ATLS 11TH EDITION POST TEST
CERTIFICATION SCRIPT 2026 PRACTICE
SOLUTIONS GRADED A+
⩥ The most specific test to evaluate for injuries of solid abdominal
organ is:
A. Abdominal x-ray
B. Abdominal ultrasound
C. DPL
D. Frequent abdominal examination
C. CT of abdomen and pelvis.
Answer: C. CT of abdomen and pelvis
⩥ The most important consequence of inadequate organ perfusion is:
A. Vasodilatation
B. Multiple organ failure
C. Decreased base deficit
D. Acute glomerulonephritis
E. Increased cellular ATP production.
Answer: B. Multiple organ failure
,⩥ A 23 year old construction worker is brought toe the ED after falling
more than 9 meters from scaffolding. He is complaining bitterly of lower
abdominal and lower limb pain, and has obvious deformity of both
lower legs with bilateral open tibial fractures. Which one of the
following statement concerning this patient is true?
A. Pelvic injury can be ruled out based on the mechanism of injury
B. Blood loss from the lower limb is most likely cause of his
hypotension
C. Spinal cord injury is the most likely cause of his hypotension
D. X-ray of the chest and pelvis are important adjuncts in his assessment
E. Aortic injury is the most likely cause of his tachycardia..
Answer: D. X-ray of the chest and pelvis are important adjuncts in his
assessment
⩥ A 82 year old male falls down five stairs and presents to the ED. All
following statements are true statements regarding his condition
compared to a younger patient with similar mechanism, except:
A. He is more likely to have had a contracted circulatory volume prior to
his injury
B. His risk of cervical spine injury is increased due to degeneration,
stenosis and loss of disk compressibility
C. His risk of occult fractures is increased
D. His risk of bleeding may be increased
E. Intracranial hemorrhage will become symptomatic more quickly.
, Answer: E. Intracranial hemorrhage will become symptomatic more
quickly
⩥ A 25 year old female in the third trimester of pregnancy is brought to
the ED following a high speed motor vehicle crash. She is conscious and
immobilized on a long spine board. Her RR is 24 bpm, HR is 120bpm,
and BP is 70/50mmHg. The lab results show a PaCO2 of 40mmHg.
Which one of the following statements concerning this patient is true?
A. Fetal assessment should take priority
B. Log-rolling the patient to the right will decompress the vena cava
C. Rh-immunoglobulin therapy should be immediately administered
D. Vasopressors should be given to the patient
E. The patient has likely impending respiratory failure..
Answer: E. The patient has likely impending respiratory failure.
Minute ventilation increases primarily due to an increase in tidal
volume. Hypocapnia (PaCO2 of 30 mm Hg) is therefore common in late
pregnancy. A PaCO2 of 35 to 40 mm Hg may indicate impending
respiratory failure during pregnancy.
⩥ Lateral cervical spine film:
A. Must be performed in the primary survey
B. Can exclude any significant spinal injury
C. Are indicated in all trauma patients
D. Should be combined with clinical exam, AP and odontoid, or CT
CERTIFICATION SCRIPT 2026 PRACTICE
SOLUTIONS GRADED A+
⩥ The most specific test to evaluate for injuries of solid abdominal
organ is:
A. Abdominal x-ray
B. Abdominal ultrasound
C. DPL
D. Frequent abdominal examination
C. CT of abdomen and pelvis.
Answer: C. CT of abdomen and pelvis
⩥ The most important consequence of inadequate organ perfusion is:
A. Vasodilatation
B. Multiple organ failure
C. Decreased base deficit
D. Acute glomerulonephritis
E. Increased cellular ATP production.
Answer: B. Multiple organ failure
,⩥ A 23 year old construction worker is brought toe the ED after falling
more than 9 meters from scaffolding. He is complaining bitterly of lower
abdominal and lower limb pain, and has obvious deformity of both
lower legs with bilateral open tibial fractures. Which one of the
following statement concerning this patient is true?
A. Pelvic injury can be ruled out based on the mechanism of injury
B. Blood loss from the lower limb is most likely cause of his
hypotension
C. Spinal cord injury is the most likely cause of his hypotension
D. X-ray of the chest and pelvis are important adjuncts in his assessment
E. Aortic injury is the most likely cause of his tachycardia..
Answer: D. X-ray of the chest and pelvis are important adjuncts in his
assessment
⩥ A 82 year old male falls down five stairs and presents to the ED. All
following statements are true statements regarding his condition
compared to a younger patient with similar mechanism, except:
A. He is more likely to have had a contracted circulatory volume prior to
his injury
B. His risk of cervical spine injury is increased due to degeneration,
stenosis and loss of disk compressibility
C. His risk of occult fractures is increased
D. His risk of bleeding may be increased
E. Intracranial hemorrhage will become symptomatic more quickly.
, Answer: E. Intracranial hemorrhage will become symptomatic more
quickly
⩥ A 25 year old female in the third trimester of pregnancy is brought to
the ED following a high speed motor vehicle crash. She is conscious and
immobilized on a long spine board. Her RR is 24 bpm, HR is 120bpm,
and BP is 70/50mmHg. The lab results show a PaCO2 of 40mmHg.
Which one of the following statements concerning this patient is true?
A. Fetal assessment should take priority
B. Log-rolling the patient to the right will decompress the vena cava
C. Rh-immunoglobulin therapy should be immediately administered
D. Vasopressors should be given to the patient
E. The patient has likely impending respiratory failure..
Answer: E. The patient has likely impending respiratory failure.
Minute ventilation increases primarily due to an increase in tidal
volume. Hypocapnia (PaCO2 of 30 mm Hg) is therefore common in late
pregnancy. A PaCO2 of 35 to 40 mm Hg may indicate impending
respiratory failure during pregnancy.
⩥ Lateral cervical spine film:
A. Must be performed in the primary survey
B. Can exclude any significant spinal injury
C. Are indicated in all trauma patients
D. Should be combined with clinical exam, AP and odontoid, or CT
