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ATLS EXAM LATEST 2025 ACTUAL EXAM QUESTIONS AND DETAILED CORRECT ANSWERS | A+ GRADE STUDY GUIDE
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ATLS EXAM LATEST 2025 ACTUAL EXAM QUESTIONS AND DETAILED CORRECT ANSWERS | A+ GRADE STUDY GUIDE
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ATLS EXAM LATEST 2025 ACTUALEXAM QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
STUDY GUIDE
A 29 year old female arrives in the ED after being involved
in a motor vehicle crash. She is 30 weeks pregnant. She
was restrained with a lap and shoulder belt, and an airbag
deployed. Which one of the following statement best
decribes the risk of injury?
A. Deployment of the airbag increased the risk of fetal loss
B. The risk of premature fetal delivery and death is
reduced by the use of restraints
C. The use of seatbelts is associated with increased risk of
maternal death.
D. The mechanism of injury suggest the need for
emergency ceasarean section due to the risk of impending
abruptio placentae
E. The deployment of the airbag increases the risk of
maternal abdominal injury Correct Answer B. The risk of
premature fetal delivery and death is reduced by the use
of restraints
a 28 year old man is brought in after a MVA. His airway is
patent and breath sounds are equal. His GCS is E1V2M1.
His BP is 146/82; HR is ... . The decision is made to
secure his airway. Which of the following is a definitive
airway
a. LMA
,b. oral airway
c. cuffed ET
d. LTA
e. needle cricothyroidotomy Correct Answer d. LTA
A 70 year old suffers blunt chest trauma after being struck
by a car. On presentation, his GCS is 15, BP is 145/90,
HR is 72. RR is 24 and O2-sat on 5L is 91%. Chest x-ray
demonstrates multiple right sided rib fractures. CT
abdomen and pelvis is normal. ECG demonstrates normal
sinus rythm with no conduction abnormalities.
Management should include:
A. Placement of a 22Fr right sided chest tube
B. Serial troponins and cardiac monitoring
C. Monitoried i.v analgesia
D. Thoracic splinting, taping and immobilization
E. Bronchoscopy to exclude tracheobronchial injury
Correct Answer C. Monitoried i.v analgesia
A 15 year old male present following a motorcycle crash.
INitial examinations reveals normal vital signs. There is a
large bruise over his epigastrium that extends to the left
flank. He has no other apparent injuries. A CT-scan of the
abdomen demonstrate a ruptured spleen surrounded by a
large hematoma and fluid in the pelvis. The next step in
the patients management is:
A. Splenic artery embolization
B. Pneumococcal vaccine
C. Urgent laparotomy
D. Surgical consult
,E. Transfer to a pediatrician Correct Answer D. Surgical
consult
A 22-year-old man is hypotensive and tachycardic after a
shotgun wound to the left shoulder. His blood pressure is
initially 80/40 mm Hg. After initial fluid resuscitation his
blood pressure increases to 122/84 mm Hg. His heart rate
is now 100 beats per minute and his respiratory rate is 28
breaths per minute. A tube thoracostomy is performed for
decreased left chest breath sounds with the return of a
small amount of blood and no air leak. After chest tube
insertion, the most appropriate next step is:
Select one:
a.
reexamine the chest
b.
perform an aortogram
c.
obtain a CT scan of the chest
d.
obtain arterial blood gas analyses
e.
perform transesophageal echocardiography Correct
Answer A) Reexamine the chest
A construction worker falls two stories from a building and
sustains bilateral calcaneal fractures. In the emergency
department, he is alert, vital signs are normal, and he is
complaining of severe pain in both heels and his lower
back. Lower extremity pulses are strong and there is no
, other deformity. The suspected diagnosis is most likely to
be confirmed by:
Select one:
a.
angiography
b.
compartment pressures
c.
retrograde urethrogram
d.
Doppler ultrasound studies
e.
complete spine x-ray series Correct Answer e) Complete
spine x-ray series
Which of the following is true regarding the initial
resuscitation of a trauma patient?
Select one:
a.
A patient that presents with a torso gunshot wound and is
hypotensive should receive crystalloid fluid resuscitation
until the blood pressure is normal
b.
Evidence of improved perfusion after fluid resuscitation
could include improvement in Glasgow coma scale score
on reevaluation
c.
Massive transfusion is defined as transfusion of more than
>10 of packed red blood cells and plasma in 24 hours
d.
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