PHTLS Pre & Post Test, ATLS exam
The displacement of tissue away from
the path of a projectile, both temporarily
and permanently, is known as:
B. Cavitation
A. Conization
B. Cavitation
C. Crepitation
D. Contusion
The single most important factor in de-
termining the potential for injury due to
energy exchange is:
B. Velocity of the bodies involved
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
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 C. These solutions will stay in the vas-
B. These fluids draw interstitial fluid into cular space longer than water solutions,
the vascular space to enhance volume such as D5W
C. These solutions will stay in the vas-
cular space longer than water solutions,
such as D5W
D. Their pH enhance oxygen delivery to
the tissues
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
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
, PHTLS Pre & Post Test, ATLS exam
The phase of an explosion, or blast, in
which hollow organs are squeezed and
may rupture is called the __________
phase.
D. Primary phase
A. Tertiary phase
B. Quaternary phase
C. Secondary phase
D. Primary phase
During the primary survey and man-
agement of a trauma patient, the E in
ABCDE stands for _________?
C. Expose/Environment
A. Edema
B. Eyes & ears
C. Expose/Environment
D. Electrical therapy
The time in which surgical intervention
can make a difference in patient outcome
is the __________?
A. Golden period (hour)
A. Golden period
B. Golden time
C. Golden era
D. Golden minutes
In the absence of extenuating circum-
stances, the maximum amount of time
it should take to identify and manage
immediate threats to life, prepare the pa-
tient for transport and begin transport is
_________? B. 10 minutes
A. 5 minutes
B. 10 minutes
C. 15 minutes
D. 30 minutes
In which of the following situations is the
use of a short spinal immobilization de-
, PHTLS Pre & Post Test, ATLS exam
vice 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 D. None of the above
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
Your patient is a 32 year old man, re-
strained driver of a vehicle that has been
involved in a frontal impact with a con-
crete bridge abutment. The patient is
awake, but has difficulty answering ques-
tions 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 B. Prior to being removed from the vehi-
checked? cle
A. As soon as he is removed from the
vehicle
B. Prior to being removed from the vehi-
cle
C. As soon as he is immobilized on a long
backboard
D. Enroute to the trauma center
Which of the following represents ad-
equate spontaneous ventilation in an
adult?
, PHTLS Pre & Post Test, ATLS exam
A. Tidal volume 100 mL, ventilatory rate
40/minute
B. Tidal volume 500 mL, ventilatory rate
D. Tidal volume 600 mL, ventilatory rate
8/minute
12/minute
C. Tidal volume 300 mL, ventilatory rate
16/minute
D. Tidal volume 600 mL, ventilatory rate
12/minute
Which of the following is 100% accu-
rate in verifying endotracheal tube place-
ment? D. None of the above....(added info by
ang: to verify you need breath sounds,
A. Pulse oximetry condensation in the tube and a confirma-
B. End-tidal capnometry tory CXR)
C. Syringe aspiration
D. None of the above
When utilizing percutaneous transtra-
cheal ventilation, the correct ration of
lung inflation to lung inflation time, in sec-
onds, is:
A. 1:4
A. 1:4
B. 1:5
C. 1:2
D. 2:2
Which of the following is a possible com-
plication of using a manually triggered
oxygen powered device for ventilation?
D. All of the above
A. Gastric distention
B. Pneumothorax
C. Inability to feel lung compliance
D. All of the above
Which of the following procedures is con-
sidered an essential airway skill?
C. Insertion of an oropharyngeal airway
A. Needle cricothyroidotomy
The displacement of tissue away from
the path of a projectile, both temporarily
and permanently, is known as:
B. Cavitation
A. Conization
B. Cavitation
C. Crepitation
D. Contusion
The single most important factor in de-
termining the potential for injury due to
energy exchange is:
B. Velocity of the bodies involved
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
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 C. These solutions will stay in the vas-
B. These fluids draw interstitial fluid into cular space longer than water solutions,
the vascular space to enhance volume such as D5W
C. These solutions will stay in the vas-
cular space longer than water solutions,
such as D5W
D. Their pH enhance oxygen delivery to
the tissues
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
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
, PHTLS Pre & Post Test, ATLS exam
The phase of an explosion, or blast, in
which hollow organs are squeezed and
may rupture is called the __________
phase.
D. Primary phase
A. Tertiary phase
B. Quaternary phase
C. Secondary phase
D. Primary phase
During the primary survey and man-
agement of a trauma patient, the E in
ABCDE stands for _________?
C. Expose/Environment
A. Edema
B. Eyes & ears
C. Expose/Environment
D. Electrical therapy
The time in which surgical intervention
can make a difference in patient outcome
is the __________?
A. Golden period (hour)
A. Golden period
B. Golden time
C. Golden era
D. Golden minutes
In the absence of extenuating circum-
stances, the maximum amount of time
it should take to identify and manage
immediate threats to life, prepare the pa-
tient for transport and begin transport is
_________? B. 10 minutes
A. 5 minutes
B. 10 minutes
C. 15 minutes
D. 30 minutes
In which of the following situations is the
use of a short spinal immobilization de-
, PHTLS Pre & Post Test, ATLS exam
vice 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 D. None of the above
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
Your patient is a 32 year old man, re-
strained driver of a vehicle that has been
involved in a frontal impact with a con-
crete bridge abutment. The patient is
awake, but has difficulty answering ques-
tions 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 B. Prior to being removed from the vehi-
checked? cle
A. As soon as he is removed from the
vehicle
B. Prior to being removed from the vehi-
cle
C. As soon as he is immobilized on a long
backboard
D. Enroute to the trauma center
Which of the following represents ad-
equate spontaneous ventilation in an
adult?
, PHTLS Pre & Post Test, ATLS exam
A. Tidal volume 100 mL, ventilatory rate
40/minute
B. Tidal volume 500 mL, ventilatory rate
D. Tidal volume 600 mL, ventilatory rate
8/minute
12/minute
C. Tidal volume 300 mL, ventilatory rate
16/minute
D. Tidal volume 600 mL, ventilatory rate
12/minute
Which of the following is 100% accu-
rate in verifying endotracheal tube place-
ment? D. None of the above....(added info by
ang: to verify you need breath sounds,
A. Pulse oximetry condensation in the tube and a confirma-
B. End-tidal capnometry tory CXR)
C. Syringe aspiration
D. None of the above
When utilizing percutaneous transtra-
cheal ventilation, the correct ration of
lung inflation to lung inflation time, in sec-
onds, is:
A. 1:4
A. 1:4
B. 1:5
C. 1:2
D. 2:2
Which of the following is a possible com-
plication of using a manually triggered
oxygen powered device for ventilation?
D. All of the above
A. Gastric distention
B. Pneumothorax
C. Inability to feel lung compliance
D. All of the above
Which of the following procedures is con-
sidered an essential airway skill?
C. Insertion of an oropharyngeal airway
A. Needle cricothyroidotomy
