ATLS 10TH EDITION POST TEST
3 Questions and Answers
Latest (Verified Answers by
Expert)
1. Penetrating Abdominal Trauma With Shock
A 23-year-old man is brought to the ED immediately after
being shot in the lower abdomen. He is unconscious, has
a thready pulse, and no measurable blood pressure.
What is the most appropriate immediate
management?
A. Perform a FAST examination
B. Initiate packed red blood cell transfusion
C. Insert a nasogastric tube and urinary catheter
D. Transfer the patient directly to the operating room
while initiating fluid resuscitation
E. Restore blood pressure to normal with aggressive fluids
✅ Correct Answer: D
,Explanation:
A hemodynamically unstable patient with penetrating
abdominal trauma requires immediate surgical
exploration. Diagnostic studies delay definitive care and
increase mortality.
2. Suspected Neurogenic Shock
A 22-year-old male presents after a motorcycle crash with
inability to move his legs. BP 80/50, HR 70, RR 18, GCS
15. Imaging and FAST are normal.
Best management?
A. Crystalloid + PRBCs
B. Crystalloid + mannitol + steroids
C. Albumin and compression stockings
D. Vasopressors and laparotomy
E. Crystalloid bolus, then vasopressors if hypotension
persists
✅ Correct Answer: E
Explanation:
Findings suggest neurogenic shock. Initial treatment is
, volume resuscitation, followed by vasopressors if
hypotension does not resolve.
3. Confirmation of Endotracheal Intubation
Which method is most reliable to confirm correct
endotracheal tube placement?
A. Bilateral breath sounds
B. No epigastric sounds
C. Capnography
D. Fogging of tube
E. Chest x-ray showing tube above the carina
✅ Correct Answer: C
Explanation:
Continuous waveform capnography is the gold
standard for confirming tracheal placement in ATLS.
4. Failed Pediatric Airway
A 6-month-old infant with severe facial trauma cannot be
ventilated or intubated.
Next best airway intervention?
3 Questions and Answers
Latest (Verified Answers by
Expert)
1. Penetrating Abdominal Trauma With Shock
A 23-year-old man is brought to the ED immediately after
being shot in the lower abdomen. He is unconscious, has
a thready pulse, and no measurable blood pressure.
What is the most appropriate immediate
management?
A. Perform a FAST examination
B. Initiate packed red blood cell transfusion
C. Insert a nasogastric tube and urinary catheter
D. Transfer the patient directly to the operating room
while initiating fluid resuscitation
E. Restore blood pressure to normal with aggressive fluids
✅ Correct Answer: D
,Explanation:
A hemodynamically unstable patient with penetrating
abdominal trauma requires immediate surgical
exploration. Diagnostic studies delay definitive care and
increase mortality.
2. Suspected Neurogenic Shock
A 22-year-old male presents after a motorcycle crash with
inability to move his legs. BP 80/50, HR 70, RR 18, GCS
15. Imaging and FAST are normal.
Best management?
A. Crystalloid + PRBCs
B. Crystalloid + mannitol + steroids
C. Albumin and compression stockings
D. Vasopressors and laparotomy
E. Crystalloid bolus, then vasopressors if hypotension
persists
✅ Correct Answer: E
Explanation:
Findings suggest neurogenic shock. Initial treatment is
, volume resuscitation, followed by vasopressors if
hypotension does not resolve.
3. Confirmation of Endotracheal Intubation
Which method is most reliable to confirm correct
endotracheal tube placement?
A. Bilateral breath sounds
B. No epigastric sounds
C. Capnography
D. Fogging of tube
E. Chest x-ray showing tube above the carina
✅ Correct Answer: C
Explanation:
Continuous waveform capnography is the gold
standard for confirming tracheal placement in ATLS.
4. Failed Pediatric Airway
A 6-month-old infant with severe facial trauma cannot be
ventilated or intubated.
Next best airway intervention?
