ATLS Post Test 2026 QUESTIONS AND ANSWERS

ATLS Post Test QUESTIONS AND ANSWERS 2026

a. Are equivalent to endotracheal intubation.  b. Require neck extension for proper  placement. c. Are preferable to endotracheal intubation in a patient who cannot lie flat. d. Are of value as part of a difficult or failed intubation plan. e. Provide one form of definitive airway. 33. A 70 year old male suffers blunt chest trauma after being struck by a car. On ER, GCS is 15, BP is 145/90, HR is 72, RR is 24 and O2 saturation on 5L is 91%. Chest X-ray shows multiple rib fractures. ECG shows normal sinus rhythm with no conduction abnormalities. Management should include: a. Placement of a 22-french, rightsided chest tube.  b. Serial troponins and cardiac monitoring. c. Thoracic splinting, taping, and immobilization. d. Monitored IV analgesia. e. Bronchoscopy to exclude tracheobronchial injury. 34. A 15 year old male presenting after a motorcycle crash. Initial exam reveals normal VS. There is a large bruise over his epigastrium that extends to left flank. He has no other appearent injuries. A CT of abdomen shows ruptured spleen surrounded by a large hematoma and fluis in the pelvis. The next step in this patient's management is: a. Splenic artery immobilization.  b. Pneumococcal vaccine. c. Transfer to pediatrician. d. Urgent laparotomy. e. Surgical consultation. 35. A 30 year old male presents with a stab wound to the abdomen. BP is 85/60, HR is 130, RR is 25 and GCS is 14. Neck veins are flat, and chest exam is clear with bilateral breath sounds. Optimal resuscitation should include: a. Transfusion of fresh frozen plasma and platelets.  b. 500 mL of hypertonic saline and transfusion of pRBSs. c. Resuscitation with crystalloid and  pRBCs until base excess is normal. d. Preparation for laparotmy while initiating fluid resuscitation. e. Fluid resuscitation and angioemobolization. 36. Initial resuscitation in adult trauma  patients should: a. Be with 1-2 liters of crystalloid, monitoring the patient's response.  b. Use crystalloid to normalize BP. c. Use permissive hypotension in  patients with head injury. d. Be with anon-blood colloid solution. e. Be a minimum of 2 L of crystalloid in all trauma patients prior to administering blood. 37. A 25 year old male is brought to ER following a bar fight. He has an altered level of consciousness, opens his eyes on command, moans without forming discernible words, and localizes to  painful stimuli. Which one of the following concerning this patient is correct? a. Mandatory intubation to protect his airway is required.  b. His GCS suggests a severe head injury. c. His level of consciousness can be solely attributed to elevated blood alcohol. d. CT is an important part of neurological exam. e. Hyperoxia should be avoided. 38. Which one of the following statements regarding genitourinary injuries is true? a. Urethral injuries are associated with  pelvic fractures.  b. All patients with microscopic hematuria require evaluation of the genitourinary tract. c. Patients with gross hematuria and shock will have a major renal injury as the source of hemorrhage. d. Intraperitoneal bladder injuries are usually managed definitively with a urinary catheter. e. Urinary catheters should be placed in all patients with pelvic fractures during the primary survey. 39. Which one of the following physical findings does not suggest spinal cord injury as the cause of hypotension? a. Priapism.  b. Bradycardia. c. Distended neck veins. d. Diaphragmatic breathing. e. Ability to flex forearms but inability to extend them. 40. Cardiac temponade: a. Is definitively managed by needle  pericardiocentesis.  b. Is most common with blunt thoracic trauma and anterior rib fractures. c. Is easily diagnosed by discovery of Beck's triad in the ER. d. Is indicated by Kussmaul breathing. e. Requires surgical intervention. First group ATLS questions.. 1- triage concept : save more lives with available resources 2- a patient with gun shot , BP 70/0 , Chest tube drained 120 ml , chest sounds normal. next step? - Laboratomy 3- persistent pneumothorax after placing chest tube. Diagnosis? - Tracheobronchial injury 4- which of the following is not part of the initial assessment? - determining incomplete,or complete neurological deficit 5- echomosys in prenium , blood in mayatus ,what will you do? - retrograde urethrogram 6- Class II shock: - normal BP