ATLS Exam Question with Certified
Answers/ 2024-2025.
A 28-year-old male is brought to the ED. He was involved in a fight, during which
he was beaten with a wooden stick. His chest shows multiple severe bruises. His
airway is clear, resp rate is 22, hear rate 126, and systolic blood pressure is 90
mmHG. Which of the following should be performed during the primary survey
a. glasgow coma
b. tetanus status
c. cervical spine xray
d. blood alcohol level
e. rectal exam - Answer: a. glasgow coma
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,an 18yo male is brought to the emergency department after being dumped by a
large wave while surfing. He landed head first on the firm beach sand. His vital
signs are blood pressure 85/60 mmHg, heart rate 60, and respiratory rate 18; he is
unable to move his lower extremities. He appears calm and asks if he will ever
walk again. The most appropriate next step is to:
a. reassure patient that he will walk again
b. proceed to a more detailed neuro exam
c. obtain c spin xrays
d. begin infusion of vasopressors
e. begin bolus of warm IV crystalloid - Answer: e. begin bolus of warm IV
crystalloid
Whic one of the following statements is true regarding access in pediatric
resuscitation?
a. intraosseous access should be considered only after 5 percutaneous attempts
b. cutdown at teh ankle is the preferred initial access technique
c. internal jugular cannulation is the next preferred option when percutaneous
venous access fails
d. intraosseous cannulation should be the first choice
e. blood transfusion can be delivered through intraosseous access - Answer: e.
blood transfusion can be delivered through intraosseous access
a 35 year old female ustains multiple linjuries in a MVA and is transported to a
small hospital. She has a GCS of V2E2M2. Spinal motion restrictions are in place.
ET is performed, IV and wamred fluids are administered. She remains
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, hemodynamically normal, and preparations are made to transfer to another
facility for definitive neuro care. Which of the following tests or treatment should
occur before transport?
a. ct abdomen and chest
b. chest xray
c. lateral cervical spine xray
d. admin of methlyprednisolone
e. transfusion of 2 units packed RBCs - Answer: b. chest xray
A 22 year old male sustains a shotgun wound to the left shoulder and chest at
close range. His BP is 80/40mmHg and his HR is 130bpm. Fluid resusciation is
initiated, his BP increases to 122/84, and HR decreases to 100bpm. He is
tachypneic with RR of 28. On physical examination, his breath sounds are
decreased at the left upper chest with dullness on percussion. A tube
thoracostomy is inserted in the fifth intercostal space with the return of 200ml of
blood and no air leak. The most appropriate next step is to:
a. measure blood pressure again
b. begin transfuse O negative blood
c. wait until the chest xray is completed
d. obtain a CT scan of the chest and abdomen
e. repeat the physical exam of the chest - Answer: e. repeat the physical exam of
the chest
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Answers/ 2024-2025.
A 28-year-old male is brought to the ED. He was involved in a fight, during which
he was beaten with a wooden stick. His chest shows multiple severe bruises. His
airway is clear, resp rate is 22, hear rate 126, and systolic blood pressure is 90
mmHG. Which of the following should be performed during the primary survey
a. glasgow coma
b. tetanus status
c. cervical spine xray
d. blood alcohol level
e. rectal exam - Answer: a. glasgow coma
1|Page
,an 18yo male is brought to the emergency department after being dumped by a
large wave while surfing. He landed head first on the firm beach sand. His vital
signs are blood pressure 85/60 mmHg, heart rate 60, and respiratory rate 18; he is
unable to move his lower extremities. He appears calm and asks if he will ever
walk again. The most appropriate next step is to:
a. reassure patient that he will walk again
b. proceed to a more detailed neuro exam
c. obtain c spin xrays
d. begin infusion of vasopressors
e. begin bolus of warm IV crystalloid - Answer: e. begin bolus of warm IV
crystalloid
Whic one of the following statements is true regarding access in pediatric
resuscitation?
a. intraosseous access should be considered only after 5 percutaneous attempts
b. cutdown at teh ankle is the preferred initial access technique
c. internal jugular cannulation is the next preferred option when percutaneous
venous access fails
d. intraosseous cannulation should be the first choice
e. blood transfusion can be delivered through intraosseous access - Answer: e.
blood transfusion can be delivered through intraosseous access
a 35 year old female ustains multiple linjuries in a MVA and is transported to a
small hospital. She has a GCS of V2E2M2. Spinal motion restrictions are in place.
ET is performed, IV and wamred fluids are administered. She remains
2|Page
, hemodynamically normal, and preparations are made to transfer to another
facility for definitive neuro care. Which of the following tests or treatment should
occur before transport?
a. ct abdomen and chest
b. chest xray
c. lateral cervical spine xray
d. admin of methlyprednisolone
e. transfusion of 2 units packed RBCs - Answer: b. chest xray
A 22 year old male sustains a shotgun wound to the left shoulder and chest at
close range. His BP is 80/40mmHg and his HR is 130bpm. Fluid resusciation is
initiated, his BP increases to 122/84, and HR decreases to 100bpm. He is
tachypneic with RR of 28. On physical examination, his breath sounds are
decreased at the left upper chest with dullness on percussion. A tube
thoracostomy is inserted in the fifth intercostal space with the return of 200ml of
blood and no air leak. The most appropriate next step is to:
a. measure blood pressure again
b. begin transfuse O negative blood
c. wait until the chest xray is completed
d. obtain a CT scan of the chest and abdomen
e. repeat the physical exam of the chest - Answer: e. repeat the physical exam of
the chest
3|Page
