ATLS PRETEST QUESTIONS
CORRECTLY ANSWERED LATEST
2024/2025
A bf22-year-old bfman bfis bfhypotensive bfand bftachycardic bfafter bfa bfshotgun bfwound bfto
bfthe bfleft bfshoulder. bfHis bfblood bfpressure bfis bfinitially bf80/40 bfmm bfHg. bfAfter bfinitial
bffluid bfresuscitation bfhis bfblood bfpressure bfincreases bfto bf122/84 bfmm bfHg. bfHis bfheart
bfrate bfis bfnow bf100 bfbeats bfper bfminute bfand bfhis bfrespiratory bfrate bfis bf28 bfbreaths
bfper bfminute. bfA bftube bfthoracostomy bfis bfperformed bffor bfdecreased bfleft bfchest
bfbreath bfsounds bfwith bfthe bfreturn bfof bfa bfsmall bfamount bfof bfblood bfand bfno bfair
bfleak. bfAfter bfchest bftube bfinsertion, bfthe bfmost bfappropriate bfnext bfstep bfis: bf-
bfCorrect bf bfAnswer bf✔✔ bf- bfre-examine bfthe bfchest
A bfconstruction bfworker bffalls bftwo bfstories bffrom bfa bfbuilding bfand bfsustains bfbilateral
bfcalcaneal bffractures. bfIn bfthe bfemergency bfdepartment, bfhe bfis bfalert, bfvital bfsigns
bfare bfnormal, bfand bfhe bfis bfcomplaining bfof bfsevere bfpain bfin bfboth bfheels bfand bfhis
bflower bfback. bfLower bfextremity bfpulses bfare bfstrong bfand bfthere bfis bfno bfother
bfdeformity. bfThe bfsuspected bfdiagnosis bfis bfmost bflikely bfto bfbe bfconfirmed bfby: bf-
bfCorrect bf bfAnswer bf✔✔ bf- bfcomplete bfspine bfx-ray bfseries
Which bfof bfthe bffollowing bfis bftrue bfregarding bfthe bfinitial bfresuscitation bfof bfa bftrauma
bfpatient? bf- bfCorrect bf bfAnswer bf✔✔ bf- bfEvidence bfof bfimproved bfperfusion bfafter
bffluid bfresuscitation bfcould bfinclude bfimprovement bfin bfGlasgow bfComa bfScale bfscore
bfon bfreevaluation.
In bfmanaging bfa bfpatient bfwith bfa bfsevere bftraumatic bfbrain bfinjury, bfthe bfmost
bfimportant bfinitial bfstep bfis bfto: bf- bfCorrect bf bfAnswer bf✔✔ bf- bfsecure bfthe bfairway
A bfpreviously bfhealthy, bf70-kg bf(154-pound) bfman bfsuffers bfan bfestimated bfacute
bfblood bfloss bfof bf2 bfliters. bfWhich bfone bfof bfthe bffollowing bfstatements bfapplies bfto
bfthis bfpatient? bf- bfCorrect bf bfAnswer bf✔✔ bf- bfAn bfABG bfwould bfdemonstrate bfa bfbase
bfdeficit bfbetween bf-6 bfand bf-10 bfmEq/L.
The bfphysiological bfhypervolemia bfof bfpregnancy bfhas bfclinical bfsignificance bfin bfthe
bfmanagement bfof bfthe bfseverely bfinjured, bfgravid bfwoman bfby: bf- bfCorrect bf bfAnswer bf
✔✔ bf- bfincreasing bfthe bfvolume bfof bfblood bfloss bfto bfproduce bfmaternal bfhypotension
The bfbest bfassessment bfof bffluid bfresuscitation bfof bfthe bfadult bfburn bfpatient bfis: bf-
bfCorrect bf bfAnswer bf✔✔ bf- bfurinary bfoutput bfof bf0.5 bfmL/kg/hr
, The bfdiagnosis bfof bfshock bfmust bfinclude: bf- bfCorrect bf bfAnswer bf✔✔ bf- bfevidence bfof
bfinadequate bforgan bfperfusion
A bf7-year-old bfboy bfis bfbrought bfto bfthe bfemergency bfdepartment bfby bfhis bfparents
bfseveral bfminutes bfafter bfhe bffell bfthrough bfa bfwindow. bfHe bfis bfbleeding bfprofusely
bffrom bfa bf6-cm bfwound bfof bfhis bfmedial bfright bfthigh. bfImmediate bfmanagement bfof
bfthe bfwound bfshould bfconsist bfof: bf- bfCorrect bf bfAnswer bf✔✔ bf- bfdirect bfpressure bfon
bfthe bfwound
For bfthe bfpatient bfwith bfsevere bftraumatic bfbrain bfinjury, bfprofound bfhypocarbia bfshould
bfbe bfavoided bfto bfprevent: bf- bfCorrect bf bfAnswer bf✔✔ bf- bfcerebral bfvasoconstriction
bfwith bfdiminished bfperfusion
After bfbeing bfinvolved bfin bfa bfmotor bfvehicle bfcrash, bfa bf25-year-old bfman bfis bfbrought
bfto bfa bfhospital bfthat bfhas bfsurgery bfcapabilities bfavailable.. bfComputed bftomography
bfof bfthe bfchest bfand bfabdomen bfshows bfan bfaortic bfinjury bfand bfsplenic bflaceration
bfwith bffree bfabdominal bffluid. bfHis bfblood bfpressure bffalls bfto bf70 bfmm bfHg bfafter bfCT.
bfThe bfnext bfstep bfis: bf- bfCorrect bf bfAnswer bf✔✔ bf- bfperform bfan bfexploratory
bflaparotomy
Which bfone bfof bfthe bffollowing bfstatements bfregarding bfabdominal bftrauma bfin bfthe
bfpregnant bfpatient bfis bfTRUE? bf- bfCorrect bf bfAnswer bf✔✔ bf- bfLeakage bfof bfamniotic
bffluid bfis bfan bfindication bffor bfhospital bfadmission.
The bffirst bfmaneuver bfto bfimprove bfoxygenation bfafter bfchest bfinjury bfis: bf- bfCorrect bf
bfAnswer bf✔✔ bf- bfadminister bfsupplemental bfoxygen
A bf25-year-old bfman, bfinjured bfin bfa bfmotor bfvehicular bfcrash, bfis bfadmitted bfto bfthe
bfemergency bfdepartment. bfHis bfpupils bfreact bfsluggishly bfand bfhis bfeyes bfopen bfto
bfpressure. bfHe bfdoes bfnot bffollow bfcommands, bfbut bfhe bfdoes bfmoan bfperiodically.
bfHis bfright bfarm bfis bfdeformed bfand bfdoes bfnot bfrespond bfto bfpressure; bfhowever, bfhis
bfleft bfhand bfreaches bfpurposefully bftoward bfthe bfstimulus. bfBoth bflegs bfare bfstiffly
bfextended. bfHis bfGCS bfscore bfis: bf- bfCorrect bf bfAnswer bf✔✔ bf- bf9
A bf20-year-old bfwoman bfwho bfis bfat bf32 bfweeks bfgestation, bfis bfstabbed bfin bfthe
bfupper bfright bfchest. bfIn bfthe bfemergency bfdepartment, bfher bfblood bfpressure bfis
bf80/60 bfmm bfHg. bfShe bfis bfgasping bffor bfbreath, bfextremely bfanxious, bfand bfyelling
bffor bfhelp. bfBreath bfsounds bfare bfdiminished bfin bfthe bfright bfchest. bfThe bfmost
bfappropriate bffirst bfstep bfis bfto: bf- bfCorrect bf bfAnswer bf✔✔ bf- bfperform bfneedle bfor
bffinger bfdecompression bfof bfthe bfright bfchest
Which bfone bfof bfthe bffollowing bffindings bfin bfan bfadult bfis bfmost bflikely bfto bfrequire
bfimmediate bfmanagement bfduring bfthe bfprimary bfsurvey? bf- bfCorrect bf bfAnswer bf✔✔
bf- bfrespiratory bfrate bfof bf40 bfbreaths bfper bfminute
CORRECTLY ANSWERED LATEST
2024/2025
A bf22-year-old bfman bfis bfhypotensive bfand bftachycardic bfafter bfa bfshotgun bfwound bfto
bfthe bfleft bfshoulder. bfHis bfblood bfpressure bfis bfinitially bf80/40 bfmm bfHg. bfAfter bfinitial
bffluid bfresuscitation bfhis bfblood bfpressure bfincreases bfto bf122/84 bfmm bfHg. bfHis bfheart
bfrate bfis bfnow bf100 bfbeats bfper bfminute bfand bfhis bfrespiratory bfrate bfis bf28 bfbreaths
bfper bfminute. bfA bftube bfthoracostomy bfis bfperformed bffor bfdecreased bfleft bfchest
bfbreath bfsounds bfwith bfthe bfreturn bfof bfa bfsmall bfamount bfof bfblood bfand bfno bfair
bfleak. bfAfter bfchest bftube bfinsertion, bfthe bfmost bfappropriate bfnext bfstep bfis: bf-
bfCorrect bf bfAnswer bf✔✔ bf- bfre-examine bfthe bfchest
A bfconstruction bfworker bffalls bftwo bfstories bffrom bfa bfbuilding bfand bfsustains bfbilateral
bfcalcaneal bffractures. bfIn bfthe bfemergency bfdepartment, bfhe bfis bfalert, bfvital bfsigns
bfare bfnormal, bfand bfhe bfis bfcomplaining bfof bfsevere bfpain bfin bfboth bfheels bfand bfhis
bflower bfback. bfLower bfextremity bfpulses bfare bfstrong bfand bfthere bfis bfno bfother
bfdeformity. bfThe bfsuspected bfdiagnosis bfis bfmost bflikely bfto bfbe bfconfirmed bfby: bf-
bfCorrect bf bfAnswer bf✔✔ bf- bfcomplete bfspine bfx-ray bfseries
Which bfof bfthe bffollowing bfis bftrue bfregarding bfthe bfinitial bfresuscitation bfof bfa bftrauma
bfpatient? bf- bfCorrect bf bfAnswer bf✔✔ bf- bfEvidence bfof bfimproved bfperfusion bfafter
bffluid bfresuscitation bfcould bfinclude bfimprovement bfin bfGlasgow bfComa bfScale bfscore
bfon bfreevaluation.
In bfmanaging bfa bfpatient bfwith bfa bfsevere bftraumatic bfbrain bfinjury, bfthe bfmost
bfimportant bfinitial bfstep bfis bfto: bf- bfCorrect bf bfAnswer bf✔✔ bf- bfsecure bfthe bfairway
A bfpreviously bfhealthy, bf70-kg bf(154-pound) bfman bfsuffers bfan bfestimated bfacute
bfblood bfloss bfof bf2 bfliters. bfWhich bfone bfof bfthe bffollowing bfstatements bfapplies bfto
bfthis bfpatient? bf- bfCorrect bf bfAnswer bf✔✔ bf- bfAn bfABG bfwould bfdemonstrate bfa bfbase
bfdeficit bfbetween bf-6 bfand bf-10 bfmEq/L.
The bfphysiological bfhypervolemia bfof bfpregnancy bfhas bfclinical bfsignificance bfin bfthe
bfmanagement bfof bfthe bfseverely bfinjured, bfgravid bfwoman bfby: bf- bfCorrect bf bfAnswer bf
✔✔ bf- bfincreasing bfthe bfvolume bfof bfblood bfloss bfto bfproduce bfmaternal bfhypotension
The bfbest bfassessment bfof bffluid bfresuscitation bfof bfthe bfadult bfburn bfpatient bfis: bf-
bfCorrect bf bfAnswer bf✔✔ bf- bfurinary bfoutput bfof bf0.5 bfmL/kg/hr
, The bfdiagnosis bfof bfshock bfmust bfinclude: bf- bfCorrect bf bfAnswer bf✔✔ bf- bfevidence bfof
bfinadequate bforgan bfperfusion
A bf7-year-old bfboy bfis bfbrought bfto bfthe bfemergency bfdepartment bfby bfhis bfparents
bfseveral bfminutes bfafter bfhe bffell bfthrough bfa bfwindow. bfHe bfis bfbleeding bfprofusely
bffrom bfa bf6-cm bfwound bfof bfhis bfmedial bfright bfthigh. bfImmediate bfmanagement bfof
bfthe bfwound bfshould bfconsist bfof: bf- bfCorrect bf bfAnswer bf✔✔ bf- bfdirect bfpressure bfon
bfthe bfwound
For bfthe bfpatient bfwith bfsevere bftraumatic bfbrain bfinjury, bfprofound bfhypocarbia bfshould
bfbe bfavoided bfto bfprevent: bf- bfCorrect bf bfAnswer bf✔✔ bf- bfcerebral bfvasoconstriction
bfwith bfdiminished bfperfusion
After bfbeing bfinvolved bfin bfa bfmotor bfvehicle bfcrash, bfa bf25-year-old bfman bfis bfbrought
bfto bfa bfhospital bfthat bfhas bfsurgery bfcapabilities bfavailable.. bfComputed bftomography
bfof bfthe bfchest bfand bfabdomen bfshows bfan bfaortic bfinjury bfand bfsplenic bflaceration
bfwith bffree bfabdominal bffluid. bfHis bfblood bfpressure bffalls bfto bf70 bfmm bfHg bfafter bfCT.
bfThe bfnext bfstep bfis: bf- bfCorrect bf bfAnswer bf✔✔ bf- bfperform bfan bfexploratory
bflaparotomy
Which bfone bfof bfthe bffollowing bfstatements bfregarding bfabdominal bftrauma bfin bfthe
bfpregnant bfpatient bfis bfTRUE? bf- bfCorrect bf bfAnswer bf✔✔ bf- bfLeakage bfof bfamniotic
bffluid bfis bfan bfindication bffor bfhospital bfadmission.
The bffirst bfmaneuver bfto bfimprove bfoxygenation bfafter bfchest bfinjury bfis: bf- bfCorrect bf
bfAnswer bf✔✔ bf- bfadminister bfsupplemental bfoxygen
A bf25-year-old bfman, bfinjured bfin bfa bfmotor bfvehicular bfcrash, bfis bfadmitted bfto bfthe
bfemergency bfdepartment. bfHis bfpupils bfreact bfsluggishly bfand bfhis bfeyes bfopen bfto
bfpressure. bfHe bfdoes bfnot bffollow bfcommands, bfbut bfhe bfdoes bfmoan bfperiodically.
bfHis bfright bfarm bfis bfdeformed bfand bfdoes bfnot bfrespond bfto bfpressure; bfhowever, bfhis
bfleft bfhand bfreaches bfpurposefully bftoward bfthe bfstimulus. bfBoth bflegs bfare bfstiffly
bfextended. bfHis bfGCS bfscore bfis: bf- bfCorrect bf bfAnswer bf✔✔ bf- bf9
A bf20-year-old bfwoman bfwho bfis bfat bf32 bfweeks bfgestation, bfis bfstabbed bfin bfthe
bfupper bfright bfchest. bfIn bfthe bfemergency bfdepartment, bfher bfblood bfpressure bfis
bf80/60 bfmm bfHg. bfShe bfis bfgasping bffor bfbreath, bfextremely bfanxious, bfand bfyelling
bffor bfhelp. bfBreath bfsounds bfare bfdiminished bfin bfthe bfright bfchest. bfThe bfmost
bfappropriate bffirst bfstep bfis bfto: bf- bfCorrect bf bfAnswer bf✔✔ bf- bfperform bfneedle bfor
bffinger bfdecompression bfof bfthe bfright bfchest
Which bfone bfof bfthe bffollowing bffindings bfin bfan bfadult bfis bfmost bflikely bfto bfrequire
bfimmediate bfmanagement bfduring bfthe bfprimary bfsurvey? bf- bfCorrect bf bfAnswer bf✔✔
bf- bfrespiratory bfrate bfof bf40 bfbreaths bfper bfminute
