PHTLS Pre & Post Test, ATLS exam
Study online at https://quizlet.com/_e6092p
1. The displacement of tissue away from the path of a projectile, both temporar-
ily and permanently, is known as:
A. Conization
B. Cavitation
C. Crepitation
D. Contusion: B. Cavitation
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: B. Velocity of the bodies 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: C. These solutions will stay in the vascular
space longer than water solutions, such as D5W
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: A. 3 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.
, PHTLS Pre & Post Test, ATLS exam
Study online at https://quizlet.com/_e6092p
A. Tertiary phase
B. Quaternary phase
C. Secondary phase
D. Primary 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: C. Expose/Environment
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: A. Golden period (hour)
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: B. 10 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.
, PHTLS Pre & Post Test, ATLS exam
Study online at https://quizlet.com/_e6092p
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: 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: B. Prior to being removed from the vehicle
11. 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: 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: D. None of the above....(added info by ang: to verify you need breath sounds,
condensation in the tube and a confirmatory CXR)
Study online at https://quizlet.com/_e6092p
1. The displacement of tissue away from the path of a projectile, both temporar-
ily and permanently, is known as:
A. Conization
B. Cavitation
C. Crepitation
D. Contusion: B. Cavitation
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: B. Velocity of the bodies 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: C. These solutions will stay in the vascular
space longer than water solutions, such as D5W
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: A. 3 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.
, PHTLS Pre & Post Test, ATLS exam
Study online at https://quizlet.com/_e6092p
A. Tertiary phase
B. Quaternary phase
C. Secondary phase
D. Primary 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: C. Expose/Environment
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: A. Golden period (hour)
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: B. 10 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.
, PHTLS Pre & Post Test, ATLS exam
Study online at https://quizlet.com/_e6092p
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: 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: B. Prior to being removed from the vehicle
11. 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: 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: D. None of the above....(added info by ang: to verify you need breath sounds,
condensation in the tube and a confirmatory CXR)
