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ATLS practice questions and Answers (Verified by Expert)2025/2026
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ATLS practice questions and Answers (Verified by Expert)2025/2026
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ATLS practice questions(*)Degree of burn this is characterised by means of bone involvement - ANS-Fourth
37-12 months-old guy is struck on the aspect of the pinnacle but is conscious and talkative after
the injury. No proof of skull fracture. Several days later, he will become increasingly more torpid,
particularly burdened, and unable to move his right facet. Which type of occasion has maximum
in all likelihood occurred?
A. Subdural hematoma
B. Epidural hematoma
C. Carotid dissection
D. Brain contusion - ANS-A. Subdural hematoma
7-yr-antique female is observed at the bottom of a swimming pool. Initially she become in
complete arrest but after 5 mins she showed sinus tachycardia but no respiration effort.
Intubation become done in the field and cervical collar placed. After transport to the emergency
branch she changed into unresponsive with a blood strain of one hundred/60 mmHg, pulse one
zero five, temperature 34.3C, and oxygen saturation one hundred%. The pupils had been three
mm and sluggishly responsive to mild. There isn't any response to ache. The lungs show
wheezing on the left and coarse breath sounds bilaterally. The reveal suggests sinus
tachycardia. There isn't any rectal tone. Which of the following must be the following step in
control?
A. Cervical spine movies and CT of the head B. Portable chest radiograph
C. Arterial blood fuel
D. Right and left decubitus chest radiographs - ANS-A. Cervical spine films and CT of the top
A 13 year old boy fell whilst using his bicycle and hit his head. He became unconscious for four
or five mins. He vomited two times. He has no memory of the event or a headache. His exam is
totally everyday. Glasgow coma score is 15. Select the subsequent step in control.
A. Discharge domestic with concussion commands
B. CT of the head
C. Skull films
D. Admit for observation - ANS-B. CT of the head
A 17-year-vintage male is hit on the head with a baseball bat. He withdraws and opens his eyes
in reaction to deep painful stimuli. He additionally mumbles incomprehensibly. What is his
Glasgow coma scale rating? - ANS-8
A 18-yr-antique male sustains a proper femur fracture and a cerebral concussion in a motor
vehicle coincidence. His initial blood pressure is seventy five/50 mmHg with a pulse of ninety
beats consistent with minute. After giving him 2 liters of Ringer lactate he stabilizes, but the
blood pressure falls whilst he's seen within the ER. Which of the subsequent will be the cause of
suspected hypotension in this affected person?
A. Subdural hematoma
B. Undiagnosed facial fracture
C. Ruptured spleen
,D. 10% pneumothorax - ANS-C. Ruptured spleen
A 22-year-vintage man sustains a gunshot wound to the stomach and offers with shock. He
requires a couple of devices of packed pink blood cells for the duration of resuscitation. Later he
complains of numbness around his mouth. Physical examination reveals carpopedal spasm and
a advantageous Chvostek signal. An electrocardiogram demonstrates a extended QT c
language. Which of the subsequent is the most suitable treatment?
A. IV bicarbonate
B. IV furosemide
C. IV calcium
D. IV insulin - ANS-C. IV calcium
A 26-12 months-old male is resuscitated with blood transfusion after a motor automobile
collision that was complicated by using a fractured pelvis. A few hours later, the affected person
will become febrile, hypotensive with a everyday CVP, and oliguric. Upon exam, the patient is
determined to be bleeding from the NG tube and IV websites. Which of the subsequent is the
most probably diagnosis?
A. Hemorrhagic shock
B. Acute adrenal insufficiency
C. Fat embolism syndrome
D. Transfusion response - ANS-D. Transfusion response
A 28-year-antique male became worried in a motor vehicle accident. He is solid. When he's
asked to sit up, the umbilicus moves up closer to the neck area. What type of damage can this
indicate?
A. Rectus hematoma
B. Diastasis recti
C. T6-T10 spinal wire damage
D. Muscle spasms - ANS-C. T6-T10 spinal twine injury
A 34-year-antique with extreme head trauma and accelerated intracranial pressures is
intubated. Which of the subsequent must be the goal for mechanical ventilation? - ANS-Set
PaCO2 between 30-35
A 56-yr-vintage man is thrown violently towards the steerage wheel of his truck at some stage in
a motor vehicle crash. On arrival inside the emergency branch he's diaphoretic and complaining
of chest ache. His blood pressure is 60/forty mm Hg and his breathing rate is forty breaths in
step with minute. Which of the subsequent best differentiates cardiac tamponade from anxiety
pneumothorax as the cause of his hypotension?
A. Tachycardia
B. Pulse extent
C. Breath sounds
D. Pulse strain
E. Jugular venous stress - ANS-C. Breath sounds
A lady is transported to the emergency department after a motor vehicle coincidence with
trauma to the left leg and returned. Vital signs display temperature=37.1ºC, BP= one hundred
twenty five/seventy five mm Hg, HR= ninety four, R=20. GCS is 15. There is paraplegia, T12
sensory degree, and decreased rectal tone. Hemoglobin is normal and stable at 1 hour. Which
of the following ought to be performed to evaluate for intraperitoneal bleeding?
, A. Diagnostic peritoneal lavage
B. CT of the abdomen
C. Abdominal ultrasound
D. Flat plate of the stomach - ANS-C. Abdominal ultrasound
A wholesome 24-yr-vintage is concerned in a motor vehicle accident. He loses recognition but
regains it within some hours and looks normal to friends. He later gives to the emergency room
very torpid, vulnerable, and with a dilated pupil at the left aspect. The patient most in all
likelihood has which of the following conditions?
A. Acute subdural hematoma
B. Subarachnoid hemorrhage
C. Acute epidural hematoma
D. Intra-cerebral hemorrhage - ANS-C. Acute epidural hematoma
A hemodynamically regular 10-12 months-antique female is hospitalized for commentary after a
Grade III (reasonably severe) splenic harm has been showed via computed tomography (CT).
Which of the subsequent mandates prompt celiotomy (laparotomy)?
A. A serum amylase of 200
B. A leukocyte count number of 14,000
C. Evidence of retroperitoneal hematoma on CT test
D. Improvement of peritonitis on physical exam
E. A fall in the hemoglobin level from 12 g/dL to 8 g/dL over 24 hours - ANS-D. Development of
peritonitis on bodily examination
A laceration of the neck superficial to the deep cervical fascia alongside the sternocleidomastoid
muscle at its midpoint could cause bleeding from which shape? - ANS-External jugular vein
A patient admitted with moderate hypothermia is at danger to broaden:
A. Atrial traumatic inflammation
B. Ventricular tachycardia
C. Heart failure
D. Loss in their extremity - ANS-A. Atrial fibrillation
A affected person has been in a chief MVA and is comatose. He has a high degree of alcohol
and is hypothermic. Which of the subsequent check can stand alone in certifying the affected
person as brain dead?
A. Apnea test
B. Absence of oculocephalic and oculovestibular reflexes
C. Absence of blood float on cerebral angiogram after warming
D. EEG - ANS-C. Absence of blood glide on cerebral angiogram after warming
A affected person injures his left arm and is located to have a transected nerve. Which is proper
about this damage?
A. Nerves have a tendency to recover and develop at a rate of one mm/day
B. The growing ends of the nerve can be placed through EMG research
C. All reduce nerves ought to be right now resutured
D. The neuromuscular junction cease plates start to degenerate 2-three weeks after the nerve is
transected - ANS-A. Nerves generally tend to get better and develop at a charge of one mm/day
A patient involved in a street twist of fate is brought to the emergency department in an
unconscious nation. On arrival, her vitals display a temperature of 96.4 stages Fahrenheit, a
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