PHTLS PRE & POST TEST PREPARE WITH CONFIDENCE
USING THE LATEST EXAM QUESTIONS AND DETAILED
RATIONALES—DESIGNED TO REFLECT THE CURRENT EXAM
AND SUPPORT YOUR SUCCESS.
Your patient is a 55 year old male who was struck in the right side of the chest with a piece of steel pipe.
He presents with uncooperative behavior, his skin is pale and moist, the ventilatory rate is 32, there is a
weak radial pulse of 112, and breath sounds are decreased on the right side. The trachea is midline and
jugular veins are flat while the patient is supine. There is isolated crepitus over the 4th and 5th ribs in
the midaxillary line on the patient's right side. Based on the mechanism of injury and the assessment
findings, which of the following is the most likely cause of the patient's signs and symptoms?
A. Tension pneumothorax
B. Simple pneumothorax
C. Pulmonary contusion
D. Hemothorax - correct answer✨✔✔ .D. Hemothorax
Deterioration of ventilation and oxygenation after inflation of a PASG in a patient who has sustained a
high-pressure compression injury of the abdomen, such as a sudden deceleration with the lap belt
placed across the abdomen, most likely represents which of the following injuries?
A. Abdominal aortic aneurysm
B. Ruptured diaphragm
C. Ruptured esophagus
D. "Paper bag" syndrome of the lungs - correct answer✨✔✔ .B. Ruptured diaphragm
Which of the following is NOT a component of the Fick Principle?
USING THE LATEST EXAM QUESTIONS AND DETAILED
RATIONALES—DESIGNED TO REFLECT THE CURRENT EXAM
AND SUPPORT YOUR SUCCESS.
Your patient is a 55 year old male who was struck in the right side of the chest with a piece of steel pipe.
He presents with uncooperative behavior, his skin is pale and moist, the ventilatory rate is 32, there is a
weak radial pulse of 112, and breath sounds are decreased on the right side. The trachea is midline and
jugular veins are flat while the patient is supine. There is isolated crepitus over the 4th and 5th ribs in
the midaxillary line on the patient's right side. Based on the mechanism of injury and the assessment
findings, which of the following is the most likely cause of the patient's signs and symptoms?
A. Tension pneumothorax
B. Simple pneumothorax
C. Pulmonary contusion
D. Hemothorax - correct answer✨✔✔ .D. Hemothorax
Deterioration of ventilation and oxygenation after inflation of a PASG in a patient who has sustained a
high-pressure compression injury of the abdomen, such as a sudden deceleration with the lap belt
placed across the abdomen, most likely represents which of the following injuries?
A. Abdominal aortic aneurysm
B. Ruptured diaphragm
C. Ruptured esophagus
D. "Paper bag" syndrome of the lungs - correct answer✨✔✔ .B. Ruptured diaphragm
Which of the following is NOT a component of the Fick Principle?
