MCQs 100% ATLS 11th Edition Questions
With 100% Correct Answers and
Explanations Latest Versions 2025
1. A 29-yo stab to left chest, spurting blood from wound. FIRST action?
A. Open airway
B. Direct pressure + occlusive seal
C. Intubate
D. 1 L LR
*Answer: B*
11th ed: xABCDE – exsanguinating external hemorrhage = #1
priority.
2. Preferred fluid for SBP 72 penetrating torso?
A. 1 L LR
B. Low-titer O whole blood
C. 1:1:1 components
D. 500 mL albumin
*Answer: B*
,3. TCA <8 min, GSW abdomen. OR step 1?
A. CPR → epi
B. Bilateral finger thoracostomy + Zone 1 REBOA
C. Pericardiocentesis
D. Laparotomy
*Answer: B*
4. Needle decompression catheter length (obese)?
A. 5 cm
B. 8 cm
C. 10 cm
D. Any
*Answer: B*
5. Obtunded, high-quality CT c-spine NEGATIVE →
A. MRI
B. Collar off – cleared
C. Collar 48 h
D. Flex-ex
*Answer: B*
,6. TXA “must-give” window?
A. <1 h
B. <3 h
C. <6 h
D. Never in TBI
*Answer: A*
7. Pelvic binder on, still crashing → OR?
A. Angio
B. Pre-peritoneal packing
C. Zone 3 REBOA
D. Ex-fix
*Answer: B*
8. 25-kg child, Class III shock bolus?
A. 500 mL LR
B. 20 mL/kg crystalloid → 10 mL/kg whole blood
C. 20 mL/kg PRBC
D. None
*Answer: B*
, 9. Triage: tourniquet on, yelling, BP 88/50 =
A. RED
B. YELLOW
C. GREEN
D. BLACK
*Answer: A*
10. New trauma activation trigger?
A. Pre-hospital tourniquet
B. Age 65
C. GCS 13
D. SpO₂ 92%
*Answer: A*
11. Hypothermia rewarming goal?
A. 34°C
B. >35°C in 60 min
C. 37°C
D. 32°C
*Answer: B*