PHTLS POST TEST 9TH FINAL EXAM
QUESTIONS & ANSWERS
1. The displacement of tissue away from the path of a projectile, both
temporarily and permanently, is known as:
- CORRECT ANSWER ✔✔ - Cavitation
2. The single most important factor in determining the potential for injury due
to energy exchange is: - CORRECT ANSWER ✔✔ - Velocity of the bodies
involved
3. In the management of shock, isotonic crystalloid solutions, such as Ringer's,
are preferred because:
- CORRECT ANSWER ✔✔ - 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?
- CORRECT ANSWER ✔✔ - 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.
- CORRECT ANSWER ✔✔ - Primary phase
6. During the primary survey and management of a trauma patient, the E in
ABCDE stands for _________?
- CORRECT ANSWER ✔✔ - Expose/Environment
7. The time in which surgical intervention can make a difference in patient
outcome is the __________?
- CORRECT ANSWER ✔✔ - 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 _________?
- CORRECT ANSWER ✔✔ - 10 minutes
, 9. In which of the following situations is the use of a short spinal
immobilization device indicated?
- CORRECT ANSWER ✔✔ - 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?
- CORRECT ANSWER ✔✔ - Prior to being removed from the vehicle
11.Which of the following represents adequate spontaneous ventilation in an
adult?
- CORRECT ANSWER ✔✔ - Tidal volume 600 mL, ventilatory rate
12/minute
12.Which of the following is 100% accurate in verifying endotracheal tube
placement?
- CORRECT ANSWER ✔✔ - None of the above
13.When utilizing percutaneous transtracheal ventilation, the correct ration of
lung inflation to lung inflation time, in seconds, is:
- CORRECT ANSWER ✔✔ - 1:4
14.Which of the following is a possible complication of using a manually
triggered oxygen powered device for ventilation?
- CORRECT ANSWER ✔✔ - All of the above
15.Which of the following procedures is considered an essential airway -
CORRECT ANSWER ✔✔ - Insertion of an oropharyngeal airway
16.Pericardial tamponade is most likely to occur in which of the following
situations?
- CORRECT ANSWER ✔✔ - Stab wound to the chest
17.Which of the following is the preferred site for needle decompression of a
tension pneumothorax?
QUESTIONS & ANSWERS
1. The displacement of tissue away from the path of a projectile, both
temporarily and permanently, is known as:
- CORRECT ANSWER ✔✔ - Cavitation
2. The single most important factor in determining the potential for injury due
to energy exchange is: - CORRECT ANSWER ✔✔ - Velocity of the bodies
involved
3. In the management of shock, isotonic crystalloid solutions, such as Ringer's,
are preferred because:
- CORRECT ANSWER ✔✔ - 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?
- CORRECT ANSWER ✔✔ - 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.
- CORRECT ANSWER ✔✔ - Primary phase
6. During the primary survey and management of a trauma patient, the E in
ABCDE stands for _________?
- CORRECT ANSWER ✔✔ - Expose/Environment
7. The time in which surgical intervention can make a difference in patient
outcome is the __________?
- CORRECT ANSWER ✔✔ - 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 _________?
- CORRECT ANSWER ✔✔ - 10 minutes
, 9. In which of the following situations is the use of a short spinal
immobilization device indicated?
- CORRECT ANSWER ✔✔ - 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?
- CORRECT ANSWER ✔✔ - Prior to being removed from the vehicle
11.Which of the following represents adequate spontaneous ventilation in an
adult?
- CORRECT ANSWER ✔✔ - Tidal volume 600 mL, ventilatory rate
12/minute
12.Which of the following is 100% accurate in verifying endotracheal tube
placement?
- CORRECT ANSWER ✔✔ - None of the above
13.When utilizing percutaneous transtracheal ventilation, the correct ration of
lung inflation to lung inflation time, in seconds, is:
- CORRECT ANSWER ✔✔ - 1:4
14.Which of the following is a possible complication of using a manually
triggered oxygen powered device for ventilation?
- CORRECT ANSWER ✔✔ - All of the above
15.Which of the following procedures is considered an essential airway -
CORRECT ANSWER ✔✔ - Insertion of an oropharyngeal airway
16.Pericardial tamponade is most likely to occur in which of the following
situations?
- CORRECT ANSWER ✔✔ - Stab wound to the chest
17.Which of the following is the preferred site for needle decompression of a
tension pneumothorax?
