PHTLS Objective Assessment Guide Exam Questions and Already graded Solutions and Assured Satisfactions 2024/2025
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PHTLS
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PHTLS
PHTLS Objective Assessment Guide Exam Questions and Already graded Solutions and Assured Satisfactions 2024/2025
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...
PHTLS Objective Assessment Guide
Exam Questions and Already graded
Solutions and Assured Satisfactions
2024/2025
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 - correct 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
- correct 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 - 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?
A. Abdominal aortic aneurysm
B. Ruptured diaphragm
C. Ruptured esophagus
D. "Paper bag" syndrome of the lungs - correct 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 -
correct 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 - correct 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 - 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?
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