PHTLS Test
Questions and
Complete Solutions
Graded A+
Denning [Date] [Course title]
,When the application of kinetic to the body from either a blunt or penetrating mechanism displaces
tissue, this is known as - Answer: CAVITATION
Which of the following is an example of the tertiary phase blast injury? - Answer: CRUSHING INJURY DUE
TO STRUCTURAL COLLAPSE.
The most common threat to life among trauma patients is? - Answer: INTERNAL HEMORRHAGE
Your patient is an injured construction worker bleeding profusely from a large laceration to the left
thigh. He is confused and has pale, moist skin. Direct pressure applied to the wound by a first responder
has failed to control the bleeding. The next step in controlling bleeding is to apply: - Answer: A
TOURNIQUET TO THE LACERATION.
Hypotension due to spinal cord trauma occurs due to interruption of the _______________nervous
system pathway. - Answer: SYMPATHETIC
The most common fractured ribs are ribs: - Answer: 4 THROUGH 8.
A hemothorax is differentiated from a tension pneumothorax by: - Answer: DULL PERCUSSION ON THE
AFFECTED SIDE.
Which of the following mechanisms is most likely to result in cardiac tamponade? - Answer: A PATIENT
IS STRUCK IN THE LEFT ANTERIOR CHEST BY A NAIL EJECTED FROM A NAIL GUN.
Management of flail chest includes: - Answer: PAIN MANAGEMENT
VENTILATORY SUPPORT
100%O2
Which of the following types of traumatic brain injury is most likely to be associated with hemorrhage
from the middle meningeal artery? - Answer: EPIDURAL HEMATOMA
Which of the following groups of findings represents Cushing's phenomenon? - Answer: BRADYCARDIA
,ABNORMAL RESPIRATORY PATTERN
ELEVATED BLOOD PRESSURE
Your patient is a 32 year old female who was thrown from a horse and struck her head on the ground.
She was not wearing a helmet. She does not respond verbally or open her eyes to painful stimuli, but
responds to painful stimuli with decerebrate posturing. Her right pupil is dilated and does not react to
light. Her respirations are 6 per minute and irregular, pulse 56, blood pressure 188/98. You should
ventilate the patient at a rate of? - Answer: 20 BPM.
A burn with reddened, glistening base that may have blisters is most characteristic of a - Answer:
SECOND degree burn.
A chemical solution with a pH of 4.0 is considered an ACID and causes damage to the tissues via -
Answer: COAGULATION NECROSIS.
An electrical burn caused by superheated air near the source of electricity is an - Answer: ARC burn.
Your patient is an 82 year old female who was an unrestrained front seat passenger in a motor vehicle
collision. Which of the following is the most reliable indication of shock in this patient? - Answer: LEVEL
OF CONSCIOUSNESS.
Which of the following findings is not expected in assessment of a pregnant patient? - Answer: A
DECREASED BLOOD PRESSURE IN THE THIRD TRIMESTER.
Which of the following is contraindicated in the management of a pregnant trauma patient in the third
trimester? - Answer: SUPINE POSITION.
During the assessment of the trauma patient, auscultation of the lung sounds is first performed during: -
Answer: THE PRIMARY SURVEY.
Which of the following is indicated for the prehospital management of a circumferential second degree
burn extending from the wrist to the elbow in a 70 Kg patient? - Answer: A DRY STERILE DRESSING
ANALGESIA
, The preferred fluid for resuscitation of the patient with significant burns is: - Answer: LACTATED
RINGER'S SOLUTION.
Which of the following is the most common cause of spinal injuries? - Answer: MOTOR VEHICLE
COLLISIONS.
Hypotension in hemothorax is associated with: - Answer: THE ABILITY OF EACH SIDE OF THE THORAX TO
HOLD UP TO 3 LITERS OF BLOOD.
Cardiac tamponade is suspected with the findings of muffled heart sounds___________,
and___________ known as___________. - Answer: JUGULAR VEIN DISTENTION, and HYPOTENSION,
known as BECK'S TRIAD.
When administering isotonic crystalloid solution, about ___________ will remain in the vascular system
after 1 hour. - Answer: ONE-THIRD
PASG is contraindicated in patients with - Answer: CHEST TRAUMA.
The greatest threat to life from injury to hollow abdominal organ is - Answer: PERITONITIS.
IV fluids administered to patients in shock should be _______ in order to ______________
______________. - Answer: WARM, PREVENT HYPOTHERMIA.
During pregnancy, signs and symptoms of shock may appear _______ due to an _________ in maternal
blood volume. - Answer: LATER, INCREASE
A fractured femur can result in___________________mL of hemorrhage. - Answer: 1000 TO 2000
A male patient suffered a stab wound to his left flank. He is found to be in stage III shock. During the 25
minute transport to the trauma center, intravenous fluids should be administered at a rate sufficient to
maintain a: - Answer: SYSTOLIC BP OF 80 TO 90.
Questions and
Complete Solutions
Graded A+
Denning [Date] [Course title]
,When the application of kinetic to the body from either a blunt or penetrating mechanism displaces
tissue, this is known as - Answer: CAVITATION
Which of the following is an example of the tertiary phase blast injury? - Answer: CRUSHING INJURY DUE
TO STRUCTURAL COLLAPSE.
The most common threat to life among trauma patients is? - Answer: INTERNAL HEMORRHAGE
Your patient is an injured construction worker bleeding profusely from a large laceration to the left
thigh. He is confused and has pale, moist skin. Direct pressure applied to the wound by a first responder
has failed to control the bleeding. The next step in controlling bleeding is to apply: - Answer: A
TOURNIQUET TO THE LACERATION.
Hypotension due to spinal cord trauma occurs due to interruption of the _______________nervous
system pathway. - Answer: SYMPATHETIC
The most common fractured ribs are ribs: - Answer: 4 THROUGH 8.
A hemothorax is differentiated from a tension pneumothorax by: - Answer: DULL PERCUSSION ON THE
AFFECTED SIDE.
Which of the following mechanisms is most likely to result in cardiac tamponade? - Answer: A PATIENT
IS STRUCK IN THE LEFT ANTERIOR CHEST BY A NAIL EJECTED FROM A NAIL GUN.
Management of flail chest includes: - Answer: PAIN MANAGEMENT
VENTILATORY SUPPORT
100%O2
Which of the following types of traumatic brain injury is most likely to be associated with hemorrhage
from the middle meningeal artery? - Answer: EPIDURAL HEMATOMA
Which of the following groups of findings represents Cushing's phenomenon? - Answer: BRADYCARDIA
,ABNORMAL RESPIRATORY PATTERN
ELEVATED BLOOD PRESSURE
Your patient is a 32 year old female who was thrown from a horse and struck her head on the ground.
She was not wearing a helmet. She does not respond verbally or open her eyes to painful stimuli, but
responds to painful stimuli with decerebrate posturing. Her right pupil is dilated and does not react to
light. Her respirations are 6 per minute and irregular, pulse 56, blood pressure 188/98. You should
ventilate the patient at a rate of? - Answer: 20 BPM.
A burn with reddened, glistening base that may have blisters is most characteristic of a - Answer:
SECOND degree burn.
A chemical solution with a pH of 4.0 is considered an ACID and causes damage to the tissues via -
Answer: COAGULATION NECROSIS.
An electrical burn caused by superheated air near the source of electricity is an - Answer: ARC burn.
Your patient is an 82 year old female who was an unrestrained front seat passenger in a motor vehicle
collision. Which of the following is the most reliable indication of shock in this patient? - Answer: LEVEL
OF CONSCIOUSNESS.
Which of the following findings is not expected in assessment of a pregnant patient? - Answer: A
DECREASED BLOOD PRESSURE IN THE THIRD TRIMESTER.
Which of the following is contraindicated in the management of a pregnant trauma patient in the third
trimester? - Answer: SUPINE POSITION.
During the assessment of the trauma patient, auscultation of the lung sounds is first performed during: -
Answer: THE PRIMARY SURVEY.
Which of the following is indicated for the prehospital management of a circumferential second degree
burn extending from the wrist to the elbow in a 70 Kg patient? - Answer: A DRY STERILE DRESSING
ANALGESIA
, The preferred fluid for resuscitation of the patient with significant burns is: - Answer: LACTATED
RINGER'S SOLUTION.
Which of the following is the most common cause of spinal injuries? - Answer: MOTOR VEHICLE
COLLISIONS.
Hypotension in hemothorax is associated with: - Answer: THE ABILITY OF EACH SIDE OF THE THORAX TO
HOLD UP TO 3 LITERS OF BLOOD.
Cardiac tamponade is suspected with the findings of muffled heart sounds___________,
and___________ known as___________. - Answer: JUGULAR VEIN DISTENTION, and HYPOTENSION,
known as BECK'S TRIAD.
When administering isotonic crystalloid solution, about ___________ will remain in the vascular system
after 1 hour. - Answer: ONE-THIRD
PASG is contraindicated in patients with - Answer: CHEST TRAUMA.
The greatest threat to life from injury to hollow abdominal organ is - Answer: PERITONITIS.
IV fluids administered to patients in shock should be _______ in order to ______________
______________. - Answer: WARM, PREVENT HYPOTHERMIA.
During pregnancy, signs and symptoms of shock may appear _______ due to an _________ in maternal
blood volume. - Answer: LATER, INCREASE
A fractured femur can result in___________________mL of hemorrhage. - Answer: 1000 TO 2000
A male patient suffered a stab wound to his left flank. He is found to be in stage III shock. During the 25
minute transport to the trauma center, intravenous fluids should be administered at a rate sufficient to
maintain a: - Answer: SYSTOLIC BP OF 80 TO 90.
