ATLS PRETEST COMPREHENSIVE EXAM 2026 FULL QUESTIONS AND CORRECT ANSWERS, Exams of Traumatology

◉ An ABG would demonstrate a base deficit between -6 and -10 mEq/L. Answer: A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2 liters. Which one of the following statements applies to this patient? ◉ Increasing the volume of blood loss to produce maternal hypotension. Answer: The physiological hypervolemia of pregnancy has clinical significance in the management of the severely injured, gravid w

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2025/2026

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ATLS PRETEST COMPREHENSIVE EXAM 2026
FULL QUESTIONS AND CORRECT ANSWERS
An ABG would demonstrate a base deficit between -6 and -10 mEq/L.
Answer: A previously healthy, 70-kg (154-pound) man suffers an
estimated acute blood loss of 2 liters. Which one of the following
statements applies to this patient?
Increasing the volume of blood loss to produce maternal hypotension.
Answer: The physiological hypervolemia of pregnancy has clinical
significance in the management of the severely injured, gravid woman
by:
urinary output of 0.5 mL/kg/hr. Answer: The best assessment of fluid
resuscitation of the adult burn patient is:
evidence of inadequate organ perfusion. Answer: The diagnosis of
shock MUST include:
cerebral vasoconstriction with diminished perfusion. Answer: For the
patient with severe traumatic brain injury, profound hypocarbia should
be avoided to prevent:
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ATLS PRETEST COMPREHENSIVE EXAM 2026

FULL QUESTIONS AND CORRECT ANSWERS

◉ An ABG would demonstrate a base deficit between - 6 and - 10 mEq/L. Answer: A previously healthy, 70-kg (154-pound) man suffers an estimated acute blood loss of 2 liters. Which one of the following statements applies to this patient? ◉ Increasing the volume of blood loss to produce maternal hypotension. Answer: The physiological hypervolemia of pregnancy has clinical significance in the management of the severely injured, gravid woman by: ◉ urinary output of 0.5 mL/kg/hr. Answer: The best assessment of fluid resuscitation of the adult burn patient is: ◉ evidence of inadequate organ perfusion. Answer: The diagnosis of shock MUST include: ◉ cerebral vasoconstriction with diminished perfusion. Answer: For the patient with severe traumatic brain injury, profound hypocarbia should be avoided to prevent:

◉ perform an exploratory laparotomy. Answer: After being involved in a motor vehicle crash, a 25-year-old man is brought to a hospital that has surgery capabilities available.. Computed tomography of the chest and abdomen shows an aortic injury and splenic laceration with free abdominal fluid. His blood pressure falls to 70 mm Hg after CT. The next step is: ◉ Leakage of amniotic fluid is an indication for hospital admission. Answer: Which one of the following statements regarding abdominal trauma in the pregnant patient is TRUE? ◉ ascertain the need for a chest tube. Answer: The first maneuver to improve oxygenation after chest injury is: ◉ placement of an occlusive dressing over the wound. Answer: The most important immediate step in the management of an open pneumothorax is: ◉ Breath sounds. Answer: Which of the following best differentiates cardiac tamponade from tension pneumothorax as the cause of his hypotension? ◉ The trachea is relatively short. Answer: Bronchial intubation of the right or left mainstem bronchus can easily occur during infant endotracheal intubation because:

◉ Avoid hypotension. Answer: A young woman sustains a severe head injury as the result of a motor vehicle crash. In the emergency department, her GCS is 6. Her blood pressure is 140/90 mm Hg and her heart rate is 80 beats per minute. She is intubated and mechanically ventilated. Her pupils are 3 mm in size and equally reactive to light. There is no other apparent injury. The most important principle to follow in the early management of her head injury is to: ◉ development of peritonitis on physical exam. Answer: A hemodynamically normal 10-year-old girl is hospitalized for observation after a Grade III (moderately severe) splenic injury has been confirmed by computed tomography (CT). Which of the following mandates prompt celiotomy (laparotomy)? ◉ Log rolling using 4 people is a safe approach to restrict spinal motion when moving her. Answer: A 40-year-old woman who was a restrained driver in a motor vehicle crash is evaluated in the emergency department. She is hemodynamically normal and found to be paraplegic at the level of T10. Which of the following is TRUE regarding her evaluation and management? ◉ Placement of a pelvic binder. Answer: A healthy young male is brought to the emergency department following a motor vehicle crash. His vital signs are a blood pressure of 84/60, pulse 123, GCS 10. The patient moans when his pelvis is palpated. After initiating fluid resuscitation, the next step in management is:

◉ Prepare for an exploratory thoracotomy. Answer: A 22-year-old female athlete is stabbed in her left chest at the third interspace in the anterior axillary line. On admission to the emergency department and 15 minutes after the incident, she is awake and alert. Her heart rate is 100 beats per minute, blood pressure 80/60 mm Hg, and respiratory rate 20 breaths per minute. A chest x-ray reveals a large left hemothorax. A left chest tube is placed with an immediate return of 1600 mL of blood. The next management step for this patient is: ◉ A pulmonary contusion may be present in the absence of rib fractures. Answer: A 6-year-old boy walking across the street is struck by the front bumper of a sports utility vehicle traveling at 32 kph (20 mph). Which one of the following statements is TRUE about this patient? ◉ Complete spine x-ray series. Answer: 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: