PHTLS POST TEST 9TH EDITION LATEST 2024-2025
QUESTIONS AND VERIFIED ANSWERS GRADED A +
The single most important factor in determining the potential for injury due to energy exchange
is:
a. Mass of the bodies involved
b. Velocity of the bodies involved
c. Density of the tissues involved
d. Surface area of the impact involved - ANSWER- B. Velocity of the bodies involved
In the management of shock, isotonic crystalloid solutions, such as Ringer's, are preferred
because:
a. The protein molecules in crystalloid solutions act as volume expanders
b. These fluids draw interstitial fluid into the vascular space to enhance volume
c. These solutions will stay in the vascular space longer than water solutions, such as D5W
d. Their pH enhance oxygen delivery to the tissues - ANSWER- C. 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?
a. 3 times the height of the patient
b. 2 times the height of the patient
c. 5 times the height of the patient
d. 1 ½ times the height of the patient - ANSWER- A. 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.
a. Tertiary phase
b. Quaternary phase
c. Secondary phase
d. Primary phase - ANSWER- D. Primary phase
During the primary survey and management of a trauma patient, the E in ABCDE stands for
?
a. Edema
b. Eyes & ears
c. Expose/Environment
d. Electrical therapy - ANSWER- C. Expose/Environment
,The time in which surgical intervention can make a difference in patient outcome is the ?
a. Golden period
b.Golden time
c. Golden era
d. Golden minutes - ANSWER- A. 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 ?
a. 5 minutes
b. 10 minutes
c. 15 minutes
d. 30 minutes - ANSWER- B. 10 minutes
Of the following, which is the earliest indication of compartment syndrome?
a. Paralysis of the affected muscles
b. Loss of pulses
c. Loss of feeling in the web space between the thumb and index finger or between the first and
second toes
d. Tense swelling of the involved area - ANSWER- D. Tense swelling of the involved area
A traction splint may be used for which of the following injuries?
a. Knee dislocation
b. Pelvic fractures
c. Femur fractures
d. All of the above - ANSWER- C. Femur fractures
Which of the following descriptions meets the criteria for transport to a facility with a burn
unit?a. A 49 year old female with a partial thickness burn from her elbow to her shoulder
b. A 25 year old male with an electrical burn across his chest
c. A 9 year old make with superficial burns on the backs of both legs
d. A 32 year old female with a partial thickness burn about twice the size of her hand on her
back - ANSWER- B. A 25 year old male with an electrical burn across his chest
The preferred method of dressing burns in the prehospital setting is:
a. Dry sterile dressing
b. Moist sterile dressing
c. Wet dressings
d. Petroleum gauze - ANSWER- A. Dry sterile dressing
, In assessing the hypothermic patient in the prehospital setting, the most reliable indicator of the
severity of hypothermia is:
a. Rectal temperature
b. Oral temperature
c. Heart rate < 60
d. Presence or absence of shivering - ANSWER- A. Rectal temperature
Your patient has a deep laceration to his antecubital fossa with significant bleeding. What is the
most appropriate initial action?
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 - ANSWER- 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 - ANSWER- B. Prior to being removed from the vehicle
One of the earliest signs of hypovolemic shock is:
a. Hypotension
b. Bradycardia
c. Anxiety
d. Reduced urine output - ANSWER- C. Anxiety
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
QUESTIONS AND VERIFIED ANSWERS GRADED A +
The single most important factor in determining the potential for injury due to energy exchange
is:
a. Mass of the bodies involved
b. Velocity of the bodies involved
c. Density of the tissues involved
d. Surface area of the impact involved - ANSWER- B. Velocity of the bodies involved
In the management of shock, isotonic crystalloid solutions, such as Ringer's, are preferred
because:
a. The protein molecules in crystalloid solutions act as volume expanders
b. These fluids draw interstitial fluid into the vascular space to enhance volume
c. These solutions will stay in the vascular space longer than water solutions, such as D5W
d. Their pH enhance oxygen delivery to the tissues - ANSWER- C. 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?
a. 3 times the height of the patient
b. 2 times the height of the patient
c. 5 times the height of the patient
d. 1 ½ times the height of the patient - ANSWER- A. 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.
a. Tertiary phase
b. Quaternary phase
c. Secondary phase
d. Primary phase - ANSWER- D. Primary phase
During the primary survey and management of a trauma patient, the E in ABCDE stands for
?
a. Edema
b. Eyes & ears
c. Expose/Environment
d. Electrical therapy - ANSWER- C. Expose/Environment
,The time in which surgical intervention can make a difference in patient outcome is the ?
a. Golden period
b.Golden time
c. Golden era
d. Golden minutes - ANSWER- A. 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 ?
a. 5 minutes
b. 10 minutes
c. 15 minutes
d. 30 minutes - ANSWER- B. 10 minutes
Of the following, which is the earliest indication of compartment syndrome?
a. Paralysis of the affected muscles
b. Loss of pulses
c. Loss of feeling in the web space between the thumb and index finger or between the first and
second toes
d. Tense swelling of the involved area - ANSWER- D. Tense swelling of the involved area
A traction splint may be used for which of the following injuries?
a. Knee dislocation
b. Pelvic fractures
c. Femur fractures
d. All of the above - ANSWER- C. Femur fractures
Which of the following descriptions meets the criteria for transport to a facility with a burn
unit?a. A 49 year old female with a partial thickness burn from her elbow to her shoulder
b. A 25 year old male with an electrical burn across his chest
c. A 9 year old make with superficial burns on the backs of both legs
d. A 32 year old female with a partial thickness burn about twice the size of her hand on her
back - ANSWER- B. A 25 year old male with an electrical burn across his chest
The preferred method of dressing burns in the prehospital setting is:
a. Dry sterile dressing
b. Moist sterile dressing
c. Wet dressings
d. Petroleum gauze - ANSWER- A. Dry sterile dressing
, In assessing the hypothermic patient in the prehospital setting, the most reliable indicator of the
severity of hypothermia is:
a. Rectal temperature
b. Oral temperature
c. Heart rate < 60
d. Presence or absence of shivering - ANSWER- A. Rectal temperature
Your patient has a deep laceration to his antecubital fossa with significant bleeding. What is the
most appropriate initial action?
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 - ANSWER- 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 - ANSWER- B. Prior to being removed from the vehicle
One of the earliest signs of hypovolemic shock is:
a. Hypotension
b. Bradycardia
c. Anxiety
d. Reduced urine output - ANSWER- C. Anxiety
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
