PHTLS 9TH EDITION COMPLETE REVIEW &
CORE CONCEPTS PASS GUARANTEED 2026.
◍ 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
◍ 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.
CORE CONCEPTS PASS GUARANTEED 2026.
◍ 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
◍ 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.
