ATLS Study Guide 2026

Everything you need to pass the ATLS exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

ATLS exam key facts

  • ATLS course completion requires a passing grade on a multiple-choice examination. Source
  • ATLS CME requires successful course completion with a minimum post-test score of 75%. Source
  • ATLS verification remains current for four years from the completion date. Source
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📋 ATLS Exam Format at a Glance

40
Questions
75 min
Time Limit
75.00%
Passing Score

📚 ATLS Topics to Study (43)

✍️ Sample ATLS Questions & Answers

1. Which medication combination is most commonly used for rapid sequence intubation in the trauma setting?
✓ Etomidate and succinylcholine

Etomidate provides rapid onset sedation with minimal hemodynamic effects, and succinylcholine provides rapid-onset, short-duration paralysis.

2. In massive transfusion protocol, what is the recommended PRBC:FFP:Platelets ratio?
✓ 1:1:1

A balanced 1:1:1 ratio mimics whole blood and prevents dilutional coagulopathy.

3. What point-of-care test does the 10th edition emphasize for guiding resuscitation?
✓ Point-of-care lactate and base deficit

POC lactate and base deficit are objective metabolic markers that guide resuscitation more reliably than vital signs.

4. A blast injury victim presents with tympanic membrane rupture, pulmonary contusions, and bowel injury. Which mechanism causes bowel injury in blast victims?
✓ Primary blast injury — overpressure wave disrupting air-fluid interfaces in hollow viscera

Primary blast injury results from the high-pressure shock wave acting on air-filled organs (lungs, bowel, middle ear) at tissue-air interfaces, causing barotrauma.

5. A 25-year-old with a left chest stab wound develops PEA in the trauma bay. What is the most appropriate intervention?
✓ Emergency department thoracotomy

PEA from penetrating thoracic trauma is an indication for ED thoracotomy.

6. Which finding on examination of an eye injury warrants immediate ophthalmology consultation for possible open globe?
✓ Teardrop-shaped pupil

A teardrop-shaped or peaked pupil suggests iris prolapse through a scleral or corneal laceration, indicating an open globe injury.

🎯 Free ATLS Practice Tests

📖 ATLS Guides & Articles

Your ATLS Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation

What Practice Test Geeks adds beyond an AI chat for ATLS

An AI chatbot can quiz you, but it can't reproduce the exam conditions or keep your record. Here you get:

  • A timed, full-length ATLS mock exam — 40 questions in 75 minutes with a 75% pass mark, modeled on the official exam's question count and time limit, followed by a score report broken down by exam domain.
  • A fixed ATLS question bank: the same test every attempt, so your score is comparable from one try to the next instead of changing with every regenerated quiz.
  • Progress saved on your device: completed tests, scores and missed questions stay in My Progress, so you can retake only what you got wrong.
  • A printable ATLS cheat sheet you can print or save as a PDF.
  • ATLS flashcards built from the same question bank.
  • Free ATLS practice tests with the correct answer shown after each question.
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How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy

Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

  1. facs.org — Renewal, test delivery · verified Oct 2026
  2. learning.facs.org — Eligibility, exam format · verified Oct 2026
  3. msfacs.zendesk.com — Passing score, score validity · verified Oct 2026