1
PHTLS POST TEST 9TH EDITION WITH THE LATEST UPDATE WITH 100%
CORRECT QUESTIONS AND ANSWERS AND THE BEST GRADED 2025
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
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
, 2
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
, 3
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 - -answer--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 center - -answer--B. Prior to being removed from the vehicle
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 - -answer--D. Tidal volume 600 mL,
ventilatory rate 12/minute
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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 - -answer--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
D. 2:2 - -answer--A. 1:4
Which of the following is a possible complication of using a manually triggered oxygen powered
device for ventilation?
A. Gastric distention
B. Pneumothorax
C. Inability to feel lung compliance
D. All of the above - -answer--D. All of the above
Which of the following procedures is considered an essential airway skill?
A. Needle cricothyroidotomy
B. Endotracheal intubation
PHTLS POST TEST 9TH EDITION WITH THE LATEST UPDATE WITH 100%
CORRECT QUESTIONS AND ANSWERS AND THE BEST GRADED 2025
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
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
, 2
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
, 3
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 - -answer--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 center - -answer--B. Prior to being removed from the vehicle
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 - -answer--D. Tidal volume 600 mL,
ventilatory rate 12/minute
, 4
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 - -answer--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
D. 2:2 - -answer--A. 1:4
Which of the following is a possible complication of using a manually triggered oxygen powered
device for ventilation?
A. Gastric distention
B. Pneumothorax
C. Inability to feel lung compliance
D. All of the above - -answer--D. All of the above
Which of the following procedures is considered an essential airway skill?
A. Needle cricothyroidotomy
B. Endotracheal intubation
