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PHTLS POST TEST 9TH EDITION
NEWEST EXAM |100 QUESTIONS AND
CORRECT DETAILED ANSWERS
|RATED A+ | NEW AND REVISED
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 - 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
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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 - ANSWER- B. Ruptured
diaphragm
Which of the following is NOT a component of the Fick Principle?
A. Adequate number of platelets in the blood
B. Oxygenation of red blood cells
C. Transportation of red blood cells to the tissues of the body
D. Off-loading oxygen from the red blood cells to the tissues -
ANSWER- A. Adequate number of platelets in the blood
One of the earliest signs of hypovolemic shock is:
A. Hypotension
B. Bradycardia
C. Anxiety
D. Reduced urine output - ANSWER- C. Anxiety
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Which of the following characterizes the washout phase of shock?
A. Systemic acidosis
B. Localized tissue acidosis
C. Edema
D. Reduced capillary blood flow - ANSWER- A. Systemic acidosis
A trauma patient who has fallen 20 feet from an apartment balcony is
alert with warm, dry, pink skin, with normal capillary refilling time to
the lower extremities, and is hypotensive. The upper extremities are
cool, pale and diaphoretic. Which of the following injuries should be
suspected?
A. Aortic dissection
B. Liver laceration
C. Fractured pelvis
D. Spinal cord injury - ANSWER- D. Spinal cord injury
Which of the following is a limitation of prehospital fluid resuscitation
of the patient in hemorrhagic shock?
A. Inability of fluids to carry oxygen
B. Pulmonary edema
C. Increased hemorrhage
D. All of the above - ANSWER- D. All of the above
PHTLS POST TEST 9TH EDITION
NEWEST EXAM |100 QUESTIONS AND
CORRECT DETAILED ANSWERS
|RATED A+ | NEW AND REVISED
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 - 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
,2|Page
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 - ANSWER- B. Ruptured
diaphragm
Which of the following is NOT a component of the Fick Principle?
A. Adequate number of platelets in the blood
B. Oxygenation of red blood cells
C. Transportation of red blood cells to the tissues of the body
D. Off-loading oxygen from the red blood cells to the tissues -
ANSWER- A. Adequate number of platelets in the blood
One of the earliest signs of hypovolemic shock is:
A. Hypotension
B. Bradycardia
C. Anxiety
D. Reduced urine output - ANSWER- C. Anxiety
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Which of the following characterizes the washout phase of shock?
A. Systemic acidosis
B. Localized tissue acidosis
C. Edema
D. Reduced capillary blood flow - ANSWER- A. Systemic acidosis
A trauma patient who has fallen 20 feet from an apartment balcony is
alert with warm, dry, pink skin, with normal capillary refilling time to
the lower extremities, and is hypotensive. The upper extremities are
cool, pale and diaphoretic. Which of the following injuries should be
suspected?
A. Aortic dissection
B. Liver laceration
C. Fractured pelvis
D. Spinal cord injury - ANSWER- D. Spinal cord injury
Which of the following is a limitation of prehospital fluid resuscitation
of the patient in hemorrhagic shock?
A. Inability of fluids to carry oxygen
B. Pulmonary edema
C. Increased hemorrhage
D. All of the above - ANSWER- D. All of the above
