PHTLS POST TEST 9 - AND CORRECT ANSWER (ACTUA L TEST) 1. The displa...

PHTLS POST TEST 9

TH

EDITION EXAM QUESTION

AND CORRECT ANSWER (ACTUA L TEST)

• The displacement of tissue away from the path of a projectile, both tem-

porarily and permanently, is known as:

• Conization
• Cavitation
• Crepitation

D. Contusion: B. Cavitation

• The single most important factor in determining the potential for injury due

to energy exchange is:

• Mass of the bodies involved
• Velocity of the bodies involved
• Density of the tissues involved

D. Surface area of the impact involved: B. Velocity of the bodies involved

• In the management of shock, isotonic crystalloid solutions, such as

Ringer's, are preferred because:

• The protein molecules in crystalloid solutions act as volume expanders
• These fluids draw interstitial fluid into the vascular space to enhance

volume

• These solutions will stay in the vascular space longer than water solutions,

such as D5W

• Their pH enhance oxygen delivery to the tissues: C. These solutions will stay

in the vascular space longer than water solutions, such as D5W

• With respect to the distance of a fall, which of the following is a guideline

for determining a critical fall?

• 3 times the height of the patient
• 2 times the height of the patient
• 5 times the height of the patient

D. 1 ½ times the height of the patient: A. 3 times the height of the patient

• The phase of an explosion, or blast, in which hollow organs are squeezed

and may rupture is called the phase. 1 / 3

• Tertiary phase
• Quaternary phase
• Secondary phase

D. Primary phase: D. Primary phase 2 / 3

• During the primary survey and management of a trauma patient, the E in

ABCDE stands for ?

• Edema
• Eyes & ears
• Expose/Environment

D. Electrical therapy: C. Expose/Environment

• The time in which surgical intervention can make a difference in patient

outcome is the ?

• Golden period
• Golden time
• Golden era

D. Golden minutes: 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 ?

• 5 minutes
• 10 minutes
• 15 minutes

D. 30 minutes: B. 10 minutes

• In which of the following situations is the use of a short spinal immobiliza-

tion device indicated?

• 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.

• 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.

• 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: 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

• / 3