POSTEST ATLS Exam Updated 2025 (A+
Graded 100% Verified Answers)
In comparison with young adults, elderly patients exhibit which of the following regarding
brain injuries?
A. Increased cerebral blood flow
B. Less stretching of the bridging veins
C. Less subdural hematomas
D. Less brain contusions
E. Less mobility with angular acceleration and deceleration - ANSWER✅ D. Less brain
contusions
Which of the following signs is LEAST reliable for diagnosing esophageal intubation?
A. Symmetrical chest movement
B. End-tidal CO2 presence by colorimetry
C. Bilateral breath sounds
D. Oxygen saturation > 92%
E. ETT above carina on chest x-ray - ANSWER✅ E. ETT above carina on chest x-ray
Which one of the following signs necessitates a definitive airway in severe trauma patients?
A. Facial lacerations
B. Repeated vomiting
C. Severe maxillofacial fractures
, POSTEST ATLS EXAM
D. Sternal fracture
E. GCS score of 12 - ANSWER✅ C. Severe maxillofacial fractures
Which one of the following statements is correct?
A. Cerebral contusion may coalesce to form an intracerebral hematoma
B. Epidural hematomas are usually seen in frontal region
C. Subdural hematomas are caused by injury to the middle meningeal artery
D. Subdural hematomas typically have a lenticular shape on CTscan
E. The associated brain damage is more severe in epidural hematomas. - ANSWER✅ A.
Cerebral contusion may coalesce to form an intracerebral hematoma
Which of the following will be missed by DPL? - ANSWER✅ Subcapsular hematoma of the
spleen (becauase it is a retroperitoneal organ)
Burn victim, core temperature is 34C. Whats next?
A. Escharotomy
B. Rewarm
C. Oxygen mask
D...
E.. - ANSWER✅ C. Oxygen mask
Which of the following is NORMAL in pregnancy?
A. increased residual lung volume
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B. Decreased plasma volume
C. Decreased total RBC mass
D. Widened symphysis pubis
E. - ANSWER✅ D. Widened symphysis pubis
A 34-year-old man is brought to the ED after being pinned to the wall of building by a cement
truck. He is in obvious shock, and has deformities and marked swelling of both thighs.
Although no open wound are present, his shock:
A. Cannot be explained without concomitant pelvic fracture
B. Signifies a loss of approximately 15%
C. Is consistent with blood loss from bilateral femoral fracture
D. Will likely be reversed if appropriate traction splint are applied
E. Cannot be explained by his observed injuries unless a major arterial injury exist -
ANSWER✅ C. Is consistent with blood loss from bilateral femoral fracture
Prior to passage of urinary catheter in a man, it is essential to:
A. Examine the abdomen
B. Determine pelvic stability
C. Examine the rectum and perineum
D. Perform a retrograde urethrogram
E. Know the history and mechanism of injury - ANSWER✅ C. Examine the rectum and
perineum
, POSTEST ATLS EXAM
The best guide for adequate fluid resuscitation of the burn patient is:
A. Adequate urinary output
B. Reversal of systemic acidosis
C. Normalization of the heart rate
D. A normal central venous pressure
E. 4ml/kg/percent body burn/24 hours - ANSWER✅ A. Adequate urinary output
A 36-year-old woman is beaten about the head and face and is brought to the local
community hospital in full spinal immobilization. Her BP is 13088, HR 70/minutes, and RR
18/minute. Pulse oximetry indicated 98% while she was given 100% O2 via a non rebreather
mask. Her airway is clear. She has marked swellings on her face and several lacerations of
her scalp that are not actively bleeding. She does not respond to verbal stimuli, but localizes
to painful stiumuli and opens her eyes. She moves all extremities equally. The remainder of
her physical exam is normal. There is no neurosurgeon at the local hospital. After ensuring
the patient airway, the most appropriate course of action is to:
A. Admit the patient to the hospital for observation
B. Obtain x-ray of her facial bones prior to transfer
C. Obtain complete x-ray evaluation of the cervical spine
D. Transfer the patient to a neurosurgeon without performing a CT-sca - ANSWER✅ D.
Transfer the patient to a neurosurgeon without performing a CT-scan
For the trauma patient with cerebral edema, hypercarbia should be avoided to prevent:
A. metabolic acidosis
B. Respiratory acidosis
C. Cerebral vasodilatation