PHTLS
PHTLS PRACTICE TEST EXAM
QUESTIONS WITH VERIFIED
ANSWERS, ALREADY PASSED!
(COMPLETE & ACCURATE)
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 - ANS ✅B. Prior to being removed from the
vehicle
Which of the following represents adequate spontaneous ventilation in an
adult?
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 - ANS ✅D. Tidal volume
600 mL, ventilatory rate 12/minute
1
PHTLS
,PHTLS
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 - ANS ✅D. None of the above
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 - ANS ✅A. 1:4
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 - ANS ✅D. All of the above
Which of the following procedures is considered an essential airway skill?
A. Needle cricothyroidotomy
B. Endotracheal intubation
C. Insertion of an oropharyngeal airway
2
PHTLS
, PHTLS
D. Retrograde endotracheal intubation - ANS ✅C. Insertion of an
oropharyngeal airway
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 - ANS ✅A. Stab wound to the chest
Which of the following is the preferred site for needle decompression of a
tension pneumothorax?
A. 4th intercostal space, midclavicular line, just over the top of the 5th rib
B. 4th intercostal space, midclavicular line, just below the 4th rib
C. 2nd intercostal space, midclavicular line, just over top of the 3rd rib
D. 2nd intercostal space, midclavicular line, just below the 2nd rib - ANS
✅C. 2nd intercostal space, midclavicular line, just over top of the 3rd rib
Which of the following is the mechanism by which pulmonary contusion
interferes with oxygenation?
A. Inability to generate negative intrapleural pressure
B. Decrease in vital capacity due to collapse of the flail segment
C. Increased intrathoracic pressure
D. Blood and fluid in the alveoli and interstitial spaces of the lung - ANS ✅D.
Blood and fluid in the alveoli and interstitial spaces of the lung
Your patient is a 55 year old male who was struck in the right side of the
chest with a piece of steel pipe. He presents with uncooperative behavior,
3
PHTLS
PHTLS PRACTICE TEST EXAM
QUESTIONS WITH VERIFIED
ANSWERS, ALREADY PASSED!
(COMPLETE & ACCURATE)
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 - ANS ✅B. Prior to being removed from the
vehicle
Which of the following represents adequate spontaneous ventilation in an
adult?
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 - ANS ✅D. Tidal volume
600 mL, ventilatory rate 12/minute
1
PHTLS
,PHTLS
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 - ANS ✅D. None of the above
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 - ANS ✅A. 1:4
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 - ANS ✅D. All of the above
Which of the following procedures is considered an essential airway skill?
A. Needle cricothyroidotomy
B. Endotracheal intubation
C. Insertion of an oropharyngeal airway
2
PHTLS
, PHTLS
D. Retrograde endotracheal intubation - ANS ✅C. Insertion of an
oropharyngeal airway
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 - ANS ✅A. Stab wound to the chest
Which of the following is the preferred site for needle decompression of a
tension pneumothorax?
A. 4th intercostal space, midclavicular line, just over the top of the 5th rib
B. 4th intercostal space, midclavicular line, just below the 4th rib
C. 2nd intercostal space, midclavicular line, just over top of the 3rd rib
D. 2nd intercostal space, midclavicular line, just below the 2nd rib - ANS
✅C. 2nd intercostal space, midclavicular line, just over top of the 3rd rib
Which of the following is the mechanism by which pulmonary contusion
interferes with oxygenation?
A. Inability to generate negative intrapleural pressure
B. Decrease in vital capacity due to collapse of the flail segment
C. Increased intrathoracic pressure
D. Blood and fluid in the alveoli and interstitial spaces of the lung - ANS ✅D.
Blood and fluid in the alveoli and interstitial spaces of the lung
Your patient is a 55 year old male who was struck in the right side of the
chest with a piece of steel pipe. He presents with uncooperative behavior,
3
PHTLS
