe) splenic injury has been confirmed by CT.
Which of the following mandates prompt laparotomy?
A. Serum amylase of 200
B. Leukocyte count of 14,000
C. Extraperitoneal bladder rupture
D. Free peritoneal air demonstrated on follow up CT
E. A fall in the hemoglobin level from 12g/dl to 8g/dl over 24
hours - ANSWER-D. Free peritoneal air demonstrated on follow
up CT
A 40-year-old woman restrained driver is transported to the ED
in full spinal immobilization. She is hemodynamically stable and
found to be paraplegic at the level of T10. Neurologic
examination also determines that there is loss of pain and
, 4|Page
temperature sensation with preservation of proprioception and
vibration. These finding are consistent with the diagnosis of :
A. Central cord syndrome
B. Spinal shock syndrome
C. Anterior cord syndrome
D. Complete cord syndrome
E. Brown-Sequard syndrome - ANSWER-C. Anterior cord
syndrome
Hemorrhage of 20% of the patients blood volume is associated
usually with:
A. Oliguria
B. Confusion
C. Hypotension
D. Tachycardia
E. Blood transfusion requirement - ANSWER-D. Tachycardia
Which of the follow statements concerning intraosseous
infusion is TRUE?