PHTLS POST TEST 9TH EDITION
CERTIFICATION EVALUATION TEST BANK
2026 80 PLUS TESTED QUESTIONS AND
SOLUTIONS EXAMPREP
⩥ The single most important factor in determining the potential for
injury due to energy exchange is: Answer: Velocity of the bodies
involved
⩥ In the management of shock, isotonic crystalloid solutions, such as
Ringer's, are preferred because: Answer: These solutions will stay in the
vascular space longer than water solutions, such as D5W
⩥ With respect to the distance of a fall, which of the following is a
guideline for determining a critical fall? Answer: 3 times the height of
the patient
⩥ The phase of an explosion, or blast, in which hollow organs are
squeezed and may rupture is called the __________ phase. Answer:
Primary phase
⩥ During the primary survey and management of a trauma patient, the E
in ABCDE stands for _________? Answer: Expose/Environment
,⩥ The time in which surgical intervention can make a difference in
patient outcome is the __________? Answer: Golden period (hour)
⩥ 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 _________?
Answer: 10 minutes
⩥ In which of the following situations is the use of a short spinal
immobilization device indicated? Answer: 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? Answer: Prior to being removed from the vehicle
⩥ Which of the following represents adequate spontaneous ventilation in
an adult? Answer: Tidal volume 600 mL, ventilatory rate 12/minute
⩥ Which of the following is 100% accurate in verifying endotracheal
tube placement? Answer: None of the above
,⩥ When utilizing percutaneous transtracheal ventilation, the correct
ration of lung inflation to lung inflation time, in seconds, is: Answer: 1:4
⩥ Which of the following is a possible complication of using a manually
triggered oxygen powered device for ventilation? Answer: All of the
above
⩥ Which of the following procedures is considered an essential airway
Answer: Insertion of an oropharyngeal airway
⩥ Pericardial tamponade is most likely to occur in which of the
following situations? Answer: Stab wound to the chest
⩥ Which of the following is the preferred site for needle decompression
of a tension pneumothorax? Answer: 2nd intercostal space,
midclavicular line, just over top of the 3rd rib
⩥ Which of the following is the mechanism by which pulmonary
contusion interferes with oxygenation? Answer: Blood and fluid in the
alveoli and interstitial spaces of the lung
⩥ 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? Answer: 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 Answer:
Ruptured diaphragm
⩥ Which of the following is NOT a component of the Fick principle?
Answer: Adequate number of platelets in the blood
⩥ One of the earliest signs of hypovolemic shock Answer: Anxiety
⩥ Which of the following characterizes the washout phase of shock?
Answer: 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? Answer: Spinal cord injury
CERTIFICATION EVALUATION TEST BANK
2026 80 PLUS TESTED QUESTIONS AND
SOLUTIONS EXAMPREP
⩥ The single most important factor in determining the potential for
injury due to energy exchange is: Answer: Velocity of the bodies
involved
⩥ In the management of shock, isotonic crystalloid solutions, such as
Ringer's, are preferred because: Answer: These solutions will stay in the
vascular space longer than water solutions, such as D5W
⩥ With respect to the distance of a fall, which of the following is a
guideline for determining a critical fall? Answer: 3 times the height of
the patient
⩥ The phase of an explosion, or blast, in which hollow organs are
squeezed and may rupture is called the __________ phase. Answer:
Primary phase
⩥ During the primary survey and management of a trauma patient, the E
in ABCDE stands for _________? Answer: Expose/Environment
,⩥ The time in which surgical intervention can make a difference in
patient outcome is the __________? Answer: Golden period (hour)
⩥ 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 _________?
Answer: 10 minutes
⩥ In which of the following situations is the use of a short spinal
immobilization device indicated? Answer: 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? Answer: Prior to being removed from the vehicle
⩥ Which of the following represents adequate spontaneous ventilation in
an adult? Answer: Tidal volume 600 mL, ventilatory rate 12/minute
⩥ Which of the following is 100% accurate in verifying endotracheal
tube placement? Answer: None of the above
,⩥ When utilizing percutaneous transtracheal ventilation, the correct
ration of lung inflation to lung inflation time, in seconds, is: Answer: 1:4
⩥ Which of the following is a possible complication of using a manually
triggered oxygen powered device for ventilation? Answer: All of the
above
⩥ Which of the following procedures is considered an essential airway
Answer: Insertion of an oropharyngeal airway
⩥ Pericardial tamponade is most likely to occur in which of the
following situations? Answer: Stab wound to the chest
⩥ Which of the following is the preferred site for needle decompression
of a tension pneumothorax? Answer: 2nd intercostal space,
midclavicular line, just over top of the 3rd rib
⩥ Which of the following is the mechanism by which pulmonary
contusion interferes with oxygenation? Answer: Blood and fluid in the
alveoli and interstitial spaces of the lung
⩥ 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? Answer: 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 Answer:
Ruptured diaphragm
⩥ Which of the following is NOT a component of the Fick principle?
Answer: Adequate number of platelets in the blood
⩥ One of the earliest signs of hypovolemic shock Answer: Anxiety
⩥ Which of the following characterizes the washout phase of shock?
Answer: 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? Answer: Spinal cord injury
