NEW 2025 ATLS 10TH Edition Post Exam respirations and vomitus on his face and clothing. The most appropriate
step after providing supplemental oxygen and elevating his jaw is to:
Test | 2025 Complete ATLS Actual Exam
A. Request a CT-scan
With Correct Verified Answers | Already B. Insert a gastric tube
Graded A+ Exam C. Suction of the oropharynx
D. Obtain a lateral cervical spine x-ray
Which one of the following should be performed first in any patient whose E. Ventilate the patient with a bag-mask - ✔✔✔ Correct Answer > C.
injuries may include multiple closed extremity fractures? Suction of the oropharynx
A. A thorough assessment of four limb perfusion
B. Maneuvers to prevent necrosis of the skin Neurogenic shock has all of the following classic characteristics except
C. Extremity compartment syndrome release which one:
D. Ensuring adequate oxygenation and ventilation A. Hypotension
B. Vasodilatation
E. Evaluation for occult crush syndrome - ✔✔✔ Correct Answer > D.
Ensuring adequate oxygenation and ventilation C. Bradycardia
D. Neurologic deficit
A patient arrives in the ED after being beaten about the head and face with E. Narrowed pulse pressure - ✔✔✔ Correct Answer > E. Narrowed
a wooden club. He is comatose and has a palpable depressed skull fracture. pulse pressure
His face is swollen and ecchymotic. He has gurgling
,Which of the following physical findings suggest a cause of hypotension E. Widened mediastinum on chest x-ray following blunt trauma - ✔✔✔
other than spinal cord injury? Correct Answer > C. Resource limitations as determined by the
A. Prispism transferring doctor (MÅ SJEKKES)
B. Bradycardia
C. Diaphragmatic breathing A young man sustains a rifle wound to the mid-abdomen. He is brought
promptly to the ED by prehospital personnel. His skin is cool and
D. Presence of deep tendon reflexes
diaphoretic, and his systolic blood pressure is 58mmHg. Warmed
E. Ability to flex forearms but not extend them - ✔✔✔ Correct Answer crystalloid fluids are initiated without improvement in his vital signs.
> D. Presence of deep tendon reflexes. Spinal shock refers to loss of The next, most appropriate, step is to perform:
muscle toe (flaccidty) and loss of reflexes.
A. a laparotomy
B. An abdominal CT-scan
The primary indication for transferring A patient to a higher level trauma
C. Diagnostic laparoscopy
center is:
D. Abdominal ultrasonography
A. Unavailibility of surgeon or operating staff
E. A diagnostic peritoneal lavage - ✔✔✔ Correct Answer > A.
B. Multiple system injuries, including severe head injury
Laparotomy because of hemodynamic abnormality
C. Resource limitations as determined by the transferring doctor
D. Resource limitations as determined by the hospital administration
A 6-year-o boy is struck by an automobile and brought to the ED. He is
lethargic, but withdraws purposefully from painful stimuli. His blood
pressure is 90mmHg systolic, heart rate 140 beats per minute and his
,respiratory rate is 36 breaths per minute. The preferred route of venous E. Infuse large volumes of intravenous crystalloid solutions. - ✔✔✔
access in this patient is: Correct Answer > C. Control internal hemorrhage operatively
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle Regarding shock in the child, which of the following is FALSE?
C. Intraosseous catheter placement in the proximal tibia A. Vital signs are age-related
D. Percutaneous peripheral veins in the upper extremities B. Children have greater physiologic reserves than do adults
E. Central venous access via the subclavian or internal jugular vein - C. Tachycardia is the primary physiologic response to hypovolemia
✔✔✔ Correct Answer > D. Percutaneous peripheral veins in the upper
D. The absolute volume of blood loss required to produce shock is the
extremities same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
A young man sustains a gunshot wound to the abdomen and is brought Ringers Lactate - ✔✔✔ Correct Answer > D. The absolute volume of
promptly to the ED by prehospital personnel. His skin is cool and blood loss required to produce shock is the same as in adults
diaphoretic, and he is confused. His pulse is thready and his femoral pulse
is only weakly palpable. The definitive treatment in managing this patient
is to: A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has
obvious fractures of the left tibia near the knee, pain in the pelvic area, and
A. Administer O-negative blood
severe dyspnea. His heart rate is 182 beats per minute, and his respiratory
B. Apply external warming devices rate is 48 breaths per minute with no breath sounds heard in the left chest.
C. Control internal hemorrhage operatively A tension pneumothorax is relieved by immediate needle decompression
and tube thoracostomy.
D. Apply a pneumatic antishock garment (PASG)
, Subsequently, his heart rate decreases to 144 beats per minute, his B. Decrease the tidal volume
respirartory rate decreases to 36 breaths per minute and his blood pressure
C. Decrease PEEP
is 81/53 mmHg. Warmed Ringers lactate is adminstered intravenously.
D. Increase the rate of assisted ventilations
The next priority should be to:
A. Perform external fixation of the pelvis E. Perform needle decompression of the left chest. - ✔✔✔ Correct
Answer > A. Obtain a chest x-ray (MÅ SJEKKES)
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
A 30-year-old man sustains a severely comminuted, open, distal right
D. Perform diagnostic peritoneal lavage or FAST
femur fracture in a motorcycle crash. The wound is actively bleeding.
E. Perform a urethrogram and cystogram - ✔✔✔ Correct Answer > D. Normal sensation is present over the lateral aspect of the foot but
Perform diagnostic peritoneal lavage or FAST decreased over the medial foot and great toe. Normal motion of the foot is
observed. Dorsalis pedis and posterior tibial pulses are easily palpable on
the left, but heard only by Doppler on the right. Immediate efforts to
A 42-year-old man, injured in a motor vehicle crash, suffers a closed head
improve circulation to the injured extremity should involve:
injury, multiple palpable left rib fractures, and bilateral femur fractures.
A. Immediate angiography
He is intubated orotracheally without difficulty. Initially, his ventilations
are easily assisted with a bag-mask device. It becomes more difficult to B. Tamponade of the wound with a pressure dressing
ventilate the patient over the next 5 minutes, and his hemoglobin oxygen
C. Wound exploration and removal of bony fragments
saturation level decreases from 98% to 89%. The most appropriate next
D. Realignment of the fracture segments with a traction splint
step is to:
A. Obtain a chest x-ray E. Fasciotomy of all four compartments in the lower extremity - ✔✔✔
Correct Answer > B. Tamponade of the wound with a pressure dressing
step after providing supplemental oxygen and elevating his jaw is to:
Test | 2025 Complete ATLS Actual Exam
A. Request a CT-scan
With Correct Verified Answers | Already B. Insert a gastric tube
Graded A+ Exam C. Suction of the oropharynx
D. Obtain a lateral cervical spine x-ray
Which one of the following should be performed first in any patient whose E. Ventilate the patient with a bag-mask - ✔✔✔ Correct Answer > C.
injuries may include multiple closed extremity fractures? Suction of the oropharynx
A. A thorough assessment of four limb perfusion
B. Maneuvers to prevent necrosis of the skin Neurogenic shock has all of the following classic characteristics except
C. Extremity compartment syndrome release which one:
D. Ensuring adequate oxygenation and ventilation A. Hypotension
B. Vasodilatation
E. Evaluation for occult crush syndrome - ✔✔✔ Correct Answer > D.
Ensuring adequate oxygenation and ventilation C. Bradycardia
D. Neurologic deficit
A patient arrives in the ED after being beaten about the head and face with E. Narrowed pulse pressure - ✔✔✔ Correct Answer > E. Narrowed
a wooden club. He is comatose and has a palpable depressed skull fracture. pulse pressure
His face is swollen and ecchymotic. He has gurgling
,Which of the following physical findings suggest a cause of hypotension E. Widened mediastinum on chest x-ray following blunt trauma - ✔✔✔
other than spinal cord injury? Correct Answer > C. Resource limitations as determined by the
A. Prispism transferring doctor (MÅ SJEKKES)
B. Bradycardia
C. Diaphragmatic breathing A young man sustains a rifle wound to the mid-abdomen. He is brought
promptly to the ED by prehospital personnel. His skin is cool and
D. Presence of deep tendon reflexes
diaphoretic, and his systolic blood pressure is 58mmHg. Warmed
E. Ability to flex forearms but not extend them - ✔✔✔ Correct Answer crystalloid fluids are initiated without improvement in his vital signs.
> D. Presence of deep tendon reflexes. Spinal shock refers to loss of The next, most appropriate, step is to perform:
muscle toe (flaccidty) and loss of reflexes.
A. a laparotomy
B. An abdominal CT-scan
The primary indication for transferring A patient to a higher level trauma
C. Diagnostic laparoscopy
center is:
D. Abdominal ultrasonography
A. Unavailibility of surgeon or operating staff
E. A diagnostic peritoneal lavage - ✔✔✔ Correct Answer > A.
B. Multiple system injuries, including severe head injury
Laparotomy because of hemodynamic abnormality
C. Resource limitations as determined by the transferring doctor
D. Resource limitations as determined by the hospital administration
A 6-year-o boy is struck by an automobile and brought to the ED. He is
lethargic, but withdraws purposefully from painful stimuli. His blood
pressure is 90mmHg systolic, heart rate 140 beats per minute and his
,respiratory rate is 36 breaths per minute. The preferred route of venous E. Infuse large volumes of intravenous crystalloid solutions. - ✔✔✔
access in this patient is: Correct Answer > C. Control internal hemorrhage operatively
A. Percutaneous femoral vein cannulation
B. Cutdown on the saphenous vein at the ankle Regarding shock in the child, which of the following is FALSE?
C. Intraosseous catheter placement in the proximal tibia A. Vital signs are age-related
D. Percutaneous peripheral veins in the upper extremities B. Children have greater physiologic reserves than do adults
E. Central venous access via the subclavian or internal jugular vein - C. Tachycardia is the primary physiologic response to hypovolemia
✔✔✔ Correct Answer > D. Percutaneous peripheral veins in the upper
D. The absolute volume of blood loss required to produce shock is the
extremities same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg
A young man sustains a gunshot wound to the abdomen and is brought Ringers Lactate - ✔✔✔ Correct Answer > D. The absolute volume of
promptly to the ED by prehospital personnel. His skin is cool and blood loss required to produce shock is the same as in adults
diaphoretic, and he is confused. His pulse is thready and his femoral pulse
is only weakly palpable. The definitive treatment in managing this patient
is to: A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has
obvious fractures of the left tibia near the knee, pain in the pelvic area, and
A. Administer O-negative blood
severe dyspnea. His heart rate is 182 beats per minute, and his respiratory
B. Apply external warming devices rate is 48 breaths per minute with no breath sounds heard in the left chest.
C. Control internal hemorrhage operatively A tension pneumothorax is relieved by immediate needle decompression
and tube thoracostomy.
D. Apply a pneumatic antishock garment (PASG)
, Subsequently, his heart rate decreases to 144 beats per minute, his B. Decrease the tidal volume
respirartory rate decreases to 36 breaths per minute and his blood pressure
C. Decrease PEEP
is 81/53 mmHg. Warmed Ringers lactate is adminstered intravenously.
D. Increase the rate of assisted ventilations
The next priority should be to:
A. Perform external fixation of the pelvis E. Perform needle decompression of the left chest. - ✔✔✔ Correct
Answer > A. Obtain a chest x-ray (MÅ SJEKKES)
B. Obtain abdominal and pelvic CT-scans
C. Perform arterial embolization of the pelvic vessel
A 30-year-old man sustains a severely comminuted, open, distal right
D. Perform diagnostic peritoneal lavage or FAST
femur fracture in a motorcycle crash. The wound is actively bleeding.
E. Perform a urethrogram and cystogram - ✔✔✔ Correct Answer > D. Normal sensation is present over the lateral aspect of the foot but
Perform diagnostic peritoneal lavage or FAST decreased over the medial foot and great toe. Normal motion of the foot is
observed. Dorsalis pedis and posterior tibial pulses are easily palpable on
the left, but heard only by Doppler on the right. Immediate efforts to
A 42-year-old man, injured in a motor vehicle crash, suffers a closed head
improve circulation to the injured extremity should involve:
injury, multiple palpable left rib fractures, and bilateral femur fractures.
A. Immediate angiography
He is intubated orotracheally without difficulty. Initially, his ventilations
are easily assisted with a bag-mask device. It becomes more difficult to B. Tamponade of the wound with a pressure dressing
ventilate the patient over the next 5 minutes, and his hemoglobin oxygen
C. Wound exploration and removal of bony fragments
saturation level decreases from 98% to 89%. The most appropriate next
D. Realignment of the fracture segments with a traction splint
step is to:
A. Obtain a chest x-ray E. Fasciotomy of all four compartments in the lower extremity - ✔✔✔
Correct Answer > B. Tamponade of the wound with a pressure dressing
