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PHTLS 10TH EDITION FINAL EXAM
Questions and Verified Answers
100% Guarantee Pass
With 50 Questions and Answers
- When caring for a trauma patient, a principle is what is necessary for patient improvement or survival. A preference is how the principle is achieved and depends upon four factors. The factors used to establish the preference in treating the patient include all except A. Equipment available B. Condition of the patient C. Research information D. Situation that exists Ans>> C
- Approximately 20% of all child abuse is the result of intentional burning.The majority of the children intentionally burned are of what age? A. 10 to 12 years of age B. 1 to 2 years of age C. 5 to 6 years of age
2 / 9 D. Less than 1 year of age Ans>> B
- In addition to glucose, what is required to maintain the metabolic processes of life and energy production? A. Lymphocytes B. Krebs cells C. Carbon monoxide D. Oxygen Ans>> D
- You respond to a patient who has sustained a stab wound to the left upper thorax. She is barely responsive, pale and diaphoretic. Which of the following is the most appropriate for transport? A. Long board with spinal motion restriction B. Stair chair C. Short immobilization device D. Scoop stretcher Ans>> D
- Units responding to a motor vehicle accident on the highway should con- sider which of the following as part of their pre-arrival assessment? A. Calling for more units to respond B. The need for immediate transport
4 / 9 B. Distended neck veins C. Inspiratory wheezing D. narrowed pulse pressure Ans>> B
- Hemostatic agents should be used for excessive bleeding when direct pressure alone does not work.The proper way to use most hemostatic agents is which of the following? A. Hemostatic agents should never be used unless you have a fall in blood pressure B. Placing the agent properly into the wound and holding direct pressure C. Placing the agent around the edges of the wound D. Only using it after a tourniquet has been applied for 10 minutes Ans>> B
- Of the following, which is a preventable cause of secondary brain injury addressable during the transport phase? A. Herniation syndromes B. Systemic hypoxia C. Intracranial hematomas D. Intraparenchymal hemorrhage Ans>> B
- You are called to treat a patient who was knocked unconscious when he
5 / 9 slipped and fell on a wet floor, striking his head. It is now several hours later. He is awake but confused, does not recall the incident, and is vomiting with a headache. Which of the following injuries is most likely? A. Brain herniation B. Intraabdominal hemorrhage C. Concussion D. Diffuse axonal injury Ans>> C
- When using a selective spinal immobilization protocol, which of the follow- ing findings indicate the need for immobilization? A. Past history of spinal injury B. Being an unrestrained passenger in a motor vehicle crash C. An associated femoral shaft fracture with severe pain D. Being ambulatory at the scene Ans>> C
- In a blast-related multiple patient situation, which of the following patients should be treated first? A. a 78-year-old male awake and unable to hear B. A 28-year-old male with an arm amputation who has bleeding controlled with a tourniquet
7 / 9 B. Airway C. Exsanguinating hemorrhage D. Breathing Ans>> A
- The most common type of shock resulting from trauma is? A. Spinal B. Septic C. Hemorrhagic D. Neurogenic Ans>> C
- Which of the following best guides the decision to provide spinal immobi- lization? A. Obvious signs of associated injury B. History and complaint
8 / 9 C. Mechanism alone D. Patient's age and presence of pressure sores Ans>> B
- A 38-year-old male sustains a large wound to his right thigh while at work. Which of the following actions is the most important initial step? A. Administer supplemental oxygen B. Rapid transport C. Obtain IV access and infuse crystalloid D. Hemorrhage control Ans>> D
- You respond to a local bar for an unconscious person. On arrival, you are met by a police officer who reports that one of their "regular alcoholics" was found in the alley behind the bar. On exam, you note the smell of an alcoholic beverage as well as the following Patient flexes his arms to painful stimuli, has bilateral fixed and dilated pupils, irregular respirations at 12breaths per minute and a BP of 210/100. What condition do you suspect? A. Subarachnoid hemorrhage B. Alcohol poisoning C. Ruptured abdominal aortic aneurysm D. Subdural hematoma Ans>> D
- The pre-hospital assessment of the trauma patient begins with which of the following? A. Information provided by the dispatcher
10 / 9 B. Perform complex airway maneuvers C. Perform a surgical cricothyrotomy D. Perform RSI Ans>> A
- What is the most common cause of airway obstruction in the unresponsive trauma patient? A. Blood B. Vomitus C. Tongue D. Teeth Ans>> C
- While caring for a patient who was involved in an altercation, the patient vomits, causing his airway to become totally obstructed with vomitus and blood. What is the most important action? A. Suctioning the airway B. Performing a head-tilt chin lift C. Intubating D. Performing an RSI Ans>> A
- When energy produced by the cells occurs during a state of adequate oxygenation, it is referred to as which of the following conditions? A. Ketosis B. Anaerobic metabolism C. Aerobic metabolism
11 / 9 D. Lactic acidosis Ans>> C
- Which of the following information is assessed during the secondary survey? A. Breathing B. Vital signs C. Hemorrhage D. Skin temperature Ans>> B
- Hyperventilation of a patient with suspected traumatic brain injury should occur when? A. During a concussion B. When signs of impending brain herniation are present C. Whenever the patient complains of headache D. At time of injury Ans>> B
- Patients with suspected traumatic brain injuries (TBI) are susceptible to secondary injuries which are typically preventable. In addition to hypoxia and hypotension which of the following can also decrease cerebral perfusion? A. Hypothermia B. Increased cardiac output
13 / 9 Ans>> B
- In a multi-system trauma patient what is considered the best method for confirming proper placement of an endotracheal tube? A. Pulse oximetry B. Presence of bilateral breath sounds C. Waveform capnography D. Auscultation of the left upper abdominal quadrant Ans>> C
- What is the most likely source of bleeding in a patient with signs of shock and no obvious injury? A. Intra-abdominal injury B. Severe traumatic brain injury C. Femur fracture D. Pelvic fracture Ans>> A
- Hypoperfusion will affect which of the following organs first? A. Brain B. GI tract C. Liver D. Kidney Ans>> A
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- A 23-year-old male construction worker fell approximately 30 feet from a roof.The patient is unresponsive to all stimuli; his R pupil is 7mm and non-re- active and his L pupil is 3mm. He has irregular respirations at 8 breaths per min. You do not have waveform capnography, so what is the most appropriate rate of ventilations? A. 20 BPM B. 25 BPM C. 12 BPM D. 30 BPM Ans>> A
- A 30-year-old male is thrown from his horse, landing on the top rail of a pipe fence and now has a loss of sensation from the nipples down. What level of the spine do you suspect he injured? A. T B. T C. T D. C Ans>> C
- In a patient with a suspected traumatic brain injury, what is the most concerning physical finding? A. Respiratory rate of 30 B. Heart rate of 58 C. BP 140/ D. Altered level of consciousness
16 / 9 creasing respiratory distress with increased respirations and absent lung sounds are noted on repeat auscultation. What is the most appropriate next intervention? A. Release and reapply the occlusive dressing B. Perform endotracheal intubation C. Provide positive-pressure ventilation D. Perform needle decompression Ans>> A
- EMS arrives on a scene and finds that emergency medical responders have attempted to immobilize a pediatric patient onto a long backboard. They note that the patient's head is in a flexed position. Which of the following actions is the most appropriate? A. Adjust the cervical collar B. Place padding under the patient's torso C. Place padding under the patient's head and neck D. Logroll patient into a left lateral recumbent position Ans>> B
- Falls are the most common cause of death in trauma patients over years of age A. 75 B. 65 C. 69 D. 55 Ans>> A
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- is the earliest sign of deterioration in a patient with a flail chest. A. Pulse rate increase B. Oxygen saturation decrease C. Respiratory rate increase D. Blood pressure decrease Ans>> C
- EMS is treating a 24-year-old soccer player who was kicked in the chest. Prehospital providers note paradoxical movement of a portion of the patient's chest wall. The patient's respiratory rate is 16 and oxygen saturation is 94%. What is the most appropriate action? A. Endotracheal intubation B. Place bulky dressing over the wound and tightly wrap the chest C. Provide supplemental oxygen and transport to a trauma center D. Stabilize the segment with sandbags on the chest Ans>> C
- Prehospital providers respond to a 17-year-old male who fell through a sliding glass door and sustained a large laceration to his arm that is bleeding heavily. He is restless and diaphoretic, with a weak, thready pulse. What is the most appropriate first action? A. Apply a tourniquet
19 / 9 D. Provide IV analgesia Ans>> A
