PHTLS POST TEST 9TH EDITION (ANSWERS
GURANTEED AND VERIFIED PASS) UPDATED 2024
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
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
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
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
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
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
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
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
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 -
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
GURANTEED AND VERIFIED PASS) UPDATED 2024
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
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
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
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
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
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
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
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
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 -
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
