ATLS Exam Test Bank & Practice Test
(Latest 2026/2027) 175 Questions with
Verified Answers | 100% Correct.
Question:
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has
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obvious fractures of the left tibia near the knee, pain in the pelvic area,
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and severe dyspnea. His heart rate is 182 beats per minute, and his
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
respiratory rate is 48 breaths per minute with no breath sounds heard in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the left chest. A tension pneumothorax is relieved by immediate needle
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
decompression and tube thoracostomy. Subsequently, his heart rate
i,- i,- i,- i,- i,- i,- i,- i,-
decreases to 144 beats per minute, his respirartory rate decreases to 36
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breaths per minute and his blood pressure is 81/53 mmHg. Warmed
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Ringers lactate is adminstered intravenously. The next priority should be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
to:
A. Perform external fixation of the pelvis
i,- i,- i,- i,- i,- i,-
B. Obtain abdominal and pelvic CT-scans
i,- i,- i,- i,- i,-
C. Perform arterial embolization of the pelvic vessel
i,- i,- i,- i,- i,- i,- i,-
D. Perform diagnostic peritoneal lavage or FAST
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E. Perform a urethrogram and cystogram?
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Answer:
D. Perform diagnostic peritoneal lavage or FAST
i,- i,- i,- i,- i,- i,-
,Question:
A 42-year-old man, injured in a motor vehicle crash, suffers a closed head
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injury, multiple palpable left rib fractures, and bilateral femur fractures. He
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
is intubated orotracheally without difficulty. Initially, his ventilations are
i,- i,- i,- i,- i,- i,- i,- i,- i,-
easily assisted with a bag-mask device. It becomes more difficult to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
ventilate the patient over the next 5 minutes, and his hemoglobin oxygen
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
saturation level decreases from 98% to 89%. The most appropriate next
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
step is to: i,- i,-
A. Obtain a chest x-ray
i,- i,- i,- i,-
B. Decrease the tidal volume
i,- i,- i,- i,-
C. Decrease PEEP
i,- i,-
D. Increase the rate of assisted ventilations
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E. Perform needle decompression of the left chest.?
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Answer:
A. Obtain a chest x-ray
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Question:
A 30-year-old man sustains a severely comminuted, open, distal right
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femur fracture in a motorcycle crash. The wound is actively bleeding.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Normal sensation is present over the lateral aspect of the foot but
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decreased over the medial foot and great toe. Normal motion of the foot
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
is observed. Dorsalis pedis and posterior tibial pulses are easily palpable
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
on the left, but heard only by Doppler on the right. Immediate efforts to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
improve circulation to the injured extremity should involve:
i,- i,- i,- i,- i,- i,- i,-
,A. Immediate angiography
i,- i,-
B. Tamponade of the wound with a pressure dressing
i,- i,- i,- i,- i,- i,- i,- i,-
C. Wound exploration and removal of bony fragments
i,- i,- i,- i,- i,- i,- i,-
D. Realignment of the fracture segments with a traction splint
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E. Fasciotomy of all four compartments in the lower extremity?
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Answer:
B. Tamponade of the wound with a pressure dressing
i,- i,- i,- i,- i,- i,- i,- i,-
Question:
An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to the
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ED following a crash. He had decreased level of consciousness at the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
scene, but then was alert and conversational during transportation. Now
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
his GCS is only 11. Which of the following statements is TRUE?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
A. Cerebral perfusion is intact
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B. Intravascular volume status is normal
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C. The patient is in a postictal state
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D. Intra-abdominal visceral injury is unlikely
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E. The patient probably has an acute epidural hematoma?
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Answer:
E. The patient probably has an acute epidural hematoma
i,- i,- i,- i,- i,- i,- i,- i,-
Question:
, A previously healthy, 70kg (175 pound) man suffers an estimated acute
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
blood loss of two liters. Which one of the following statements apply to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
this patient?
i,-
A. His pulse pressure will be widened
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B. His urinary output will be at the lower limits of normal
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
C. He will have tachycardia, but no change in systolic blood pressure
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D. His systolic blood pressure will be decreased with a narrowed, pulse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
pressure
E. His systolic blood pressure will be maintained with an elevated diastolic
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pressure.?
Answer:
E. His systolic blood pressure will be maintained with an elevated diastolic
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
pressure.
Question:
The physioclogic hypervolemia of pregnancy has clinical significance in
i,- i,- i,- i,- i,- i,- i,- i,- i,-
the management of the severely injured gravid woman by
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A. Reducing the need for blood transfusion
i,- i,- i,- i,- i,- i,-
B. Increasing the risk of pulmonary edema
i,- i,- i,- i,- i,- i,-
C. Complicating the management of closed head injury
i,- i,- i,- i,- i,- i,- i,-
D. Increasing the volume of blood loss to produce shock/maternal
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hypotension
E. Reducing the volume of crystalloid required for resuscitation?
i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
(Latest 2026/2027) 175 Questions with
Verified Answers | 100% Correct.
Question:
A 33-year-old man is struck by a car travelling at 56km/h (35mph). He has
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
obvious fractures of the left tibia near the knee, pain in the pelvic area,
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
and severe dyspnea. His heart rate is 182 beats per minute, and his
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
respiratory rate is 48 breaths per minute with no breath sounds heard in
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
the left chest. A tension pneumothorax is relieved by immediate needle
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
decompression and tube thoracostomy. Subsequently, his heart rate
i,- i,- i,- i,- i,- i,- i,- i,-
decreases to 144 beats per minute, his respirartory rate decreases to 36
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
breaths per minute and his blood pressure is 81/53 mmHg. Warmed
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Ringers lactate is adminstered intravenously. The next priority should be
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
to:
A. Perform external fixation of the pelvis
i,- i,- i,- i,- i,- i,-
B. Obtain abdominal and pelvic CT-scans
i,- i,- i,- i,- i,-
C. Perform arterial embolization of the pelvic vessel
i,- i,- i,- i,- i,- i,- i,-
D. Perform diagnostic peritoneal lavage or FAST
i,- i,- i,- i,- i,- i,-
E. Perform a urethrogram and cystogram?
i,- i,- i,- i,- i,-
Answer:
D. Perform diagnostic peritoneal lavage or FAST
i,- i,- i,- i,- i,- i,-
,Question:
A 42-year-old man, injured in a motor vehicle crash, suffers a closed head
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
injury, multiple palpable left rib fractures, and bilateral femur fractures. He
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
is intubated orotracheally without difficulty. Initially, his ventilations are
i,- i,- i,- i,- i,- i,- i,- i,- i,-
easily assisted with a bag-mask device. It becomes more difficult to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
ventilate the patient over the next 5 minutes, and his hemoglobin oxygen
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
saturation level decreases from 98% to 89%. The most appropriate next
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
step is to: i,- i,-
A. Obtain a chest x-ray
i,- i,- i,- i,-
B. Decrease the tidal volume
i,- i,- i,- i,-
C. Decrease PEEP
i,- i,-
D. Increase the rate of assisted ventilations
i,- i,- i,- i,- i,- i,-
E. Perform needle decompression of the left chest.?
i,- i,- i,- i,- i,- i,- i,-
Answer:
A. Obtain a chest x-ray
i,- i,- i,- i,-
Question:
A 30-year-old man sustains a severely comminuted, open, distal right
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
femur fracture in a motorcycle crash. The wound is actively bleeding.
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
Normal sensation is present over the lateral aspect of the foot but
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
decreased over the medial foot and great toe. Normal motion of the foot
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
is observed. Dorsalis pedis and posterior tibial pulses are easily palpable
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
on the left, but heard only by Doppler on the right. Immediate efforts to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
improve circulation to the injured extremity should involve:
i,- i,- i,- i,- i,- i,- i,-
,A. Immediate angiography
i,- i,-
B. Tamponade of the wound with a pressure dressing
i,- i,- i,- i,- i,- i,- i,- i,-
C. Wound exploration and removal of bony fragments
i,- i,- i,- i,- i,- i,- i,-
D. Realignment of the fracture segments with a traction splint
i,- i,- i,- i,- i,- i,- i,- i,- i,-
E. Fasciotomy of all four compartments in the lower extremity?
i,- i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
B. Tamponade of the wound with a pressure dressing
i,- i,- i,- i,- i,- i,- i,- i,-
Question:
An 18-yeard-old, unhelmeted motorcyclist is brought by ambulance to the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
ED following a crash. He had decreased level of consciousness at the
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
scene, but then was alert and conversational during transportation. Now
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
his GCS is only 11. Which of the following statements is TRUE?
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
A. Cerebral perfusion is intact
i,- i,- i,- i,-
B. Intravascular volume status is normal
i,- i,- i,- i,- i,-
C. The patient is in a postictal state
i,- i,- i,- i,- i,- i,- i,-
D. Intra-abdominal visceral injury is unlikely
i,- i,- i,- i,- i,-
E. The patient probably has an acute epidural hematoma?
i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
E. The patient probably has an acute epidural hematoma
i,- i,- i,- i,- i,- i,- i,- i,-
Question:
, A previously healthy, 70kg (175 pound) man suffers an estimated acute
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
blood loss of two liters. Which one of the following statements apply to
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
this patient?
i,-
A. His pulse pressure will be widened
i,- i,- i,- i,- i,- i,-
B. His urinary output will be at the lower limits of normal
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
C. He will have tachycardia, but no change in systolic blood pressure
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
D. His systolic blood pressure will be decreased with a narrowed, pulse
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
pressure
E. His systolic blood pressure will be maintained with an elevated diastolic
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
pressure.?
Answer:
E. His systolic blood pressure will be maintained with an elevated diastolic
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
pressure.
Question:
The physioclogic hypervolemia of pregnancy has clinical significance in
i,- i,- i,- i,- i,- i,- i,- i,- i,-
the management of the severely injured gravid woman by
i,- i,- i,- i,- i,- i,- i,- i,-
A. Reducing the need for blood transfusion
i,- i,- i,- i,- i,- i,-
B. Increasing the risk of pulmonary edema
i,- i,- i,- i,- i,- i,-
C. Complicating the management of closed head injury
i,- i,- i,- i,- i,- i,- i,-
D. Increasing the volume of blood loss to produce shock/maternal
i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-
hypotension
E. Reducing the volume of crystalloid required for resuscitation?
i,- i,- i,- i,- i,- i,- i,- i,-
Answer:
