ATLS MCQ 2026 COMPLETE SOLUTION
SCRIPT SOLVED RESPONSES PASSED A+
◉ A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is alert,
vital signs are normal, and he is complaining of severe pain in both heels
and his lower back. Lower extremity pulses are strong and there is no
other deformity. The suspected diagnosis is most likely to be confirmed
by:
A) Angiography
B) Compartment pressures
C) Retrograde urethrogram
D) Doppler ultrasound studies
E) Complete spine x-ray series. Answer: E
◉ Which of the following is true regarding the initial resuscitation of a
trauma patient?
A) A patient that presents with a torso gunshot wound and is hypotensive
should receive crystalloid fluid resuscitation until the blood pressure is
normal
B) Evidence of improved perfusion after fluid resuscitation could
include improvement in Glasgow coma scale score on reevaluation
C) Massive transfusion is defined as transfusion of more than >10 of
packed red blood cells and plasma in 24 hours
,D) When tranexamic acid is administered by pre-hospital providers a
second dose is required within 24 hours
E) Fluid resuscitation is far more important than bleeding control in
trauma patients. Answer: B
◉ In managing a patient with a severe traumatic brain injury, the most
important initial step is to:
A) Secure the airway
B) Obtain a c-spine film
C) Support the circulation
D) Control scalp hemorrhage
E) Determine the GCS score. Answer: A
◉ A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters.
Which one of the following statements applies to this patient?
A) His pulse pressure will be widened.
B) His urinary output will be at the lower limits of normal.
C) He will have tachycardia, but no change in his systolic blood
pressure.
D) An ABG would demonstrate a base deficit between -6 and -10 mEq/L
E) His systolic blood pressure will be maintained with an elevated
diastolic pressure.. Answer: D
, ◉ The physiologic hypervolemia of pregnancy has clinical significance
in the management of the severely injured, gravid woman by:
A) Reducing the need for blood transfusion
B) Resulting in an elevated hematocrit
C) Complicating the management of closed head injury
D) Reducing the volume of crystalloid required for resuscitation
E) Increasing the volume of blood loss to produce maternal hypotension.
Answer: E
◉ The best assessment of fluid resuscitation of the adult burn patient is:
A) Urine output of 0.5 mL/kg/hr
B) Normalization of blood pressure
C) Normalization of the heart rate
D) measuring a normal central venous pressure
E) Providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid.
Answer: A
◉ The diagnosis of shock must include:
A) Hypoxemia
B) Acidosis
C) Hypotension
D) Increased vascular resistance
E) Evidence of inadequate organ perfusion. Answer: E
SCRIPT SOLVED RESPONSES PASSED A+
◉ A construction worker falls two stories from a building and sustains
bilateral calcaneal fractures. In the emergency department, he is alert,
vital signs are normal, and he is complaining of severe pain in both heels
and his lower back. Lower extremity pulses are strong and there is no
other deformity. The suspected diagnosis is most likely to be confirmed
by:
A) Angiography
B) Compartment pressures
C) Retrograde urethrogram
D) Doppler ultrasound studies
E) Complete spine x-ray series. Answer: E
◉ Which of the following is true regarding the initial resuscitation of a
trauma patient?
A) A patient that presents with a torso gunshot wound and is hypotensive
should receive crystalloid fluid resuscitation until the blood pressure is
normal
B) Evidence of improved perfusion after fluid resuscitation could
include improvement in Glasgow coma scale score on reevaluation
C) Massive transfusion is defined as transfusion of more than >10 of
packed red blood cells and plasma in 24 hours
,D) When tranexamic acid is administered by pre-hospital providers a
second dose is required within 24 hours
E) Fluid resuscitation is far more important than bleeding control in
trauma patients. Answer: B
◉ In managing a patient with a severe traumatic brain injury, the most
important initial step is to:
A) Secure the airway
B) Obtain a c-spine film
C) Support the circulation
D) Control scalp hemorrhage
E) Determine the GCS score. Answer: A
◉ A previously healthy, 70-kg (154-pound) man suffers an estimated
acute blood loss of 2 liters.
Which one of the following statements applies to this patient?
A) His pulse pressure will be widened.
B) His urinary output will be at the lower limits of normal.
C) He will have tachycardia, but no change in his systolic blood
pressure.
D) An ABG would demonstrate a base deficit between -6 and -10 mEq/L
E) His systolic blood pressure will be maintained with an elevated
diastolic pressure.. Answer: D
, ◉ The physiologic hypervolemia of pregnancy has clinical significance
in the management of the severely injured, gravid woman by:
A) Reducing the need for blood transfusion
B) Resulting in an elevated hematocrit
C) Complicating the management of closed head injury
D) Reducing the volume of crystalloid required for resuscitation
E) Increasing the volume of blood loss to produce maternal hypotension.
Answer: E
◉ The best assessment of fluid resuscitation of the adult burn patient is:
A) Urine output of 0.5 mL/kg/hr
B) Normalization of blood pressure
C) Normalization of the heart rate
D) measuring a normal central venous pressure
E) Providing 4 mL/kg/percent body burn/24 hours of crystalloid fluid.
Answer: A
◉ The diagnosis of shock must include:
A) Hypoxemia
B) Acidosis
C) Hypotension
D) Increased vascular resistance
E) Evidence of inadequate organ perfusion. Answer: E
