PHTLS 9TH EDITION SIMULATION
QUESTIONS & PRACTICE MODULE GET
CERTIFIED 2026.
◍ Which of the following is a limitation of prehospital fluid
resuscitation of the patient in hemorrhagic shock?
A. Inability of fluids to carry oxygen
B. Pulmonary edema
C. Increased hemorrhage
D. All of the above Answer:D. All of the above
◍ Which of the following statements regarding signs of
intraabdominal injury is NOT true?
A. Fresh blood in the abdominal cavity does not cause signs of
peritonitis
B. A significant amount of blood loss occurs before abdominal
distention can be noticed
C. Substantial intraabdominal hemorrhage always causes tenderness
and abdominal rigidity
D. Signs and symptoms of shock greater than can be explained by
other injuries is a reliable indicator of intraabdominal injury
Answer:C. Substantial intraabdominal hemorrhage always causes
tenderness and abdominal rigidity
,◍ Which of the following assessment techniques is least useful in the
prehospital assessment of the patient with suspected intraabdominal
trauma?
A. Palpation
B. Auscultation
C. Inspection
D. Scene assessment Answer:B. Auscultation
◍ Pregnant trauma patients should be placed on the left side because:
A. This prevents seizures due to eclampsia
B. This prevents abruption of the placenta
C. This prevents compression of the vena cava
D. This is the best way to auscultate fetal heart tones Answer:C. This
prevents compression of the vena cava
◍ Survival of the fetus in a trauma situation is most dependent upon
which of the following factors?
A. Gestational age of the fetus
B. Prenatal care
C. Immediate cesarean section
, D. Good resuscitation of the mother Answer:D. Good resuscitation of
the mother
◍ A patient struck in the back of the head with a baseball bat may
sustain a cerebral contusion to which area of the brain?
A. Frontal and occipital
B. Occipital
C. Parietal
D. Frontal Answer:B. Occipital
(probably too low velocity for Coup & Contre Coup)
◍ In the context of the caring for an adult patient with traumatic brain
injury who is deteriorating and exhibiting signs of herniation,
hyperventilation means ventilating with a BVM and 100% oxygen at
a rate of:
A. 12 to 16 per minute
B. 32 to 40 per minute
C. 8 to 12 per minute
D. 20 per minute Answer:D. 20
◍ In the United State, which of the following mechanisms most
frequently causes spinal cord injury in adults?
QUESTIONS & PRACTICE MODULE GET
CERTIFIED 2026.
◍ Which of the following is a limitation of prehospital fluid
resuscitation of the patient in hemorrhagic shock?
A. Inability of fluids to carry oxygen
B. Pulmonary edema
C. Increased hemorrhage
D. All of the above Answer:D. All of the above
◍ Which of the following statements regarding signs of
intraabdominal injury is NOT true?
A. Fresh blood in the abdominal cavity does not cause signs of
peritonitis
B. A significant amount of blood loss occurs before abdominal
distention can be noticed
C. Substantial intraabdominal hemorrhage always causes tenderness
and abdominal rigidity
D. Signs and symptoms of shock greater than can be explained by
other injuries is a reliable indicator of intraabdominal injury
Answer:C. Substantial intraabdominal hemorrhage always causes
tenderness and abdominal rigidity
,◍ Which of the following assessment techniques is least useful in the
prehospital assessment of the patient with suspected intraabdominal
trauma?
A. Palpation
B. Auscultation
C. Inspection
D. Scene assessment Answer:B. Auscultation
◍ Pregnant trauma patients should be placed on the left side because:
A. This prevents seizures due to eclampsia
B. This prevents abruption of the placenta
C. This prevents compression of the vena cava
D. This is the best way to auscultate fetal heart tones Answer:C. This
prevents compression of the vena cava
◍ Survival of the fetus in a trauma situation is most dependent upon
which of the following factors?
A. Gestational age of the fetus
B. Prenatal care
C. Immediate cesarean section
, D. Good resuscitation of the mother Answer:D. Good resuscitation of
the mother
◍ A patient struck in the back of the head with a baseball bat may
sustain a cerebral contusion to which area of the brain?
A. Frontal and occipital
B. Occipital
C. Parietal
D. Frontal Answer:B. Occipital
(probably too low velocity for Coup & Contre Coup)
◍ In the context of the caring for an adult patient with traumatic brain
injury who is deteriorating and exhibiting signs of herniation,
hyperventilation means ventilating with a BVM and 100% oxygen at
a rate of:
A. 12 to 16 per minute
B. 32 to 40 per minute
C. 8 to 12 per minute
D. 20 per minute Answer:D. 20
◍ In the United State, which of the following mechanisms most
frequently causes spinal cord injury in adults?
