PHTLS Pre & Post Test 9th Edition
1. The displacement of tissue away from the path of a projectile, both
temporarily and permanently,
is known as:
A. Conization
B. Cavitation
C. Crepitation
D. Contusion
2. The single most important factor in determining the potential for injury
due to energy exchange is:
A. Mass of the bodies involved
B. Velocity of the bodies involved
C. Density of the tissues involved
D. Surface area of the impact involved
3. In the management of shock, isotonic crystalloid solutions, such as
Ringer's, are preferred
because:
A. The protein molecules in crystalloid solutions act as volume expanders
B. These fluids draw interstitial fluid into the vascular space to enhance
volume
C. These solutions will stay in the vascular space longer than water solutions,
such as D5W
D. Their pH enhance oxygen delivery to the tissues
4. With respect to the distance of a fall, which of the following is a guideline
for determining a
critical fall?
A. 3 times the height of the patient
B. 2 times the height of the patient
C. 5 times the height of the patient
D. 1 ½ times the height of the patient
5. The phase of an explosion, or blast, in which hollow organs are squeezed
and may rupture is
called the phase.
A. Tertiary phase
B. Quaternary phase
C. Secondary phase
D. Primary phase
6. During the primary survey and management of a trauma patient, the E in
ABCDE stands for?
,A. Edema
B. Eyes & ears
C. Expose/Environment
D. Electrical therapy
7. The time in which surgical intervention can make a difference in patient
outcome is the?
A. Golden period
B. Golden time
C. Golden era
D. Golden minutes
8. In the absence of extenuating circumstances, the maximum amount of
time it should take to
identify and manage immediate threats to life, prepare the patient for
transport and begin
transport is?
A. 5 minutes
B. 10 minutes
C. 15 minutes
D. 30 minutes
9. In which of the following situations is the use of a short spinal
immobilization device indicated?
A. 28 year old male, unrestrained driver in a frontal impact crash. Awake,
asks repeatedly what
happened, complains of a headache, has a hematoma on his forehead. BP
122/84, HR 92, VR 20.
B. 40 year old female who was pushed down a flight of stairs and is lying
prone on the landing
between two flights of stairs, complaining of back pain. BP 118/78, HR 100,
VR 20.
C. 17 year old female, restrained driver in a frontal impact crash. Awake,
pale and diaphoretic,
complains of upper right quadrant abdominal pain. BP 100/70, HR 108, VR
20.
D. None of the above.
10. Your patient is a 32 year old man, restrained driver of a vehicle that has
been involved in a
frontal impact with a concrete bridge abutment. The patient is awake, but
has difficulty
answering questions due to shortness of breath. His ventilatory rate is 30 per
minute. Of the
following choices, when is the first time the patient's breath sounds should
be checked?
, A. As soon as he is removed from the vehicle
B. Prior to being removed from the vehicle
C. As soon as he is immobilized on a long backboard
D. Enroute to the trauma center
11. Which of the following represents adequate spontaneous ventilation in an
adult?
oARcPSD|5079866
A. Tidal volume 100 mL, ventilatory rate 40/minute
B. Tidal volume 500 mL, ventilatory rate 8/minute
C. Tidal volume 300 mL, ventilatory rate 16/minute
D. Tidal volume 600 mL, ventilatory rate 12/minute
12. Which of the following is 100% accurate in verifying endotracheal tube
placement?
A. Pulse oximetry
B. End-tidal capnometry
C. Syringe aspiration
D. None of the above
13. When utilizing percutaneous transtracheal ventilation, the correct ration
of lung inflation to lung inflation time, in seconds, is:
A. 1:4
B. 1:5
C. 1:2
D. 2:2
14. Which of the following is a possible complication of using a manually
triggered oxygen powered device for ventilation?
A. Gastric distention
B. Pneumothorax
C. Inability to feel lung compliance
D. All of the above
15. Which of the following procedures is considered an essential airway skill?
A. Needle cricothyroidotomy
B. Endotracheal intubation
C. Insertion of an oropharyngeal airway
D. Retrograde endotracheal intubation
16. Pericardial tamponade is most likely to occur in which of the following
situations?
A. Stab wound to the chest
B. Fall from a height
C. Frontal impact vehicle crash
D. Gunshot wound to the chest
1. The displacement of tissue away from the path of a projectile, both
temporarily and permanently,
is known as:
A. Conization
B. Cavitation
C. Crepitation
D. Contusion
2. The single most important factor in determining the potential for injury
due to energy exchange is:
A. Mass of the bodies involved
B. Velocity of the bodies involved
C. Density of the tissues involved
D. Surface area of the impact involved
3. In the management of shock, isotonic crystalloid solutions, such as
Ringer's, are preferred
because:
A. The protein molecules in crystalloid solutions act as volume expanders
B. These fluids draw interstitial fluid into the vascular space to enhance
volume
C. These solutions will stay in the vascular space longer than water solutions,
such as D5W
D. Their pH enhance oxygen delivery to the tissues
4. With respect to the distance of a fall, which of the following is a guideline
for determining a
critical fall?
A. 3 times the height of the patient
B. 2 times the height of the patient
C. 5 times the height of the patient
D. 1 ½ times the height of the patient
5. The phase of an explosion, or blast, in which hollow organs are squeezed
and may rupture is
called the phase.
A. Tertiary phase
B. Quaternary phase
C. Secondary phase
D. Primary phase
6. During the primary survey and management of a trauma patient, the E in
ABCDE stands for?
,A. Edema
B. Eyes & ears
C. Expose/Environment
D. Electrical therapy
7. The time in which surgical intervention can make a difference in patient
outcome is the?
A. Golden period
B. Golden time
C. Golden era
D. Golden minutes
8. In the absence of extenuating circumstances, the maximum amount of
time it should take to
identify and manage immediate threats to life, prepare the patient for
transport and begin
transport is?
A. 5 minutes
B. 10 minutes
C. 15 minutes
D. 30 minutes
9. In which of the following situations is the use of a short spinal
immobilization device indicated?
A. 28 year old male, unrestrained driver in a frontal impact crash. Awake,
asks repeatedly what
happened, complains of a headache, has a hematoma on his forehead. BP
122/84, HR 92, VR 20.
B. 40 year old female who was pushed down a flight of stairs and is lying
prone on the landing
between two flights of stairs, complaining of back pain. BP 118/78, HR 100,
VR 20.
C. 17 year old female, restrained driver in a frontal impact crash. Awake,
pale and diaphoretic,
complains of upper right quadrant abdominal pain. BP 100/70, HR 108, VR
20.
D. None of the above.
10. Your patient is a 32 year old man, restrained driver of a vehicle that has
been involved in a
frontal impact with a concrete bridge abutment. The patient is awake, but
has difficulty
answering questions due to shortness of breath. His ventilatory rate is 30 per
minute. Of the
following choices, when is the first time the patient's breath sounds should
be checked?
, A. As soon as he is removed from the vehicle
B. Prior to being removed from the vehicle
C. As soon as he is immobilized on a long backboard
D. Enroute to the trauma center
11. Which of the following represents adequate spontaneous ventilation in an
adult?
oARcPSD|5079866
A. Tidal volume 100 mL, ventilatory rate 40/minute
B. Tidal volume 500 mL, ventilatory rate 8/minute
C. Tidal volume 300 mL, ventilatory rate 16/minute
D. Tidal volume 600 mL, ventilatory rate 12/minute
12. Which of the following is 100% accurate in verifying endotracheal tube
placement?
A. Pulse oximetry
B. End-tidal capnometry
C. Syringe aspiration
D. None of the above
13. When utilizing percutaneous transtracheal ventilation, the correct ration
of lung inflation to lung inflation time, in seconds, is:
A. 1:4
B. 1:5
C. 1:2
D. 2:2
14. Which of the following is a possible complication of using a manually
triggered oxygen powered device for ventilation?
A. Gastric distention
B. Pneumothorax
C. Inability to feel lung compliance
D. All of the above
15. Which of the following procedures is considered an essential airway skill?
A. Needle cricothyroidotomy
B. Endotracheal intubation
C. Insertion of an oropharyngeal airway
D. Retrograde endotracheal intubation
16. Pericardial tamponade is most likely to occur in which of the following
situations?
A. Stab wound to the chest
B. Fall from a height
C. Frontal impact vehicle crash
D. Gunshot wound to the chest
