{"id":119612,"date":"2023-09-12T09:37:50","date_gmt":"2023-09-12T09:37:50","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=119612"},"modified":"2023-09-12T09:37:55","modified_gmt":"2023-09-12T09:37:55","slug":"phtls-9th-editionpre-testpre-post-test-exams-latest-2023-2024-updates-study-bundle-questions-and-verified-answers-grade-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/09\/12\/phtls-9th-editionpre-testpre-post-test-exams-latest-2023-2024-updates-study-bundle-questions-and-verified-answers-grade-a\/","title":{"rendered":"PHTLS 9th Edition,Pre-Test,Pre &amp; Post Test Exams (Latest 2023\/ 2024 UPDATES STUDY BUNDLE) Questions and Verified Answers| Grade A"},"content":{"rendered":"\n<p>PHTLS 2023\/ 2024 Exam Prep| Complete<br>Review with Questions and Verified Answers|<br>100% Correct<br>Q: less injury if energy can change form <strong><em>__<\/em><\/strong><br>Answer:<br>before the collision<br>(example: bending of metal frame)<br>Q: What type of shock is it, aortic perforation (small hole)?<br>Answer:<br>hemorrhagic<br>Q: What type of shock is it, dysrhythmia?<br>Answer:<br>cardiogenic<br>Q: What type of shock is it, fluid has not been lost from the vascular system; the problem is<br>with the size of the container?<br>Answer:<br>distributive<br>Q: What type of shock is it, heart loses its efficiency as a pump?<\/p>\n\n\n\n<p>Answer:<br>cardiogenic<br>Q: What type of shock is it, injury interrupts the spinal cord sympathetic nervous system<br>pathway?<br>Answer:<br>distributive \/ neurogenic<br>Q: What type of shock is it, interference with the pump action?<br>Answer:<br>cardiogenic<br>Q: What type of shock is it, typically mediated through the parasympathetic nervous system?<br>Answer:<br>distributive \/ psychogenic (vasovagal)<br>Q: What type of shock is it, life-threatening infections?<br>Answer:<br>distributive \/ septic<br>Q: What type of shock is it, loss of circulating blood?<br>Answer:<br>hypovolemic \/ hemorrhagic<\/p>\n\n\n\n<p>Q: What type of shock is it, loss of vascular tone?<br>Answer:<br>distributive \/ vasogenic<br>Q: What type of shock is it, spinal cord trauma?<br>Answer:<br>distributive \/ neurogenic<br>Q: What type of shock is it, valvular disruption?<br>Answer:<br>cardiogenic<br>Q: What type of shock is it, vascular container enlarges without a proportional increase in fluid<br>volume?<br>Answer:<br>distributive<br>Q: What type of shock is it, vomiting, or diarrhea?<br>Answer:<br>hypovolemic<br>Q: What type of shock is it, simple fainting?<\/p>\n\n\n\n<p>Answer:<br>distributive \/ psychogenic (vasovagal)<br>Q: What type of shock is it, severe infections?<br>Answer:<br>distributive \/ septic<br>Q: What type of shock is it, allergic reactions?<br>Answer:<br>distributive \/ anaphylactic<br>Q: Allergies are acquired following?<br>Answer:<br>initial exposure to an allergen<br>Q: How does the body respond to hypoperfusion?<br>Answer:<br>vasoconstriction, tachycardia, tachypnea<br>Q: The attraction of leukocytes to the site of inflammation (like chumming the waters for<br>sharks) during degranulation is called what?<br>Answer:<br>chemotaxis<\/p>\n\n\n\n<p>PHTLS Pre &amp; Post Test (Latest 2023\/ 2024)<br>Questions and Verified Answers| 100%<br>Correct<br>Q: Which of the following is the preferred site for needle decompression of a tension<br>pneumothorax?<br>A. 4th intercostal space, midclavicular line, just over the top of the 5th rib<br>B. 4th intercostal space, midclavicular line, just below the 4th rib<br>C. 2nd intercostal space, midclavicular line, just over top of the 3rd rib<br>D. 2nd intercostal space, midclavicular line, just below the 2nd rib<br>Answer:<br>C. 2nd intercostal space, midclavicular line, just over top of the 3rd rib<br>Q: Which of the following is the mechanism by which pulmonary contusion interferes with<br>oxygenation?<br>A. Inability to generate negative intrapleural pressure<br>B. Decrease in vital capacity due to collapse of the flail segment<br>C. Increased intrathoracic pressure<br>D. Blood and fluid in the alveoli and interstitial spaces of the lung<br>Answer:<br>D. Blood and fluid in the alveoli and interstitial spaces of the lung<br>Q: Your patient is a 55 year old male who was struck in the right side of the chest with a piece<br>of steel pipe. He presents with uncooperative behavior, his skin is pale and moist, the ventilatory<br>rate is 32, there is a weak radial pulse of 112, and breath sounds are decreased on the right side.<br>The trachea is midline and jugular veins are flat while the patient is supine. There is isolated<br>crepitus over the 4th and 5th ribs in the midaxillary line on the patient&#8217;s right side. Based on the<br>mechanism of injury and the assessment findings, which of the following is the most likely cause<br>of the patient&#8217;s signs and symptoms?<br>A. Tension pneumothorax<\/p>\n\n\n\n<p>B. Simple pneumothorax<br>C. Pulmonary contusion<br>D. Hemothorax<br>Answer:<br>D. Hemothorax<br>Q: Deterioration of ventilation and oxygenation after inflation of a PASG in a patient who has<br>sustained a high-pressure compression injury of the abdomen, such as a sudden deceleration with<br>the lap belt placed across the abdomen, most likely represents which of the following injuries?<br>A. Abdominal aortic aneurysm<br>B. Ruptured diaphragm<br>C. Ruptured esophagus<br>D. &#8220;Paper bag&#8221; syndrome of the lungs<br>Answer:<br>B. Ruptured diaphragm<br>Q: Which of the following is NOT a component of the Fick Principle?<br>A. Adequate number of platelets in the blood<br>B. Oxygenation of red blood cells<br>C. Transportation of red blood cells to the tissues of the body<br>D. Off-loading oxygen from the red blood cells to the tissues<br>Answer:<br>A. Adequate number of platelets in the blood<br>Q: One of the earliest signs of hypovolemic shock is:<br>A. Hypotension<br>B. Bradycardia<br>C. Anxiety<br>D. Reduced urine output<\/p>\n\n\n\n<p>Answer:<br>C. Anxiety<br>Q: Which of the following characterizes the washout phase of shock?<br>A. Systemic acidosis<br>B. Localized tissue acidosis<br>C. Edema<br>D. Reduced capillary blood flow<br>Answer:<br>A. Systemic acidosis<br>Q: A trauma patient who has fallen 20 feet from an apartment balcony is alert with warm, dry,<br>pink skin, with normal capillary refilling time to the lower extremities, and is hypotensive. The<br>upper extremities are cool, pale and diaphoretic. Which of the following injuries should be<br>suspected?<br>A. Aortic dissection<br>B. Liver laceration<br>C. Fractured pelvis<br>D. Spinal cord injury<br>Answer:<br>D. Spinal cord injury<br>Q: Which of the following is a limitation of prehospital fluid resuscitation of the patient in<br>hemorrhagic shock?<br>A. Inability of fluids to carry oxygen<br>B. Pulmonary edema<br>C. Increased hemorrhage<br>D. All of the above<br>Answer:<\/p>\n\n\n\n<p>PHTLS Post Test 9th Edition (Latest 2023\/<br>2024) Questions and Verified Answers| Grade<br>A<br>Q: Which of the following represents adequate spontaneous ventilation in an adult?<br>A. Tidal volume 100 mL, ventilatory rate 40\/minute<br>B. Tidal volume 500 mL, ventilatory rate 8\/minute<br>C. Tidal volume 300 mL, ventilatory rate 16\/minute<br>D. Tidal volume 600 mL, ventilatory rate 12\/minute<br>Answer:<br>D. Tidal volume 600 mL, ventilatory rate 12\/minute<br>Q: Which of the following is 100% accurate in verifying endotracheal tube placement?<br>A. Pulse oximetry<br>B. End-tidal capnometry<br>C. Syringe aspiration<br>D. None of the above<br>Answer:<br>D. None of the above<br>Q: When utilizing percutaneous transtracheal ventilation, the correct ration of lung inflation to<br>lung inflation time, in seconds, is:<br>A. 1:4<br>B. 1:5<br>C. 1:2<br>D. 2:2<br>Answer:<br>A. 1:4<\/p>\n\n\n\n<p>Q: Which of the following is a possible complication of using a manually triggered oxygen<br>powered device for ventilation?<br>A. Gastric distention<br>B. Pneumothorax<br>C. Inability to feel lung compliance<br>D. All of the above<br>Answer:<br>D. All of the above<br>Q: Which of the following procedures is considered an essential airway skill?<br>A. Needle cricothyroidotomy<br>B. Endotracheal intubation<br>C. Insertion of an oropharyngeal airway<br>D. Retrograde endotracheal intubation<br>Answer:<br>C. Insertion of an oropharyngeal airway<br>Q: Pericardial tamponade is most likely to occur in which of the following situations?<br>A. Stab wound to the chest<br>B. Fall from a height<br>C. Frontal impact vehicle crash<br>D. Gunshot wound to the chest<br>Answer:<br>A. Stab wound to the chest<br>Q: Which of the following is the preferred site for needle decompression of a tension<br>pneumothorax?<\/p>\n\n\n\n<p>A. 4th intercostal space, midclavicular line, just over the top of the 5th rib<br>B. 4th intercostal space, midclavicular line, just below the 4th rib<br>C. 2nd intercostal space, midclavicular line, just over top of the 3rd rib<br>D. 2nd intercostal space, midclavicular line, just below the 2nd rib<br>Answer:<br>C. 2nd intercostal space, midclavicular line, just over top of the 3rd rib<br>Q: Which of the following is the mechanism by which pulmonary contusion interferes with<br>oxygenation?<br>A. Inability to generate negative intrapleural pressure<br>B. Decrease in vital capacity due to collapse of the flail segment<br>C. Increased intrathoracic pressure<br>D. Blood and fluid in the alveoli and interstitial spaces of the lung<br>Answer:<br>D. Blood and fluid in the alveoli and interstitial spaces of the lung<br>Q: Your patient is a 55 year old male who was struck in the right side of the chest with a piece<br>of steel pipe. He presents with uncooperative behavior, his skin is pale and moist, the ventilatory<br>rate is 32, there is a weak radial pulse of 112, and breath sounds are decreased on the right side.<br>The trachea is midline and jugular veins are flat while the patient is supine. There is isolated<br>crepitus over the 4th and 5th ribs in the midaxillary line on the patient&#8217;s right side. Based on the<br>mechanism of injury and the assessment findings, which of the following is the most likely cause<br>of the patient&#8217;s signs and symptoms?<br>A. Tension pneumothorax<br>B. Simple pneumothorax<br>C. Pulmonary contusion<br>D. Hemothorax<br>Answer:<br>D. Hemothorax<\/p>\n\n\n\n<p>PHTLS Pre-Test 9th Edition (Latest 2023\/<br>2024) Questions and Verified Answers| Grade<br>A<br>Q: When verifying ET tube placement on a perfusing patient, the &#8220;gold standard&#8221; of monitoring<br>is considered to be?<br>a) Colorimetric carbon dioxide detector<br>b) Pulse oximetry<br>c) Listening to lung sounds<br>d) Waveform capnography<br>Answer:<br>Waveform capnography<br>Q: A patient presents with a blunt trauma injury to the chest. On exam, he has absent breath<br>sounds on one side of his chest and respiratory distress. Which additional sign would indicate<br>that the patient has a tension pneumothorax?<br>a) Distended neck veins<br>b) Inspiratory wheezing<br>c) narrowed pulse pressure<br>d) Tracheal deviation towards the side of injury<br>Answer:<br>Distended neck veins<br>Q: Hemostatic agents should be used for excessive bleeding when direct pressure alone does<br>not work. The proper way to use most hemostatic agents is which of the following?<br>a) Placing the agent around the edges of the wound<br>b) Placing the agent properly into the wound and holding direct pressure<br>c) Only using it after a tourniquet has been applied for 10 minutes<br>d) Hemostatic agents should never be used unless you have a fall in blood pressure<br>Answer:<br>Placing the agent properly into the wound and holding direct pressure<\/p>\n\n\n\n<p>Q: Of the following, which is a preventable cause of secondary brain injury addressable during<br>the transport phase?<br>a) Intraparenchymal hemorrhage<br>b) Systemic hypoxia<br>c) Intracranial hematomas<br>d) Herniation syndromes<br>Answer:<br>Systemic hypoxia<br>Q: You are called to treat a patient who was knocked unconscious when he slipped and fell on a<br>wet floor, striking his head. It is now several hours later. He is awake but confused, does not<br>recall the incident, and is vomiting with a headache. Which of the following injuries is most<br>likely?<br>a) Brain herniation<br>b) Intraabdominal hemorrhage<br>c) Diffuse axonal injury<br>d) Concussion<br>Answer:<br>Concussion<br>Q: When using a selective spinal immobilization protocol, which of the following findings<br>indicate the need for immobilization?<br>a) Past history of spinal injury<br>b) Being an unrestrained passenger in a motor vehicle crash<br>c) Being ambulatory at the scene<br>d) An associated femoral shaft fracture with severe pain<br>Answer:<br>An associated femoral shaft fracture with severe pain<\/p>\n\n\n\n<p>PHTLS 9th Edition Exam (Latest 2023\/ 2024)<br>Questions and Verified Answers| Grade A<br>Q: In a blast-related multiple patient situation, which of the following patients should be treated<br>first?<br>a. A 33-year-old female with altered level of consciousness and decreased capillary refill<br>b. A 28-year-old male with an arm amputation who has bleeding controlled with a tourniquet<br>c. A 14-year-old pulseless female with grey matter visible from a head wound<br>d. A 78-year-old male awake and unable to hear<br>Answer:<br><em>a. A 33-year-old female with altered level of consciousness and decreased capillary refill<\/em><br>Q: Excessive fluid resuscitation of the trauma patient can result in which of the following?<br>a. Increased blood loss<br>b. Decreased mortality<br>c. Earlier discharge from the hospital<br>d. A higher incidence of sepsis in the ICU<br>Answer:<br><em>a. Increased blood loss<\/em><br>Q: The secondary survey should be accomplished:<br>a. Never on a critical patient<br>b. Before transport<br>c. When time and Situation allow<br>d. Before moving the patient<br>Answer:<br><em>c. When time and Situation allow<\/em><br>Q: When approaching a trauma patient, what is the first assessment that must be made?<br>a. Circulation<\/p>\n\n\n\n<p>b. Scene safety<br>c. Airway<br>d. Breathing<br>Answer:<br><em>b. Scene safety<\/em><br>Q: The most common type of shock resulting from trauma is?<br>a. Neurogenic<br>b. Septic<br>c. Spinal<br>d. Hemorrhagic<br>Answer:<br><em>d. Hemorrhagic<\/em><br>Q: 18. Which of the following best guides the decision to provide spinal immobilization?<br>a. History and complaint<br>b. Obvious signs of associated injury<br>c. Avoid due to possible pressure sores<br>d. Mechanism alone<br>Answer:<br><em>d. Mechanism alone<\/em><br>Q: A 38-year-old male sustains a large wound to his right thigh while at work. Which of the<br>following actions is the most important initial step?<br>a. Obtain IV access and infuse crystalloid<br>b. Administer supplemental oxygen<br>c. Hemorrhage control<br>d. Rapid transport<br>Answer:<br><em>c. Hemorrhage control<\/em><\/p>\n\n\n\n<p>Q: You respond to a local bar for an unconscious person. On arrival, you are met by a police<br>officer who reports that one of their &#8220;regular alcoholics&#8221; was found in the alley behind the bar.<br>On exam, you note the smell of an alcoholic beverage as well as the following: Patient flexes his<br>arms to painful stimuli, has bilateral fixed and dilated pupils, irregular respirations at 12 breaths<br>per minute and a BP of 210\/100. What condition do you suspect?<br>a. Subarachnoid hemorrhage<br>b. Alcohol poisoning<br>c. Epidural hematoma<br>d. Subdural hematoma<br>Answer:<br><em>d. Subdural hematoma<\/em><br>Q: The pre-hospital assessment of the trauma patient begins with which of the following?<br>a. Assessment of scene safety and situation<br>b. Information provided by the dispatcher<br>c. The initial assessment<br>d. The primary survey<br>Answer:<br><em>b. Information provided by the dispatcher<\/em><br>Q: EMS responds for a patient involved in a motorcycle vs. car collision. The patient is<br>unresponsive with no movement of lower extremities and loss of temperature control below the<br>T10. Which type of shock is the patient experiencing?<br>a. Cardiogenic<br>b. Hypovolemic<br>c. Neurogenic<br>d. Obstructive<br>Answer:<br><em>c. Neurogenic<\/em><br>Q: Which of the following is the best indicator of shock?<\/p>\n\n\n\n<p>a. Depressed level of cognition<br>b. Heart rate of 80<br>c. Respirations of 18<br>d. GCS of 15<br>Answer:<br><em>a. Depressed level of cognition<\/em><br>Q: Which best describes the goal of airway management in a trauma patient?<br>a. Perform complex airway maneuvers<br>b. Perform a surgical Cricothyrotomy<br>c. Provide for adequate exchange of oxygen and C02<br>d. Perform RSI<br>Answer:<br><em>c. Provide for adequate exchange of oxygen and C02<\/em><br>Q: What is the most common cause of airway obstruction in the unresponsive trauma patient?<br>a. Blood<br>b. Teeth<br>c. Tongue<br>d. Vomitus<br>Answer:<br><em>c. Tongue<\/em><br>Q: While caring for a patient who was involved in an altercation, he vomits and his airway is<br>totally obstructed with vomitus and blood. What is the most important action?<br>a. Performing an RSI<br>b. Performing a head-tilt chin lift<br>c. Intubating<br>d. Suctioning the airway<br>Answer:<br><em>d. Suctioning the airway<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>PHTLS 2023\/ 2024 Exam Prep| CompleteReview with Questions and Verified Answers|100% CorrectQ: less injury if energy can change form __Answer:before the collision(example: bending of metal frame)Q: What type of shock is it, aortic perforation (small hole)?Answer:hemorrhagicQ: What type of shock is it, dysrhythmia?Answer:cardiogenicQ: What type of shock is it, fluid has not been lost from [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-119612","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119612","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=119612"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/119612\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=119612"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=119612"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=119612"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}