ATLS10thEditionPostTest1 5t5t QuestionsandVerified
Answers 2025-2026 100%Correct|GradeA+
5t 5 t
1. Whichofthe following is therecommended Method for trestemt frostbite?
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Vasodilators
B. Anticigulants
C. Warm(40degrees)water
5t 5t 5t
D. Paddingandelevation
5t 5t
E. Applicationofheatfromahairdryer:
5t 5t 5t 5t 5t
Answer>C.Warm (40 degrees) water
g t
5 5t 5t 5t
2. Whichofthefollowing physical findingssuggesta causeofhypotension other than s pin
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
al cord injury?
5t 5t
A. Prispism
B. Bradycardia
5t 5t
,C. Diaphragmatic breathing 5t
D. Presence ofdeep tendon reflexes 5t 5t 5t 5t
E. Ability to flex forearms butnot extend them
5t 5t 5t 5t 5t 5t 5t g
Answer>:D.Presence of deep tendon reflexes.Spinalshockrefersto loss ofmuscletoe(fla
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
ccidty)andlossofreflexes.
5t 5t 5t 5t
3. Theprimaryindication fortransferringApatienttoahigherleveltrauma center is
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
:
A. Unavailibility ofsurgeon oroperating staff 5t 5t 5t 5t 5t
B. Multiple systeminjuries,including severe head injury
5t 5t 5t 5t 5t 5t
C. Resourcelimitations as determined by the transferring doctor
5t 5t 5t 5t 5t 5t 5t
D. Resource limitations as determined by thehospital administration
5t 5t 5t 5t 5t 5t 5t
E. Widened mediastinumon chestx-ray following blunttrauma:
5t 5t 5t 5t 5t 5t g
Answer> C.Resource limitations as determined by the transferring doctor (MÅ SJEKKES)
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
4. Ayoung man sustains a riflewoundto the mid-
5t 5t 5t 5t 5t 5t 5t 5t 5t
abdomen. He is brought promptly to the EDbyprehospitalpersonnel. Hisskiniscooland d
5t 5t 5t 5t 5t 5t 5t 5t 5t
phoretic, and his systolic blood pressure is 58mmHg.Warmed crystalloid fluids are i nitiate
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
without improvement in his vital signs.The next, most appropriate, step is to pe rform:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. alaparotomy
5t
5t 5t
,B. AnabdominalCT-scan 5t t
5
C. Diagnostic laparoscopy 5t
D. Abdominal ultrasonography 5t
E. Adiagnosticperitoneallavage:
5t 5t 5t
gAnswer> A.Laparotomybecause of hemodynamic ab- normality
g5t 5t 5t 5t 5t 5t
5. A42-year- 5t
old man is trapped from the waist down beneath his overturned tractor for several hour s b
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
efore medical assistance arrives. He is awake and alertuntiljustbeforearrivinginthe ED
5t 5t 5t 5t 5t 5t 5t 5t 5t
.He isnowunconsciousandresponds only to painful stimuli by moaning. His pupils a re 3
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
mm in diameter and symmetrically reactive to light. Prehospital personnel indicate t hat t
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
hey have 5t
not seen the patient move either of his lower extremities. On examination in theED,no m ove
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t t
5 5t 5t
ment ofhis lowerextremities are detected,even in response to painful stimuli.The mos t likel
5t 5t 5t 5t 5t 5t t
5 5t 5t 5t 5t 5t 5t 5t 5t
5t cause for this finding is: 5t 5t 5t 5t
A. An epidural hematoma 5t 5t
B. Apelvic fracture 5t 5t
C. Centralcord syndrome 5t 5t
D. Intracerebral hemorrhage 5t
5t 5t
, E. Bilateral compartment syndrome: 5t 5t
Answer>D MÅ SJEKKES
g g 5t
6. A6-year- 5t
o boy is struck by an automobile and brought to the ED. He is lethargic,butwithdrawsp urp
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t t
5 5t
efullyfrompainfulstimuli.Hisbloodpressure is 90mmHg systolic, heart rate 140 b eats per 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
minute and his respiratory rate is36breaths per minute.The preferred route of venous acce
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
5t in this patient is:
5t 5t 5t
A. Percutaneousfemoralveincannulation 5t 5t 5t
B. Cutdownon thesaphenous vein atthe ankle 5t 5t 5t 5t 5t 5t 5t
C. Intraosseous catheter placement in theproximal tibia 5t 5t 5t 5t 5t 5t
D. Percutaneous peripheral veins in theupperextremities 5t 5t 5t 5t 5t 5t
E. Centralvenousaccessviathesubclavianorinternaljugularvein:
g Answer> D.Percu- taneous peripheral veins in the upper extremities
g5t 5t 5t 5t 5t 5t 5t 5t
7. A young man sustains a gunshot wound to the abdomen and is brought promptlytoth e E
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t t
5 5t 5t 5t
Dbyprehospitalpersonnel.Hisskiniscoolanddiaphoretic, and he is confused. His pu lse i 5t 5t 5t 5t 5t 5t 5t 5t
s thready and his femoral pulse is only weakly palpable.The definitive treatment in manag
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
ing this patient is to:5t 5t 5t 5t
A. Administer O-negative blood 5t 5t
B. Applyexternalwarming devices 5t 5t 5t
5t 5t
Answers 2025-2026 100%Correct|GradeA+
5t 5 t
1. Whichofthe following is therecommended Method for trestemt frostbite?
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. Vasodilators
B. Anticigulants
C. Warm(40degrees)water
5t 5t 5t
D. Paddingandelevation
5t 5t
E. Applicationofheatfromahairdryer:
5t 5t 5t 5t 5t
Answer>C.Warm (40 degrees) water
g t
5 5t 5t 5t
2. Whichofthefollowing physical findingssuggesta causeofhypotension other than s pin
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
al cord injury?
5t 5t
A. Prispism
B. Bradycardia
5t 5t
,C. Diaphragmatic breathing 5t
D. Presence ofdeep tendon reflexes 5t 5t 5t 5t
E. Ability to flex forearms butnot extend them
5t 5t 5t 5t 5t 5t 5t g
Answer>:D.Presence of deep tendon reflexes.Spinalshockrefersto loss ofmuscletoe(fla
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
ccidty)andlossofreflexes.
5t 5t 5t 5t
3. Theprimaryindication fortransferringApatienttoahigherleveltrauma center is
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
:
A. Unavailibility ofsurgeon oroperating staff 5t 5t 5t 5t 5t
B. Multiple systeminjuries,including severe head injury
5t 5t 5t 5t 5t 5t
C. Resourcelimitations as determined by the transferring doctor
5t 5t 5t 5t 5t 5t 5t
D. Resource limitations as determined by thehospital administration
5t 5t 5t 5t 5t 5t 5t
E. Widened mediastinumon chestx-ray following blunttrauma:
5t 5t 5t 5t 5t 5t g
Answer> C.Resource limitations as determined by the transferring doctor (MÅ SJEKKES)
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
4. Ayoung man sustains a riflewoundto the mid-
5t 5t 5t 5t 5t 5t 5t 5t 5t
abdomen. He is brought promptly to the EDbyprehospitalpersonnel. Hisskiniscooland d
5t 5t 5t 5t 5t 5t 5t 5t 5t
phoretic, and his systolic blood pressure is 58mmHg.Warmed crystalloid fluids are i nitiate
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
without improvement in his vital signs.The next, most appropriate, step is to pe rform:
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
A. alaparotomy
5t
5t 5t
,B. AnabdominalCT-scan 5t t
5
C. Diagnostic laparoscopy 5t
D. Abdominal ultrasonography 5t
E. Adiagnosticperitoneallavage:
5t 5t 5t
gAnswer> A.Laparotomybecause of hemodynamic ab- normality
g5t 5t 5t 5t 5t 5t
5. A42-year- 5t
old man is trapped from the waist down beneath his overturned tractor for several hour s b
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
efore medical assistance arrives. He is awake and alertuntiljustbeforearrivinginthe ED
5t 5t 5t 5t 5t 5t 5t 5t 5t
.He isnowunconsciousandresponds only to painful stimuli by moaning. His pupils a re 3
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
mm in diameter and symmetrically reactive to light. Prehospital personnel indicate t hat t
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
hey have 5t
not seen the patient move either of his lower extremities. On examination in theED,no m ove
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t t
5 5t 5t
ment ofhis lowerextremities are detected,even in response to painful stimuli.The mos t likel
5t 5t 5t 5t 5t 5t t
5 5t 5t 5t 5t 5t 5t 5t 5t
5t cause for this finding is: 5t 5t 5t 5t
A. An epidural hematoma 5t 5t
B. Apelvic fracture 5t 5t
C. Centralcord syndrome 5t 5t
D. Intracerebral hemorrhage 5t
5t 5t
, E. Bilateral compartment syndrome: 5t 5t
Answer>D MÅ SJEKKES
g g 5t
6. A6-year- 5t
o boy is struck by an automobile and brought to the ED. He is lethargic,butwithdrawsp urp
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t t
5 5t
efullyfrompainfulstimuli.Hisbloodpressure is 90mmHg systolic, heart rate 140 b eats per 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
minute and his respiratory rate is36breaths per minute.The preferred route of venous acce
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
5t in this patient is:
5t 5t 5t
A. Percutaneousfemoralveincannulation 5t 5t 5t
B. Cutdownon thesaphenous vein atthe ankle 5t 5t 5t 5t 5t 5t 5t
C. Intraosseous catheter placement in theproximal tibia 5t 5t 5t 5t 5t 5t
D. Percutaneous peripheral veins in theupperextremities 5t 5t 5t 5t 5t 5t
E. Centralvenousaccessviathesubclavianorinternaljugularvein:
g Answer> D.Percu- taneous peripheral veins in the upper extremities
g5t 5t 5t 5t 5t 5t 5t 5t
7. A young man sustains a gunshot wound to the abdomen and is brought promptlytoth e E
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t t
5 5t 5t 5t
Dbyprehospitalpersonnel.Hisskiniscoolanddiaphoretic, and he is confused. His pu lse i 5t 5t 5t 5t 5t 5t 5t 5t
s thready and his femoral pulse is only weakly palpable.The definitive treatment in manag
5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t 5t
ing this patient is to:5t 5t 5t 5t
A. Administer O-negative blood 5t 5t
B. Applyexternalwarming devices 5t 5t 5t
5t 5t
