ATLS Pre Module MCQ (Latest 2026/ 2027
Update) 11th Edition Questions & Answers
(Verified Answers) Complete A+
A 40-year-old woman who was a restrained driver in a motor vehicle crash is
evaluated in the emergency department. She is hemodynamically normal and found to
be paraplegic at the level of T10. Which of the following are true regarding her
evaluation and management?
A) Neurogenic shock is likely to develop
B) Imaging of her complete spine is required prior to transfer to a trauma center
C) Given the injury level knee extension would be expected
D) Log rolling using 4 people is a safe approach to limit spinal motion when moving
her
E) Presence of bulbocavernosus reflex indicates a better prognosis - correct answer D
A trauma patient presents to your emergency department with inspiratory stridor and
a suspected c- spine injury. Oxygen saturation is 88% on high-flow oxygen via a
nonrebreathing mask. The most appropriate next step is to:
A) Apply cervical traction
,B) Perform immediate tracheostomy
C) Insert bilateral thoracostomy tubes
D) Maintain 100% oxygen and obtain immediate c-spine x-rays
E) Restrict cervical motion and establish a definitive airway - correct answer E
When applying the Rule of Nines to infants:
A) It is not reliable.
B) The body is proportionally larger in infants than in adults.
C) The head is proportionally larger in infants than in adults.
D) The legs are proportionally larger in infants than in adults.
E) The arms are proportionally larger in infants than in adults. - correct answer C
A healthy young male is brought to the emergency department following a motor
vehicle crash. His vital signs are a blood pressure of 84/60, pulse 123, GCS 10. The
patient moans when his pelvis is palpated. After initiating fluid resuscitation, the next
step in management is:
A) Placement of a pelvic binder
B) Transfer to a trauma center
, C) Pelvic x-ray
D) Insert urinary catheter
E) Repeat examination of pelvis - correct answer A
Which situation requires Rh immunoglobulin administration to an injured female?
a) Negative pregnancy test, Rh negative, and has torso trauma
B) Positive pregnancy test, Rh positive, and has torso trauma
C) Positive pregnancy test, Rh negative, and has torso trauma
D) Positive pregnancy test, Rh positive, and has an isolated wrist fracture
E) Positive pregnancy test, Rh negative, and has an isolated wrist fracture - correct
answer c
A 22-year-old female athlete is stabbed in her left chest at the third interspace in the
anterior axillary line. On admission to the ED and 15 minutes after the incident, she is
awake and alert. Her heart rate is 100 beats per minute, blood pressure is 80/60 mm
Hg, and respiratory rate is 20 breaths per minute. A chest x-ray reveals a large left
hemothorax. A left chest tube is placed with an immediate return of 1600 mL of blood.
The next management step for this patient is to:
Update) 11th Edition Questions & Answers
(Verified Answers) Complete A+
A 40-year-old woman who was a restrained driver in a motor vehicle crash is
evaluated in the emergency department. She is hemodynamically normal and found to
be paraplegic at the level of T10. Which of the following are true regarding her
evaluation and management?
A) Neurogenic shock is likely to develop
B) Imaging of her complete spine is required prior to transfer to a trauma center
C) Given the injury level knee extension would be expected
D) Log rolling using 4 people is a safe approach to limit spinal motion when moving
her
E) Presence of bulbocavernosus reflex indicates a better prognosis - correct answer D
A trauma patient presents to your emergency department with inspiratory stridor and
a suspected c- spine injury. Oxygen saturation is 88% on high-flow oxygen via a
nonrebreathing mask. The most appropriate next step is to:
A) Apply cervical traction
,B) Perform immediate tracheostomy
C) Insert bilateral thoracostomy tubes
D) Maintain 100% oxygen and obtain immediate c-spine x-rays
E) Restrict cervical motion and establish a definitive airway - correct answer E
When applying the Rule of Nines to infants:
A) It is not reliable.
B) The body is proportionally larger in infants than in adults.
C) The head is proportionally larger in infants than in adults.
D) The legs are proportionally larger in infants than in adults.
E) The arms are proportionally larger in infants than in adults. - correct answer C
A healthy young male is brought to the emergency department following a motor
vehicle crash. His vital signs are a blood pressure of 84/60, pulse 123, GCS 10. The
patient moans when his pelvis is palpated. After initiating fluid resuscitation, the next
step in management is:
A) Placement of a pelvic binder
B) Transfer to a trauma center
, C) Pelvic x-ray
D) Insert urinary catheter
E) Repeat examination of pelvis - correct answer A
Which situation requires Rh immunoglobulin administration to an injured female?
a) Negative pregnancy test, Rh negative, and has torso trauma
B) Positive pregnancy test, Rh positive, and has torso trauma
C) Positive pregnancy test, Rh negative, and has torso trauma
D) Positive pregnancy test, Rh positive, and has an isolated wrist fracture
E) Positive pregnancy test, Rh negative, and has an isolated wrist fracture - correct
answer c
A 22-year-old female athlete is stabbed in her left chest at the third interspace in the
anterior axillary line. On admission to the ED and 15 minutes after the incident, she is
awake and alert. Her heart rate is 100 beats per minute, blood pressure is 80/60 mm
Hg, and respiratory rate is 20 breaths per minute. A chest x-ray reveals a large left
hemothorax. A left chest tube is placed with an immediate return of 1600 mL of blood.
The next management step for this patient is to:
