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Graded Study Guide
1. Overview
• Fully updated ATLS Post Test (Advanced Trauma Life Support) question bank
• 100+ verified questions and answers with clear rationales
• Aligned with the latest ATLS curriculum (2025/2026 updates)
• Graded A+ and structured for 100% pass confidence
2. Trauma Case Scenarios
• Penetrating and blunt trauma case studies
• Chest trauma (pneumothorax, hemothorax, tamponade)
• Abdominal trauma and FAST interpretation
• Spine, head, and neurological injury cases
• Pediatric trauma case reviews
• Obstetric trauma management scenarios
3. Airway & Breathing Management
• Definitive airway indications
• Cricothyroidotomy, intubation techniques
• Supraglottic airway devices
• Pediatric airway considerations
,4. Shock, Hemorrhage & Resuscitation
• Classification of shock types (neurogenic, hypovolemic, cardiogenic)
• Resuscitation protocols: crystalloids, blood products
• Management of burn shock & electrical injury
• Pediatric resuscitation algorithms
5. Imaging & Diagnostics
• CT, X-ray, ultrasound (FAST) interpretation
• Indications for laparotomy vs. conservative management
• Diagnostic peritoneal lavage insights
6. Special Topics
• Triage protocols and disaster scenarios
• Spine immobilization and clearance protocols
• Frostbite, thermal injuries, chemical burns
• Rh immunoglobulin therapy in pregnancy trauma
7. Exam-Style Q&A
• Direct, concise questions and verified answers
• Explanations to reinforce ATLS guidelines
• Real-world trauma scenarios to boost retention
, 1
A 22-year-old male is brought by ambulance to a small community hospital after falling from the top of an
8-foot ladder. Initially, he was found to have a large right pneumothorax. A chest tube was inserted and
connected to an underwater seal drainage collection system with negative pressure. A repeat CXR
demonstrates a residual, large right pneumothorax. After transferring the patient to a verified trauma
center, a third chest x-ray reveals a persistent right
pneumothorax. The chest tube appears to be functioning and in good position. He remains
hemodynamically normal with no signs of respiratory distress. The most likely cause for the
persistent right pneumothorax is:
A. Flail chest
B. Diaphragmatic injury
C. Pulmonary contusion
D. Esophageal perforation
E. Tracheobronchial injury - ANSWER E. Tracheobronchial injury
Which of the following is LEAST reliable for diagnosing ESOPHAGEAL intubation?
A. symmetrical chest wall movement
B. end-tidal CO2
C. bilateral breath sounds
D. oxygen saturation >92%
E. ETT above carina on chest x-ray - ANSWER D. oxygen saturation >92%
-> if it says ESOPHAGEAL, go with this answer
Which of the following signs necessitates the need for a definitive airway in severe trauma
patient?
, 2
A. facial lacerations
B. repeated vomiting
C. severe maxillofacial trauma
D. sternal fracture
E. GCS 12 - ANSWER C. Severe maxillofacial trauma
Twenty-seven people are severely injured in an aircraft crash at a local airport. The principles of
triage include:
A. establish a triage site within the internal perimeter of the crash site
B. treat only the most severely injured patients first
C. immediately transport all patients to the nearest hospital
D. treat the greatest number of patients in the shortest period of time
E. produce the greatest number of survivors based on available resources - ANSWER E. Produce
the greatest number of survivors based on available resources
Which of the following statements are correct?
A. Cerebral contusions may coalesce to form an intracerebral hematoma
B. Epidural hematomas are usually seen in the frontal region
C. Subdural hematomas are caused by injury to the middle meningeal artery
D. Subdural hematomas typically have a lenticular shape on CT
E. The associated brain damage is more severe in epidural hematomas - ANSWER A. Cerebral
contusions may coalesce to form an intracerebral hematoma
EM: Epidural, middle meningeal
SuB: Subdural, Bridging veins
An 18-year-old male is brought to the ED after being shot. He has one bullet wound just below
the right clavicle and another just below the costal margin in the right posterior axillary line. His