ATLS POST TEST 2026| Questions And Answers
with complete answers well updated 2026| Score
100%| Graded A+
1. 22 year old male fall from 2m, large right pneumothorax. Chest tube
placed, connected to drainage. Control x-ray shows pneumothorax, third
x-ray reveals pneumothorax - Correct Answer ✅💯Tracheobronchal
injury
2. 30-year-old woman fell down four stair landing on concrete. Unconscious
for 5 minutes after the fall, full consciousness during 10 minute transport
to hospital, GCS 15, complaint is a slight headache, 30 minute later she is
unresponsive with GCS 6 and left pupil is large. - Correct Answer
✅💯Epidural hematoma
3. A 6 month old infant, being held in her mothers arms, is ejected on
impact from a vehicle that is struck head on by an oncoming car traveling
at 65kph. The infant arrives in the ED with multiple facial injuries, is
lethargic, and is in severe respiratoy distress. Respiratory support is not
effective using a bag mask device, and her oxygen saturation is falling.
Repeated attempts at orotracheal intubation are unsuccessful. the most
appropriate procedure to perform next is:
A. perform needle cricothyroidotomy with jet insufflation
B. Administer heliox and racemic epinephrine
C. Perform nasotracheal intubation
D. Perform surgical cricothyroidotomy
E. Repeat orotracheal intubation - Correct Answer ✅💯A. perform
needle cricothyroidotomy with jet insufflation
4. A 6-year-o boy is struck by an automobile and brought to the ED. He is
lethargic, but withdraws purposefully from painful stimuli. His blood
pressure is 90mmHg systolic, heart rate 140 beats per minute and his
respiratory rate is 36 breaths per minute. The preferred route of venous
access in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein -
Correct Answer ✅💯D. Percutaneous peripheral veins in the
upper extremities
,5. A 6-year-old boy walking across the street is struck by the front bumper
of a sports utility vehicle traveling at 32kph (20mph). Which one of the
following statements is TRUE?
A. A flail chest is probable
B. A symptomatic cardiac contusion is expected
C. A pulmonary contusion may be present in the absence of rib
fractures
D. Transection of the thoracic aorta is more likely than in an adult
patient
E. Rib fractures are commonly found in children with this mechanism
of injury - Correct Answer ✅💯C. A pulmonary contusion may be
present in the absence of rib fractures
6. 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
E. Debridement of devitalized tissue - Correct Answer ✅💯B. Direct
pressure on the wound
7. A 14 year old female is brought to the ED after falling from a horse. She
is immobilized on a long spine board with a hard collar and blocks.
Cervical spine x-ray:
A. Will show cervical spine injury in more than 20% of these patients
B. Will exclude cervical spine injury if no abnormalities are found on
the x-rays
C. Are not needed if she is awake, alert, neurologically normal, and
has no neck pain or midline tenderness
D. Should be performed before adressing potential breating or
circulatory problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1 -->
1:noraml, >1 anterior, <1 posterior - Correct Answer ✅💯C. Are
not needed if she is awake, alert, neurologically normal, and has no
neck pain or midline tenderness
8. A 15 year old male is brought to the ED after being involved in a motor
vehicle crash. He is unconscious and was intubated at the scene by
emergency personnel. Upon arrival at the ED, the patients oxygen
, saturation is 92%, HR is 96 bpm and BP is 150/85 Breath sounds are
decreased on the left side of the thorax. The next step is:
A. Immediate needle crycothyroidotomy
B. Reassess the position of the endotracheal tube
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - Correct Answer ✅💯B. Reassess the
position of the endotracheal tube
9. A 15 year old male present following a motorcycle crash. INitial
examinations reveals normal vital signs. There is a large bruise over his
epigastrium that extends to the left flank. He has no other apparent
injuries. A CT-scan of the abdomen demonstrate a ruptured spleen
surrounded by a large hematoma and fluid in the pelvis. The next step in
the patients management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laparotomy
D. Surgical consult
E. Transfer to a pediatrician - Correct Answer ✅💯D. Surgical
consult
10.Hemodynamisk stabil, ingen fri luft.
11.A 17 year old female is brought to the ED following a 2 meter fall onto
concrete. She is unresponsive and found to have a RR of 32, BP 90/60
and HR 68. The first step in treatment is:
A. Adminstering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock - Correct Answer
✅💯D. Applying oxygen and maintaining airway
12.A 17-year-old helmeted motorcyclist is struck broadside by an
automobile at an intersection. He is unconscious at the scene with a blood
pressure of 140/90mmHg, heart rate of 90 beats per minute, and
respiratory rate of 22 breaths per minute. His respirations are sonorous
and deep. His GCS score is 6. Immobilization of the entire patient may
include the use of all the following EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
, E. A semi-rigid cervical collar - Correct Answer ✅💯A. Air splints
13.A 17-year-old helmeted motorcyclist loses consciousness when he is
struck broad side by an automobile at an intersection. He arrives in the
ED with a blood pressure of 140/92, pulse rate 88 beats per minute, a
respiratory rate of 18 breaths per minue, and a GCS of 7. Appropriate
initial immobilization of this patient should include a semi-rigid cervical
collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment - Correct Answer ✅💯B. A long
spine board
14.A 20 year old athlete is involved in a motorcycle crash. When he arrives
in the ED, he shouts that he cannot move his legs. On physical
examination, there are noe abnormalities of the chest, abdomen or pelvis.
The patient has no sensation in his legs and cannot move them, but his
arms are moving. The patients RR is 28 bpm, HR is 88bpm and BP is
80/60mmHg. He is pale and sweaty. What is the most likely cause of this
condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. - Correct Answer ✅💯A. Neurogenic shock
15.A 20 year old male is brought to the hospital approximately 30 minutes
after being stabbed in the chest. There is 3cm wound just medial to the
left nipple. His BP is 70/33 and HR is 140. Neck and arm veins are
distended. Breath sounds are normal. Heart sounds are diminshed, iv
access has been established and warm crystalloid is infusing. The next
most important aspect of immediate management is:
A. CT scan of the chest
B. 12 lead ECG
C. Left tube thoracostomy
D. Begin infusion of RBCs
E. FAST exam - Correct Answer ✅💯E. FAST exam For å se etter
tamponade? Normale resp.lyder bilateralt taler mot
trykkpneumothorax. EKG vil ikke gi noe informasjon.
Thoracostomy ikke indisert da det ikke er mistenkt
pneumo/hemothorax. CT uaktuelt pga hemodynamisk ustabil
with complete answers well updated 2026| Score
100%| Graded A+
1. 22 year old male fall from 2m, large right pneumothorax. Chest tube
placed, connected to drainage. Control x-ray shows pneumothorax, third
x-ray reveals pneumothorax - Correct Answer ✅💯Tracheobronchal
injury
2. 30-year-old woman fell down four stair landing on concrete. Unconscious
for 5 minutes after the fall, full consciousness during 10 minute transport
to hospital, GCS 15, complaint is a slight headache, 30 minute later she is
unresponsive with GCS 6 and left pupil is large. - Correct Answer
✅💯Epidural hematoma
3. A 6 month old infant, being held in her mothers arms, is ejected on
impact from a vehicle that is struck head on by an oncoming car traveling
at 65kph. The infant arrives in the ED with multiple facial injuries, is
lethargic, and is in severe respiratoy distress. Respiratory support is not
effective using a bag mask device, and her oxygen saturation is falling.
Repeated attempts at orotracheal intubation are unsuccessful. the most
appropriate procedure to perform next is:
A. perform needle cricothyroidotomy with jet insufflation
B. Administer heliox and racemic epinephrine
C. Perform nasotracheal intubation
D. Perform surgical cricothyroidotomy
E. Repeat orotracheal intubation - Correct Answer ✅💯A. perform
needle cricothyroidotomy with jet insufflation
4. A 6-year-o boy is struck by an automobile and brought to the ED. He is
lethargic, but withdraws purposefully from painful stimuli. His blood
pressure is 90mmHg systolic, heart rate 140 beats per minute and his
respiratory rate is 36 breaths per minute. The preferred route of venous
access in this patient is:
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle
C. Intraosseous catheter placement in the proximal tibia
D. Percutaneous peripheral veins in the upper extremities
E. Central venous access via the subclavian or internal jugular vein -
Correct Answer ✅💯D. Percutaneous peripheral veins in the
upper extremities
,5. A 6-year-old boy walking across the street is struck by the front bumper
of a sports utility vehicle traveling at 32kph (20mph). Which one of the
following statements is TRUE?
A. A flail chest is probable
B. A symptomatic cardiac contusion is expected
C. A pulmonary contusion may be present in the absence of rib
fractures
D. Transection of the thoracic aorta is more likely than in an adult
patient
E. Rib fractures are commonly found in children with this mechanism
of injury - Correct Answer ✅💯C. A pulmonary contusion may be
present in the absence of rib fractures
6. 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
E. Debridement of devitalized tissue - Correct Answer ✅💯B. Direct
pressure on the wound
7. A 14 year old female is brought to the ED after falling from a horse. She
is immobilized on a long spine board with a hard collar and blocks.
Cervical spine x-ray:
A. Will show cervical spine injury in more than 20% of these patients
B. Will exclude cervical spine injury if no abnormalities are found on
the x-rays
C. Are not needed if she is awake, alert, neurologically normal, and
has no neck pain or midline tenderness
D. Should be performed before adressing potential breating or
circulatory problems
E. May show atlanto-occipital dislocation if the Powers ratio is <1 -->
1:noraml, >1 anterior, <1 posterior - Correct Answer ✅💯C. Are
not needed if she is awake, alert, neurologically normal, and has no
neck pain or midline tenderness
8. A 15 year old male is brought to the ED after being involved in a motor
vehicle crash. He is unconscious and was intubated at the scene by
emergency personnel. Upon arrival at the ED, the patients oxygen
, saturation is 92%, HR is 96 bpm and BP is 150/85 Breath sounds are
decreased on the left side of the thorax. The next step is:
A. Immediate needle crycothyroidotomy
B. Reassess the position of the endotracheal tube
C. Chest tube insertion
D. Immediate needle thoracentesis
E. Obtain a chest x-ray - Correct Answer ✅💯B. Reassess the
position of the endotracheal tube
9. A 15 year old male present following a motorcycle crash. INitial
examinations reveals normal vital signs. There is a large bruise over his
epigastrium that extends to the left flank. He has no other apparent
injuries. A CT-scan of the abdomen demonstrate a ruptured spleen
surrounded by a large hematoma and fluid in the pelvis. The next step in
the patients management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laparotomy
D. Surgical consult
E. Transfer to a pediatrician - Correct Answer ✅💯D. Surgical
consult
10.Hemodynamisk stabil, ingen fri luft.
11.A 17 year old female is brought to the ED following a 2 meter fall onto
concrete. She is unresponsive and found to have a RR of 32, BP 90/60
and HR 68. The first step in treatment is:
A. Adminstering vasopressors
B. Establishing IV access for drug-assisted intubation
C. Seeking the cause of her decreased level of consciousness
D. Applying oxygen and maintaining airway
E. Excluding hemorrhage as a cause of shock - Correct Answer
✅💯D. Applying oxygen and maintaining airway
12.A 17-year-old helmeted motorcyclist is struck broadside by an
automobile at an intersection. He is unconscious at the scene with a blood
pressure of 140/90mmHg, heart rate of 90 beats per minute, and
respiratory rate of 22 breaths per minute. His respirations are sonorous
and deep. His GCS score is 6. Immobilization of the entire patient may
include the use of all the following EXCEPT:
A. Air splints
B. Bolstering devices
C. A long spine board
D. A scoop-style stretcher
, E. A semi-rigid cervical collar - Correct Answer ✅💯A. Air splints
13.A 17-year-old helmeted motorcyclist loses consciousness when he is
struck broad side by an automobile at an intersection. He arrives in the
ED with a blood pressure of 140/92, pulse rate 88 beats per minute, a
respiratory rate of 18 breaths per minue, and a GCS of 7. Appropriate
initial immobilization of this patient should include a semi-rigid cervical
collar and:
A. A scoop stretcher
B. A long spine board
C. A short spine board
D. Cervical traction tongs
E. Pneumatic antishock garment - Correct Answer ✅💯B. A long
spine board
14.A 20 year old athlete is involved in a motorcycle crash. When he arrives
in the ED, he shouts that he cannot move his legs. On physical
examination, there are noe abnormalities of the chest, abdomen or pelvis.
The patient has no sensation in his legs and cannot move them, but his
arms are moving. The patients RR is 28 bpm, HR is 88bpm and BP is
80/60mmHg. He is pale and sweaty. What is the most likely cause of this
condition?
A. Neurogenic shock
B. Cardiogenic shock
C. Abdominal hemorrhage
D. Myocardial contusion
E. Hyperthermia. - Correct Answer ✅💯A. Neurogenic shock
15.A 20 year old male is brought to the hospital approximately 30 minutes
after being stabbed in the chest. There is 3cm wound just medial to the
left nipple. His BP is 70/33 and HR is 140. Neck and arm veins are
distended. Breath sounds are normal. Heart sounds are diminshed, iv
access has been established and warm crystalloid is infusing. The next
most important aspect of immediate management is:
A. CT scan of the chest
B. 12 lead ECG
C. Left tube thoracostomy
D. Begin infusion of RBCs
E. FAST exam - Correct Answer ✅💯E. FAST exam For å se etter
tamponade? Normale resp.lyder bilateralt taler mot
trykkpneumothorax. EKG vil ikke gi noe informasjon.
Thoracostomy ikke indisert da det ikke er mistenkt
pneumo/hemothorax. CT uaktuelt pga hemodynamisk ustabil
