Download PHTLS 10th Ed Exam Questions And Answers and more Exams Nursing in PDF only on Docsity!
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A 78-year-old female was involved in a minor car crash. She is shivering and exhibits repetitive questioning. She is a type II diabetic and takes an anticoagulant. What should your initial treatment be? - - correct answer ✅Move patient to a warm environment A 29-year-old male falls 17 feet (5m) to the ground from a tree. He complains of pain with movement and pain on the right side of his chest when he breathes. You note accessory muscle use, focal tenderness, bony crepitus, and absent breath sounds on his right side. What should you suspect? - - correct answer ✅Simple pneumothorax A 55-year-old male has burns to both lower extremities from a car crash. He is awake and in severe pain. Assessment reveals dry, white, leathery, appearance in both lower extremities. What is the burn classification? - - correct answer ✅Full thickness Which of the following physiological changes associated with aging may contribute to an increased incidence of falls among the elderly? - - correct answer ✅Declining visual acuity Which type of shock included neurogenic and anaphylactic shock? - - correct answer ✅Distributive A 13-year-old male was a restrained passenger in a car crash at highway speed. He is alert and oriented on-scene and walking around. What
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should you do? - - correct answer ✅Consider spinal motion restriction and assess his c-spine A 24-year-old construction worker amputated his thumb. How should you manage the amputation? - - correct answer ✅Wrap in moistened gauze A 41-year-old male was stabbed in the chest immediately below the sternum. He complains of shortness of breath and has engorged jugular veins. Vital signs are BP 108/84, P 130 R 26. What should you suspect? -
- correct answer ✅Cardiac tamponade A 50-year-old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. What should you do first? - - correct answer ✅Insert a supraglottic airway device A 44-year-old male was ejected from a truck traveling 36mph (60kph). He is lying supine on the ground and has snoring respirations. What should you do first? - - correct answer ✅Manually stabilize the cervical spine A 46-year-old male is trapped in his vehicle after a high speed front-end collision. He is slow to respond to questions. You see blood pooling on his seat. Vital signs are P 130 R 8. How should you remove this patient from the vehicle? - - correct answer ✅Rapidly extricate the patient
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A 28-year-old male was ejected during a car crash. He is unconscious and has no obvious bleeding. Vital signs are 70/40, P 120, R 22. What type of shock should you suspect? - - correct answer ✅Hemorrhagic A 3-year-old was involved in a crash with 2ft (61cm) intrusion into the passenger compartment. She is crying and has an obvious deformed right humerus. Her car seat has a crack on the side of impact. What should you suspect? - - correct answer ✅Significant energy has been distributed to this patient A 20-year-old male was hit in the chest with a baseball bat. He complain of severe pain and tenderness on the left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 9, R 20, SpO2 98%, and ETCO 38 mmHg. What should you do - - correct answer ✅Administer 100mcg Fentanyl What is a priority treatment for an internal hemorrhage due to pelvic fracture? - - correct answer ✅Binder application What is a sign of brain stem herniation? - - correct answer ✅Decerebrate posturing A 29-year-old male was injured in a high speed motor vehicle collision with lateral impact and intrusion into the side of a sedan. He has pale and diaphoretic skin, appears anxious, and is coughing up blood-tinged
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sputum. He complain of chest pain, decreased breath sounds on the left lateral side, has crepitus on palpation of his ribs, and his jugular veins are flat. Vital signs are BP 88/56, P 120, R 24, Spo2 92%. What should you suspect? - - correct answer ✅Hemothorax Upon examining a 43-year-old male, you note unequal breath sounds. What is a sign or symptom of a simple pneumothorax? - - correct answer ✅Shortness of breath, decreased lung sounds on affected side A 26-year-old male is supine on the ground. He was assaulted and has obvious head and facial trauma. He has snoring respirations at a rate of 8 per minute. What should you do? - - correct answer ✅Perform a modified jaw thrust A 27-year-old female has multisystem trauma. Which life threat should be your first priority? - - correct answer ✅Significant external hemorrhage An adult patient has partial thickness burns to his or her anterior chest and abdomen, entire right arm, and the palm of the left hand. What percent of the total body surface area is affected? - - correct answer ✅28%
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to insert an oral airway. He thrashes his heads when you attempt to provide bag-mask ventilations. His oxygen saturation is decreasing, and his ETCO2 is increasing. What is the best option to secure his airway and provide effective ventilations? - - correct answer ✅Pharmacologically assisted intubation Which of the following presents the greatest risk for EMS provider fatalities - - correct answer ✅Motor vehicle collision either in an EMS unit or on-scene An 80-year-old female fell down a flight of stairs 3 days ago. Today the family reports she has a headache and is going "in and out of consciousness." Vital signs are BP 170/72, R26 and irregular, P 62, BGL 150 mg/dL (8.3 mmol/L). What should you suspect? - - correct answer ✅Subdural hematoma Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears or nose? - - correct answer ✅Basilar A 4-year-old female fell down approximately 8 carpeted stairs. Her parents said she initially complained of neck pain and a tingling sensation in all four extremities, but the symptoms have since resolved. What should you do? - - correct answer ✅Initiate spinal motion restriction and transport
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A 28-year-old male fell from his motorcycle during a low-speed accident. He removed his own helmet after the accident. He has an open left femur fracture with severe external bleeding from the wound. What should you do? - - correct answer ✅Apply direct pressure to the wound A 47-year-old female was stabbed with a knife in her right upper quadrant. Her Glasgow Coma Scale score was 9 (E2, V2, M5). Vital signs are BP 78/50, P 130, R 26. What should you do? - - correct answer ✅Immediately transport to a trauma center and establish IV en route An anxious 54-year-old female complains of chest pain. She hit the steering wheel after a car crash at highway speeds. Her sternum is red and tender. Vital signs are BP 100/68, P112, R 28 clear, SPO2 92%. What should you suspect? - - correct answer ✅Cardiac contusion An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet? - - correct answer ✅To manage the airway A 33-year-old female has a Glasgow Coma Scale score of 3 (E1, V1, M1) after being ejected from a motor vehicle. How should you prepare to intubate? - - correct answer ✅Maintain spinal perceptions and attempt direct visual intubation
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Where is the preferred landmark for needle decompression? - - correct answer ✅Anterior axillary line, 5th intercostal space A 13-year-old male was riding on an all-terrain vehicle when he drove into a wire fence. He is sitting on the ground with a towel over his lower face. He has an open jaw fracture. What is your primary concern? - - correct answer ✅Obstruction of the airway A 78-year-old female fell 12 hours ago. Now she complains of 10/10 hip and groin pain during movement. Vital signs 98/50, P 132, R 26. What should you administer? - - correct answer ✅Ketamine A 22-year-old male was involved in a car crash and hit a tree head-on. The patient is on the ground outside the vehicle and is unconscious. His forearm is avulsed and you note a large pool of blood with active bleeding. His airway is deep and labored. What should you do? - - correct answer ✅Apply a tourniquet
