ATLS POST TEST 4 EXAM 2026-2027 LATEST
VERSION QUESTIONS AND VERIFIED CORRECT
ANSWERS JUST RELEASED
Which one of the following statements is true regarding access in pediatric resuscitation?
A. Intraosseous access should only be considered after five percutaneous attempts
B. Cut down at the ankle is a preferred initial access technique
C. Blood transfusion can be delievered through an intraosseous access
D. Internal jugular cannulation is the next preferred opinion when percutaneous venous
access fails
E. Intraosseous cannulation should be first choice for access - answer>>>C. Blood
transfusion can be delievered through an intraosseous access
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypervolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg of Ringers lactate -
answer>>>D. The absolute volume of blood loss required to produce shock is the same as
in adults
A young man sustain a gunshot wound to the abdomen and is brought promptly to the
ED by prehospital personnel. His skin is cool and 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. Administer 0.neg blood
B. Apply external warming devices
C. Control internal hemorraghe operatively
D. Apply pneumatic anti shock garment
E. Infuse large volumes of IV crystalloid solution - answer>>>C. Control internal
hemorraghe operatively
A four-year-old girl, weighing approximately 20kg is admitted in shock after an
automobile crash. The initialt fluid challenge or bolus should consist of Ringers lactate
solution in the volume of
A. 200ml
B. 400ml
C. 440ml
D. 600ml
,E. 880ml - answer>>>B. 400ml (20ml/kg)
All of the following are considered minimal precautions for the prevention of the spread
of communicable diseases during resuscitation, EXCEPT:
A. goggles
B. Face mask
C. Water-impervious gown
D. Water-impervious leggings
E. Needle-impenetrable sterile gloves - answer>>>E. Needle-impenetrable sterile gloves
30-year-old woman fell down four stair landing on concrete. Unconscious for 5 minutes
after the fall, full consciousness during 10 minute transport to hospital, GCS 15,
complaint is a slight headache, 30 minute later she is unresponsive with GCS 6 and left
pupil is large. - answer>>>Epidural hematoma
A young male fallen from height with obvious flail chest. ABG shows pH 7,47. What is the
cause of this abnormality? - answer>>>Pulmonary contusion
Cushings triad which occurs in cases of increased intracranial pressure? -
answer>>>Bradycardia with irregular respirations and isolated increase in SYSTOLIC
BLOOD PRESSURE
In comparison with young adults, elderly patients exhibit which of the following
regarding brain injuries?
A. Increased cerebral blood flow
B. Less stretching of the bridging veins
C. Less subdural hematomas
D. Less brain contusions
E. Less mobility with angular acceleration and deceleration - answer>>>D. Less brain
contusions
Which of the following will be missed by DPL? - answer>>>Subcapsular hematoma of the
spleen (becauase it is a retroperitoneal organ)
Burn victim, core temperature is 34C. Whats next?
A. Escharotomy
B. Rewarm
C. Oxygen mask
D...
E.. - answer>>>C. Oxygen mask
,Which of the following is NORMAL in pregnancy?
A. increased residual lung volume
B. Decreased plasma volume
C. Decreased total RBC mass
D. Widened symphysis pubis
E. - answer>>>D. Widened symphysis pubis
A 34-year-old man is brought to the ED after being pinned to the wall of building by a
cement truck. He is in obvious shock, and has deformities and marked swelling of both
thighs. Although no open wound are present, his shock:
A. Cannot be explained without concomitant pelvic fracture
B. Signifies a loss of approximately 15%
C. Is consistent with blood loss from bilateral femoral fracture
D. Will likely be reversed if appropriate traction splint are applied
E. Cannot be explained by his observed injuries unless a major arterial injury exist -
answer>>>C. Is consistent with blood loss from bilateral femoral fracture
Prior to passage of urinary catheter in a man, it is essential to:
A. Examine the abdomen
B. Determine pelvic stability
C. Examine the rectum and perineum
D. Perform a retrograde urethrogram
E. Know the history and mechanism of injury - answer>>>C. Examine the rectum and
perineum
The best guide for adequate fluid resuscitation of the burn patient is:
A. Adequate urinary output
B. Reversal of systemic acidosis
C. Normalization of the heart rate
D. A normal central venous pressure
E. 4ml/kg/percent body burn/24 hours - answer>>>A. Adequate urinary output
A 36-year-old woman is beaten about the head and face and is brought to the local
community hospital in full spinal immobilization. Her BP is 13088, HR 70/minutes, and RR
18/minute. Pulse oximetry indicated 98% while she was given 100% O2 via a non
rebreather mask. Her airway is clear. She has marked swellings on her face and several
lacerations of her scalp that are not actively bleeding. She does not respond to verbal
stimuli, but localizes to painful stiumuli and opens her eyes. She moves all extremities
equally. The remainder of her physical exam is normal. There is no neurosurgeon at the
local hospital. After ensuring the patient airway, the most appropriate course of action is
to:
, A. Admit the patient to the hospital for observation
B. Obtain x-ray of her facial bones prior to transfer
C. Obtain complete x-ray evaluation of the cervical spine
D. Transfer the patient to a neurosurgeon without performing a CT-sca - answer>>>D.
Transfer the patient to a neurosurgeon without performing a CT-scan
For the trauma patient with cerebral edema, hypercarbia should be avoided to prevent:
A. metabolic acidosis
B. Respiratory acidosis
C. Cerebral vasodilatation
D. Neurogenic pulmonary edema
E. Reciprocal high level of PaCO2 - answer>>>C. Cerebral vasodilatation
A 29 y/o male is brought to the ED after being involved in a motor vehicular collision
when his car struck a bridge abutment. He is intoxicated, has GCS 13 and complains of
abdominal pain. His BP was 80mmHg systolic by palpation on admission, but rapidly
increased to 110/70 with the administration of IV fluid. His heart rate is 120/minute. The
chest x-ray show loss of aortic know, widening of mediastinum, no rib fracture and no
hemopneumothorax. Contrast angiography:
A. Is not indicated
B. Should be performed after CT scan of the chest
C. Is positive ofr aortic rupture in 80% of similar cases
D. Is not necessary if the CT-scan of the chest is normal
E. Should be performed after DPL - answer>>>D. Is not necessary if the CT-scan of the
chest is normal
Important screening x-rays to obtain in the multiple system trauma patient are:
A. Skull, chest and abdomen
B. Chest, abdomen and pelvis
C. Skull cervical spine and pelvis
D. Cervical spine, chest and pelvis
E. Cervical spine, chest and abdomen - answer>>>D. Cervical spine, chest and pelvis
All of the following statement regarding pulse oxymetry are true EXCEPT
A. excessive surrounding room light can interfere with the accuracy of the reading
B. Significant levels of dysfunctional hemoglobin can affect the accuracy of the reading
C. It provides a continuous measurement of the partial pressure of oxygen
D. It is dependent on differential light absorption by oxygenated and deoxygenated
hemoglobin
VERSION QUESTIONS AND VERIFIED CORRECT
ANSWERS JUST RELEASED
Which one of the following statements is true regarding access in pediatric resuscitation?
A. Intraosseous access should only be considered after five percutaneous attempts
B. Cut down at the ankle is a preferred initial access technique
C. Blood transfusion can be delievered through an intraosseous access
D. Internal jugular cannulation is the next preferred opinion when percutaneous venous
access fails
E. Intraosseous cannulation should be first choice for access - answer>>>C. Blood
transfusion can be delievered through an intraosseous access
Regarding shock in the child, which of the following is FALSE?
A. Vital signs are age-related
B. Children have greater physiologic reserves than do adults
C. Tachycardia is the primary physiologic response to hypervolemia
D. The absolute volume of blood loss required to produce shock is the same as in adults
E. An initial fluid bolus for resuscitation should approximate 20ml/kg of Ringers lactate -
answer>>>D. The absolute volume of blood loss required to produce shock is the same as
in adults
A young man sustain a gunshot wound to the abdomen and is brought promptly to the
ED by prehospital personnel. His skin is cool and 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. Administer 0.neg blood
B. Apply external warming devices
C. Control internal hemorraghe operatively
D. Apply pneumatic anti shock garment
E. Infuse large volumes of IV crystalloid solution - answer>>>C. Control internal
hemorraghe operatively
A four-year-old girl, weighing approximately 20kg is admitted in shock after an
automobile crash. The initialt fluid challenge or bolus should consist of Ringers lactate
solution in the volume of
A. 200ml
B. 400ml
C. 440ml
D. 600ml
,E. 880ml - answer>>>B. 400ml (20ml/kg)
All of the following are considered minimal precautions for the prevention of the spread
of communicable diseases during resuscitation, EXCEPT:
A. goggles
B. Face mask
C. Water-impervious gown
D. Water-impervious leggings
E. Needle-impenetrable sterile gloves - answer>>>E. Needle-impenetrable sterile gloves
30-year-old woman fell down four stair landing on concrete. Unconscious for 5 minutes
after the fall, full consciousness during 10 minute transport to hospital, GCS 15,
complaint is a slight headache, 30 minute later she is unresponsive with GCS 6 and left
pupil is large. - answer>>>Epidural hematoma
A young male fallen from height with obvious flail chest. ABG shows pH 7,47. What is the
cause of this abnormality? - answer>>>Pulmonary contusion
Cushings triad which occurs in cases of increased intracranial pressure? -
answer>>>Bradycardia with irregular respirations and isolated increase in SYSTOLIC
BLOOD PRESSURE
In comparison with young adults, elderly patients exhibit which of the following
regarding brain injuries?
A. Increased cerebral blood flow
B. Less stretching of the bridging veins
C. Less subdural hematomas
D. Less brain contusions
E. Less mobility with angular acceleration and deceleration - answer>>>D. Less brain
contusions
Which of the following will be missed by DPL? - answer>>>Subcapsular hematoma of the
spleen (becauase it is a retroperitoneal organ)
Burn victim, core temperature is 34C. Whats next?
A. Escharotomy
B. Rewarm
C. Oxygen mask
D...
E.. - answer>>>C. Oxygen mask
,Which of the following is NORMAL in pregnancy?
A. increased residual lung volume
B. Decreased plasma volume
C. Decreased total RBC mass
D. Widened symphysis pubis
E. - answer>>>D. Widened symphysis pubis
A 34-year-old man is brought to the ED after being pinned to the wall of building by a
cement truck. He is in obvious shock, and has deformities and marked swelling of both
thighs. Although no open wound are present, his shock:
A. Cannot be explained without concomitant pelvic fracture
B. Signifies a loss of approximately 15%
C. Is consistent with blood loss from bilateral femoral fracture
D. Will likely be reversed if appropriate traction splint are applied
E. Cannot be explained by his observed injuries unless a major arterial injury exist -
answer>>>C. Is consistent with blood loss from bilateral femoral fracture
Prior to passage of urinary catheter in a man, it is essential to:
A. Examine the abdomen
B. Determine pelvic stability
C. Examine the rectum and perineum
D. Perform a retrograde urethrogram
E. Know the history and mechanism of injury - answer>>>C. Examine the rectum and
perineum
The best guide for adequate fluid resuscitation of the burn patient is:
A. Adequate urinary output
B. Reversal of systemic acidosis
C. Normalization of the heart rate
D. A normal central venous pressure
E. 4ml/kg/percent body burn/24 hours - answer>>>A. Adequate urinary output
A 36-year-old woman is beaten about the head and face and is brought to the local
community hospital in full spinal immobilization. Her BP is 13088, HR 70/minutes, and RR
18/minute. Pulse oximetry indicated 98% while she was given 100% O2 via a non
rebreather mask. Her airway is clear. She has marked swellings on her face and several
lacerations of her scalp that are not actively bleeding. She does not respond to verbal
stimuli, but localizes to painful stiumuli and opens her eyes. She moves all extremities
equally. The remainder of her physical exam is normal. There is no neurosurgeon at the
local hospital. After ensuring the patient airway, the most appropriate course of action is
to:
, A. Admit the patient to the hospital for observation
B. Obtain x-ray of her facial bones prior to transfer
C. Obtain complete x-ray evaluation of the cervical spine
D. Transfer the patient to a neurosurgeon without performing a CT-sca - answer>>>D.
Transfer the patient to a neurosurgeon without performing a CT-scan
For the trauma patient with cerebral edema, hypercarbia should be avoided to prevent:
A. metabolic acidosis
B. Respiratory acidosis
C. Cerebral vasodilatation
D. Neurogenic pulmonary edema
E. Reciprocal high level of PaCO2 - answer>>>C. Cerebral vasodilatation
A 29 y/o male is brought to the ED after being involved in a motor vehicular collision
when his car struck a bridge abutment. He is intoxicated, has GCS 13 and complains of
abdominal pain. His BP was 80mmHg systolic by palpation on admission, but rapidly
increased to 110/70 with the administration of IV fluid. His heart rate is 120/minute. The
chest x-ray show loss of aortic know, widening of mediastinum, no rib fracture and no
hemopneumothorax. Contrast angiography:
A. Is not indicated
B. Should be performed after CT scan of the chest
C. Is positive ofr aortic rupture in 80% of similar cases
D. Is not necessary if the CT-scan of the chest is normal
E. Should be performed after DPL - answer>>>D. Is not necessary if the CT-scan of the
chest is normal
Important screening x-rays to obtain in the multiple system trauma patient are:
A. Skull, chest and abdomen
B. Chest, abdomen and pelvis
C. Skull cervical spine and pelvis
D. Cervical spine, chest and pelvis
E. Cervical spine, chest and abdomen - answer>>>D. Cervical spine, chest and pelvis
All of the following statement regarding pulse oxymetry are true EXCEPT
A. excessive surrounding room light can interfere with the accuracy of the reading
B. Significant levels of dysfunctional hemoglobin can affect the accuracy of the reading
C. It provides a continuous measurement of the partial pressure of oxygen
D. It is dependent on differential light absorption by oxygenated and deoxygenated
hemoglobin
