ATLS Post-Test Questions Only 2026–2027 | Advanced Trauma Life Support Exam Practice | ACS Trauma Preparation

SHINTAR.WIDYA, MD–POST TEST ATLS b b b b b b b




QUESTIONS 2023
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1



1. WhichofthefollowingsignsisLEASTreliablefordiagnosingesophageal
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intubation?
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aSymmetricalchestwallmovementbEndtidalCO2presenceby
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colorimetry c Bilateral breath sounds d Oxygen saturation >92% e
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ETT above carina on chest x-ray
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2. Whichoneofthefollowingsignsnecessitatesadefinitiveairwayinsevere
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trauma patients?
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a Facial lacerations b Repeated vomiting c Severe
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b maxillofacial fractures d Sternal fracture e GCS
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b score of 12 b b

,3. Twentysevenpatientsareseriouslyinjuredinanaircraftcrashatalocal
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b airport. The principles of triage include:
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a Establish a triage site within the internal perimeter of the crash site b
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b Treat only the most severely injured patients first c
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Immediately transport all patients to the nearest hospital d Treat the
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b greatest number of patients in the shortest period of time e Produce the
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b greatest number of survivors based on available resources
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4. Whichoneofthefollowingstatementsiscorrect? b b b b b b b




aCerebralcontusionsmaycoalescetoformanintracerebral
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hematoma
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bEpiduralhematomasareusuallyseeninfrontalregioncSubdural hematomas
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are caused by injury to the middle meningeal artery
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,dSubduralhematomastypicallyhavealenticularshapeonCTscane The
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associated brain damage is more severe in epidural hematomas
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5. An18yearoldmaleisbroughttotheemergencydepartmentafter having
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been shot. He has one bullet wound just below the right clavicle and another
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just below the costal margin in the right posterior axillary
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line. His BP is 110/60 mmHg, HR is 90 bpm, and RR is 34 bpm. After ensuring
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apatentairwayandinserting2 largecaliberiv line,the next appropriate step
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is to: b




a Obtain a portable chest x-ray b Administer a bolus of additional iv
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fluid c Perform a laparotomy d Obtain an abdominalCTscane
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Performdiagnosticperitoneallavage
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6. An8yearoldboyfalls4,5meters(15feet)fromatreeandisbroughtto the
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, emergency department by his family. His vital signs are normal, but he
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complains of left upper quadrant pain. An abdominal CT scan reveals a
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moderately severelaceration ofthespleen.The receiving institution does
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not have 24 hour a day operating room capabilities. The most appropriate
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b management of this patient would be: a Type and crossmatch for blood bb b b b b b b b b b b b




b Request consultation of a pediatrician c Transfer the patient to a trauma
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b center d Admit the patient to the ICU e Prepare the patient for surgery the next
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b day



7. A17yearoldhelmetedmotorcyclistisstruckbroadsidebyanautomobile at an
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intersection. He is unconscious at the scene with a BP of 140/90 mmHg, HR of
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90 bpm, and RR of 22 bpm. His respirations are sonorous
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anddeep.HisGCSscore is6.Immobilizationoftheentirepatientmay
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include the use of all the following, except:
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