ATLS Practice with Over 200+ Questions
and Answers/ 2024-2025.
A patient suffered a slash to his right neck. The wound is over the mid-portion of
the sternocleidomastoid. There is a large hematoma and brisk bleeding when
uncovered. He is stable. What is the next step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure - Answer: C. Take him to the OR
Associated with hypovolemic shock - Answer: -Inadequate tissue perfusion with
resultant tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
1|Page
,-Low cardiac output
-Loss of less than 20% of the blood volume is usually without symptom except for
mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins
The most effective method of monitoring the success of resuscitation during CPR?
- Answer: Reactivity of pupils to light
After abdominal injury, which of the following urinalysis findings would be an
indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria - Answer: D. Gross hematuria
A laceration of the neck superficial to the deep cervical fascia along the
sternocleidomastoid muscle at its midpoint would cause bleeding from which
structure? - Answer: External jugular vein
Most common cause of laryngotracheal stenosis - Answer: Trauma
Intervention that can help prevent development of acute renal failure - Answer:
Infusion of normal saline
2|Page
,A 26-year-old male is resuscitated with blood transfusion after a motor vehicle
collision that was complicated by a fractured pelvis. A few hours later, the patient
becomes febrile, hypotensive with a normal CVP, and oliguric. Upon examination,
the patient is found to be bleeding from the NG tube and IV sites. Which of the
following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction - Answer: D. Transfusion reaction
First priority in the treatment of an unconscious patient - Answer: Checking the
pulse
A patient involved in a road accident is brought to the emergency department in
an unconscious state. On arrival, her vitals show a temperature of 96.4 degrees
Fahrenheit, a respiration rate of 24 breaths per minute, a heart rate of 140 beats
per minute, and a blood pressure of 80/40 mm Hg. She is cold, shivering, and
perspiring profusely. She has bilateral reactive pupils but she does not respond to
pain. On physical examination, she has no obvious sign of external bleeding.
Which of the following cannot be the cause of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax - Answer: C. Intracranial hemorrhage
3|Page
, Skin antiseptic - Answer: -Ethanol 70% is an effective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
Clinical features associated with tension pneumothorax - Answer: Unilateral
decrease in breath sounds
Hyperresonance
Respiratory distress
Tachycardia
Tracheal shift
Desatruation
Decreased breath sounds
Decreased compliance
Asymmetric chest movement
NOT hypertension, audible bronchial sounds
Not recommended as a mode of ventilation for a patient with a diaphragmatic
hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation - Answer: A. Bag and mask
4|Page
and Answers/ 2024-2025.
A patient suffered a slash to his right neck. The wound is over the mid-portion of
the sternocleidomastoid. There is a large hematoma and brisk bleeding when
uncovered. He is stable. What is the next step in management?
A. Get an angiogram
B. Close the wound in the ER
C. Take him to the operating room
D. CT scan to evaluate neck structure - Answer: C. Take him to the OR
Associated with hypovolemic shock - Answer: -Inadequate tissue perfusion with
resultant tissue hypoxia
-Blood shunting to vital organs
-Decreased circulating blood volume and decreased venous return
1|Page
,-Low cardiac output
-Loss of less than 20% of the blood volume is usually without symptom except for
mild tachycardia
-Patients become orthostatic with losses between 20 and 40%
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins
The most effective method of monitoring the success of resuscitation during CPR?
- Answer: Reactivity of pupils to light
After abdominal injury, which of the following urinalysis findings would be an
indication for further testing?
A. 0-5 casts/HPF
B. 5-10 WBC/HPF
C. 10-20 RBC/HPF
D. Gross hematuria - Answer: D. Gross hematuria
A laceration of the neck superficial to the deep cervical fascia along the
sternocleidomastoid muscle at its midpoint would cause bleeding from which
structure? - Answer: External jugular vein
Most common cause of laryngotracheal stenosis - Answer: Trauma
Intervention that can help prevent development of acute renal failure - Answer:
Infusion of normal saline
2|Page
,A 26-year-old male is resuscitated with blood transfusion after a motor vehicle
collision that was complicated by a fractured pelvis. A few hours later, the patient
becomes febrile, hypotensive with a normal CVP, and oliguric. Upon examination,
the patient is found to be bleeding from the NG tube and IV sites. Which of the
following is the most likely diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion reaction - Answer: D. Transfusion reaction
First priority in the treatment of an unconscious patient - Answer: Checking the
pulse
A patient involved in a road accident is brought to the emergency department in
an unconscious state. On arrival, her vitals show a temperature of 96.4 degrees
Fahrenheit, a respiration rate of 24 breaths per minute, a heart rate of 140 beats
per minute, and a blood pressure of 80/40 mm Hg. She is cold, shivering, and
perspiring profusely. She has bilateral reactive pupils but she does not respond to
pain. On physical examination, she has no obvious sign of external bleeding.
Which of the following cannot be the cause of hypotension in this patient?
A. Pelvic fracture
B. Fracture of femur
C. Intracranial hemorrhage
D. Hemothorax - Answer: C. Intracranial hemorrhage
3|Page
, Skin antiseptic - Answer: -Ethanol 70% is an effective skin antiseptic
-Acetic acid can be used to treat Gram- skin infections
-Salicylic acid is used to treat certain skin yeast infections
Clinical features associated with tension pneumothorax - Answer: Unilateral
decrease in breath sounds
Hyperresonance
Respiratory distress
Tachycardia
Tracheal shift
Desatruation
Decreased breath sounds
Decreased compliance
Asymmetric chest movement
NOT hypertension, audible bronchial sounds
Not recommended as a mode of ventilation for a patient with a diaphragmatic
hernia
A. Bag and mask
B. LMA
C. Endotracheal intubation
D. Jet ventilation - Answer: A. Bag and mask
4|Page
