PHTLS TRAUMA PHTLS REVIEW
Questions and Answers Latest Version
Graded A+
Which of the following is the best indicator of shock in a trauma
patient?
Select one:
a.
Depressed level of cognition
b.
Heart rate of 80
c.
Respirations of 18
d.
GCS of 15
Depressed level of cognition
When managing a pediatric patient, pre-hospital providers should do
all of the following EXCEPT:
Select one:
a.
Use appropriately sized equipment
b.
Frequently reassess the patient
c.
Preserve body heat
,d.
Use half the adult dose or medication administration
Use 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 most
hemostatic agents is which of the following?
Select one:
a.
Placing the agent around the edges of the wound
b.
Placing the agent properly into the wound and holding direct pressure
c.
Only using it after a tourniquet has been applied for 10 minutes
d.
Hemostatic agents should never be used unless you have a fall in
blood pressure
Placing the agent properly into the wound and holding direct pressure
In a patient with a suspected traumatic brain injury, what is the most
concerning physical finding?
Select one:
a.
BP 140/90
b.
Heart rate of 58
c.
Respiratory rate of 30
d.
Altered level of consciousness
,Altered Level of consciousness
EMS responds for a patient involved in a motorcycle vs. motor vehicle
collision. The patient is poorly responsive with no movement of lower
extremities and loss of temperature sensation (hot vs cold) below the
T10. Which of the following types of shock is the patient most likely
experiencing?
Select one:
a.
Cardiogenic
b.
Hypovolemic
c.
Neurogenic
d.
Obstructive
Neurogenic
In a blast-related multiple patient situation, which of the following
patients should be treated first?
Select one:
a.
A 33-year-old female with altered level of consciousness and
decreased capillary refill
b.
A 28-year-old male with an arm amputation who has bleeding
controlled with a tourniquet
c.
A 14-year-old pulseless female with grey matter visible from a head
wound
, d.
a 78-year-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
A 33-year-old female with altered level of consciousness and decreased
capillary refill
Hypotension 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
c.
Increased sympathetic tone causing vasoconstriction
d.
Increased intrathoracic pressure
Loss of sympathetic 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 put in place by bystanders. The victim is conscious
and in severe pain. Your first action should be to do which of the
following?
Select one:
a.
Provide IV analgesia
b.
Put on pressure dressing
Questions and Answers Latest Version
Graded A+
Which of the following is the best indicator of shock in a trauma
patient?
Select one:
a.
Depressed level of cognition
b.
Heart rate of 80
c.
Respirations of 18
d.
GCS of 15
Depressed level of cognition
When managing a pediatric patient, pre-hospital providers should do
all of the following EXCEPT:
Select one:
a.
Use appropriately sized equipment
b.
Frequently reassess the patient
c.
Preserve body heat
,d.
Use half the adult dose or medication administration
Use 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 most
hemostatic agents is which of the following?
Select one:
a.
Placing the agent around the edges of the wound
b.
Placing the agent properly into the wound and holding direct pressure
c.
Only using it after a tourniquet has been applied for 10 minutes
d.
Hemostatic agents should never be used unless you have a fall in
blood pressure
Placing the agent properly into the wound and holding direct pressure
In a patient with a suspected traumatic brain injury, what is the most
concerning physical finding?
Select one:
a.
BP 140/90
b.
Heart rate of 58
c.
Respiratory rate of 30
d.
Altered level of consciousness
,Altered Level of consciousness
EMS responds for a patient involved in a motorcycle vs. motor vehicle
collision. The patient is poorly responsive with no movement of lower
extremities and loss of temperature sensation (hot vs cold) below the
T10. Which of the following types of shock is the patient most likely
experiencing?
Select one:
a.
Cardiogenic
b.
Hypovolemic
c.
Neurogenic
d.
Obstructive
Neurogenic
In a blast-related multiple patient situation, which of the following
patients should be treated first?
Select one:
a.
A 33-year-old female with altered level of consciousness and
decreased capillary refill
b.
A 28-year-old male with an arm amputation who has bleeding
controlled with a tourniquet
c.
A 14-year-old pulseless female with grey matter visible from a head
wound
, d.
a 78-year-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
A 33-year-old female with altered level of consciousness and decreased
capillary refill
Hypotension 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
c.
Increased sympathetic tone causing vasoconstriction
d.
Increased intrathoracic pressure
Loss of sympathetic 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 put in place by bystanders. The victim is conscious
and in severe pain. Your first action should be to do which of the
following?
Select one:
a.
Provide IV analgesia
b.
Put on pressure dressing
