New PHTLS (PRE)
Exam Questions
and Complete
Solutions Graded
A+
Denning [Date] [Course title]
, A roofer is found on the ground following a fall. He is alert, but complaining of acute shortness of
breath. Breath sounds are absent on the left. Which of the following indicators is generally not a sign of
tension pneumothorax?
a) Subcutaneous emphysema
b) Bradycardia
c) Distended neck veins
d) Tracheal deviation away from the site of injury - Answer: b) bradycardia
A 19 y.0. male was an unrestrained passenger in a 2 car collision. He is evaluated for selective spinal
immobilization. Which of the following signs might point towards the need to immobilize?
a) Skin breakdown
b) Obvious presence of a Colles' fracture
c) Altered level of consciousness
d) Tenderness in bilateral hip areas - Answer: c) Altered level of consciousness
When cells are deprived of adequate oxygenation, the short term backup system that can fuel the body
using stored body fat as the energy source is called:
a) ATP molecular system
b) Anaerobic metabolism
c) Ketogenesis
d) Aerobic metabolism - Answer: b) Anaerobic metabolism
Patients with a TBI (traumatic brain injury) are challenging to treat and transport safely. Which of the
following clinical markers is not considered to be an extracranial cause of secondary brain injury issues?
a) Anemia from blood loss
b) Hypotension
c) Hypoxia
d) Coup-countercoup injury - Answer: d) coup-countercoup injury
When treating a trauma patient, tools such as bag mask, IV fluids, and a back board to achieve a goal are
called:
Exam Questions
and Complete
Solutions Graded
A+
Denning [Date] [Course title]
, A roofer is found on the ground following a fall. He is alert, but complaining of acute shortness of
breath. Breath sounds are absent on the left. Which of the following indicators is generally not a sign of
tension pneumothorax?
a) Subcutaneous emphysema
b) Bradycardia
c) Distended neck veins
d) Tracheal deviation away from the site of injury - Answer: b) bradycardia
A 19 y.0. male was an unrestrained passenger in a 2 car collision. He is evaluated for selective spinal
immobilization. Which of the following signs might point towards the need to immobilize?
a) Skin breakdown
b) Obvious presence of a Colles' fracture
c) Altered level of consciousness
d) Tenderness in bilateral hip areas - Answer: c) Altered level of consciousness
When cells are deprived of adequate oxygenation, the short term backup system that can fuel the body
using stored body fat as the energy source is called:
a) ATP molecular system
b) Anaerobic metabolism
c) Ketogenesis
d) Aerobic metabolism - Answer: b) Anaerobic metabolism
Patients with a TBI (traumatic brain injury) are challenging to treat and transport safely. Which of the
following clinical markers is not considered to be an extracranial cause of secondary brain injury issues?
a) Anemia from blood loss
b) Hypotension
c) Hypoxia
d) Coup-countercoup injury - Answer: d) coup-countercoup injury
When treating a trauma patient, tools such as bag mask, IV fluids, and a back board to achieve a goal are
called:
