ATLS POST TEST 4 LATEST VERSIONS ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+ 2025-2026.
A 30-year-old male is stabbed in the right chest. On arrival to ER, he is very
short of breath, heart rate is 120 and BP is 80/50. His neck veins are flat.
There is diminished air entry on the right side and there is dullness
posteriorly on percussion. These findings are most consistent with:
A. Hemothorax
B. Pericardial tamponade
C. Tension pneumothorax
D. Hypovolemia from the liver injury
E. Spinal cord injury - ANSWER-A. Hemothorax
,A 25-year-old female in a third trimester of pregnancy is brought to the ER
following a high-speed motor vehicle crash. She's conscious in a mobilize on
long spine. Respiration is 24, heart rate is 120, BP is 70/50. Lab show a PACO
40 mmHg. Which 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
A 82 year old male falls down five stairs and presents to the ED. All of the
following are true statements regarding his condition compared to younger
patients 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 disc compresibility
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 22 year old male is brought by ambulance to a small community hospital
after falling from the top of an 8 foot ladder. Initially, he was found to have a
large right pneumothorax. A chest tube was inserted and connected to an
underwater seal drainage collection system with negative pressure. A repeat
CXR demonstrates a residual, large right pneumothorax. After transferring the
, patient to a verified trauma center, a third chest x-ray reveals a persistent
right pneumothorax. The chest tube appears to be functioning and in good
position. He remains hemodynamically normal with no signs of respiratory
distress. The most likely cause for the persistent right pneumothorax is:
A. Flail chest
B. Diaphragmatic injury
C. Pulmonary contusion
D. Esophageal perforation
E. Tracheobronchial injury - ANSWER-E. Tracheobronchial injury
Which of the following is LEAST reliable for diagnosing ESOPHAGEAL
intubation?
A. symmetrical chest wall movement
B. end-tidal CO2
C. bilateral breath sounds
QUESTIONS AND CORRECT ANSWERS ALREADY
GRADED A+ 2025-2026.
A 30-year-old male is stabbed in the right chest. On arrival to ER, he is very
short of breath, heart rate is 120 and BP is 80/50. His neck veins are flat.
There is diminished air entry on the right side and there is dullness
posteriorly on percussion. These findings are most consistent with:
A. Hemothorax
B. Pericardial tamponade
C. Tension pneumothorax
D. Hypovolemia from the liver injury
E. Spinal cord injury - ANSWER-A. Hemothorax
,A 25-year-old female in a third trimester of pregnancy is brought to the ER
following a high-speed motor vehicle crash. She's conscious in a mobilize on
long spine. Respiration is 24, heart rate is 120, BP is 70/50. Lab show a PACO
40 mmHg. Which 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
A 82 year old male falls down five stairs and presents to the ED. All of the
following are true statements regarding his condition compared to younger
patients 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 disc compresibility
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 22 year old male is brought by ambulance to a small community hospital
after falling from the top of an 8 foot ladder. Initially, he was found to have a
large right pneumothorax. A chest tube was inserted and connected to an
underwater seal drainage collection system with negative pressure. A repeat
CXR demonstrates a residual, large right pneumothorax. After transferring the
, patient to a verified trauma center, a third chest x-ray reveals a persistent
right pneumothorax. The chest tube appears to be functioning and in good
position. He remains hemodynamically normal with no signs of respiratory
distress. The most likely cause for the persistent right pneumothorax is:
A. Flail chest
B. Diaphragmatic injury
C. Pulmonary contusion
D. Esophageal perforation
E. Tracheobronchial injury - ANSWER-E. Tracheobronchial injury
Which of the following is LEAST reliable for diagnosing ESOPHAGEAL
intubation?
A. symmetrical chest wall movement
B. end-tidal CO2
C. bilateral breath sounds
