ATLS POST TEST 4 LATEST VERSIONS REAL ...

ATLS POST TEST 4 LATEST VERSIONS 2025 REAL EXAM 160
QUESTIONS AND CORRECT ANSWERS |AGRADE




A552255year55old55male55is55brought55by55ambulance55to55a55small55community55hospital55after55fallin
g55from55the55top55of55an55855foot55ladder.55Initially,55he55was55found55to55have55a55large55right55pne
umothorax.55A55chest55tube55was55inserted55and55connected55to55an55underwater55seal55drainage55co
llection55system55with55negative55pressure.55A55repeat55CXR55demonstrates55a55residual,55large55right
55pneumothorax.55After55transferring55the55patient55to55a55verified55trauma55center,55a55third55chest5
5x-
ray55reveals55a55persistent55right55pneumothorax.55The55chest55tube55appears55to55be55functioning55a
nd55in55good55position.55He55remains55hemodynamically55normal55with55no55signs55of55respiratory55d
istress.55The55most55likely55cause55for55the55persistent55right55pneumothorax55is:

A. Flail55chest

B. Diaphragmatic55injury

C. Pulmonary55contusion

D. Esophageal55perforation

E. Tracheobronchial55injury55-55correct55answer55-E.55Tracheobronchial55injury



Which55of55the55following55is55LEAST55reliable55for55diagnosing55ESOPHAGEAL55intubation?

A. symmetrical55chest55wall55movement

B. end-tidal55CO2

C. bilateral55breath55sounds

D. oxygen55saturation55>92%

E. ETT55above55carina55on55chest55x-ray55-55correct55answer55-D.55oxygen55saturation55>92%

->55if55it55says55ESOPHAGEAL,55go55with55this55answer



Which55of55the55following55signs55necessitates55the55need55for55a55definitive55airway55in55severe55trau
ma55patient?

A. facial55lacerations

,B. repeated55vomiting

,C. severe55maxillofacial55trauma

D. sternal55fracture

E. GCS551255-55correct55answer55-C.55Severe55maxillofacial55trauma



Twenty55seven55people55are55severely55injured55in55an55aircraft55crash55at55a55local55airport.55The55pri
nciples55of55triage55include:

A. establish55a55triage55site55within55the55internal55perimeter55of55the55crash55site

B. treat55only55the55most55severely55injured55patients55first

C. immediately55transport55all55patients55to55the55nearest55hospital

D. treat55the55greatest55number55of55patients55in55the55shortest55period55of55time

E. produce55the55greatest55number55of55survivors55based55on55available55resources55-
55correct55answer55-
E.55Produce55the55greatest55number55of55survivors55based55on55available55resources



Which55of55the55following55statements55are55correct?

A. Cerebral55contusions55may55coalesce55to55form55an55intracerebral55hematoma

B. Epidural55hematomas55are55usually55seen55in55the55frontal55region

C. Subdural55hematomas55are55caused55by55injury55to55the55middle55meningeal55artery

D. Subdural55hematomas55typically55have55a55lenticular55shape55on55CT

E. The55associated55brain55damage55is55more55severe55in55epidural55hematomas55-
55correct55answer55-
A.55Cerebral55contusions55may55coalesce55to55form55an55intracerebral55hematoma

EM:55Epidural,55middle55meningeal

55SuB:55Subdural,55Bridging55veins




An551855year55old55male55is55brought55to55the55ED55after55being55shot.55He55has55one55bullet55woun
d55just55below55the55right55clavicle55and55another55just55below55the55costal55margin55in55the55right55p
osterior55axillary55line.55His55blood55pressure55is55110/60,55heart55rate55of5590,55and55respiratory55rat
e55of5534.55After55ensuring55a55patent55airway55and55inserting55255large55caliber55IV55lines,55the55next
55most55appropriate55step55is55to:

A. Obtain55a55portable55chest55x-ray

B. Administer55a55bolus55of55additional55IV55fluid

C. Perform55a55laparatomy

D. Obtain55an55abdominal55CT55scan

, E. Perform55diagnostic55peritoneal55lavage55-55correct55answer55-

A.55Obtain55a55portable55chest55x-ray55need55more55info55on55chest,55not55abdomen



Which55of55the55following55should55be55performed55FIRST55in55any55patient55whose55injuries55may55in
clude55multiple55closed55extremity55fractures?

A. A55thorough55assessment55of55four55limb55perfusion

B. Manuevers55to55prevent55necrosis55of55the55skin

C. Extremity55compartment55syndrome55release

D. Ensuring55adequate55oxygenation55and55ventilation

E. Evaluation55for55occult55crush55syndrome55-55correct55answer55-
D.55Ensuring55adequate55oxygenation55and55ventilation

(ABC's)



A552255year55old55male55sustains55a55shotgun55wound55to55the55shoulder55and55chest55at55close55ran
ge.55His55BP55is5580/4055and55HR55130.55After55255L55of55crystalloid55solution55are55rapidly55infused,55
his55BP55increases55to55122/8455and55HR55decreases55to55100.55He55is55tachypneic55with55RR55of5528.
55On55PE,55his55breath55sounds55are55decreased55at55the55left55upper55chest55with55dullness55on55per
cussion.55A55large55caliber55tube55thoracostomy55is55inserted55into55the55fifth55intercostal55space55wit
h55the55return55of5520055mL55of55blood55and55no55air55leak.55The55most55appropriate55next55step55is:

A. Insert55a55foley55catheter

B. Begin55to55transfuse55O55negative55blood

C. Perform55thoracotomy

D. Obtain55a55CT55Chest/Abd

E. Repeat55the55physical55exam55of55the55chest55-55correct55answer55-
E.55Repeat55the55physical55exam55of55the55chest



decreased55breath55sounds55w/dullness55-

>55hemothorax,55need55tube55to55drain55vs.

decreased/absent55breath55sounds55w/hyperresonance55-
>55tension55pneumonia,55need55needle55decompression55followed55by55tube



Which55one55of55the55following55statements55concerning55spine55and55spinal55cord55trauma55is55TRUE?

A. A55normal55lateral55C55spine55film55excludes55injury