ATLS PRETEST ACTUAL EXAM PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is alert,
vital signs are normal, and he is complaining of severe pain in both heels
and his lower back. Lower extremity pulses are strong and there is no
other deformity. The suspected diagnosis is most likely to be confirmed
by: Answer: complete spine x-ray series
◉ Which of the following is true regarding the initial resuscitation of a
trauma patient? Answer: Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow Coma Scale score
on reevaluation.
◉ In managing a patient with a severe traumatic brain injury, the most
important initial step is to: Answer: secure the airway
◉ A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
applies to this patient? Answer: An ABG would demonstrate a base
deficit between -6 and -10 mEq/L.
, ◉ The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured, gravid woman
by: Answer: increasing the volume of blood loss to produce maternal
hypotension
◉ The best assessment of fluid resuscitation of the adult burn patient is:
Answer: urinary output of 0.5 mL/kg/hr
◉ The diagnosis of shock must include: Answer: evidence of inadequate
organ perfusion
◉ A 7-year-old boy is brought to the emergency department by his
parents several minutes after he fell through a window. He is bleeding
profusely from a 6-cm wound of his medial right thigh. Immediate
management of the wound should consist of: Answer: direct pressure on
the wound
◉ For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: Answer: cerebral
vasoconstriction with diminished perfusion
◉ After being involved in a motor vehicle crash, a 25-year-old man is
brought to a hospital that has surgery capabilities available. Computed
tomography of the chest and abdomen shows an aortic injury and splenic
laceration with free abdominal fluid. His blood pressure falls to 70 mm
QUESTIONS WITH SOLUTIONS GRADED A+
◉ A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is alert,
vital signs are normal, and he is complaining of severe pain in both heels
and his lower back. Lower extremity pulses are strong and there is no
other deformity. The suspected diagnosis is most likely to be confirmed
by: Answer: complete spine x-ray series
◉ Which of the following is true regarding the initial resuscitation of a
trauma patient? Answer: Evidence of improved perfusion after fluid
resuscitation could include improvement in Glasgow Coma Scale score
on reevaluation.
◉ In managing a patient with a severe traumatic brain injury, the most
important initial step is to: Answer: secure the airway
◉ A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters. Which one of the following statements
applies to this patient? Answer: An ABG would demonstrate a base
deficit between -6 and -10 mEq/L.
, ◉ The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured, gravid woman
by: Answer: increasing the volume of blood loss to produce maternal
hypotension
◉ The best assessment of fluid resuscitation of the adult burn patient is:
Answer: urinary output of 0.5 mL/kg/hr
◉ The diagnosis of shock must include: Answer: evidence of inadequate
organ perfusion
◉ A 7-year-old boy is brought to the emergency department by his
parents several minutes after he fell through a window. He is bleeding
profusely from a 6-cm wound of his medial right thigh. Immediate
management of the wound should consist of: Answer: direct pressure on
the wound
◉ For the patient with severe traumatic brain injury, profound
hypocarbia should be avoided to prevent: Answer: cerebral
vasoconstriction with diminished perfusion
◉ After being involved in a motor vehicle crash, a 25-year-old man is
brought to a hospital that has surgery capabilities available. Computed
tomography of the chest and abdomen shows an aortic injury and splenic
laceration with free abdominal fluid. His blood pressure falls to 70 mm
