ATLS Initial Assessment and
Management Exam (2025) || All
Questions & Answers (Rated A+)
Bowel sounds on chest auscultation are reflective of - ANSWER - Diaphragm injury
Apical capping and widened mediastinum are reflective of what? - ANSWER - Aortic
trauma
Circumferential burn? - ANSWER - Escharotomy
What is main goal of priamry brain injury? - ANSWER - Preventing secondary brain
injury
2 big causes of secondary brain injury? - ANSWER - HYPOVOLEMIA and HYPOXEMIA
Girl falls on her head, loses consciousness, and is now unstable. What kind of
hematoma is this? - ANSWER - EPIDURAL, *lucid interval* is common between time of
injury and presentation
What is more common, subdural or epidural - ANSWER - Subdural
What is considered mid TBI? - ANSWER - 13-15
T/o secondary management of mild TBI? - ANSWER - CT repeat if first is abnormal OR
GCS persists at under 15.
Serial exams
Initial management of TBI? - ANSWER - elevate head
NS (3%)
Indications of transport to higher Level of care with TBI? - ANSWER - Worsening GCS,
GCS <8. Lesions on CT
Above what level can you get neurogenic shock - ANSWER - T6
Description of neurogenic shock patient? - ANSWER -
What is bulbovesicular reflex indicative of? - ANSWER - NOT qualify as sacral sparing.
If there is ANY motor or sensory function below level of injury, constitutes as incomplete
injury and should be documented appropriately
, T/F: Stridor is LATE finding of airway damage in burn pt? - ANSWER - TRUE
Initial management of burn? - ANSWER - DRY dressing. NOT moist!
Transfer indications for burn? - ANSWER - Partial thickness >40% BSA
What is dark urine reflective of in burn pt? - ANSWER - RHABDO
What do you constantly need to replenish burn pt? - ANSWER - Cellular losses 2/2
inflammation
What is GOAL urine output in burn? - ANSWER - 3-50mL per hour, BEST assessment
of hydration
What do you need to monitor for with rewarming in hypothermia - ANSWER –
ARRYTHMIA
When something crashes in secondary survey, you... - ANSWER - GO BACK TO
PRIAMRY SURVEY
If the question says you do not have capabilities, you will most likely - ANSWER -
PREPARE FOR AND DO NOT DELAY TRANSPORT
How much blood can femur lose - ANSWER - 2L
What is always going to be the shock type to pick - ANSWER - Hemorrhagic
What are the classes of hemorrhagic shock - ANSWER - 0-15% is class 1
15-30 is class 2
30-40% is class 3
>40% is class 4
What is the EARLIEST predictor of shock at what class - ANSWER - Narrowed pulse
pressure in class 2
What will be base deficit for class 2 shock? - ANSWER - -2 to -6 meQ
What will be the deficit for class 4? - ANSWER - -10 or less
When will urine output start to decrease in shock? - ANSWER - Class 3 and 4
When does BP start to fall in shock - ANSWER - Class 3
What is GCS? - ANSWER - E-4
V-5
Management Exam (2025) || All
Questions & Answers (Rated A+)
Bowel sounds on chest auscultation are reflective of - ANSWER - Diaphragm injury
Apical capping and widened mediastinum are reflective of what? - ANSWER - Aortic
trauma
Circumferential burn? - ANSWER - Escharotomy
What is main goal of priamry brain injury? - ANSWER - Preventing secondary brain
injury
2 big causes of secondary brain injury? - ANSWER - HYPOVOLEMIA and HYPOXEMIA
Girl falls on her head, loses consciousness, and is now unstable. What kind of
hematoma is this? - ANSWER - EPIDURAL, *lucid interval* is common between time of
injury and presentation
What is more common, subdural or epidural - ANSWER - Subdural
What is considered mid TBI? - ANSWER - 13-15
T/o secondary management of mild TBI? - ANSWER - CT repeat if first is abnormal OR
GCS persists at under 15.
Serial exams
Initial management of TBI? - ANSWER - elevate head
NS (3%)
Indications of transport to higher Level of care with TBI? - ANSWER - Worsening GCS,
GCS <8. Lesions on CT
Above what level can you get neurogenic shock - ANSWER - T6
Description of neurogenic shock patient? - ANSWER -
What is bulbovesicular reflex indicative of? - ANSWER - NOT qualify as sacral sparing.
If there is ANY motor or sensory function below level of injury, constitutes as incomplete
injury and should be documented appropriately
, T/F: Stridor is LATE finding of airway damage in burn pt? - ANSWER - TRUE
Initial management of burn? - ANSWER - DRY dressing. NOT moist!
Transfer indications for burn? - ANSWER - Partial thickness >40% BSA
What is dark urine reflective of in burn pt? - ANSWER - RHABDO
What do you constantly need to replenish burn pt? - ANSWER - Cellular losses 2/2
inflammation
What is GOAL urine output in burn? - ANSWER - 3-50mL per hour, BEST assessment
of hydration
What do you need to monitor for with rewarming in hypothermia - ANSWER –
ARRYTHMIA
When something crashes in secondary survey, you... - ANSWER - GO BACK TO
PRIAMRY SURVEY
If the question says you do not have capabilities, you will most likely - ANSWER -
PREPARE FOR AND DO NOT DELAY TRANSPORT
How much blood can femur lose - ANSWER - 2L
What is always going to be the shock type to pick - ANSWER - Hemorrhagic
What are the classes of hemorrhagic shock - ANSWER - 0-15% is class 1
15-30 is class 2
30-40% is class 3
>40% is class 4
What is the EARLIEST predictor of shock at what class - ANSWER - Narrowed pulse
pressure in class 2
What will be base deficit for class 2 shock? - ANSWER - -2 to -6 meQ
What will be the deficit for class 4? - ANSWER - -10 or less
When will urine output start to decrease in shock? - ANSWER - Class 3 and 4
When does BP start to fall in shock - ANSWER - Class 3
What is GCS? - ANSWER - E-4
V-5
