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PHTLS POST TEST 9TH EDITION LATEST VERSION WITH 100 QUESTIONS AND CORRECT ANSWERS| VERIFIED ANSWERS

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PHTLS POST TEST 9TH EDITION LATEST VERSION WITH 100 QUESTIONS AND CORRECT ANSWERS| VERIFIED ANSWERS PHTLS POST TEST 9TH EDITION LATEST VERSION WITH 100 QUESTIONS AND CORRECT ANSWERS| VERIFIED ANSWERS

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  • August 9, 2024
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PHTLS POST TEST 9TH EDITION LATEST 2023-2024
VERSION WITH 100 QUESTIONS AND CORRECT
ANSWERS| VERIFIED ANSWERS
Which of the following is the preferred site for needle decompression of a tension pneumothorax?

A. 4th intercostal space, midclavicular line, just over the top of the 5th rib

B. 4th intercostal space, midclavicular line, just below the 4th rib

C. 2nd intercostal space, midclavicular line, just over top of the 3rd rib

D. 2nd intercostal space, midclavicular line, just below the 2nd rib - ANSWER-C. 2nd intercostal space,
midclavicular line, just over top of the 3rd rib



Which of the following is the mechanism by which pulmonary contusion interferes with oxygenation?

A. Inability to generate negative intrapleural pressure

B. Decrease in vital capacity due to collapse of the flail segment

C. Increased intrathoracic pressure

D. Blood and fluid in the alveoli and interstitial spaces of the lung - ANSWER-D. Blood and fluid in the
alveoli and interstitial spaces of the lung



Your patient is a 55 year old male who was struck in the right side of the chest with a piece of steel pipe.
He presents with uncooperative behavior, his skin is pale and moist, the ventilatory rate is 32, there is a
weak radial pulse of 112, and breath sounds are decreased on the right side. The trachea is midline and
jugular veins are flat while the patient is supine. There is isolated crepitus over the 4th and 5th ribs in
the midaxillary line on the patient's right side. Based on the mechanism of injury and the assessment
findings, which of the following is the most likely cause of the patient's signs and symptoms?

A. Tension pneumothorax

B. Simple pneumothorax

C. Pulmonary contusion

D. Hemothorax - ANSWER-D. Hemothorax



Deterioration of ventilation and oxygenation after inflation of a PASG in a patient who has sustained a
high-pressure compression injury of the abdomen, such as a sudden deceleration with the lap belt
placed across the abdomen, most likely represents which of the following injuries?

A. Abdominal aortic aneurysm

,B. Ruptured diaphragm

C. Ruptured esophagus

D. "Paper bag" syndrome of the lungs - ANSWER-B. Ruptured diaphragm



Which of the following is NOT a component of the Fick Principle?

A. Adequate number of platelets in the blood

B. Oxygenation of red blood cells

C. Transportation of red blood cells to the tissues of the body

D. Off-loading oxygen from the red blood cells to the tissues - ANSWER-A. Adequate number of platelets
in the blood



One of the earliest signs of hypovolemic shock is:

A. Hypotension

B. Bradycardia

C. Anxiety

D. Reduced urine output - ANSWER-C. Anxiety



Which of the following characterizes the washout phase of shock?

A. Systemic acidosis

B. Localized tissue acidosis

C. Edema

D. Reduced capillary blood flow - ANSWER-A. Systemic acidosis



A trauma patient who has fallen 20 feet from an apartment balcony is alert with warm, dry, pink skin,
with normal capillary refilling time to the lower extremities, and is hypotensive. The upper extremities
are cool, pale and diaphoretic. Which of the following injuries should be suspected?

A. Aortic dissection

B. Liver laceration

C. Fractured pelvis

D. Spinal cord injury - ANSWER-D. Spinal cord injury

, 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



Which of the following assessment techniques is least useful in the prehospital assessment of the
patient with suspected intraabdominal trauma?

A. Palpation

B. Auscultation

C. Inspection

D. Scene assessment - ANSWER-B. Auscultation



Pregnant trauma patients should be placed on the left side because:

A. This prevents seizures due to eclampsia

B. This prevents abruption of the placenta

C. This prevents compression of the vena cava

D. This is the best way to auscultate fetal heart tones - ANSWER-C. This prevents compression of the
vena cava

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