PHTLS LATEST EXAMS COMPREHENSIVE QUESTIONS
AND ANSWERS SURE A+
✔✔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.
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
✔✔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
✔✔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
✔✔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
✔✔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 - ✔✔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 - ✔✔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
D. Retrograde endotracheal intubation - ✔✔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
AND ANSWERS SURE A+
✔✔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.
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
✔✔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
✔✔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
✔✔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
✔✔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 - ✔✔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 - ✔✔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
D. Retrograde endotracheal intubation - ✔✔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
