ATLS PRACTICE SOLUTION FOR THE
EXAMINATION TEST GUARANTEED TO PASS
IN 2026
◍ A patient is found unconscious after a fire in his bedroom. He is
found to have severe burns around his face. What is the first aspect of
treatment?
A. Tetanus toxoid
B. Cover the wound
C. Airway
D. Obtain blood work Answer: C. Airway
◍ Basilar skull fracture Answer: PE: raccoon eyes, battle sign, CSF
ottorrhea (rhinorrhea), loculated pneumoencephalocele
Bone MC involved = Temporal
◍ A patient with von Willebrand disease is bleeding after sustaining a
knife wound. Which of the following is most appropriate for the
treatment of this patient?
A. Vitamin K
B. Cryoprecipitate
C. Protamine
D. DDAVP Answer: D. DDAVP
,◍ What is the total body surface area involved in a burn to both lower
extremities? Answer: 36%
◍ Which injury is most common in rear end motor vehicle accidents?
A. Cervical fractures
B. Hypextension-hyperflexion neck injuries
C. Forearm fractures
D. Rotational neck injuries Answer: B. Hypextension-hyperflexion
neck injuries
◍ What is true about an unrestrained pregnant driver?
A. She is at increased risk of placenta previa
B. She is at increased risk of placental abruption
C. At 33 weeks, her fetus is well protected by an amniotic fluid
cushion and thus the pregnancy is not at risk
D. If the mother's vital signs are stable, complications are unlikely
Answer: B. She is at increased risk of placental abruption
◍ In adults, an aspirated foreign body is most likely to get stuck in
the:
A. Left main bronchus
B. Carina
C. Right main bronchus
D. Esophagus Answer: C. Right main bronchus
,◍ Skin finding characteristic of second-degree burns Answer: Blisters
◍ Which is true regarding cervical spine fractures?
A. Seen most commonly in elderly females
B. Athletic activities are the most common cause
C. Falls are the most common cause
D. Methylprednisolone should not be used in associated spinal cord
injury in the first 48 hours Answer: D. Methylprednisolone should not
be used in associated spinal cord injury in the first 48 hours
◍ In which patients can an oropharyngeal airway be used? Answer:
Non-gag reflex
◍ If a trauma patient has clear fluid draining from the nose the
provider should do which of the following?
A. Tilt the head back
B. Apply pressure
C. Collect the fluid
D. Insert nasal tampons Answer: C. Collect the fluid
◍ What is the estimated time a person's brain can be anoxic from
cardiopulmonary failure and not develop permanent brain damage?
A. 10 minutes
B. 5 minutes
C. 2 minutes
, D. 20 minutes Answer: B. 5 minutes
◍ The laryngeal mask airway is contraindicated in patients with what
condition?
A. Spine injury
B. Head trauma
C. Giving birth
D. Propensity to aspirate Answer: D. Propensity to aspirate
◍ A patient sustains blunt trauma to the back and left leg. Vital signs
in the emergency department show temperature 36 degrees C, BP
120/80 mm Hg, heart rate 92, respirations 19, GCS 15. There is
bilateral lower extremity paraplegia, T12 sensory level, and decreased
rectal tone. Hemoglobin is 14.2 and the same in one hour. Which of
the following tests is best for diagnosing an intraperitoneal bleed?
A. Abdominal ultrasound
B. Laparotomy
C. KUB
D. Diagnostic peritoneal lavage Answer: A. Abdominal ultrasound
◍ Why is tracheostomy generally not performed at the first cartilage
ring
A. The trachea is too narrow
B. A high chance of subglottic stenosis
C. A high chance of tracheo-innominate artery fistula
EXAMINATION TEST GUARANTEED TO PASS
IN 2026
◍ A patient is found unconscious after a fire in his bedroom. He is
found to have severe burns around his face. What is the first aspect of
treatment?
A. Tetanus toxoid
B. Cover the wound
C. Airway
D. Obtain blood work Answer: C. Airway
◍ Basilar skull fracture Answer: PE: raccoon eyes, battle sign, CSF
ottorrhea (rhinorrhea), loculated pneumoencephalocele
Bone MC involved = Temporal
◍ A patient with von Willebrand disease is bleeding after sustaining a
knife wound. Which of the following is most appropriate for the
treatment of this patient?
A. Vitamin K
B. Cryoprecipitate
C. Protamine
D. DDAVP Answer: D. DDAVP
,◍ What is the total body surface area involved in a burn to both lower
extremities? Answer: 36%
◍ Which injury is most common in rear end motor vehicle accidents?
A. Cervical fractures
B. Hypextension-hyperflexion neck injuries
C. Forearm fractures
D. Rotational neck injuries Answer: B. Hypextension-hyperflexion
neck injuries
◍ What is true about an unrestrained pregnant driver?
A. She is at increased risk of placenta previa
B. She is at increased risk of placental abruption
C. At 33 weeks, her fetus is well protected by an amniotic fluid
cushion and thus the pregnancy is not at risk
D. If the mother's vital signs are stable, complications are unlikely
Answer: B. She is at increased risk of placental abruption
◍ In adults, an aspirated foreign body is most likely to get stuck in
the:
A. Left main bronchus
B. Carina
C. Right main bronchus
D. Esophagus Answer: C. Right main bronchus
,◍ Skin finding characteristic of second-degree burns Answer: Blisters
◍ Which is true regarding cervical spine fractures?
A. Seen most commonly in elderly females
B. Athletic activities are the most common cause
C. Falls are the most common cause
D. Methylprednisolone should not be used in associated spinal cord
injury in the first 48 hours Answer: D. Methylprednisolone should not
be used in associated spinal cord injury in the first 48 hours
◍ In which patients can an oropharyngeal airway be used? Answer:
Non-gag reflex
◍ If a trauma patient has clear fluid draining from the nose the
provider should do which of the following?
A. Tilt the head back
B. Apply pressure
C. Collect the fluid
D. Insert nasal tampons Answer: C. Collect the fluid
◍ What is the estimated time a person's brain can be anoxic from
cardiopulmonary failure and not develop permanent brain damage?
A. 10 minutes
B. 5 minutes
C. 2 minutes
, D. 20 minutes Answer: B. 5 minutes
◍ The laryngeal mask airway is contraindicated in patients with what
condition?
A. Spine injury
B. Head trauma
C. Giving birth
D. Propensity to aspirate Answer: D. Propensity to aspirate
◍ A patient sustains blunt trauma to the back and left leg. Vital signs
in the emergency department show temperature 36 degrees C, BP
120/80 mm Hg, heart rate 92, respirations 19, GCS 15. There is
bilateral lower extremity paraplegia, T12 sensory level, and decreased
rectal tone. Hemoglobin is 14.2 and the same in one hour. Which of
the following tests is best for diagnosing an intraperitoneal bleed?
A. Abdominal ultrasound
B. Laparotomy
C. KUB
D. Diagnostic peritoneal lavage Answer: A. Abdominal ultrasound
◍ Why is tracheostomy generally not performed at the first cartilage
ring
A. The trachea is too narrow
B. A high chance of subglottic stenosis
C. A high chance of tracheo-innominate artery fistula
