PHTLS Pre & Post Test, ATLS exam
1. The displacement of tissue away from the path of B. Cavitation
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 B. Velocity of the bodies in-
potential for injury due to energy exchange is: volved
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 so- C. These solutions will stay
lutions, such as Ringer's, are preferred because: in the vascular space longer
than water solutions, such as
A. The protein molecules in crystalloid solutions act D5W
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 A. 3 times the height of the
following is a guideline for determining a critical fall? patient
A. 3 times the height of the patient
B. 2 times the height of the patient
, PHTLS Pre & Post Test, ATLS exam
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 D. Primary phase
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 C. Expose/Environment
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 A. Golden period (hour)
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 B. 10 minutes
maximum amount of time it should take to identi-
fy and manage immediate threats to life, prepare
the patient for transport and begin transport is
_________?
, PHTLS Pre & Post Test, ATLS exam
A. 5 minutes
B. 10 minutes
C. 15 minutes
D. 30 minutes
9. In which of the following situations is the use of a D. None of the above
short spinal immobilization device indicated?
A. 28 year old male, unrestrained driver in a frontal
impact crash. Awake, asks repeatedly what hap-
pened, 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, com-
plains 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 dri- B. Prior to being removed
ver of a vehicle that has been involved in a frontal from the vehicle
impact with a concrete bridge abutment. The pa-
tient 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
, PHTLS Pre & Post Test, ATLS exam
C. As soon as he is immobilized on a long backboard
D. Enroute to the trauma center
11. Which of the following represents adequate sponta- D. Tidal volume 600 mL, ven-
neous ventilation in an adult? tilatory rate 12/minute
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 D. None of the
endotracheal tube placement? above....(added info by ang:
to verify you need breath
A. Pulse oximetry sounds, condensation in the
B. End-tidal capnometry tube and a confirmatory
C. Syringe aspiration CXR)
D. None of the above
13. When utilizing percutaneous transtracheal ventila- A. 1:4
tion, the correct ration of lung inflation to lung infla-
tion 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 D. All of the above
using a manually triggered oxygen powered device
for ventilation?
A. Gastric distention
1. The displacement of tissue away from the path of B. Cavitation
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 B. Velocity of the bodies in-
potential for injury due to energy exchange is: volved
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 so- C. These solutions will stay
lutions, such as Ringer's, are preferred because: in the vascular space longer
than water solutions, such as
A. The protein molecules in crystalloid solutions act D5W
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 A. 3 times the height of the
following is a guideline for determining a critical fall? patient
A. 3 times the height of the patient
B. 2 times the height of the patient
, PHTLS Pre & Post Test, ATLS exam
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 D. Primary phase
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 C. Expose/Environment
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 A. Golden period (hour)
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 B. 10 minutes
maximum amount of time it should take to identi-
fy and manage immediate threats to life, prepare
the patient for transport and begin transport is
_________?
, PHTLS Pre & Post Test, ATLS exam
A. 5 minutes
B. 10 minutes
C. 15 minutes
D. 30 minutes
9. In which of the following situations is the use of a D. None of the above
short spinal immobilization device indicated?
A. 28 year old male, unrestrained driver in a frontal
impact crash. Awake, asks repeatedly what hap-
pened, 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, com-
plains 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 dri- B. Prior to being removed
ver of a vehicle that has been involved in a frontal from the vehicle
impact with a concrete bridge abutment. The pa-
tient 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
, PHTLS Pre & Post Test, ATLS exam
C. As soon as he is immobilized on a long backboard
D. Enroute to the trauma center
11. Which of the following represents adequate sponta- D. Tidal volume 600 mL, ven-
neous ventilation in an adult? tilatory rate 12/minute
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 D. None of the
endotracheal tube placement? above....(added info by ang:
to verify you need breath
A. Pulse oximetry sounds, condensation in the
B. End-tidal capnometry tube and a confirmatory
C. Syringe aspiration CXR)
D. None of the above
13. When utilizing percutaneous transtracheal ventila- A. 1:4
tion, the correct ration of lung inflation to lung infla-
tion 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 D. All of the above
using a manually triggered oxygen powered device
for ventilation?
A. Gastric distention
