ATLS POST TEST 4 LATEST VERSIONS 2025 REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS |AGRADE

ATLS POST TEST 4 LATEST VERSIONS 2025 REAL EXAM 160
QUESTIONS AND CORRECT ANSWERS |AGRADE




A702270year70old70male70is70brought70by70ambulance70to70a70small70community70hospital70after70fallin
g70from70the70top70of70an70870foot70ladder.70Initially,70he70was70found70to70have70a70large70right70pne
umothorax.70A70chest70tube70was70inserted70and70connected70to70an70underwater70seal70drainage70co
llection70system70with70negative70pressure.70A70repeat70CXR70demonstrates70a70residual,70large70right
70pneumothorax.70After70transferring70the70patient70to70a70verified70trauma70center,70a70third70chest7
0x-
ray70reveals70a70persistent70right70pneumothorax.70The70chest70tube70appears70to70be70functioning70a
nd70in70good70position.70He70remains70hemodynamically70normal70with70no70signs70of70respiratory70d
istress.70The70most70likely70cause70for70the70persistent70right70pneumothorax70is:

A. Flail70chest

B. Diaphragmatic70injury

C. Pulmonary70contusion

D. Esophageal70perforation

E. Tracheobronchial70injury70-70correct70answer70-E.70Tracheobronchial70injury



Which70of70the70following70is70LEAST70reliable70for70diagnosing70ESOPHAGEAL70intubation?

A. symmetrical70chest70wall70movement

B. end-tidal70CO2

C. bilateral70breath70sounds

D. oxygen70saturation70>92%

E. ETT70above70carina70on70chest70x-ray70-70correct70answer70-D.70oxygen70saturation70>92%

->70if70it70says70ESOPHAGEAL,70go70with70this70answer



Which70of70the70following70signs70necessitates70the70need70for70a70definitive70airway70in70severe70trau
ma70patient?

A. facial70lacerations

,B. repeated70vomiting

,C. severe70maxillofacial70trauma

D. sternal70fracture

E. GCS701270-70correct70answer70-C.70Severe70maxillofacial70trauma



Twenty70seven70people70are70severely70injured70in70an70aircraft70crash70at70a70local70airport.70The70pri
nciples70of70triage70include:

A. establish70a70triage70site70within70the70internal70perimeter70of70the70crash70site

B. treat70only70the70most70severely70injured70patients70first

C. immediately70transport70all70patients70to70the70nearest70hospital

D. treat70the70greatest70number70of70patients70in70the70shortest70period70of70time

E. produce70the70greatest70number70of70survivors70based70on70available70resources70-
70correct70answer70-
E.70Produce70the70greatest70number70of70survivors70based70on70available70resources



Which70of70the70following70statements70are70correct?

A. Cerebral70contusions70may70coalesce70to70form70an70intracerebral70hematoma

B. Epidural70hematomas70are70usually70seen70in70the70frontal70region

C. Subdural70hematomas70are70caused70by70injury70to70the70middle70meningeal70artery

D. Subdural70hematomas70typically70have70a70lenticular70shape70on70CT

E. The70associated70brain70damage70is70more70severe70in70epidural70hematomas70-
70correct70answer70-
A.70Cerebral70contusions70may70coalesce70to70form70an70intracerebral70hematoma

EM:70Epidural,70middle70meningeal

70SuB:70Subdural,70Bridging70veins




An701870year70old70male70is70brought70to70the70ED70after70being70shot.70He70has70one70bullet70woun
d70just70below70the70right70clavicle70and70another70just70below70the70costal70margin70in70the70right70p
osterior70axillary70line.70His70blood70pressure70is70110/60,70heart70rate70of7090,70and70respiratory70rat
e70of7034.70After70ensuring70a70patent70airway70and70inserting70270large70caliber70IV70lines,70the70next
70most70appropriate70step70is70to:

A. Obtain70a70portable70chest70x-ray

B. Administer70a70bolus70of70additional70IV70fluid

C. Perform70a70laparatomy

D. Obtain70an70abdominal70CT70scan

, E. Perform70diagnostic70peritoneal70lavage70-70correct70answer70-

A.70Obtain70a70portable70chest70x-ray70need70more70info70on70chest,70not70abdomen



Which70of70the70following70should70be70performed70FIRST70in70any70patient70whose70injuries70may70in
clude70multiple70closed70extremity70fractures?

A. A70thorough70assessment70of70four70limb70perfusion

B. Manuevers70to70prevent70necrosis70of70the70skin

C. Extremity70compartment70syndrome70release

D. Ensuring70adequate70oxygenation70and70ventilation

E. Evaluation70for70occult70crush70syndrome70-70correct70answer70-
D.70Ensuring70adequate70oxygenation70and70ventilation

(ABC's)



A702270year70old70male70sustains70a70shotgun70wound70to70the70shoulder70and70chest70at70close70ran
ge.70His70BP70is7080/4070and70HR70130.70After70270L70of70crystalloid70solution70are70rapidly70infused,70
his70BP70increases70to70122/8470and70HR70decreases70to70100.70He70is70tachypneic70with70RR70of7028.
70On70PE,70his70breath70sounds70are70decreased70at70the70left70upper70chest70with70dullness70on70per
cussion.70A70large70caliber70tube70thoracostomy70is70inserted70into70the70fifth70intercostal70space70wit
h70the70return70of7020070mL70of70blood70and70no70air70leak.70The70most70appropriate70next70step70is:

A. Insert70a70foley70catheter

B. Begin70to70transfuse70O70negative70blood

C. Perform70thoracotomy

D. Obtain70a70CT70Chest/Abd

E. Repeat70the70physical70exam70of70the70chest70-70correct70answer70-
E.70Repeat70the70physical70exam70of70the70chest



decreased70breath70sounds70w/dullness70-

>70hemothorax,70need70tube70to70drain70vs.

decreased/absent70breath70sounds70w/hyperresonance70-
>70tension70pneumonia,70need70needle70decompression70followed70by70tube



Which70one70of70the70following70statements70concerning70spine70and70spinal70cord70trauma70is70TRUE?

A. A70normal70lateral70C70spine70film70excludes70injury