ATLS 10th Post- v v
Test questions and ans
v v v
wers 2026 (rated A+)
v v v
ATLS10vexamvquestionsvwithvanswersv(answersvoutlined!!)
1. vAv 24-year-
oldv malev pedestrian,v struckv byvanv automobile,v isv admittedv tov thevemergencyvdepartm
entv1vhourvaftervinjury.vHisvbloodvpressurevisv80/60vmmHg,vheartvratev140vbeatsvpervmin
utevandvrespiratoryvratevisv36vpervminute.vHevisvlethargic.vOxygenvisvdeliveredvviavfacevm
ask,vandvtwovlarge-
calibervIVsvarevinitiated.vArterialvbloodvgasesvarevobtained.vHisvPaO2visv118vmmHgv(15.
7vkPa),vPaCO2visv30vmmHgv (4.0vkPa),vandvpHvis7.21.vThevtreatmentvofvhisvacid-
basevdisordervisvbestv accomplishedvby:
a. Hyperventilation
b. Restorationvofvnormalvperfusion
c. Initiationvofvlow-dosevdopamine
d. Administrationvofvsodiumvbicarbonate
e. Initiationvofvphenylepinephrinevinfusion
2. Thevhighestvpriorityvinvmanagingvavpatientvwhosevinjuriesvincludevclosedvextremityvf
racturesvis:
a. Assesingvlimbvperfusion
b. Preventingvnecrosisvofvthevskin
c. Decompressingvcompartmentvsyndrome
d. Addressingvrespiratoryvi
nsufficiencyIdentifyingv
crushvsyndrome
3. Av34-year-
oldvfemalevisvinvolvedvinvavmotorvvehiclevcrashvisvbroughtvtovthevemergencyvdepartment.
vSheisvtalking,vbutvhervvoicevisvhoarsevandvonvexposurevshevhasvdiagonalvbruisingvofvthev
chestvandvanteriorvneck.vWhatvisvthevnextvstep?
a. Directvlaryngoscopyvtovexcludevlaryngealvtrauma
b. Oxygenvbyvnon-rebreathingvmask
c. Protectingvthevspinevbyvmakingvhervlievdown
d. Palpationvofvthevanteriorvneck
e. Attachingvavpulsevoximetervtovhervfinger
,4. Av30-year-
oldvmalevsustainsvavgunshotvwoundvtovthevrightvlowervchest,vmidwayvbetweenvthevnip
plevandvthevcostalvmargin.vHevisvbroughtvbyvambulancevtovavhospitalvthatvhasvfullvsurgi
calvcapabilities.vInvthevemergencyvdepartmentvhevisvendotracheallyvintubated,vfluidvre
suscitationvisvinitiatedvthroughvtwovlarge-calibervIVvlines,vandva
, closedvtubevthoracostomyvisvperformed,vwithvthevreturnvofv200vmlvofvblood.vAvchestvx-
rayvrevealsvcorrectvplacementvofvthevchestvtubevandvavsmallvresidualvhemothorax.vHisvbl
oddvpressurevisvnowv70/0vmmHg,vandvhisvheartvratevisv140vbeatsvpervminute.vHisvhypote
nsionvisvmostlikelyvduevto:
a. Tensionvpneumothorax
b. Massivevhemothorax
c. Pericardialvtamponade
d. Intraabdominalvbleeding
e. Insufficientvisotonicvcrystalloidvinfusion
5. Av20-year-
oldvathletevisvinvolvedvinvavmotorcyclevcrashvaftervhavingvriddenvforvhoursvonvavveryvh
otvday.Whenvhevarrivesvinvthevemergencyvdepartment,vhevshoutsvthatvhevcannotvmovev
hisvlegs.vOnvphysicalvexamination,vtherevarevnovabnormalitiesvofvthevchest,vabdomen,v
orvpelvis.vThevpatientvhasvno
sensationvinvhisvlegsvandvcannotvmovevthem,vbutvhisvarmsvarevmoving.vThevpatient’svres
piratoryvratevisv22,vheartvratevisv88,vandvbloodvpressurevisv80/60vmmHg.vHevisvpalevandvs
weaty.vWhatvisvthevmostvlikelycausevofvhisvhypotension?
a. Neurogenicvshock
b. Cardiacvtamponade
c. Myocardialvcontusion
d. Hyperthermia
e. Hemorrhagicvshock
6. Comapredvwithvadults,vchildrenvhave:
a. Avlonger,vwider,vfunnel-shapedvairway
b. Avlessvpliable,vcalcifiedvskeleton
c. Greatervmobilityvofvmediastinalvstructures
d. Avrelativelyvsmallervheadvandvlargervjaw
e. AnteriorvdisplacementvofvC5vonvC6
7. Whichvonevofvthevfindingsvbelowvrequiresvavdefinitivevairwayvinvtraumavpatients?
a. Facialvlacerations
b. Repeatedvvomiting
c. Partialvthicknessvfacialvburns,vcough,vandvhoarseness
d. Sternalvfracture
e. GlascowvComavScalevscorevofv12
Test questions and ans
v v v
wers 2026 (rated A+)
v v v
ATLS10vexamvquestionsvwithvanswersv(answersvoutlined!!)
1. vAv 24-year-
oldv malev pedestrian,v struckv byvanv automobile,v isv admittedv tov thevemergencyvdepartm
entv1vhourvaftervinjury.vHisvbloodvpressurevisv80/60vmmHg,vheartvratev140vbeatsvpervmin
utevandvrespiratoryvratevisv36vpervminute.vHevisvlethargic.vOxygenvisvdeliveredvviavfacevm
ask,vandvtwovlarge-
calibervIVsvarevinitiated.vArterialvbloodvgasesvarevobtained.vHisvPaO2visv118vmmHgv(15.
7vkPa),vPaCO2visv30vmmHgv (4.0vkPa),vandvpHvis7.21.vThevtreatmentvofvhisvacid-
basevdisordervisvbestv accomplishedvby:
a. Hyperventilation
b. Restorationvofvnormalvperfusion
c. Initiationvofvlow-dosevdopamine
d. Administrationvofvsodiumvbicarbonate
e. Initiationvofvphenylepinephrinevinfusion
2. Thevhighestvpriorityvinvmanagingvavpatientvwhosevinjuriesvincludevclosedvextremityvf
racturesvis:
a. Assesingvlimbvperfusion
b. Preventingvnecrosisvofvthevskin
c. Decompressingvcompartmentvsyndrome
d. Addressingvrespiratoryvi
nsufficiencyIdentifyingv
crushvsyndrome
3. Av34-year-
oldvfemalevisvinvolvedvinvavmotorvvehiclevcrashvisvbroughtvtovthevemergencyvdepartment.
vSheisvtalking,vbutvhervvoicevisvhoarsevandvonvexposurevshevhasvdiagonalvbruisingvofvthev
chestvandvanteriorvneck.vWhatvisvthevnextvstep?
a. Directvlaryngoscopyvtovexcludevlaryngealvtrauma
b. Oxygenvbyvnon-rebreathingvmask
c. Protectingvthevspinevbyvmakingvhervlievdown
d. Palpationvofvthevanteriorvneck
e. Attachingvavpulsevoximetervtovhervfinger
,4. Av30-year-
oldvmalevsustainsvavgunshotvwoundvtovthevrightvlowervchest,vmidwayvbetweenvthevnip
plevandvthevcostalvmargin.vHevisvbroughtvbyvambulancevtovavhospitalvthatvhasvfullvsurgi
calvcapabilities.vInvthevemergencyvdepartmentvhevisvendotracheallyvintubated,vfluidvre
suscitationvisvinitiatedvthroughvtwovlarge-calibervIVvlines,vandva
, closedvtubevthoracostomyvisvperformed,vwithvthevreturnvofv200vmlvofvblood.vAvchestvx-
rayvrevealsvcorrectvplacementvofvthevchestvtubevandvavsmallvresidualvhemothorax.vHisvbl
oddvpressurevisvnowv70/0vmmHg,vandvhisvheartvratevisv140vbeatsvpervminute.vHisvhypote
nsionvisvmostlikelyvduevto:
a. Tensionvpneumothorax
b. Massivevhemothorax
c. Pericardialvtamponade
d. Intraabdominalvbleeding
e. Insufficientvisotonicvcrystalloidvinfusion
5. Av20-year-
oldvathletevisvinvolvedvinvavmotorcyclevcrashvaftervhavingvriddenvforvhoursvonvavveryvh
otvday.Whenvhevarrivesvinvthevemergencyvdepartment,vhevshoutsvthatvhevcannotvmovev
hisvlegs.vOnvphysicalvexamination,vtherevarevnovabnormalitiesvofvthevchest,vabdomen,v
orvpelvis.vThevpatientvhasvno
sensationvinvhisvlegsvandvcannotvmovevthem,vbutvhisvarmsvarevmoving.vThevpatient’svres
piratoryvratevisv22,vheartvratevisv88,vandvbloodvpressurevisv80/60vmmHg.vHevisvpalevandvs
weaty.vWhatvisvthevmostvlikelycausevofvhisvhypotension?
a. Neurogenicvshock
b. Cardiacvtamponade
c. Myocardialvcontusion
d. Hyperthermia
e. Hemorrhagicvshock
6. Comapredvwithvadults,vchildrenvhave:
a. Avlonger,vwider,vfunnel-shapedvairway
b. Avlessvpliable,vcalcifiedvskeleton
c. Greatervmobilityvofvmediastinalvstructures
d. Avrelativelyvsmallervheadvandvlargervjaw
e. AnteriorvdisplacementvofvC5vonvC6
7. Whichvonevofvthevfindingsvbelowvrequiresvavdefinitivevairwayvinvtraumavpatients?
a. Facialvlacerations
b. Repeatedvvomiting
c. Partialvthicknessvfacialvburns,vcough,vandvhoarseness
d. Sternalvfracture
e. GlascowvComavScalevscorevofv12
