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ATLS POST TEST VERSION 1 AND VERSION 2 EXAM NEWEST
2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A 32-year-old is brought to the hospital unconscious with severe
facial injuries and noisy respirations after an automobile collision.
In the ED, he has no apparent injury to the anterior aspect of his
neck. He suddenly becomes apneic, and attempted ventilation
with a face mask is unsuccessful. Examination of his mouth
reveals a large hematoma of the pharynx with loss of normal
anatomic landmarks. Initial management of his airways should be
consist of:
A. Inserting an oropharyngeal airway
B. Inserting a nasopharyngeal airway
C. Performing a surgical cricothyroidotomy
D. Performing fiberoptic-guided nasotracheal intubation
E. Performin orotracheal intubation after obtaining a lateral c-
spine x-ray - ANSWER-A. Inserting an oropharyngeal airway
A 25-year-old woman is brought to the ED after a motor vehicle
crash. She was initially lucid at the scene and then developed a
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dilated pupil and contralateral extremity weakness. In the ED, she
is unconscious and has a GCS score of 6. The initial
management step for this patient should be to:
A. Obtain a CT-scan of the head
B. Administer decadron 20mg IV
C. Perform endotracheal intubation
D. Administer mannitol 1g/kg IV
E. Perform an emergency bone flap craniotomy on the side of the
dilated pupil. - ANSWER-C. Perform endotracheal intubation
A contraindication to nasogastric intubation is the presence of a:
A. Gastric perforation
B. Diaphragmatic rupture
C. Open depressed skull fracture
D. Fracture of the cervical spine
E. Fracture of the cribiform plate - ANSWER-E. Fracture of the
cribiform plate
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An 8-year-old girl is an unrestrained passenger in a vehicle struck
from behind. In the ED, her blood pressure is 80/60mmHg, heart
rate is 80 beats per minute, and respiratory rate is 16 breaths per
minute. Her GCS score is 14. She complains that her legs feel
"funny and wont move right". However, her spine x-rays do not
show a fracture or dislocation. A spinal cord injury in this child:
A. Is most likely a central cord syndrome
B. Must be diagnosed by magnetic resonance imaging
C. Can be excluded by obtaining a CT-scan of the entire spine
D. May exist in the abscence of objective findings on x-ray studies
E. Is unlikely because of the incomplete calcification of the
vertebral bodies. - ANSWER-D. May exist in the abscence of
objective findings on x-ray studies
Immediate chest tube insertion is indicated for which of the
following conditions?
A. Pneumothorax
B. Pneumomediastinum
C. Massive hemothorax
D. Diaphragmatic rupture
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E. Subcutaneous emphysema - ANSWER-C. Massive
hemothorax
Cardiac tamponade after trauma:
A. Is seldom life-threating
B. Can be excluded by an upright, AP chest x-ray
C. Can be confused with a tension pneumthorax
D. Causes a fall in systolic pressure of > 15mmHg with expiration
E. Most commonly occurs after blunt injury to the anterior chest
wall - ANSWER-C. Can be confused with a tension pneumthorax
A 22-year-old man is brought to the hospital after crashing his
motorcycle into a telephone pole. He is unconscious and in
profound shock. He has no open wounds or obvious fractures.
The cause of his shock is MOST LIKELY caused by:
A. A subdural hematoma
B. An epidural hematoma
C. A transected lumbar spinal cord
D. A basilar skull fracture
ATLS POST TEST VERSION 1 AND VERSION 2 EXAM NEWEST
2025/2026 ACTUAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR VERIFIED||
A 32-year-old is brought to the hospital unconscious with severe
facial injuries and noisy respirations after an automobile collision.
In the ED, he has no apparent injury to the anterior aspect of his
neck. He suddenly becomes apneic, and attempted ventilation
with a face mask is unsuccessful. Examination of his mouth
reveals a large hematoma of the pharynx with loss of normal
anatomic landmarks. Initial management of his airways should be
consist of:
A. Inserting an oropharyngeal airway
B. Inserting a nasopharyngeal airway
C. Performing a surgical cricothyroidotomy
D. Performing fiberoptic-guided nasotracheal intubation
E. Performin orotracheal intubation after obtaining a lateral c-
spine x-ray - ANSWER-A. Inserting an oropharyngeal airway
A 25-year-old woman is brought to the ED after a motor vehicle
crash. She was initially lucid at the scene and then developed a
,2|Page
dilated pupil and contralateral extremity weakness. In the ED, she
is unconscious and has a GCS score of 6. The initial
management step for this patient should be to:
A. Obtain a CT-scan of the head
B. Administer decadron 20mg IV
C. Perform endotracheal intubation
D. Administer mannitol 1g/kg IV
E. Perform an emergency bone flap craniotomy on the side of the
dilated pupil. - ANSWER-C. Perform endotracheal intubation
A contraindication to nasogastric intubation is the presence of a:
A. Gastric perforation
B. Diaphragmatic rupture
C. Open depressed skull fracture
D. Fracture of the cervical spine
E. Fracture of the cribiform plate - ANSWER-E. Fracture of the
cribiform plate
,3|Page
An 8-year-old girl is an unrestrained passenger in a vehicle struck
from behind. In the ED, her blood pressure is 80/60mmHg, heart
rate is 80 beats per minute, and respiratory rate is 16 breaths per
minute. Her GCS score is 14. She complains that her legs feel
"funny and wont move right". However, her spine x-rays do not
show a fracture or dislocation. A spinal cord injury in this child:
A. Is most likely a central cord syndrome
B. Must be diagnosed by magnetic resonance imaging
C. Can be excluded by obtaining a CT-scan of the entire spine
D. May exist in the abscence of objective findings on x-ray studies
E. Is unlikely because of the incomplete calcification of the
vertebral bodies. - ANSWER-D. May exist in the abscence of
objective findings on x-ray studies
Immediate chest tube insertion is indicated for which of the
following conditions?
A. Pneumothorax
B. Pneumomediastinum
C. Massive hemothorax
D. Diaphragmatic rupture
, 4|Page
E. Subcutaneous emphysema - ANSWER-C. Massive
hemothorax
Cardiac tamponade after trauma:
A. Is seldom life-threating
B. Can be excluded by an upright, AP chest x-ray
C. Can be confused with a tension pneumthorax
D. Causes a fall in systolic pressure of > 15mmHg with expiration
E. Most commonly occurs after blunt injury to the anterior chest
wall - ANSWER-C. Can be confused with a tension pneumthorax
A 22-year-old man is brought to the hospital after crashing his
motorcycle into a telephone pole. He is unconscious and in
profound shock. He has no open wounds or obvious fractures.
The cause of his shock is MOST LIKELY caused by:
A. A subdural hematoma
B. An epidural hematoma
C. A transected lumbar spinal cord
D. A basilar skull fracture
