ATLS TRAUMA MANAGEMENT EXAM 2025 |102 QUESTIONS
WITH CORRECT ANSWERS
1. A pregnant woman, at 25 weeks' gestation, is involved in a motor vehicle
accident. She suffers blunt abdominal trauma. The vital signs are a pulse of
100/min, a respiratory rate of 40/min, and a BP of 78/40. Which of the
following is a true statement regarding the management of trauma in
pregnancy?
Intubation should be avoided in the mother because of barotrauma
complications.
The first resuscitative efforts should be directed toward the
mother.
The fetus is less susceptible to hypoxia because of uterine reserve.
A stat C-section should be considered in every patient.
Fetal distress is not easily recognized.
2. Which situation requires Rh immunoglobulin administration to an injured
female?
Negative pregnancy test, Rh negative, and has torso trauma
Positive pregnancy test, Rh positive, and has torso trauma
Positive pregnancy test, Rh negative, and has torso trauma
Positive pregnancy test, Rh positive, and has an isolated wrist
fracture
Positive pregnancy test, Rh negative, and has an isolated wrist
fracture
3. A 35-year-old male motorcyclist is brought to the emergency department
after a crash. He is conscious but exhibits signs of hypotension and
bradycardia. Considering his potential spinal injury, what is the most
appropriate initial management step?
,Immediate intubation to secure the airway
, Administer intravenous fluids to address hypotension
Perform a rapid sequence intubation
Transfer him to a trauma center without further assessment
4. The goal of resuscitation and management in patients with head injuries is
to avoid hypotension and hypoxia. Which of the following should be the
target for cerebral perfusion pressure?
Equals the Systolic Blood Pressure minus ICP
Is lowered with sedation, osmotic diuresis, and barbiturate coma
Should be targeted to be greater than 100mmHg
Can be increased by lowering ICP and avoiding hypotension
5. What is the primary purpose of calling the receiving hospital before
transferring a trauma patient?
To inform them of the patient's vital signs
To discuss the patient's condition and receive guidance on further
management
To arrange for transportation logistics
To obtain consent from the family
6. Which of the following is important for an Emergency Medical Responder
to understand when assisting a pregnant woman with a traumatic injury?
Pregnant women often have altered mental status that may not be
related to the injury.
Her larger blood volume means she may not show early signs of
shock.
A traumatic injury in the mother can rotate the baby in utero,
causing a breech presentation.
, The amniotic sac protects the fetus from blunt force trauma more at
the end of pregnancy than at the beginning.
7. A patient who was struck by a vehicle and presents with tachycardia and
hypotension. There are no signs of external hemorrhage. However, the
patient's pelvis is unstable, and a pelvic fracture with internal hemorrhage
is most likely. Which of the following is the best initial treatment that should
be performed for this injury?
Immobilization to a long backboard
Placement of a pelvic binder
Intravenous access with fluid resuscitation
There are no treatment options that can be performed outside of
the operating room
8. A patient arrives at the emergency department after a motorcycle accident
with suspected severe head trauma. After securing the airway, what should
be the next priority in the management of this patient?
Initiate fluid resuscitation to support circulation
Perform a detailed neurological examination
Order a CT scan of the head
Administer pain relief medication
9. You respond to a call of a 26-year-old male stabbed in the right chest. On
arrival, he is responsive to pain only. You note diminished breath sounds on
the right. Vital signs: BP 80/40, HR 140, RR 30, SpO2 70%. What is the next
most appropriate step in the management of this patient?
Assist ventilations with BVM
Apply high-flow oxygen
Perform needle decompression
Administer 20ml/kg normal saline through large bore IV
WITH CORRECT ANSWERS
1. A pregnant woman, at 25 weeks' gestation, is involved in a motor vehicle
accident. She suffers blunt abdominal trauma. The vital signs are a pulse of
100/min, a respiratory rate of 40/min, and a BP of 78/40. Which of the
following is a true statement regarding the management of trauma in
pregnancy?
Intubation should be avoided in the mother because of barotrauma
complications.
The first resuscitative efforts should be directed toward the
mother.
The fetus is less susceptible to hypoxia because of uterine reserve.
A stat C-section should be considered in every patient.
Fetal distress is not easily recognized.
2. Which situation requires Rh immunoglobulin administration to an injured
female?
Negative pregnancy test, Rh negative, and has torso trauma
Positive pregnancy test, Rh positive, and has torso trauma
Positive pregnancy test, Rh negative, and has torso trauma
Positive pregnancy test, Rh positive, and has an isolated wrist
fracture
Positive pregnancy test, Rh negative, and has an isolated wrist
fracture
3. A 35-year-old male motorcyclist is brought to the emergency department
after a crash. He is conscious but exhibits signs of hypotension and
bradycardia. Considering his potential spinal injury, what is the most
appropriate initial management step?
,Immediate intubation to secure the airway
, Administer intravenous fluids to address hypotension
Perform a rapid sequence intubation
Transfer him to a trauma center without further assessment
4. The goal of resuscitation and management in patients with head injuries is
to avoid hypotension and hypoxia. Which of the following should be the
target for cerebral perfusion pressure?
Equals the Systolic Blood Pressure minus ICP
Is lowered with sedation, osmotic diuresis, and barbiturate coma
Should be targeted to be greater than 100mmHg
Can be increased by lowering ICP and avoiding hypotension
5. What is the primary purpose of calling the receiving hospital before
transferring a trauma patient?
To inform them of the patient's vital signs
To discuss the patient's condition and receive guidance on further
management
To arrange for transportation logistics
To obtain consent from the family
6. Which of the following is important for an Emergency Medical Responder
to understand when assisting a pregnant woman with a traumatic injury?
Pregnant women often have altered mental status that may not be
related to the injury.
Her larger blood volume means she may not show early signs of
shock.
A traumatic injury in the mother can rotate the baby in utero,
causing a breech presentation.
, The amniotic sac protects the fetus from blunt force trauma more at
the end of pregnancy than at the beginning.
7. A patient who was struck by a vehicle and presents with tachycardia and
hypotension. There are no signs of external hemorrhage. However, the
patient's pelvis is unstable, and a pelvic fracture with internal hemorrhage
is most likely. Which of the following is the best initial treatment that should
be performed for this injury?
Immobilization to a long backboard
Placement of a pelvic binder
Intravenous access with fluid resuscitation
There are no treatment options that can be performed outside of
the operating room
8. A patient arrives at the emergency department after a motorcycle accident
with suspected severe head trauma. After securing the airway, what should
be the next priority in the management of this patient?
Initiate fluid resuscitation to support circulation
Perform a detailed neurological examination
Order a CT scan of the head
Administer pain relief medication
9. You respond to a call of a 26-year-old male stabbed in the right chest. On
arrival, he is responsive to pain only. You note diminished breath sounds on
the right. Vital signs: BP 80/40, HR 140, RR 30, SpO2 70%. What is the next
most appropriate step in the management of this patient?
Assist ventilations with BVM
Apply high-flow oxygen
Perform needle decompression
Administer 20ml/kg normal saline through large bore IV
