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PHTLS PRE AND POST TEST NEWEST 2025
ACTUAL EXAM COMPLETE 160 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+|BRAND NEW!!
PHTLS PRE AND POST TEST
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, his skin is pale and moist, the
ventilatory rate is 32, there is a weak radial pulse of 112, and
breath sounds are decreased on the right side. The trachea is
midline and jugular veins are flat while the patient is supine.
There is isolated crepitus over the 4th and 5th ribs in the
midaxillary line on the patient's right side. Based on the
mechanism of injury and the assessment findings, which of the
following is the most likely cause of the patient's signs and
symptoms?
A. Tension pneumothorax
B. Simple pneumothorax
C. Pulmonary contusion
,2|Page
D. Hemothorax - CORRECT ANSWER-D. Hemothorax
Deterioration of ventilation and oxygenation after inflation of a
PASG in a patient who has sustained a high-pressure
compression injury of the abdomen, such as a sudden
deceleration with the lap belt placed across the abdomen, most
likely represents which of the following injuries?
A. Abdominal aortic aneurysm
B. Ruptured diaphragm
C. Ruptured esophagus
D. "Paper bag" syndrome of the lungs - CORRECT ANSWER-
B. Ruptured diaphragm
Which of the following is NOT a component of the Fick
Principle?
A. Adequate number of platelets in the blood
B. Oxygenation of red blood cells
C. Transportation of red blood cells to the tissues of the body
D. Off-loading oxygen from the red blood cells to the tissues -
CORRECT ANSWER-A. Adequate number of platelets in the
blood
,3|Page
One of the earliest signs of hypovolemic shock is:
A. Hypotension
B. Bradycardia
C. Anxiety
D. Reduced urine output - CORRECT ANSWER-C. Anxiety
Which of the following characterizes the washout phase of
shock?
A. Systemic acidosis
B. Localized tissue acidosis
C. Edema
D. Reduced capillary blood flow - CORRECT ANSWER-A.
Systemic acidosis
A trauma patient who has fallen 20 feet from an apartment
balcony is alert with warm, dry, pink skin, with normal capillary
refilling time to the lower extremities, and is hypotensive. The
upper extremities are cool, pale and diaphoretic. Which of the
following injuries should be suspected?
, 4|Page
A. Aortic dissection
B. Liver laceration
C. Fractured pelvis
D. Spinal cord injury - CORRECT ANSWER-D. Spinal cord
injury
Which of the following is a limitation of prehospital fluid
resuscitation of the patient in hemorrhagic shock?
A. Inability of fluids to carry oxygen
B. Pulmonary edema
C. Increased hemorrhage
D. All of the above - CORRECT ANSWER-D. All of the above
Which of the following statements regarding signs of
intraabdominal injury is NOT true?
A. Fresh blood in the abdominal cavity does not cause signs of
peritonitis
B. A significant amount of blood loss occurs before abdominal
distention can be noticed
C. Substantial intraabdominal hemorrhage always causes
tenderness and abdominal rigidity
PHTLS PRE AND POST TEST NEWEST 2025
ACTUAL EXAM COMPLETE 160 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+|BRAND NEW!!
PHTLS PRE AND POST TEST
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, his skin is pale and moist, the
ventilatory rate is 32, there is a weak radial pulse of 112, and
breath sounds are decreased on the right side. The trachea is
midline and jugular veins are flat while the patient is supine.
There is isolated crepitus over the 4th and 5th ribs in the
midaxillary line on the patient's right side. Based on the
mechanism of injury and the assessment findings, which of the
following is the most likely cause of the patient's signs and
symptoms?
A. Tension pneumothorax
B. Simple pneumothorax
C. Pulmonary contusion
,2|Page
D. Hemothorax - CORRECT ANSWER-D. Hemothorax
Deterioration of ventilation and oxygenation after inflation of a
PASG in a patient who has sustained a high-pressure
compression injury of the abdomen, such as a sudden
deceleration with the lap belt placed across the abdomen, most
likely represents which of the following injuries?
A. Abdominal aortic aneurysm
B. Ruptured diaphragm
C. Ruptured esophagus
D. "Paper bag" syndrome of the lungs - CORRECT ANSWER-
B. Ruptured diaphragm
Which of the following is NOT a component of the Fick
Principle?
A. Adequate number of platelets in the blood
B. Oxygenation of red blood cells
C. Transportation of red blood cells to the tissues of the body
D. Off-loading oxygen from the red blood cells to the tissues -
CORRECT ANSWER-A. Adequate number of platelets in the
blood
,3|Page
One of the earliest signs of hypovolemic shock is:
A. Hypotension
B. Bradycardia
C. Anxiety
D. Reduced urine output - CORRECT ANSWER-C. Anxiety
Which of the following characterizes the washout phase of
shock?
A. Systemic acidosis
B. Localized tissue acidosis
C. Edema
D. Reduced capillary blood flow - CORRECT ANSWER-A.
Systemic acidosis
A trauma patient who has fallen 20 feet from an apartment
balcony is alert with warm, dry, pink skin, with normal capillary
refilling time to the lower extremities, and is hypotensive. The
upper extremities are cool, pale and diaphoretic. Which of the
following injuries should be suspected?
, 4|Page
A. Aortic dissection
B. Liver laceration
C. Fractured pelvis
D. Spinal cord injury - CORRECT ANSWER-D. Spinal cord
injury
Which of the following is a limitation of prehospital fluid
resuscitation of the patient in hemorrhagic shock?
A. Inability of fluids to carry oxygen
B. Pulmonary edema
C. Increased hemorrhage
D. All of the above - CORRECT ANSWER-D. All of the above
Which of the following statements regarding signs of
intraabdominal injury is NOT true?
A. Fresh blood in the abdominal cavity does not cause signs of
peritonitis
B. A significant amount of blood loss occurs before abdominal
distention can be noticed
C. Substantial intraabdominal hemorrhage always causes
tenderness and abdominal rigidity
