ACS American College of Surgeons
ATLS Advanced Trauma Life Support
ATLS Written Examination & Practical Skills Assessment
Course Title and Number: ATLS Written Examination &
Practical Skills Assessment
Exam Title: ATLS Exam
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you
have completed the Exam.
6. This test has a time limit, The test will save and submit
automatically when the time expires
7. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck……...!
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ATLS Advanced Trauma Life Support Exam Review
Questions and Answers | 100% Pass Guaranteed |
Graded A+ |
2025- 2026
ATLS Written Examination & Practical Skills Assessment
ATLS Advanced Trauma Life Support Exam
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Sensory examination - =Answer>> KEY SENSORY LANDMARKS
(American Spinal Injury Association, ASIA)
C2 - Occipital protuberance
C3 - Supraclavicular fossa
C4 - Top of AC joint
C5 - Lateral antecubital fossa
C6 - Thumb, dorsal surface, proximal phalanges
C7 - Middle finger, dorsal surface, proximal phalanges
C8 - Little finger, dorsal surface, proximal phalanges
T1 - Medial (ulnar) antecubital fossa
T2 - Apex of axilla
T3 - 3rd ICS
T4 - 4th ICS
T5 - 5th ICS
T6 - 6th ICS (xiphoid process)
T7 - 7th ICS (midway between T6-7)
T8 - 8th ICS (midway between T6 & T10)
T9 - 9th ICS (midway between T8 & T10)
T10 - 10th ICS (umbilicus)
T11 - 11th ICS (midway between T10 & T12)
L1 - Midway between T12 & L2
L2 - Mid-anterior thigh
L3 - Medial femoral condyle
L4 - Medial malleolus
L5 - Dorsum of foot, 3rd MTPJ
S1 - Lateral heel
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S2 - Popliteal fossa, mid-line
S3 - Ischial tuberosity
S4-5 - Perianal area
Key myotomes - =Answer>> C5 - Deltoid
C6 - Flexes forearm - bicep
C7 - Extends forearm - tricep
C8 - Flexes wrist & fingers
T1 - Small finger abductors - abductor digiti minimi
L2 - Hip flexors - Iliopsoas
L3,4 - Knee extensors - quadriceps, patellar reflex
L4,5 to S1 - Knee flexion - hamstrings
L5 - Ankle & big toe dorsiflexion - Tibialis anterior & extensor
hallucis longus
S1 - Ankle plantar flexors - gastrocnemius, soleus
Neurogenic shock - =Answer>> Impairment of descending
sympathetic pathways in cervical / upper thoracic spinal cord
Loss of:
→ vasomotor tone
↓
vasodilation / blood pooling / hypotension
→ sympathetic innervation of heart
↓
Bradycardia / failure of tachycardia
(Rare in spinal cord injury below T6)
Spinal shock - =Answer>> Flaccidity & areflexia after spinal cord
injury
Spinal cord syndromes - Central cord syndrome - =Answer>>
Greater loss of motor strength in upper than lower extremities
∵ motor fibres of cervical segments are topographically
arranged toward centre of cord
+ varying degrees of sensory loss
MECHANISM
- Hyperextension injury with preexisting cervical canal stenosis
- Forward fall with facial impact
- Vascular compromise of anterior spinal artery supplying
central portion of cord
RECOVERY (characteristic pattern)
1) Lower extremities
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2) Bladder function
3) Proximal upper extremities
4) Hands - last
Spinal cord syndromes - Anterior cord syndrome - =Answer>> i)
Paraplegia
ii) Dissociated sensory loss
- pain & temperature loss
iii) Dorsal column function (position, vibration & deep pressure
sensation) preserved
Spinal cord syndromes - Brown-Sequard syndrome - =Answer>>
Hemisection of cord - penetrating trauma
1) Ipsilateral motor loss (corticospinal tract)
2) Ipsilateral loss of proprioception (dorsal column)
3) Contralateral loss of pain & temperature (spinothalamic) - 1-
2 levels below level of injury
Odontoid fractures - =Answer>> 60% of C2 fractures involve
odontoid process
TYPE 1
Tip of odontoid - uncommon
TYPE 2
Base of dens - most common
TYPE 3
Base of dens & extend obliquely into body of axis
Fractures & dislocations (C3 - C7) - =Answer>> C3 FRACTURE
- Uncommon
- Positioned between vulnerable axis & mobile C5/6
(responsible for greatest flexion / extension)
MOST COMMON LEVEL OF FRACTURE
C5
MOST COMMON LEVEL OF SUBLUXATION
C5 on C6
Thoracic Spine Fractures (T1 - T10) - =Answer>> 1) Anterior
wedge compression injuries
- axial loading with flexion
2) Burst injury
- vertical-axial compression
3) Chance fractures
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ATLS Advanced Trauma Life Support
ATLS Written Examination & Practical Skills Assessment
Course Title and Number: ATLS Written Examination &
Practical Skills Assessment
Exam Title: ATLS Exam
Exam Date: Exam 2025- 2026
Instructor: ____ [Insert Instructor’s Name] _______
Student Name: ___ [Insert Student’s Name] _____
Student ID: ____ [Insert Student ID] _____________
Examination
Time: - ____ Hours: ___ Minutes
Instructions:
1. Read each question carefully.
2. Answer all questions.
3. Use the provided answer sheet to mark your responses.
4. Ensure all answers are final before submitting the exam.
5. Please answer each question below and click Submit when you
have completed the Exam.
6. This test has a time limit, The test will save and submit
automatically when the time expires
7. This is Exam which will assess your knowledge on the course
Learning Resources.
Good Luck……...!
, I can Help BYPASS PROCTORED EXAM 📑
📱Hit Me UP__ Inbox Open 24/7 – 365 …...!!!!
💬 Chat with us here: 📧
Click Here To ✅ORDER NOW ✅ Follow Link
https://yourassignmenthandlers.kit.com/93b2309b47
✅ ORDER NOW ✅ 🎓 TO GET INSTANT EXPERT HELP 🎓 ✅ ORDER NOW ✅
ATLS Advanced Trauma Life Support Exam Review
Questions and Answers | 100% Pass Guaranteed |
Graded A+ |
2025- 2026
ATLS Written Examination & Practical Skills Assessment
ATLS Advanced Trauma Life Support Exam
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
Sensory examination - =Answer>> KEY SENSORY LANDMARKS
(American Spinal Injury Association, ASIA)
C2 - Occipital protuberance
C3 - Supraclavicular fossa
C4 - Top of AC joint
C5 - Lateral antecubital fossa
C6 - Thumb, dorsal surface, proximal phalanges
C7 - Middle finger, dorsal surface, proximal phalanges
C8 - Little finger, dorsal surface, proximal phalanges
T1 - Medial (ulnar) antecubital fossa
T2 - Apex of axilla
T3 - 3rd ICS
T4 - 4th ICS
T5 - 5th ICS
T6 - 6th ICS (xiphoid process)
T7 - 7th ICS (midway between T6-7)
T8 - 8th ICS (midway between T6 & T10)
T9 - 9th ICS (midway between T8 & T10)
T10 - 10th ICS (umbilicus)
T11 - 11th ICS (midway between T10 & T12)
L1 - Midway between T12 & L2
L2 - Mid-anterior thigh
L3 - Medial femoral condyle
L4 - Medial malleolus
L5 - Dorsum of foot, 3rd MTPJ
S1 - Lateral heel
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S2 - Popliteal fossa, mid-line
S3 - Ischial tuberosity
S4-5 - Perianal area
Key myotomes - =Answer>> C5 - Deltoid
C6 - Flexes forearm - bicep
C7 - Extends forearm - tricep
C8 - Flexes wrist & fingers
T1 - Small finger abductors - abductor digiti minimi
L2 - Hip flexors - Iliopsoas
L3,4 - Knee extensors - quadriceps, patellar reflex
L4,5 to S1 - Knee flexion - hamstrings
L5 - Ankle & big toe dorsiflexion - Tibialis anterior & extensor
hallucis longus
S1 - Ankle plantar flexors - gastrocnemius, soleus
Neurogenic shock - =Answer>> Impairment of descending
sympathetic pathways in cervical / upper thoracic spinal cord
Loss of:
→ vasomotor tone
↓
vasodilation / blood pooling / hypotension
→ sympathetic innervation of heart
↓
Bradycardia / failure of tachycardia
(Rare in spinal cord injury below T6)
Spinal shock - =Answer>> Flaccidity & areflexia after spinal cord
injury
Spinal cord syndromes - Central cord syndrome - =Answer>>
Greater loss of motor strength in upper than lower extremities
∵ motor fibres of cervical segments are topographically
arranged toward centre of cord
+ varying degrees of sensory loss
MECHANISM
- Hyperextension injury with preexisting cervical canal stenosis
- Forward fall with facial impact
- Vascular compromise of anterior spinal artery supplying
central portion of cord
RECOVERY (characteristic pattern)
1) Lower extremities
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2) Bladder function
3) Proximal upper extremities
4) Hands - last
Spinal cord syndromes - Anterior cord syndrome - =Answer>> i)
Paraplegia
ii) Dissociated sensory loss
- pain & temperature loss
iii) Dorsal column function (position, vibration & deep pressure
sensation) preserved
Spinal cord syndromes - Brown-Sequard syndrome - =Answer>>
Hemisection of cord - penetrating trauma
1) Ipsilateral motor loss (corticospinal tract)
2) Ipsilateral loss of proprioception (dorsal column)
3) Contralateral loss of pain & temperature (spinothalamic) - 1-
2 levels below level of injury
Odontoid fractures - =Answer>> 60% of C2 fractures involve
odontoid process
TYPE 1
Tip of odontoid - uncommon
TYPE 2
Base of dens - most common
TYPE 3
Base of dens & extend obliquely into body of axis
Fractures & dislocations (C3 - C7) - =Answer>> C3 FRACTURE
- Uncommon
- Positioned between vulnerable axis & mobile C5/6
(responsible for greatest flexion / extension)
MOST COMMON LEVEL OF FRACTURE
C5
MOST COMMON LEVEL OF SUBLUXATION
C5 on C6
Thoracic Spine Fractures (T1 - T10) - =Answer>> 1) Anterior
wedge compression injuries
- axial loading with flexion
2) Burst injury
- vertical-axial compression
3) Chance fractures
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