PHTLS 9th Ed. Self-test 2025 with complete solution
A 30 year old male is injured in a terror bombing. He experiences traumatic amputation of his left leg
at knee level. An improvised tourniquet was put in place by bystanders. The victim is conscious and in
severe pain. You first action should be to do which of the following? - ANSWER-Confirm the
tourniquet was properly applied.
Which of the following information is assessed during the secondary survey? - ANSWER-vitals
When caring for a trauma patient a principle is what is necessary for patient improvement or survival.
A preference is how the principle is achieved and depends upon four factors. The factors used to
accomplish the preference in treating the patient include all except:
a. Condition of the patient
b. Equipment available
c. Situation that exists
d. Research information - ANSWER-When caring for a trauma patient a principle is what is necessary
for patient improvement or survival. A preference is how the principle is achieved and depends upon
four factors. The factors used to accomplish the preference in treating the patient include all except:
a. Condition of the patient
b. Equipment available
c. Situation that exists
*d. Research information*
Approximately 20% of all child abuse is the result of intentional burning. The majority of the children
intentionally burned are of what age?
a. 0 to 12 years of age
b. 5 to 6 years of age
c. 1 to 2 years of age
d. Less than 1 year of age - ANSWER-Approximately 20% of all child abuse is the result of intentional
burning. The majority of the children intentionally burned are of what age?
a. 0 to 12 years of age
b. 5 to 6 years of age
*c. 1 to 2 years of age*
d. Less than 1 year of age
In addition to glucose, what is required to maintain the metabolic processes of life and energy
production?
a. Carbon monoxide
b. Krebs cells
c. Lymphocytes
d. Oxygen - ANSWER-In addition to glucose, what is required to maintain the metabolic processes of
life and energy production?
a. Carbon monoxide
b. Krebs cells
c. Lymphocytes
*d. Oxygen*
You respond to a patient who has sustained a stab wound to the left upper thorax. She is barely
responsive, pale and diaphoretic. Which of the following is the most appropriate for transport?
a. Stair chair
b. Long board with full spine immobilization
c. Scoop stretcher
d. Short immobilization device - ANSWER-You respond to a patient who has sustained a stab wound
to the left upper thorax. She is barely responsive, pale and diaphoretic. Which of the following is the
most appropriate for transport?
, a. Stair chair
b. Long board with full spine immobilization
*c. Scoop stretcher*
d. Short immobilization device
Units responding to a motor vehicle accident on the highway should consider which of the following
as part of their pre-arrival assessment?
a. Calling for more units to respond
b. Weather conditions
c. The need for immediate transport
d. Post-exposure prophylaxis - ANSWER-Units responding to a motor vehicle accident on the highway
should consider which of the following as part of their pre-arrival assessment?
a. Calling for more units to respond
*b. Weather conditions*
c. The need for immediate transport
d. Post-exposure prophylaxis
The most appropriate airway maneuver in the initial management of a trauma patient is which of the
following?
a. Head tilt, chin lift
b. Supraglottic airway
c. Trauma jaw thrust
d. Oropharyngeal airway - ANSWER-The most appropriate airway maneuver in the initial management
of a trauma patient is which of the following?
a. Head tilt, chin lift
b. Supraglottic airway
*c. Trauma jaw thrust*
d. Oropharyngeal airway
When verifying ET tube placement on a perfusing patient, the "gold standard" of monitoring is
considered to be?
a. Colorimetric carbon dioxide detector
b. Pulse oximetry
c. Listening to lung sounds
d. EtCO2 - ANSWER-When verifying ET tube placement on a perfusing patient, the "gold standard" of
monitoring is considered to be?
a. Colorimetric carbon dioxide detector
b. Pulse oximetry
c. Listening to lung sounds
*d. EtCO2*
A patient presents with a blunt trauma injury to the chest. On exam, he has absent breath sounds on
one side of his chest and respiratory distress. Which additional sign would indicate that the patient
has a tension pneumothorax?
a. Distended neck veins
b. Muffled heart sounds
c. Narrowed pulse pressure
d. Tracheal deviation towards the side of injury - ANSWER-A patient presents with a blunt trauma
injury to the chest. On exam, he has absent breath sounds on one side of his chest and respiratory
distress. Which additional sign would indicate that the patient has a tension pneumothorax?
*a. Distended neck veins*
b. Muffled heart sounds
c. Narrowed pulse pressure
d. Tracheal deviation away from the side of injury
Hemostatic agents should be used for excessive bleeding when direct pressure alone does not work.
The proper way to use most hemostatic agents is which of the following?
A 30 year old male is injured in a terror bombing. He experiences traumatic amputation of his left leg
at knee level. An improvised tourniquet was put in place by bystanders. The victim is conscious and in
severe pain. You first action should be to do which of the following? - ANSWER-Confirm the
tourniquet was properly applied.
Which of the following information is assessed during the secondary survey? - ANSWER-vitals
When caring for a trauma patient a principle is what is necessary for patient improvement or survival.
A preference is how the principle is achieved and depends upon four factors. The factors used to
accomplish the preference in treating the patient include all except:
a. Condition of the patient
b. Equipment available
c. Situation that exists
d. Research information - ANSWER-When caring for a trauma patient a principle is what is necessary
for patient improvement or survival. A preference is how the principle is achieved and depends upon
four factors. The factors used to accomplish the preference in treating the patient include all except:
a. Condition of the patient
b. Equipment available
c. Situation that exists
*d. Research information*
Approximately 20% of all child abuse is the result of intentional burning. The majority of the children
intentionally burned are of what age?
a. 0 to 12 years of age
b. 5 to 6 years of age
c. 1 to 2 years of age
d. Less than 1 year of age - ANSWER-Approximately 20% of all child abuse is the result of intentional
burning. The majority of the children intentionally burned are of what age?
a. 0 to 12 years of age
b. 5 to 6 years of age
*c. 1 to 2 years of age*
d. Less than 1 year of age
In addition to glucose, what is required to maintain the metabolic processes of life and energy
production?
a. Carbon monoxide
b. Krebs cells
c. Lymphocytes
d. Oxygen - ANSWER-In addition to glucose, what is required to maintain the metabolic processes of
life and energy production?
a. Carbon monoxide
b. Krebs cells
c. Lymphocytes
*d. Oxygen*
You respond to a patient who has sustained a stab wound to the left upper thorax. She is barely
responsive, pale and diaphoretic. Which of the following is the most appropriate for transport?
a. Stair chair
b. Long board with full spine immobilization
c. Scoop stretcher
d. Short immobilization device - ANSWER-You respond to a patient who has sustained a stab wound
to the left upper thorax. She is barely responsive, pale and diaphoretic. Which of the following is the
most appropriate for transport?
, a. Stair chair
b. Long board with full spine immobilization
*c. Scoop stretcher*
d. Short immobilization device
Units responding to a motor vehicle accident on the highway should consider which of the following
as part of their pre-arrival assessment?
a. Calling for more units to respond
b. Weather conditions
c. The need for immediate transport
d. Post-exposure prophylaxis - ANSWER-Units responding to a motor vehicle accident on the highway
should consider which of the following as part of their pre-arrival assessment?
a. Calling for more units to respond
*b. Weather conditions*
c. The need for immediate transport
d. Post-exposure prophylaxis
The most appropriate airway maneuver in the initial management of a trauma patient is which of the
following?
a. Head tilt, chin lift
b. Supraglottic airway
c. Trauma jaw thrust
d. Oropharyngeal airway - ANSWER-The most appropriate airway maneuver in the initial management
of a trauma patient is which of the following?
a. Head tilt, chin lift
b. Supraglottic airway
*c. Trauma jaw thrust*
d. Oropharyngeal airway
When verifying ET tube placement on a perfusing patient, the "gold standard" of monitoring is
considered to be?
a. Colorimetric carbon dioxide detector
b. Pulse oximetry
c. Listening to lung sounds
d. EtCO2 - ANSWER-When verifying ET tube placement on a perfusing patient, the "gold standard" of
monitoring is considered to be?
a. Colorimetric carbon dioxide detector
b. Pulse oximetry
c. Listening to lung sounds
*d. EtCO2*
A patient presents with a blunt trauma injury to the chest. On exam, he has absent breath sounds on
one side of his chest and respiratory distress. Which additional sign would indicate that the patient
has a tension pneumothorax?
a. Distended neck veins
b. Muffled heart sounds
c. Narrowed pulse pressure
d. Tracheal deviation towards the side of injury - ANSWER-A patient presents with a blunt trauma
injury to the chest. On exam, he has absent breath sounds on one side of his chest and respiratory
distress. Which additional sign would indicate that the patient has a tension pneumothorax?
*a. Distended neck veins*
b. Muffled heart sounds
c. Narrowed pulse pressure
d. Tracheal deviation away from the side of injury
Hemostatic agents should be used for excessive bleeding when direct pressure alone does not work.
The proper way to use most hemostatic agents is which of the following?
