PHTLS 9TH EDITION: PRE-TEST QUESTIONS
WITH ACCURATE SOLUTIONS
1) A 25 year old female has a gunshot wound to the abdomen. Vital signs are BP
80/40, P 122, R 18 with clear, equal lung sounds. What is the most appropriate IV
fluid to administer?
A) Hypertonic crystalloid solution (7.5% NaCl)
B) Lactated Ringer's
C) Normal Saline (0.9% NaCl)
D) Warmed Lactated Ringer's -- Correct Answer ✔✔ Warmed Lactated
Ringer's
2) Which type of shock includes neurogenic and anaphylactic shock?
A) Distributive
B) Obstructive
C) Spinal
D) Hypovolemic -- Correct Answer ✔✔ Distributive
3) An adult patient has an open angulated injury to the left lower leg. Distal pulses are
absent. Why should you attempt to realign the extremity?
, A) Manage the patient's pain
B) Reduce the open fracture
C) Restore blood flow
D) Restore function to the leg -- Correct Answer ✔✔ Restore blood flow
4) A 27 year old female has a multi system trauma. Which life threat is your first
priority?
A) Penetrating injury to the chest
B) Penetrating injury to the abdomen
C) Perceived tension pneumothorax
D) Significant external hemorrhage -- Correct Answer ✔✔ Significant
external hemorrhage
5) A 28 year old male was ejected during a car crash. He is unconscious and has no
obvious bleeding. Vital signs are BP 70/40, P 120, R 22. What type of shock should
you suspect?
A) Cardiogenic
B) Neurogenic
C) Anaphylactic
D) Hemorrhagic -- Correct Answer ✔✔ Hemorrhagic
6) Upon examining a 43 year old male, you note unequal breath sounds. What is a sign
or symptom of a simple pneumothorax?
A) Shortness of breath, decreased lung sounds on affected side
B) Absent lung sounds on one side, jugular venous distension, and
hypotension
, C) Shortness of breath with low pulse oximeter reading and jugular
venous dissension
D) Generalized chest pain due to increased intrathoracic pressure --
Correct Answer ✔✔ Shortness of breath, decreased lung sounds on
affected side
7) An 8 year old female is being treated in the red treatment area after a housing
complex fire. Vital signs are P 140, R 12 with noted stridor. Her eyebrows and hair
are burnt. Suddenly, she becomes apneic. What should you do?
A) Apply supplemental oxygen via nonrebreather mask
B) Insert an oropharyngeal airway and assist ventilations
C) Perform surgical cricothyrotomy
D) Perform needle cricothyrotomy -- Correct Answer ✔✔ Insert an
oropharyngeal airway and assist ventilations
8) A 24 year old construction worked amputated his thumb. How should you manage
the amputation?
A) Wrap in moistened gauze
B) Place directly on ice
C) Wrap in dry gauze
D) Submerge in milk -- Correct Answer ✔✔ Wrap in moistened gauze
9) Which of the following physiological changes associated with aging may contribute
to an increased incidence of falls among the elderly?
A) Increased brain mass
B) Declining visual acuity
C) Decreased body fat
WITH ACCURATE SOLUTIONS
1) A 25 year old female has a gunshot wound to the abdomen. Vital signs are BP
80/40, P 122, R 18 with clear, equal lung sounds. What is the most appropriate IV
fluid to administer?
A) Hypertonic crystalloid solution (7.5% NaCl)
B) Lactated Ringer's
C) Normal Saline (0.9% NaCl)
D) Warmed Lactated Ringer's -- Correct Answer ✔✔ Warmed Lactated
Ringer's
2) Which type of shock includes neurogenic and anaphylactic shock?
A) Distributive
B) Obstructive
C) Spinal
D) Hypovolemic -- Correct Answer ✔✔ Distributive
3) An adult patient has an open angulated injury to the left lower leg. Distal pulses are
absent. Why should you attempt to realign the extremity?
, A) Manage the patient's pain
B) Reduce the open fracture
C) Restore blood flow
D) Restore function to the leg -- Correct Answer ✔✔ Restore blood flow
4) A 27 year old female has a multi system trauma. Which life threat is your first
priority?
A) Penetrating injury to the chest
B) Penetrating injury to the abdomen
C) Perceived tension pneumothorax
D) Significant external hemorrhage -- Correct Answer ✔✔ Significant
external hemorrhage
5) A 28 year old male was ejected during a car crash. He is unconscious and has no
obvious bleeding. Vital signs are BP 70/40, P 120, R 22. What type of shock should
you suspect?
A) Cardiogenic
B) Neurogenic
C) Anaphylactic
D) Hemorrhagic -- Correct Answer ✔✔ Hemorrhagic
6) Upon examining a 43 year old male, you note unequal breath sounds. What is a sign
or symptom of a simple pneumothorax?
A) Shortness of breath, decreased lung sounds on affected side
B) Absent lung sounds on one side, jugular venous distension, and
hypotension
, C) Shortness of breath with low pulse oximeter reading and jugular
venous dissension
D) Generalized chest pain due to increased intrathoracic pressure --
Correct Answer ✔✔ Shortness of breath, decreased lung sounds on
affected side
7) An 8 year old female is being treated in the red treatment area after a housing
complex fire. Vital signs are P 140, R 12 with noted stridor. Her eyebrows and hair
are burnt. Suddenly, she becomes apneic. What should you do?
A) Apply supplemental oxygen via nonrebreather mask
B) Insert an oropharyngeal airway and assist ventilations
C) Perform surgical cricothyrotomy
D) Perform needle cricothyrotomy -- Correct Answer ✔✔ Insert an
oropharyngeal airway and assist ventilations
8) A 24 year old construction worked amputated his thumb. How should you manage
the amputation?
A) Wrap in moistened gauze
B) Place directly on ice
C) Wrap in dry gauze
D) Submerge in milk -- Correct Answer ✔✔ Wrap in moistened gauze
9) Which of the following physiological changes associated with aging may contribute
to an increased incidence of falls among the elderly?
A) Increased brain mass
B) Declining visual acuity
C) Decreased body fat
