- | P a g e
PHTLS PRE AND POST TEST NEWEST 2025
ACTUAL EXAM COMPLETE 160 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+|BRAND NEW!!
PHTLS PRE AND POST TEST
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?
- Tension pneumothorax
- Simple pneumothorax
- Pulmonary contusion 1 / 4
- | P a g e
- Hemothorax - CORRECT 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?
- Abdominal aortic aneurysm
- Ruptured diaphragm
- Ruptured esophagus
- "Paper bag" syndrome of the lungs - CORRECT ANSWER -
- Ruptured diaphragm
Which of the following is NOT a component of the Fick Principle?
- Adequate number of platelets in the blood
- Oxygenation of red blood cells
- Transportation of red blood cells to the tissues of the body
- Off-loading oxygen from the red blood cells to the tissues -
CORRECT ANSWER -A. Adequate number of platelets in the blood 2 / 4
- | P a g e
One of the earliest signs of hypovolemic shock is:
- Hypotension
- Bradycardia
- Anxiety
- Reduced urine output - CORRECT ANSWER -C. Anxiety
Which of the following characterizes the washout phase of shock?
- Systemic acidosis
- Localized tissue acidosis
- Edema
- Reduced capillary blood flow - CORRECT 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?
- / 4
- | P a g e
- Aortic dissection
- Liver laceration
- Fractured pelvis
- Spinal cord injury - CORRECT ANSWER -D. Spinal cord
injury
Which of the following is a limitation of prehospital fluid resuscitation of the patient in hemorrhagic shock?
- Inability of fluids to carry oxygen
- Pulmonary edema
- Increased hemorrhage
- All of the above - CORRECT ANSWER -D. All of the above
Which of the following statements regarding signs of intraabdominal injury is NOT true?
- Fresh blood in the abdominal cavity does not cause signs of
- A significant amount of blood loss occurs before abdominal
- Substantial intraabdominal hemorrhage always causes
- / 4
peritonitis
distention can be noticed
tenderness and abdominal rigidity