PHTLS POST TEST 9TH EDITION
LATEST 2022-2023 VERSION
WITH 100 QUESTIONS AND
CORRECT ANSWERS| GRADED A+
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 - ANS-B. Prior to being removed from the vehicle
Which of the following procedures is considered an essential airway skill?
A. Needle cricothyroidotomy
B. Endotracheal intubation
C. Insertion of an oropharyngeal airway
D. Retrograde endotracheal intubation - ANS-C. Insertion of an oropharyngeal airway
An 18-year-old female was struck by a car and has sustained an apparent left femur fracture. Communication with her is hampered because she only speaks a foreign language. Which finding, by itself, does not mandate immobilization of the cervical spine?
A) Fracture of the femur
B) Inability to communicate
C) Mechanism of injury
D) Tenderness over the cervical spine - ANS-C) Mechanism of injury
During the primary survey of a trauma patient, you note that the patient is agitated and confused, and has multiple injuries from an altercation. Which of the following choices is the most appropriate first treatment priority?
A) Blood glucose determination
B) Correction of possible hypoxia
C) Full immobilization to a backboard
D) Obtain intravenous access - ANS-B) Correction of possible hypoxia
Pericardial tamponade is most likely to occur in which of the following situations?
A. Stab wound to the chest
B. Fall from a height
C. Frontal impact vehicle crash
D. Gunshot wound to the chest - ANS-A. Stab wound to the chest
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 - ANS-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 - ANS-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 - ANS-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 - ANS-C. Expose/Environment
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