ATLS EXAM CERTIFICATION EVALUATION
EXAMS 2026 COMPLETE QUESTIONS AND
ANSWERS GUARANTEED TO PASS
◉ Epidural hematoma Answer: MC due to injury of Middle
meningeal artery
Temporoparietal = area that has most epidural hematomas from
trauma
-Can be intracranial or intraspinal (may follow LP)
-Often associated with skull fractures
◉ 7-year-old girl is found at the bottom of a swimming pool. Initially
she was in full arrest but after 5 minutes she showed sinus
tachycardia but no respiratory effort. Intubation was done in the
field and cervical collar placed. After transport to the emergency
department she was unresponsive with a blood pressure of 100/60
mmHg, pulse 105, temperature 34.3C, and oxygen saturation 100%.
The pupils were 3 mm and sluggishly responsive to light. There is no
response to pain. The lungs show wheezing on the left and coarse
breath sounds bilaterally. The monitor shows sinus tachycardia.
There is no rectal tone. Which of the following should be the next
step in management?
,A. Cervical spine films and CT of the head B. Portable chest
radiograph
C. Arterial blood gas
D. Right and left decubitus chest radiographs Answer: A. Cervical
spine films and CT of the head
◉ Position patient should be transported in when patient complains
of neck pain and is 32 weeks pregnant Answer: Supine on a
backboard with her right hip elevated
◉ Air embolism Answer: PE: murmur, petechiae, desaturation
Tx: turn patient on left side in Trendelenburg position
◉ Fat embolism Answer: MCC = bone fx
Clinical presentation
-Fever
-Petechial hemorrhage
-Desaturation
-Hypotension
-Altered mental status
,◉ Cauda equina syndrome Answer: -Bilateral sciatica
-Bowel dysfunction
-Saddle sensory changes
◉ At what point should hyper oxygenation be administered when
performing tracheal suctioning on a mechanically ventilated patient?
A. Before the procedure
B. After the procedure
C. Before and after the procedure
D. During the procedure Answer: C. Before and after the procedure
◉ Nerve to muscle relationship Answer: C5 - Deltoid
C6 - Wrist extension
C7 - Elbow extension
◉ Most common cause of kidney injuries Answer: Motor vehicle
accidents
◉ Crystalloid solutions Answer: Ringer's lactate
Dextrose 5%
D5W plus 1/2 NS
, NOT albumin
◉ Indication for emergency thoracotomy
A. Pulmonary contusion
B. Flail chest
C. Hemothorax with initial blood loss of 700 cc
D. Lung collapse with an air leak Answer: D. Lung collapse with an
air leak
◉ Studies used for a patient with widened mediastinum after injury
Answer: CT scan
Upper endoscopy
Transesophageal ultrasound
◉ Pericardial tamponade Answer: Muffled heart sounds
JVD
Equalization of cardiac chamber pressure
NOT hypertension
◉ Blood groups facts Answer: -ABO compatibility is a must for renal
transplant
EXAMS 2026 COMPLETE QUESTIONS AND
ANSWERS GUARANTEED TO PASS
◉ Epidural hematoma Answer: MC due to injury of Middle
meningeal artery
Temporoparietal = area that has most epidural hematomas from
trauma
-Can be intracranial or intraspinal (may follow LP)
-Often associated with skull fractures
◉ 7-year-old girl is found at the bottom of a swimming pool. Initially
she was in full arrest but after 5 minutes she showed sinus
tachycardia but no respiratory effort. Intubation was done in the
field and cervical collar placed. After transport to the emergency
department she was unresponsive with a blood pressure of 100/60
mmHg, pulse 105, temperature 34.3C, and oxygen saturation 100%.
The pupils were 3 mm and sluggishly responsive to light. There is no
response to pain. The lungs show wheezing on the left and coarse
breath sounds bilaterally. The monitor shows sinus tachycardia.
There is no rectal tone. Which of the following should be the next
step in management?
,A. Cervical spine films and CT of the head B. Portable chest
radiograph
C. Arterial blood gas
D. Right and left decubitus chest radiographs Answer: A. Cervical
spine films and CT of the head
◉ Position patient should be transported in when patient complains
of neck pain and is 32 weeks pregnant Answer: Supine on a
backboard with her right hip elevated
◉ Air embolism Answer: PE: murmur, petechiae, desaturation
Tx: turn patient on left side in Trendelenburg position
◉ Fat embolism Answer: MCC = bone fx
Clinical presentation
-Fever
-Petechial hemorrhage
-Desaturation
-Hypotension
-Altered mental status
,◉ Cauda equina syndrome Answer: -Bilateral sciatica
-Bowel dysfunction
-Saddle sensory changes
◉ At what point should hyper oxygenation be administered when
performing tracheal suctioning on a mechanically ventilated patient?
A. Before the procedure
B. After the procedure
C. Before and after the procedure
D. During the procedure Answer: C. Before and after the procedure
◉ Nerve to muscle relationship Answer: C5 - Deltoid
C6 - Wrist extension
C7 - Elbow extension
◉ Most common cause of kidney injuries Answer: Motor vehicle
accidents
◉ Crystalloid solutions Answer: Ringer's lactate
Dextrose 5%
D5W plus 1/2 NS
, NOT albumin
◉ Indication for emergency thoracotomy
A. Pulmonary contusion
B. Flail chest
C. Hemothorax with initial blood loss of 700 cc
D. Lung collapse with an air leak Answer: D. Lung collapse with an
air leak
◉ Studies used for a patient with widened mediastinum after injury
Answer: CT scan
Upper endoscopy
Transesophageal ultrasound
◉ Pericardial tamponade Answer: Muffled heart sounds
JVD
Equalization of cardiac chamber pressure
NOT hypertension
◉ Blood groups facts Answer: -ABO compatibility is a must for renal
transplant
