C
Post-Test Master Guide 2025/2026 Verified Questions with Correct
Detailed Answers
Terms in this set (104)
A 22 year old male is brought by E. Tracheobronchial injury
ambulance to a small community
hospital after falling from the top
of an 8 foot ladder. Initially, he
was found to have a large right
pneumothorax. A chest tube was
inserted and connected to an
underwater seal drainage collection
system with negative pressure. A
repeat CXR demonstrates a
residual, large right
pneumothorax. After
transferring the patient to a
verified trauma center, a third
chest x-ray reveals a persistent
right pneumothorax. The chest
tube appears to be functioning
and in good position. He remains
hemodynamically normal with no
signs of respiratory distress. The
most likely cause for the
persistent right pneumothorax is:
A. Flail chest
B. Diaphragmatic injury
C. Pulmonary contusion
D. Esophageal perforation
E.Tracheobronchial injury
,Which of the following is LEAST D. oxygen saturation >92%
reliable for diagnosing -> if it says ESOPHAGEAL, go with this answer
ESOPHAGEAL intubation?
A. symmetrical chest wall movement
B. end-tidal CO2
C. bilateral breath sounds
D. oxygen saturation >92%
E. ETT above carina on chest x-ray
Which of the following signs C. Severe maxillofacial trauma
necessitates the need for a
definitive airway in severe
trauma patient?
A. facial lacerations
B. repeated vomiting
C. severe maxillofacial trauma
D. sternal fracture
E. GCS 12
Twenty seven people are severely E. Produce the greatest number of survivors based on available resources
injured in an aircraft crash at a
local airport. The principles of
triage include:
A. establish a triage site within
the internal perimeter of the
crash site
B. treat only the most severely
injured patients first
C. immediately transport all
patients to the nearest hospital
D. treat the greatest number of
patients in the shortest period of
time
E. produce the greatest
number of survivors based on
available resources
Which of the following statements A. Cerebral contusions may coalesce to form an intracerebral
are correct? hematoma EM: Epidural, middle meningeal
A. Cerebral contusions may SuB: Subdural, Bridging veins
coalesce to form an
intracerebral hematoma
B. Epidural hematomas are
usually seen in the frontal region
C. Subdural hematomas are
caused by injury to the middle
,meningeal artery
D. Subdural hematomas typically
have a lenticular shape on CT
E.The associated brain damage is
more severe in epidural
hematomas
An 18 year old male is brought to A. Obtain a portable chest x-ray
the ED after being shot. He has need more info on chest, not abdomen
one bullet wound just below the
right clavicle and another just
below the costal margin in the
right posterior axillary line. His
blood pressure is 110/60, heart
rate of 90, and respiratory rate of
34. After ensuring a patent
airway and inserting 2 large
caliber IV lines, the next most
appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of
additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal
lavage
, Which of the following should be D. Ensuring adequate oxygenation and
performed FIRST in any patient ventilation (ABC's)
whose injuries may include
multiple closed extremity
fractures?
A. A thorough assessment of
four limb perfusion
B. Manuevers to prevent
necrosis of the skin
C. Extremity compartment
syndrome release
D. Ensuring adequate
oxygenation and ventilation
E. Evaluation for occult crush
syndrome
A 22 year old male sustains a E. Repeat the physical exam of the chest
shotgun wound to the shoulder
and chest at close range. His BP decreased breath sounds w/dullness -> hemothorax, need
is 80/40 and HR 130. After 2 L of tube to drain vs.
crystalloid solution are rapidly decreased/absent breath sounds w/hyperresonance -> tension
infused, his BP increases to pneumonia, need needle decompression followed by tube
122/84 and HR decreases to 100.
He is tachypneic with RR of 28.
On PE, his breath sounds are
decreased at the left upper chest
with dullness on percussion. A
large caliber tube thoracostomy
is inserted into the fifth intercostal
space with the return of 200 mL
of blood and no air leak. The
most appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative
blood
C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the
chest
Which one of the following B. A vertebral injury is unlikely in the absence of physical findings of a cord
statements concerning spine and injury
spinal cord trauma is TRUE?
A. A normal lateral C spine film
excludes injury
B. A vertebral injury is
unlikely in the absence of
Post-Test Master Guide 2025/2026 Verified Questions with Correct
Detailed Answers
Terms in this set (104)
A 22 year old male is brought by E. Tracheobronchial injury
ambulance to a small community
hospital after falling from the top
of an 8 foot ladder. Initially, he
was found to have a large right
pneumothorax. A chest tube was
inserted and connected to an
underwater seal drainage collection
system with negative pressure. A
repeat CXR demonstrates a
residual, large right
pneumothorax. After
transferring the patient to a
verified trauma center, a third
chest x-ray reveals a persistent
right pneumothorax. The chest
tube appears to be functioning
and in good position. He remains
hemodynamically normal with no
signs of respiratory distress. The
most likely cause for the
persistent right pneumothorax is:
A. Flail chest
B. Diaphragmatic injury
C. Pulmonary contusion
D. Esophageal perforation
E.Tracheobronchial injury
,Which of the following is LEAST D. oxygen saturation >92%
reliable for diagnosing -> if it says ESOPHAGEAL, go with this answer
ESOPHAGEAL intubation?
A. symmetrical chest wall movement
B. end-tidal CO2
C. bilateral breath sounds
D. oxygen saturation >92%
E. ETT above carina on chest x-ray
Which of the following signs C. Severe maxillofacial trauma
necessitates the need for a
definitive airway in severe
trauma patient?
A. facial lacerations
B. repeated vomiting
C. severe maxillofacial trauma
D. sternal fracture
E. GCS 12
Twenty seven people are severely E. Produce the greatest number of survivors based on available resources
injured in an aircraft crash at a
local airport. The principles of
triage include:
A. establish a triage site within
the internal perimeter of the
crash site
B. treat only the most severely
injured patients first
C. immediately transport all
patients to the nearest hospital
D. treat the greatest number of
patients in the shortest period of
time
E. produce the greatest
number of survivors based on
available resources
Which of the following statements A. Cerebral contusions may coalesce to form an intracerebral
are correct? hematoma EM: Epidural, middle meningeal
A. Cerebral contusions may SuB: Subdural, Bridging veins
coalesce to form an
intracerebral hematoma
B. Epidural hematomas are
usually seen in the frontal region
C. Subdural hematomas are
caused by injury to the middle
,meningeal artery
D. Subdural hematomas typically
have a lenticular shape on CT
E.The associated brain damage is
more severe in epidural
hematomas
An 18 year old male is brought to A. Obtain a portable chest x-ray
the ED after being shot. He has need more info on chest, not abdomen
one bullet wound just below the
right clavicle and another just
below the costal margin in the
right posterior axillary line. His
blood pressure is 110/60, heart
rate of 90, and respiratory rate of
34. After ensuring a patent
airway and inserting 2 large
caliber IV lines, the next most
appropriate step is to:
A. Obtain a portable chest x-ray
B. Administer a bolus of
additional IV fluid
C. Perform a laparatomy
D. Obtain an abdominal CT scan
E. Perform diagnostic peritoneal
lavage
, Which of the following should be D. Ensuring adequate oxygenation and
performed FIRST in any patient ventilation (ABC's)
whose injuries may include
multiple closed extremity
fractures?
A. A thorough assessment of
four limb perfusion
B. Manuevers to prevent
necrosis of the skin
C. Extremity compartment
syndrome release
D. Ensuring adequate
oxygenation and ventilation
E. Evaluation for occult crush
syndrome
A 22 year old male sustains a E. Repeat the physical exam of the chest
shotgun wound to the shoulder
and chest at close range. His BP decreased breath sounds w/dullness -> hemothorax, need
is 80/40 and HR 130. After 2 L of tube to drain vs.
crystalloid solution are rapidly decreased/absent breath sounds w/hyperresonance -> tension
infused, his BP increases to pneumonia, need needle decompression followed by tube
122/84 and HR decreases to 100.
He is tachypneic with RR of 28.
On PE, his breath sounds are
decreased at the left upper chest
with dullness on percussion. A
large caliber tube thoracostomy
is inserted into the fifth intercostal
space with the return of 200 mL
of blood and no air leak. The
most appropriate next step is:
A. Insert a foley catheter
B. Begin to transfuse O negative
blood
C. Perform thoracotomy
D. Obtain a CT Chest/Abd
E. Repeat the physical exam of the
chest
Which one of the following B. A vertebral injury is unlikely in the absence of physical findings of a cord
statements concerning spine and injury
spinal cord trauma is TRUE?
A. A normal lateral C spine film
excludes injury
B. A vertebral injury is
unlikely in the absence of
