ATLS PRE POST TESTS COMPILED EXAM
SCRIPT 2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
⩥ A patient is brought to the emergency department after a motor
vehicle crash. He is conscious and there is no obvious external trauma.
He arrives at the hospital completely immobilized on a long spine board.
His blood pressure is 60/40 mm Hg and his heart rate is 70 beats per
minute. His skin is warm. Which one of the following statements is
TRUE? Answer: - Vasoactive medications have no role in this patient's
management.
- The hypotension should be managed with volume resuscitation alone.
- Flexion and extension views of the c-spine should be performed early.
xxx
- Abdominal visceral injuries can be excluded as a cause of hypotension.
- *Flaccidity of the lower extremities and loss of deep tendon reflexes
are expected.*
⩥ Which one of the following is the most effective method for initially
treating frostbite? Answer: - *moist heat*
- early amputation
- padding and elevation xxx
- vasodilators and heparin
- topical application of silver sulfadiazine
, ⩥ A 32-year-old man's right leg is trapped beneath his overturned car for
nearly 2 hours before he is extricated. On arrival in the emergency
department, his right lower extremity is cool, mottled, insensate, and
motionless. Despite normal vital signs, pulses cannot be palpated below
the right femoral artery and the muscles of the lower extremity are firm
and hard. During the management of this patient, which of the following
is most likely to improve the chances for limb salvage? Answer: -
surgical consultation for right lower extremity fasciotomy
⩥ A patient arrives in the emergency department after being beaten
about the head and face with a wooden club. He is comatose and has a
palpable depressed skull fracture. His face is swollen and ecchymotic.
He has gurgling respirations and vomitus on his face and clothing. The
most appropriate step after providing supplemental oxygen and elevating
his jaw is to: Answer: - suction the oropharynx
⩥ A 22-year-old man sustains a gunshot wound to the left chest and is
transported to a small community hospital no surgical capabilities are
available. In the emergency department, a chest tube is inserted and 700
mL of blood is evacuated. The trauma center accepts the patient in
transfer. Just before the patient is placed in the ambulance for transfer,
his blood pressure decreases to 80/68 mm Hg and his heart rate increases
to 136 beats per minute. The next step should be to: Answer: - clamp the
chest tube
- cancel the patient's transfer xxx
- perform an emergency department thoracotomy
SCRIPT 2026 COMPLETE QUESTIONS AND
SOLUTIONS GRADED A+
⩥ A patient is brought to the emergency department after a motor
vehicle crash. He is conscious and there is no obvious external trauma.
He arrives at the hospital completely immobilized on a long spine board.
His blood pressure is 60/40 mm Hg and his heart rate is 70 beats per
minute. His skin is warm. Which one of the following statements is
TRUE? Answer: - Vasoactive medications have no role in this patient's
management.
- The hypotension should be managed with volume resuscitation alone.
- Flexion and extension views of the c-spine should be performed early.
xxx
- Abdominal visceral injuries can be excluded as a cause of hypotension.
- *Flaccidity of the lower extremities and loss of deep tendon reflexes
are expected.*
⩥ Which one of the following is the most effective method for initially
treating frostbite? Answer: - *moist heat*
- early amputation
- padding and elevation xxx
- vasodilators and heparin
- topical application of silver sulfadiazine
, ⩥ A 32-year-old man's right leg is trapped beneath his overturned car for
nearly 2 hours before he is extricated. On arrival in the emergency
department, his right lower extremity is cool, mottled, insensate, and
motionless. Despite normal vital signs, pulses cannot be palpated below
the right femoral artery and the muscles of the lower extremity are firm
and hard. During the management of this patient, which of the following
is most likely to improve the chances for limb salvage? Answer: -
surgical consultation for right lower extremity fasciotomy
⩥ A patient arrives in the emergency department after being beaten
about the head and face with a wooden club. He is comatose and has a
palpable depressed skull fracture. His face is swollen and ecchymotic.
He has gurgling respirations and vomitus on his face and clothing. The
most appropriate step after providing supplemental oxygen and elevating
his jaw is to: Answer: - suction the oropharynx
⩥ A 22-year-old man sustains a gunshot wound to the left chest and is
transported to a small community hospital no surgical capabilities are
available. In the emergency department, a chest tube is inserted and 700
mL of blood is evacuated. The trauma center accepts the patient in
transfer. Just before the patient is placed in the ambulance for transfer,
his blood pressure decreases to 80/68 mm Hg and his heart rate increases
to 136 beats per minute. The next step should be to: Answer: - clamp the
chest tube
- cancel the patient's transfer xxx
- perform an emergency department thoracotomy
