ATLS Comprehensive Exam 2025 – Over
200 Questions & Answers (100%
Correct)
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
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
What is the next step in the assessment of a traumatic patient after airway is
established? - ANSWER - Breathing
Blood group that is considered a universal donor - ANSWER - O
A provider is examining a patient who sustained a severe traumatic head injury. He
documents no Doll's eyes. What does this signify? - ANSWER - Brainstem injury
Which of the following is the least preferred method of administering IV fluids?
A. Cubital veins
B. Cephalic veins
C. Subclavian veins
D. Saphenous vein - ANSWER - Subclavian veins
Dermatome level for nipple sensation
,Dermatome level for umbilicus - ANSWER - T4
T10
At which temperature would a hypothermic patient stop shivering? - ANSWER - 88
degrees F
What is the energy recommendation for the first defibrillation in an adult (*) - ANSWER -
300 J
Pharmacologic effects of Morphine - ANSWER - Behavioral changes
Analgesia
Respiratory depression
NOT diarrhea
A patient with which condition should be triaged to receive medical attention first?
A. Choking
B. Dizziness
C. Leg cramp
D. Vomiting - ANSWER - A. Choking
For pediatric patients, what volume of fluid resuscitation should be given initially in the
setting of shock?
A. 750 mL of saline uniformly
B. 1 liter of saline
C. 20 mL/kg of 0.45% NaCl with 5% glucose
D. 10 to 20 mL/kg of Ringers lactate - ANSWER - D. 10 to 20 mL/kg of Ringers lactate
A patient is found unconscious after a fire in his bedroom. He is found to have severe
burns around his face. What is the first aspect of treatment?
A. Tetanus toxoid
B. Cover the wound
C. Airway
D. Obtain blood work - ANSWER - C. Airway
Basilar skull fracture - ANSWER - PE: raccoon eyes, battle sign, CSF ottorrhea
(rhinorrhea), loculated pneumoencephalocele
Bone MC involved = Temporal
A patient with von Willebrand disease is bleeding after sustaining a knife wound. Which
of the following is most appropriate for the treatment of this patient?
A. Vitamin K
B. Cryoprecipitate
C. Protamine
, D. DDAVP - ANSWER - D. DDAVP
What is the total body surface area involved in a burn to both lower extremities? -
ANSWER - 36%
Which injury is most common in rear end motor vehicle accidents?
A. Cervical fractures
B. Hypextension-hyperflexion neck injuries
C. Forearm fractures
D. Rotational neck injuries - ANSWER - B. Hypextension-hyperflexion neck injuries
What is true about an unrestrained pregnant driver?
A. She is at increased risk of placenta previa
B. She is at increased risk of placental abruption
C. At 33 weeks, her fetus is well protected by an amniotic fluid cushion and thus the
pregnancy is not at risk
D. If the mother's vital signs are stable, complications are unlikely - ANSWER - B. She
is at increased risk of placental abruption
In adults, an aspirated foreign body is most likely to get stuck in the:
A. Left main bronchus
B. Carina
C. Right main bronchus
D. Esophagus - ANSWER - C. Right main bronchus
Skin finding characteristic of second-degree burns - ANSWER - Blisters
Which is true regarding cervical spine fractures?
A. Seen most commonly in elderly females
B. Athletic activities are the most common cause
C. Falls are the most common cause
D. Methylprednisolone should not be used in associated spinal cord injury in the first 48
hours - ANSWER - D. Methylprednisolone should not be used in associated spinal cord
injury in the first 48 hours
In which patients can an oropharyngeal airway be used? - ANSWER - Non-gag reflex
If a trauma patient has clear fluid draining from the nose the provider should do which of
the following?
A. Tilt the head back
B. Apply pressure
C. Collect the fluid
D. Insert nasal tampons - ANSWER - C. Collect the fluid
What is the estimated time a person's brain can be anoxic from cardiopulmonary failure
and not develop permanent brain damage?
200 Questions & Answers (100%
Correct)
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
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
What is the next step in the assessment of a traumatic patient after airway is
established? - ANSWER - Breathing
Blood group that is considered a universal donor - ANSWER - O
A provider is examining a patient who sustained a severe traumatic head injury. He
documents no Doll's eyes. What does this signify? - ANSWER - Brainstem injury
Which of the following is the least preferred method of administering IV fluids?
A. Cubital veins
B. Cephalic veins
C. Subclavian veins
D. Saphenous vein - ANSWER - Subclavian veins
Dermatome level for nipple sensation
,Dermatome level for umbilicus - ANSWER - T4
T10
At which temperature would a hypothermic patient stop shivering? - ANSWER - 88
degrees F
What is the energy recommendation for the first defibrillation in an adult (*) - ANSWER -
300 J
Pharmacologic effects of Morphine - ANSWER - Behavioral changes
Analgesia
Respiratory depression
NOT diarrhea
A patient with which condition should be triaged to receive medical attention first?
A. Choking
B. Dizziness
C. Leg cramp
D. Vomiting - ANSWER - A. Choking
For pediatric patients, what volume of fluid resuscitation should be given initially in the
setting of shock?
A. 750 mL of saline uniformly
B. 1 liter of saline
C. 20 mL/kg of 0.45% NaCl with 5% glucose
D. 10 to 20 mL/kg of Ringers lactate - ANSWER - D. 10 to 20 mL/kg of Ringers lactate
A patient is found unconscious after a fire in his bedroom. He is found to have severe
burns around his face. What is the first aspect of treatment?
A. Tetanus toxoid
B. Cover the wound
C. Airway
D. Obtain blood work - ANSWER - C. Airway
Basilar skull fracture - ANSWER - PE: raccoon eyes, battle sign, CSF ottorrhea
(rhinorrhea), loculated pneumoencephalocele
Bone MC involved = Temporal
A patient with von Willebrand disease is bleeding after sustaining a knife wound. Which
of the following is most appropriate for the treatment of this patient?
A. Vitamin K
B. Cryoprecipitate
C. Protamine
, D. DDAVP - ANSWER - D. DDAVP
What is the total body surface area involved in a burn to both lower extremities? -
ANSWER - 36%
Which injury is most common in rear end motor vehicle accidents?
A. Cervical fractures
B. Hypextension-hyperflexion neck injuries
C. Forearm fractures
D. Rotational neck injuries - ANSWER - B. Hypextension-hyperflexion neck injuries
What is true about an unrestrained pregnant driver?
A. She is at increased risk of placenta previa
B. She is at increased risk of placental abruption
C. At 33 weeks, her fetus is well protected by an amniotic fluid cushion and thus the
pregnancy is not at risk
D. If the mother's vital signs are stable, complications are unlikely - ANSWER - B. She
is at increased risk of placental abruption
In adults, an aspirated foreign body is most likely to get stuck in the:
A. Left main bronchus
B. Carina
C. Right main bronchus
D. Esophagus - ANSWER - C. Right main bronchus
Skin finding characteristic of second-degree burns - ANSWER - Blisters
Which is true regarding cervical spine fractures?
A. Seen most commonly in elderly females
B. Athletic activities are the most common cause
C. Falls are the most common cause
D. Methylprednisolone should not be used in associated spinal cord injury in the first 48
hours - ANSWER - D. Methylprednisolone should not be used in associated spinal cord
injury in the first 48 hours
In which patients can an oropharyngeal airway be used? - ANSWER - Non-gag reflex
If a trauma patient has clear fluid draining from the nose the provider should do which of
the following?
A. Tilt the head back
B. Apply pressure
C. Collect the fluid
D. Insert nasal tampons - ANSWER - C. Collect the fluid
What is the estimated time a person's brain can be anoxic from cardiopulmonary failure
and not develop permanent brain damage?
