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ATLS ACTUAL EXAM LATEST UPDATED 134 QUESTIONS WITH VERIFIED 100% CORRECT ANSWERS.A+ GRADE RATED
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ATLS ACTUAL EXAM LATEST UPDATED 134 QUESTIONS WITH VERIFIED 100% CORRECT ANSWERS.A+ GRADE RATED
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2024-2025 ATLS ACTUAL EXAMLATEST UPDATED 134 QUESTIONS
WITH VERIFIED 100% CORRECT
ANSWERS.A+ GRADE RATED
1. A 42-year-old man is trapped from the waist down beneath his
overturned tractor for several hours before medical assistance arrives.
He is awake and alert until just before arriving in the emergency
department. He is now unconscious and responds only to painful stimuli
by moaning. His pupils are 3 mm in diameter and symmetrically reactive
to light. Prehospital personnel indicate that they have not seen the
patient move either of his lower extremities. On examination in the
emergency department, no movement of his lower extremities is
detected, even in response to painful stimuli. The most likely case for this
finding is:
A. An epidural hematoma
B. A pelvic fracture
C. Central cord syndrome
D. Intracerebral hemorrhage
E. Bilateral compartment syndrome: A
2. Twenty-seven patients are seriously injured in an aircraft accident at a
local airport. The basic principle of triage should be to: A. Treat the
most severely injured patients first
,B. Establish a field triage area directed by a doctor
C. Rapidly transport all patients to the nearest appropriate hospital
D. Treat the greatest number of patients in the shortest period of time
E. Produce the greatest number of survivors based on available
resources: E
3. The response to catecholamines in an injured, hypovolemic pregnant
woman can be expected to result in:
A. Placental abruption
B. Fetal hypoxia and distress
C. Fetal/maternal dysrhytmia
D. Improved uterine blood flow
E. Increased maternal renal blood flow: B
4. A 30-year-old man is struck by a car traveling at 56 kph (35 mph). He
has obvious fractures of the left tibia near the knee, pain in the pelvic
area, and severe dyspnea. His heart rate is 180 beats per minute, and his
respiratory rate is 48 breaths per minute with no breath sounds heard in
the left chest. A tension pneumothorax is relieved by immediate by
immediate needle decompression and tube thoracostomy. Subsequently,
his heart rate decreases to 140 beats per minute, his respiratory rate
decreases to 36 breaths per minute, and his blood pressure is 80/50
mmhg. Warmed Ringer's lactate is administered intravenously. The next
priority should be to:
A. Perform a urethrogram and cystogram
B. Perform external fixation of the pelvis
C. Obtain abdominal and pelvic CT scans
D. Perform arterial embolization of the pelvic vessels
,E. Perform diagnostic peritoneal lavage or abdominal ultrasound: E
5. A 32-year-old man is brought to the hospital unconscious with severe
facial injuries 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 attempted ventilation with
a face mask is unsuccessful. Examination of his mouth reveals a large
hematoma of the pharynx with loss of normal anatomic landmarks.
Initial management of his airway should consist of:
A. Inserting an oropharyngeal airway
B. Inserting a nasopharyngeal airway
C. Performing a surgical cricothyroidotomy
D. Performing fiberoptic-guided nasotracheal intubation.
E. Performing orotracheal intubation after obtaining a lateral c-spine x-
ray: C
6. Absence of breath sounds and dullness to percussion over the left
hemithorax are findings best explained by:
A. Left hemothorax
B. Cardiac contusion
C. Left simple pneumothorax
D. Left diaphragmatic rupture
E. Right tension pneumothorax: A
7. An electrician is electrocuted 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 emergency department, his vital signs are
normal and no dysrhythmia is noted on EKG. On examination, there is
an exit wound on the bottom of the right foot. His urine is positive for
, blood by dipstick but no rbcs are seen microscopically. Initial
management should include:
A. Immediate angiography
B. Aggressive fluid infusion
C. Intravenous pyleography
D. Debridement of necrotic muscle
E. Admission to the intensive care unit for observation: B
8. A 22-year-old man is brought to the hospital after crashing his
motorcycle into a telephone pole. He is unconscious and in profound
shock. He has no open wounds or obvious fractures. The cause of his
shock is MOST LIKELY caused by:
A. A subdural hematoma
B. An epidural hematoma
C. A transected lumbar spinal cord
D. A transected cervical spinal cord
E. Hemorrhage into the chest or abdomen: E
9. A 42-year-old man, injured in a motor vehicle crash, suffers a closed
head injury, multiple palpable left rib fractures, and bilateral femur
fractures. He is intubated orotracheally without difficulty. Initially, his
ventilations are easily assisted with a bag-valve device. It becomes more
difficult to ventilate the patient over the next 5 minutes, and his
hemoglobin oxygen saturation level decreases from 98% to 89%. The
most appropriate next step is to:
A. Obtain a chest x-ray
B. Decrease the tidal volume
C. Auscultate the patient's chest
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