Page 1 of 170
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ATLS 10th Edition 2026/27 Questions And
Answers Newest Update – 156 Qs & Ans –
100% Guaranteed Pass || Complete A+
Guide
Question 1
A 28-year-old male arrives after a high-speed MVC. He is
unconscious, with noisy breathing and visible chest bruising.
What is your first action?
A) Jaw thrust with cervical spine immobilization
B) Endotracheal intubation
C) Apply cricoid pressure
D) Logroll patient
Correct Answer: A
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Rationale: Airway is the first step of primary survey. Jaw
thrust maintains airway without moving the c-spine.
Scenario: Unconscious patient → assume c-spine injury →
protect airway via jaw thrust.
Question 2
Which findings indicate an obstructed airway? (Select all that
apply)
A) Stridor
B) Hoarseness
C) Absent breath sounds
D) Symmetric chest rise
Correct Answers: A, B, C
Rationale: Stridor (upper airway obstruction), hoarseness
(laryngeal injury), absent breath sounds (complete obstruction).
Symmetric chest rise suggests patent airway.
Question 3
A 45-year-old female has tachypnea, tracheal deviation to
, Page 4 of 170
the right, and absent breath sounds on the left after a stab
wound. What is the immediate intervention?
A) Chest tube insertion
B) Needle decompression at 2nd intercostal space,
midclavicular line
C) Endotracheal intubation
D) Chest x-ray
Correct Answer: B
Rationale: Tension pneumothorax – life-threatening. Needle
decompression before imaging.
Scenario: Trauma arrest or impending arrest → immediate
decompression.
Question 4
During the primary survey, which finding would most likely
require immediate chest decompression?
A) Subcutaneous emphysema
B) Unilateral breath sounds with hypotension
C) Rib fractures on palpation
,Page 2 of 170
ATLS 10th Edition 2026/27 Questions And
Answers Newest Update – 156 Qs & Ans –
100% Guaranteed Pass || Complete A+
Guide
Question 1
A 28-year-old male arrives after a high-speed MVC. He is
unconscious, with noisy breathing and visible chest bruising.
What is your first action?
A) Jaw thrust with cervical spine immobilization
B) Endotracheal intubation
C) Apply cricoid pressure
D) Logroll patient
Correct Answer: A
,Page 3 of 170
Rationale: Airway is the first step of primary survey. Jaw
thrust maintains airway without moving the c-spine.
Scenario: Unconscious patient → assume c-spine injury →
protect airway via jaw thrust.
Question 2
Which findings indicate an obstructed airway? (Select all that
apply)
A) Stridor
B) Hoarseness
C) Absent breath sounds
D) Symmetric chest rise
Correct Answers: A, B, C
Rationale: Stridor (upper airway obstruction), hoarseness
(laryngeal injury), absent breath sounds (complete obstruction).
Symmetric chest rise suggests patent airway.
Question 3
A 45-year-old female has tachypnea, tracheal deviation to
, Page 4 of 170
the right, and absent breath sounds on the left after a stab
wound. What is the immediate intervention?
A) Chest tube insertion
B) Needle decompression at 2nd intercostal space,
midclavicular line
C) Endotracheal intubation
D) Chest x-ray
Correct Answer: B
Rationale: Tension pneumothorax – life-threatening. Needle
decompression before imaging.
Scenario: Trauma arrest or impending arrest → immediate
decompression.
Question 4
During the primary survey, which finding would most likely
require immediate chest decompression?
A) Subcutaneous emphysema
B) Unilateral breath sounds with hypotension
C) Rib fractures on palpation
