ATLS Post 104 Test Examination
Questions 2025
A 25 year old male is brought to the hospital after sustaining partial and
full thickness burns involving 60% of his body surface area. His right
arm and hand are severly burned. There are obvious full thickness
burns of the entire right hand and a circumferential burn of the right
arm. Pulses are absent at the right wrist and a circumferential burn of
the right arm. Pulses are absent at the right wrist and are not detected
by Doppler examination. The first step in management of the right
upper extremity should be:
A. Fasciotomy
B. Angiography
C. Escharatomy
D. Heparinization
E. Tangenital excision - Correct Answer ✔️✔️C. Escharatomy
,??
Early central venous pressure monitoring during fluid resusciation in
the ED has the greatest utility in a:
A. Patient with a splenic laceration
B. Patient with a inhalation injury
C. 6 year-old child with a pelvic fracture
D. Patient with a severe cardiac contusion
E. 24-year-old man with a massive hemothorax - Correct Answer ✔
️✔️D. Patient with a severe cardiac contusion
32 year old male is brought to the hospital unconscious with severe
facial injuries and noisy respirations after an automobile collision. In the
emergency department, he has no apparent injury to the anterior
aspect of his neck. He suddenly becomes apneic, and alternative
ventilation with a face mask is unsuccessful. Examination of his mouth
,reveals a large hematoma of the fairing with loss of normal atomic
landmarks. Initial management of his airway should consist of:
A. Nasotracheal intubation
B. Emergency tracheostomy
C. Surgical cricothyroidotomy
D. Placement of an oropharyngeal airway
E. Placement of an nasopharyngeal airway - Correct Answer ✔️✔
️C. Surgical cricothyroidotomy
42 year old man injured in a motor vehicle crash, suffers a closed, head
injury, multiple palpable left roof fracture, bilateral femur fracture. He
is intubated orotracheally without difficulty. Initially, has ventilations
are easily assisted with a bag device. It becomes more difficult to
ventilate the patient over the next five minutes, and his hemoglobin
oxygen saturation level decreases from 90% to 89%. The most
, appropriate next step is to: - Correct Answer ✔️✔️Auscultate the
patient's chest
42 year olds man is trapped from the waist down beneath his
overturned tractor for several hours before Medical systemized. He is
awake and alert until just before arriving in emergency department. He
is now unconscious in response only to painful stimulate by moaning.
His pupils are 3 mm in diameter and symmetrically reactive delight.
Prehospital personnel indicate that they have not seen the patient
move either of his lower extremities.: - Correct Answer ✔️✔️A
pelvic fracture
An electrician is eletrocuted by a downed power line after a
thunderstorm. He apparently made contact with the wire at the level of
the right mid thigh. In the ED, his vital signs are normal and no
dysrythmia is noted on ECG. On examination, there is an exit wound on
the bottom of the right foot. His urine is positive for blood by dipstick
Questions 2025
A 25 year old male is brought to the hospital after sustaining partial and
full thickness burns involving 60% of his body surface area. His right
arm and hand are severly burned. There are obvious full thickness
burns of the entire right hand and a circumferential burn of the right
arm. Pulses are absent at the right wrist and a circumferential burn of
the right arm. Pulses are absent at the right wrist and are not detected
by Doppler examination. The first step in management of the right
upper extremity should be:
A. Fasciotomy
B. Angiography
C. Escharatomy
D. Heparinization
E. Tangenital excision - Correct Answer ✔️✔️C. Escharatomy
,??
Early central venous pressure monitoring during fluid resusciation in
the ED has the greatest utility in a:
A. Patient with a splenic laceration
B. Patient with a inhalation injury
C. 6 year-old child with a pelvic fracture
D. Patient with a severe cardiac contusion
E. 24-year-old man with a massive hemothorax - Correct Answer ✔
️✔️D. Patient with a severe cardiac contusion
32 year old male is brought to the hospital unconscious with severe
facial injuries and noisy respirations after an automobile collision. In the
emergency department, he has no apparent injury to the anterior
aspect of his neck. He suddenly becomes apneic, and alternative
ventilation with a face mask is unsuccessful. Examination of his mouth
,reveals a large hematoma of the fairing with loss of normal atomic
landmarks. Initial management of his airway should consist of:
A. Nasotracheal intubation
B. Emergency tracheostomy
C. Surgical cricothyroidotomy
D. Placement of an oropharyngeal airway
E. Placement of an nasopharyngeal airway - Correct Answer ✔️✔
️C. Surgical cricothyroidotomy
42 year old man injured in a motor vehicle crash, suffers a closed, head
injury, multiple palpable left roof fracture, bilateral femur fracture. He
is intubated orotracheally without difficulty. Initially, has ventilations
are easily assisted with a bag device. It becomes more difficult to
ventilate the patient over the next five minutes, and his hemoglobin
oxygen saturation level decreases from 90% to 89%. The most
, appropriate next step is to: - Correct Answer ✔️✔️Auscultate the
patient's chest
42 year olds man is trapped from the waist down beneath his
overturned tractor for several hours before Medical systemized. He is
awake and alert until just before arriving in emergency department. He
is now unconscious in response only to painful stimulate by moaning.
His pupils are 3 mm in diameter and symmetrically reactive delight.
Prehospital personnel indicate that they have not seen the patient
move either of his lower extremities.: - Correct Answer ✔️✔️A
pelvic fracture
An electrician is eletrocuted by a downed power line after a
thunderstorm. He apparently made contact with the wire at the level of
the right mid thigh. In the ED, his vital signs are normal and no
dysrythmia is noted on ECG. On examination, there is an exit wound on
the bottom of the right foot. His urine is positive for blood by dipstick
