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Exam (elaborations)

ATLS POST-TEST

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Exam of 37 pages for the course ATLS POST-TEST at ATLS POST-TEST (ATLS POST-TEST)

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ATLS POST-TEST
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ATLS POST-TEST
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ATLS POST-TEST

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Uploaded on
November 29, 2025
Number of pages
37
Written in
2025/2026
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ATLS PRACTICE TEST 2024-2025
ACTUAL EXAM REAL QUESTIONS
AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) |


A b22-year-old bman bis bhypotensive band btachycardic bafter ba bshotgun bwound bto bthe
bleft bshoulder. bHis bblood bpressure bis binitially b80/40 bmm bHg. bAfter binitial bfluid
bresuscitation bhis bblood bpressure bincreases bto b122/84 bmm bHg. bHis bheart brate bis
bnow b100 bbeats bper bminute band bhis brespiratory brate bis b28 bbreaths bper bminute. bA
btube bthoracostomy bis bperformed bfor bdecreased bleft bchest bbreath bsounds bwith bthe
breturn bof ba bsmall bamount bof bblood band bno bair bleak. bAfter bchest btube binsertion, bthe
bmost bappropriate bnext bstep bis: b- bcorrect banswer✔✔re-examine bthe bchest


A bconstruction bworker bfalls btwo bstories bfrom ba bbuilding band bsustains bbilateral
bcalcaneal bfractures. bIn bthe bemergency bdepartment, bhe bis balert, bvital bsigns bare
bnormal, band bhe bis bcomplaining bof bsevere bpain bin bboth bheels band bhis blower bback.
bLower bextremity bpulses bare bstrong band bthere bis bno bother bdeformity. bThe bsuspected
bdiagnosis bis bmost blikely bto bbe bconfirmed bby: b- bcorrect banswer✔✔complete bspine bx-
ray bseries

Which bof bthe bfollowing bis btrue bregarding bthe binitial bresuscitation bof ba btrauma
bpatient? b- bcorrect banswer✔✔Evidence bof bimproved bperfusion bafter bfluid
bresuscitation bcould binclude bimprovement bin bGlasgow bComa bScale bscore bon
breevaluation.


In bmanaging ba bpatient bwith ba bsevere btraumatic bbrain binjury, bthe bmost bimportant
binitial bstep bis bto: b- bcorrect banswer✔✔secure bthe bairway


A bpreviously bhealthy, b70-kg b(154-pound) bman bsuffers ban bestimated bacute bblood
bloss bof b2 bliters. bWhich bone bof bthe bfollowing bstatements bapplies bto bthis bpatient? b-
bcorrect banswer✔✔An bABG bwould bdemonstrate ba bbase bdeficit bbetween b-6 band b-10
bmEq/L.

,The bphysiological bhypervolemia bof bpregnancy bhas bclinical bsignificance bin bthe
bmanagement bof bthe bseverely binjured, bgravid bwoman bby: b- bcorrect
banswer✔✔increasing bthe bvolume bof bblood bloss bto bproduce bmaternal bhypotension


The bbest bassessment bof bfluid bresuscitation bof bthe badult bburn bpatient bis: b- bcorrect
banswer✔✔urinary boutput bof b0.5 bmL/kg/hr


The bdiagnosis bof bshock bmust binclude: b- bcorrect banswer✔✔evidence bof binadequate
borgan bperfusion


A b7-year-old bboy bis bbrought bto bthe bemergency bdepartment bby bhis bparents bseveral
bminutes bafter bhe bfell bthrough ba bwindow. bHe bis bbleeding bprofusely bfrom ba b6-cm
bwound bof bhis bmedial bright bthigh. bImmediate bmanagement bof bthe bwound bshould
bconsist bof: b- bcorrect banswer✔✔direct bpressure bon bthe bwound


For bthe bpatient bwith bsevere btraumatic bbrain binjury, bprofound bhypocarbia bshould bbe
bavoided bto bprevent: b- bcorrect banswer✔✔cerebral bvasoconstriction bwith bdiminished
bperfusion


After bbeing binvolved bin ba bmotor bvehicle bcrash, ba b25-year-old bman bis bbrought bto ba
bhospital bthat bhas bsurgery bcapabilities bavailable.. bComputed btomography bof bthe
bchest band babdomen bshows ban baortic binjury band bsplenic blaceration bwith bfree
babdominal bfluid. bHis bblood bpressure bfalls bto b70 bmm bHg bafter bCT. bThe bnext bstep
bis: b- bcorrect banswer✔✔perform ban bexploratory blaparotomy


Which bone bof bthe bfollowing bstatements bregarding babdominal btrauma bin bthe
bpregnant bpatient bis bTRUE? b- bcorrect banswer✔✔Leakage bof bamniotic bfluid bis ban
bindication bfor bhospital badmission.


The bfirst bmaneuver bto bimprove boxygenation bafter bchest binjury bis: b- bcorrect
banswer✔✔administer bsupplemental boxygen


A b25-year-old bman, binjured bin ba bmotor bvehicular bcrash, bis badmitted bto bthe
bemergency bdepartment. bHis bpupils breact bsluggishly band bhis beyes bopen bto
bpressure. bHe bdoes bnot bfollow bcommands, bbut bhe bdoes bmoan bperiodically. bHis bright
barm bis bdeformed band bdoes bnot brespond bto bpressure; bhowever, bhis bleft bhand
breaches bpurposefully btoward bthe bstimulus. bBoth blegs bare bstiffly bextended. bHis bGCS
bscore bis: b- bcorrect banswer✔✔9


A b20-year-old bwoman bwho bis bat b32 bweeks bgestation, bis bstabbed bin bthe bupper bright
bchest. bIn bthe bemergency bdepartment, bher bblood bpressure bis b80/60 bmm bHg. bShe bis
bgasping bfor bbreath, bextremely banxious, band byelling bfor bhelp. bBreath bsounds bare
bdiminished bin bthe bright bchest. bThe bmost bappropriate bfirst bstep bis bto: b- bcorrect
banswer✔✔perform bneedle bor bfinger bdecompression bof bthe bright bchest

,Which bone bof bthe bfollowing bfindings bin ban badult bis bmost blikely bto brequire bimmediate
bmanagement bduring bthe bprimary bsurvey? b- bcorrect banswer✔✔respiratory brate bof b40
bbreaths bper bminute


The bmost bimportant, bimmediate bstep bin bthe bmanagement bof ban bopen bpneumothorax
bis: b- bcorrect banswer✔✔placement bof ban bocclusive bdressing bover bthe bwound


The bfollowing bare bcontraindications bfor btetanus btoxoid badministration: b- bcorrect
banswer✔✔history bof bneurological breaction bor bsevere bhypersensitivity bto bthe bproduct


A b56-year-old bman bis bthrown bviolently bagainst bthe bsteering bwheel bof bhis btruck
bduring ba bmotor bvehicle bcrash. bOn barrival bin bthe bemergency bdepartment bhe bis
bdiaphoretic band bcomplaining bof bchest bpain. bHis bblood bpressure bis b60/40 bmm bHg
band bhis brespiratory brate bis b40 bbreaths bper bminute. bWhich bof bthe bfollowing bbest
bdifferentiates bcardiac btamponade bfrom btension bpneumothorax bas bthe bcause bof bhis
bhypotension? b- bcorrect banswer✔✔breath bsounds


Bronchial bintubation bof bthe bright bor bleft bmainstem bbronchus bcan beasily boccur bduring
binfant bendotracheal bintubation bbecause: b- bcorrect banswer✔✔The btrachea bis
brelatively bshort.


A b23-year-old bman bsustains b4 bstab bwounds bto bthe bupper bright bchest bduring ban
baltercation band bis bbrought bby bambulance bto ba bhospital bthat bhas bfull bsurgical
bcapabilities. bHis bwounds bare ball babove bthe bnipple. bHe bis bendotracheally bintubated,
bclosed btube bthoracostomy bis bperformed, bfluid bresuscitation bis binitiated bthrough b2
blarge-caliber bIVs. bFAST bexam bdoes bnot breveal bintraabdominal binjuries. bHis bblood
bpressure bnow bis b60/0 bmm bHg, bheart brate bis b160 bbeats bper bminute, band brespiratory
brate bis b14 bbreaths bper bminute b(ventilated bwith b100% bO2). b1500 bmL bof bblood bhas
bdrained bfrom bthe bright bchest. bThe bmost bappropriate bnext bstep bin bmanaging bthis
bpatient bis bto: b- bcorrect banswer✔✔urgently btransfer bthe bpatient bto bthe boperating
broom


A b39-year-old bman bis badmitted bto bthe bemergency bdepartment bafter ban bautomobile
bcollision. bHe bis bcyanotic, bhas binsufficient brespiratory beffort, band bhas ba bGCS bscore
bof b6. bHis bfull bbeard bmakes bit bdifficult bto bfit bthe boxygen bfacemask bto bhis bface. bThe
bmost bappropriate bnext bstep bis bto: b- bcorrect banswer✔✔restrict bcervical bmotion band
battempt borotracheal bintubation busing b2 bpeople


A bpatient bis bbrought bto bthe bemergency bdepartment bafter ba bmotor bvehicle bcrash. bHe
bis bconscious band bthere bis bno bobvious bexternal btrauma. bHe barrives bat bthe bhospital
bcompletely bimmobilized bon ba blong bspine bboard. bHis bblood bpressure bis b60/40 bmm
bHg band bhis bheart brate bis b70 bbeats bper bminute. bHis bskin bis bwarm. bWhich bone bof
bthe bfollowing bstatements bis bTRUE? b- bcorrect banswer✔✔Flaccidity bof bthe blower
bextremities band bloss bof bdeep btendon breflexes bare bexpected.

, Which bone bof bthe bfollowing bis bthe bmost beffective bmethod bfor binitially btreating
bfrostbite? b- bcorrect banswer✔✔moist bheat


A b32-year-old bman's bright bleg bis btrapped bbeneath bhis boverturned bcar bfor bnearly b2
bhours bbefore bhe bis bextricated. bOn barrival bin bthe bemergency bdepartment, bhis bright
blower bextremity bis bcool, bmottled, binsensate, band bmotionless. bDespite bnormal bvital
bsigns, bpulses bcannot bbe bpalpated bbelow bthe bright bfemoral bartery band bthe bmuscles
bof bthe blower bextremity bare bfirm band bhard. bDuring bthe bmanagement bof bthis bpatient,
bwhich bof bthe bfollowing bis bmost blikely bto bimprove bthe bchances bfor blimb bsalvage? b-
bcorrect banswer✔✔surgical bconsultation bfor bright blower bextremity bfasciotomy


A bpatient barrives bin bthe bemergency bdepartment bafter bbeing bbeaten babout bthe bhead
band bface bwith ba bwooden bclub. bHe bis bcomatose band bhas ba bpalpable bdepressed
bskull bfracture. bHis bface bis bswollen band becchymotic. bHe bhas bgurgling brespirations
band bvomitus bon bhis bface band bclothing. bThe bmost bappropriate bstep bafter bproviding
bsupplemental boxygen band belevating bhis bjaw bis bto: b- bcorrect banswer✔✔suction bthe
boropharynx


A b22-year-old bman bsustains ba bgunshot bwound bto bthe bleft bchest band bis btransported
bto ba bsmall bcommunity bhospital bno bsurgical bcapabilities bare bavailable. bIn bthe
bemergency bdepartment, ba bchest btube bis binserted band b700 bmL bof bblood bis
bevacuated. bThe btrauma bcenter baccepts bthe bpatient bin btransfer. bJust bbefore bthe
bpatient bis bplaced bin bthe bambulance bfor btransfer, bhis bblood bpressure bdecreases bto
b80/68 bmm bHg band bhis bheart brate bincreases bto b136 bbeats bper bminute. bThe bnext
bstep bshould bbe bto: b- bcorrect banswer✔✔repeat bthe bprimary bsurvey band bproceed
bwith btransfer


A b64-year-old bman binvolved bin ba bhigh-speed bcar bcrash, bis bresuscitated binitially bin ba
bsmall bhospital bwithout bsurgical bcapabilities. bHe bhas ba bclosed bhead binjury bwith ba
bGCS bscore bof b13. bHe bhas ba bwidened bmediastinum bon bchest bx-ray bwith bfractures
bof bleft bribs b2 bthrough b4, bbut bno bpneumothorax. bAfter binitiating bfluid bresuscitation,
bhis bblood bpressure bis b110/74 bmm bHg, bheart brate bis b100 bbeats bper bminute, band
brespiratory brate bis b18 bbreaths bper bminute. bHe bhas bgross bhematuria band ba bpelvic
bfracture. bYou bdecide bto btransfer bthis bpatient bto ba bfacility bcapable bof bproviding ba
bhigher blevel bof bcare. bThe bfacility bis b128 bkm b(80 bmiles) baway. bBefore btransfer, byou
bshould bfirst: b- bcorrect banswer✔✔call bthe breceiving bhospital band bspeak bto bthe
bsurgeon bon bcall


Hemorrhage bof b20% bof bthe bpatient's bblood bvolume bis bassociated busually bwith: b-
bcorrect banswer✔✔tachycardia


Which bone bof bthe bfollowing bstatements bconcerning bintraosseous binfusion bis bTRUE?
b- bcorrect banswer✔✔Aspiration bof bbone bmarrow bconfirms bappropriate bpositioning bof
bthe bneedle.

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