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PHTLS Test Questions & Answers 2025 A+
The pre-hospital assessment of the trauma patient begins with which of the follawing? Select one: a. Assessment of scene safety and situation b. Information provided by the dispatcher The initial assessment d. The primary survey Feedback — ANS-WW Information Provided by the dispatcher Patients with suspected traumatic brain injuries (TBI) are susecptible to secondary injuries which are typically preventable. In addition to hypoxia and hypotension which of the following can also decrease cercbral perfusion? Select one: a. Hypothermia b. Cerebral yasodilation Increased cardiac output d. Inadvertent or excess hyperventilation — ANS-WW Inadvertent or excess hyperventilation Approximately 20% of all child abuse is the result of intentional burning. The majority of the children intentionally burned are of what age? Select one: a. 10 to 12 years of age b. 5 to G years of age 1 to 2 ycars of age b. Pack the wound with a hemostatic dressing Initiate intravenous access d. Apply direct pressure — ANS-WW Apply Direct Pressure When caring for a trauma patient, a principle is what is necessary for patient improyement or survival. A preference is how the principle is achieved and depends upon Tour factors. The factors used lo establish the preference in Llreating the patient include all except: Select one: a. Condition of the patient b. Equipment available Situation that exists Research information - ANS-WW The correct answer is: Research information When verifying ET tube placement on a perfusing patient, the “gold standard" of monitoring is considered to be? Select one: a. Colorimetric carbon dioxide detector b. Pulse oximetry Listening to lung sounds d. Waveform capnography — ANS-WWv Waveform Capnography The most comman type of shock resulting from trauma is? Select one: a. Neurogenic A 30-ycar—old male is thrown from his horse, landing an the top rail of a pipe fenee and now has a loss of sensation from the nipples down, What level af the spine do you suspect he injured? Select one: C3 T12 —- ANS-WwW The correct answer is: T4 Of the following, which is a preventable cause of secondary brain injury addressable during the transport phase? Select one: a. Intraparenchymal hemorrhage b. Systemic hypoxia Intracranial hematomas d. Herniation syndromes — ANS-WWSystemic Hypoxia You have a patient who is 35 weeks pregnant who was assaulted by her boyfriend. Patient is having severe abdominal pain described as "tearing" and on exam you nate her abdomen is asymmetrical and believe you can [eel the fetus through the abdominal wall, What condition do you suspect? Select one: a. Placenta previa b. Abruptio placenta Ruptured uterus b. Run copious amounts of room temperature water over the burn Cover burned area with dry sterile dressings d. Cover burned area with moist sterile dressings — ANS-WW Cover burned areca with a dry sterile dressing Which best describes the goal of airway management in a trauma patient? Select one: a. Perform complex airway mancuvers b. Perform a surgical cricothyratomy Provide for adequate exchange of oxygen and CO2 d. Perform RSI — ANS-¢wW Provide for adequate exchange of oxygen and CO2 When using a selective spinal immobilization protocol, which of the following findings indicate the need for immobilization? Select one: a. Past history of spinal injury b. Being an unrestrained passenger in a motor vehicle crash Being ambulatory at the scene d. An associated femoral shall [racture with severe pain - ANS-WWAn associated femoral shaft fracture with severe pain What is the most common cause of airway obstruction in the unresponsive trauma patient? Select one: a. Bload Which of the following is the best indicator of shock in a trauma patient? Select one: a. Depressed level of cognition b. Heart rate af 80 c, Respirations of 18 d. GCS of 1a — ANS-WW Depressed level of cagniltion When managing a pediatric patient, pre-hospital providers should do all of the following I> Ts Select one: a. Use appropriately sized equipment Frequently reassess the patient Preserve body heat d. Use half the adult dose or medication administration —- ANS-WWUsc half the adult dose or medication administration Hemostatic agents should be used for excessive bleeding when direct pressure alone does not work, The proper way to use mast hemostatic agents is which of the follawing? Select one: a. Placing the agent around the edges of the wound b. Placing the agent properly into the wound and holding direct pressure Only using it after a Lourniquet has been applied for 10 minutes d. Hemostatic agents should never be used unless you have a fall in blood pre ssure — ANS-WW Placing the agent properly into the wound and holding direct pressure b. Hypovolemic c Neurogenic d. Obstructive — ANS-WvVKeurogenic In a blast-related multiple patient situation, which of the following patients should be treated first? Select one: —year—old female with altered level of consciousness and decreased capillary A 28-ycar—old male with an arm amputation who has bleeding controlled with a tourniquet A 14-year-old pulseless female with grey matter visible [rom a head wound a 78—ycar—old male awake and unable to hear Feedback The correct answer is: A 33-year-old female with altered level of consciousness and decreased capillary refill - ANS-WWA 33-ycar-old female with altered level of consciousness and decreased capillary refill Ilypotension due to a spinal cord injury is a result of what physiologic mechanism? Select one: a. Loss of sympathetic tone causing vasodilation b. Increased capillary permeability Increased sympathetic tone causing vasoconstriction d. Increased intrathoracic pressure — ANS-WWLoss of sympathctic tone causing vasodilation A 30-year-old male is injured in a terror bombing. He experiences traumatic amputation of his left leg at knee level. An improvised tourniquet was pul in place by bystanders. The victim is cansciaus and in severe pain. Your first action should be to do which of the following? When time and situation allow d. Before maoying the patient — ANS-Wwv When time and situation allow Which of the following best guides the decision to provide spinal immobilization? Select one: a. [History and complaint b. Obvious signs of associated injury Patient's age and presence of pressure sores d. Mechanism alone — ANS-WWHistory and complaint Prehospital providers have treated a sucking chest wound with an occlusive dressing. During transport to the hospital, the patient develops increasing respiratory distress with increased respirations and absent lung sounds are noted on repeat auscultation. What is the mosl appropriate next intervention? Select one: a. Release and reapply the occlusive dressing b. Perform needle decompression Provide positive-pressure ventilation d. Perform endotracheal intubation - ANS-WW The correct answer is: Release and reapply the occlusive dressing is the carlicst sign of deterioration in a patient with a flail chest. Select one: a. Respiratory rate increase b. Oxygen saturation decrease 
