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ATLS QUESTIONS AND ANSWERS A+ GRADED 100% VERIFIED 2025/2026
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ATLS QUESTIONS AND ANSWERS A+ GRADED 100% VERIFIED 2025/2026
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ATLS1. 25 yo female in the third trimester of preganacy is brought to the ED following a high
speed MVA. She is conscious, and her vital signs are RR 16, HR 120, BP 70/50. The
laboratory results show a PaCO2 of 50mmHg/5.3kPa (normal range 35-45). Which
one of the following statments concerning this patient is true?
2. a. fetal assessment should take priority
3. b. logrolling the patient to the right will decompress the vena cava
4. c. Rh immuno therapy sshould be immediately adminstered
5. d. normal PaCO2 is concerning for impending RR
6. e. vasopressors should be given to the patient - ANS-d. normal PaCO2 is concerning
for impending RR
7. 30 year old male present with a stab wound to the abdomen. BP is 60/34, HR 130,
RR 25 and GCS 13 E3V4M6. Neck veins are flat and chest examination is clear with
bilateral breath sounds. Optimal resuscitation should include:
8. A. Transfusion of FFP and platelets
9. B. 500ml of hypertonic saline and transfusion of pRBCs
10. C. Resuscitation with crystalloid and pRBC until base excess is normal
11. D. Fluid resuscitation and angioembolization
12. E. Preparation for laparotomy while initiating fluid resuscitation - ANS-E. Preparation
for laparotomy while initiating fluid resuscitation
13. A 14 year old female is brought to the ED after falling from a horse. Cervical spinal
motion is restricted wit ha hard collar and cervical blocks and she is immobilized on a
long spine board. Which of the following IS TRUE REGARDING Cervical spine x-ray:
14. A. More than 20% of these patients will have cervical spine injury
15. B. Cervical spine injury is excluded if no abnormalities are found on lateral cervical
spine xray
16. C. Are not needed if she is awake, alert, neurologically normal, and has no neck pain
or midline tenderness
17. D. Should be performed before adressing potential breating or circulatory problems
18. E. She should reamin on teh long spine board until imaging excluded injuries -
ANS-C. Are not needed if she is awake, alert, neurologically normal, and has no neck
pain or midline tenderness
19. A 15 year old is brought to the ED after being involved in a MVA. He was intubated
by emergency medical personnal with subsequent bilateral breath sounds per their
report. Upon arrival to the ED the patients O2 saat is 92%, heart 96, and blood
pressure 150/85. Breath sounds are decreased in the left side of the thorax. The next
step is
20. a. immediate needle cricothyroidotomy
21. b. immediate needle thoracentesis
22. c. chest tube insertion
23. d. reassess the position of the endotracheal tube
24. e. obtain a chest CT - ANS-d. reassess the position of the endotracheal tube
, 25. 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:
26. A. Splenic artery embolization
27. B. Pneumococcal vaccine
28. C. Urgent laparotomy
29. D. Surgical consult
30. E. Transfer to a pediatrician - ANS-D. Surgical consult
31. A 22 year old male present following a motorcycle crash. He complains of the
inability to move his legs. His BP is 80/50, HR 70, RR 18 and GCS 15. Oxygen
saturation is 99% on 21 nasal prongs. Chest x-ray, pelvic x-ray and FAST are normal.
Extremities are normal. His management should be:
32. A: 1L of iv . crystalloid and two units of pRBCs
33. B. 1L of iv. crystalloid, mannitol and iv steroids
34. C. 1 unit of albumin and compression stockings
35. D. Vasopressors and laparotomy
36. E. 1 L of cystalloid and vasopressors if blood pressure does not respond - ANS-E. 1
L of cystalloid and vasopressors if blood pressure does not respond
37. A 22 year old male sustains a shotgun wound to the left shoulder and chest at close
range. His BP is 80/40mmHg and his HR is 130bpm. Fluid resusciation is initiated,
his BP increases to 122/84, and HR decreases to 100bpm. He is tachypneic with RR
of 28. On physical examination, his breath sounds are decreased at the left upper
chest with dullness on percussion. A tube thoracostomy is inserted in the fifth
intercostal space with the return of 200ml of blood and no air leak. The most
appropriate next step is to:
38. a. measure blood pressure again
39. b. begin transfuse O negative blood
40. c. wait until the chest xray is completed
41. d. obtain a CT scan of the chest and abdomen
42. e. repeat the physical exam of the chest - ANS-e. repeat the physical exam of the
chest
43. A 22 yo male is brought to the ED after being assaulted in a bar. On intial exam, his
vital signs are normal and his Glasgow Coma scale is V5E4M6. A definite indication
for a head CT is
44. a. prescence of hemotympanum
45. b. complains of headache
46. c. prescense of 10cm scapl laceration
47. d. prescence of mandibular fracture
48. e. history of assault - ANS-a. prescence of hemotympanum
49. a 23 yo construction worker is brought to the ED after falling more than 9 meters from
scaffolding. He is reported to have landed on his feet and then been unable to bear
weight. His vital signs are heart 140, blood pressure 96/60 mmHg, resp rate 36. He is
complaining of lower abdbominal and lower limb pain, and has obvious deformity of
both lower legs with bilateral open tibial fractures. WHich one of the following
statements concerning this patient is true?
50. a. pelvic injury can be ruled out, based on the MOI
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