PHTLS PRE-TEST AND POST-TEST
ACTUAL EXAM GRADED A+. LATEST
UPDATE
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 - ANS✔✔-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 centre - ANS✔✔-B. Prior to being removed from the
vehicle
,A patient who withdraws from painful stimuli, opens eyes on verbal command,
and cannot speak because of intubation has a Glasgow Coma Scale of which of
the following:
A. 8
B. 8T
C. 7
D. 7T - ANS✔✔-B. 8T
(E-3, V-T, M-4)
The earliest site for intraosseous infusion is:
A. Anterior tibia, just above the tibial tuberosity
B. Anterior fibula
C. Anterior tibia, just below the tibial tuberosity
D. Posterior fibula - ANS✔✔-C. Anterior tibia, just below the tibial tuberosity
Which of the following behaviors is the most reliable indication of confusion in
the elderly trauma patient?
A. Inability to recall his/her name
B. Inability to recall the day of the week
C. Inability to identify his/her present location when out of his/her normal
residence
D. Focus on repeated retelling of events that occurred years ago - ANS✔✔-A.
Inability to recall his/her name
In the elderly trauma patient a high index of suspicion for shock should occur
beginning when the systolic blood pressure is less than:
A. 90 mmHg
B. 150 mmHg
C. 120 mmHg
, D. 100 mmHg - ANS✔✔-C. 120 mmHg
In an adult patient, blood loss into the tissue from a fractured femur may be as
much as which of the following?
A. 150 to 500 mL
B. 500 to 1000 mL
C. 1000 2000 mL
D. 2500 to 5000 mL - ANS✔✔-C. 1000 2000 mL
Which of the following represents adequate spontaneous ventilation in an adult?
A. Tidal volume 100 mL, ventilatory rate 40/minute
B. Tidal volume 500 mL, ventilatory rate 8/minute
C. Tidal volume 300 mL, ventilatory rate 16/minute
D. Tidal volume 600 mL, ventilatory rate 12/minute - ANS✔✔-D. Tidal volume
600 mL, ventilatory rate 12/minute
Which of the following is 100% accurate in verifying endotracheal tube
placement?
A. Pulse oximetry
B. End-tidal capnometry
C. Syringe aspiration
D. None of the above - ANS✔✔-D. None of the above
When utilizing percutaneous transtracheal ventilation, the correct ration of lung
inflation to lung inflation time, in seconds, is:
A. 1:4
B. 1:5
C. 1:2
ACTUAL EXAM GRADED A+. LATEST
UPDATE
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 - ANS✔✔-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 centre - ANS✔✔-B. Prior to being removed from the
vehicle
,A patient who withdraws from painful stimuli, opens eyes on verbal command,
and cannot speak because of intubation has a Glasgow Coma Scale of which of
the following:
A. 8
B. 8T
C. 7
D. 7T - ANS✔✔-B. 8T
(E-3, V-T, M-4)
The earliest site for intraosseous infusion is:
A. Anterior tibia, just above the tibial tuberosity
B. Anterior fibula
C. Anterior tibia, just below the tibial tuberosity
D. Posterior fibula - ANS✔✔-C. Anterior tibia, just below the tibial tuberosity
Which of the following behaviors is the most reliable indication of confusion in
the elderly trauma patient?
A. Inability to recall his/her name
B. Inability to recall the day of the week
C. Inability to identify his/her present location when out of his/her normal
residence
D. Focus on repeated retelling of events that occurred years ago - ANS✔✔-A.
Inability to recall his/her name
In the elderly trauma patient a high index of suspicion for shock should occur
beginning when the systolic blood pressure is less than:
A. 90 mmHg
B. 150 mmHg
C. 120 mmHg
, D. 100 mmHg - ANS✔✔-C. 120 mmHg
In an adult patient, blood loss into the tissue from a fractured femur may be as
much as which of the following?
A. 150 to 500 mL
B. 500 to 1000 mL
C. 1000 2000 mL
D. 2500 to 5000 mL - ANS✔✔-C. 1000 2000 mL
Which of the following represents adequate spontaneous ventilation in an adult?
A. Tidal volume 100 mL, ventilatory rate 40/minute
B. Tidal volume 500 mL, ventilatory rate 8/minute
C. Tidal volume 300 mL, ventilatory rate 16/minute
D. Tidal volume 600 mL, ventilatory rate 12/minute - ANS✔✔-D. Tidal volume
600 mL, ventilatory rate 12/minute
Which of the following is 100% accurate in verifying endotracheal tube
placement?
A. Pulse oximetry
B. End-tidal capnometry
C. Syringe aspiration
D. None of the above - ANS✔✔-D. None of the above
When utilizing percutaneous transtracheal ventilation, the correct ration of lung
inflation to lung inflation time, in seconds, is:
A. 1:4
B. 1:5
C. 1:2
