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PHTLS FINAL EXAM QUESTIONS

Class notes Feb 27, 2026
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PHTLS FINAL EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -24 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: What is neurogenic shock?

Answer:

Caused by spinal cord injury, usually as a result of a traumatic accident or injury.

Question 2: What is the number one cause of nonfatal injuries in the US

Answer:

Unintentional falls

Question 3: What is the pre-event phase?

Answer:

Circumstances leading up to injury

Ex: Distracted driving

Question 4: What is oxygenation?

Answer:

The ability of the body to exchange gases

Question 5: What is the average blood volume in adults?

Answer:

5L

Question 6: What is the correct ventilatory rate in an infant?

Answer:

30 breaths/min

Question 7: What is class 3 hemorrhage?

Answer:

The loss of 30-40% blood loss. Pulse is tachycardic, compensatory mechanisms are failing due to increasing shock. It is decompensated shock at this point as systolic BP decreases

Question 8: What is class 2 hemorrhage?

Answer:

The loss of 15-30% blood loss. Postural hypotension may be present at this point. Decreased pulse pressure is due to vasoconstriction and the compensatory mechanism. Mildly anxious and cool to the touch

Question 9: What does HEAVEN stand for?

Answer:

Hypoxemia Extremes of size Anatomic changes Vomit Exsanguination Neck mobility

Question 10: What is the correct ventilatory rate in an adult

Answer:

12 breaths/min

Question 11: What is the leading cause of death between ages 1 and 45?

Answer:

Unintentional injury

Question 12: What is a class 1 hemorrhage?

Answer:

The loss of 10-15% blood loss). Is compensated shock. The patient is still conscious, the skin id being perfused, urine output is normal and the vent rate is normal. Patient may present to be slightly anxious

Question 13: What is distributive shock?

Answer:

The loss of vascular volume through leaky capillaries, inflammation, and intravascular clotting

Question 14: What does DOPE stand for?

Answer:

Dislodgment Obstruction Pneumothorax Equipment

Question 15: How does the body react to blood loss?

Answer:

The heart will beat faster. Lactic acid forms from anaerobic metabolism and causes acidosis, which makes the patient breathe faster to compensate for the acidic state

Question 16: What is CPP and how is it calculated

Answer:

cerebral perfusion pressure

CPP = MAP - ICP

Question 17: What is the event phase?

Answer:

The moment of actual trauma

Question 18: What is ventilation?

Answer:

The ability of the body to breathe

Question 19: What is the correct ventilatory rate in a child?

Answer:

20 breaths/min

Question 20: What is class 4 hemorrhage?

Answer:

The loss of more than 40% blood loss. This is progressing decompensated shock, if not reversed will result in multiple organ system failure and patient will die.

Question 21: What is the golden hour?

Answer:

A term used to define the general goal of delivering definitive care within 60 minutes of being injured to maximize chance of survival.

Question 22: What is the post-event phase?

Answer:

The outcome from a traumatic event

Question 23: What does LEMON stand for?

Answer:

Look Evaluate Mallampati Obstruction Neck mobility

Question 24: What is cardiogenic shock?

Answer:

Occurs when the heart is damaged and unable to supply sufficient blood to the body. When the heart is not pumping effectively due to a cardiac contusion or valvular disruption, and there is reduced CO

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