PHTLS 10TH EDITION UPDATED FINAL EXAM
QUESTIONS AND ANSWERS SURE A+
1
✔✔1. You are called to the scene of an explosion and fire at a chemical plant where you
find multiple casualties.Triage has begun. Your first patient is a 40-year-old man who
was near the source of the explosion. He is unconscious and has extensive injuries.
You note gurgling respirations. Why should you use the trauma jaw thrust maneuver
first when dealing with a trauma patient?
A. It's an easy technique that always works to open the airway.
B. It allows you to open the airway with little or no movement of the head and cervical
spine.
C. Other techniques and interventions don't work as well.
D. It can relieve a variety of anatomic airway obstructions in patients who are breathing
spontaneously. - ✔✔Question 1: B
Manual maneuvers like the trauma jaw thrust or chin lift are always the first airway
maneuver you should make when treating a trauma patient. In patients with suspected
head, neck, orfacial trauma, the cervical spine is maintained in a neutral in-line
position.The trauma jaw thrust maneuver allows you to open the airway with little or no
movement of the head and cervical spine.
✔✔2. The patient becomes apneic. You suspect he has a cervical injury. Which type of
airway should you use?
, A. Supraglottic airway
B. Blind nasotracheal intubation
C. Oropharyngeal airway
D. Surgical airway - ✔✔Question 2: A
The supraglottic airway's greatest advantage is that it can be inserted independent of
the patient's position, which may be especially important in trauma patients with high
suspicion of cervical injury.
✔✔3. Why might it be more difficult to deal with an airway obstruction in a child?
A. Children have longer tracheas.
B. Children have larger heads and tongues so there is a greater potential for airway
obstruction.
C. Children have smaller heads, so there is less room to clear the obstruction.
D. A child's epiglottis is smaller and stiffer than an adult's. - ✔✔Question 3: B
Children have larger heads and tongues as compared to an adult so there is a greater
potential for airway obstruction in a pediatric patient. You must pay special attention to
the proper positioning of a pediatric patient to maintain a patent airway.
✔✔4. Why might you consider early mechanical ventilation via bag-mask device in a
geriatric patient?
A. Shorter tracheas in geriatric patients create the need for ventilation assistance.
B. Laxity of the rib cage makes hyperventilation more likely.
C. Geriatric patients have greatly limited physiologic reserve.
D. Geriatric patients have a greater alveolar surface area of the lungs. - ✔✔Question 4:
C
Early mechanical ventilation via bag mask device or advanced airway measures should
be considered in geriatric trauma patients because of their greatly limited physiologic
reserve.
✔✔1. You have been performing ongoing management on a 35-year-old female patient
who sustained thoracic trauma when a car hit her as she crossed the street. Originally,
your electronic monitoring devices all produce results consistent with your patient's
clinical condition. However, en route the trauma center, the monitors start to differ from
your patient's current clinical condition each time you reassess. How should you handle
this situation?
A. Treat the patient's condition, not the monitor results.
B. Continue to reassess the patient and record the results for the trauma center.
C. Treat your patient based on the test results.
D. Stop testing and wait until you arrive at the trauma center for them to perform an
assessment. - ✔✔Question 1: A
If there are inconsistent data from electronic monitoring devices, reassess to be sure
the monitor matches the patient's current clinical condition. However, it is most
important to treat the patient, not the monitor, so use other signs and symptoms of
potential patient deterioration.
QUESTIONS AND ANSWERS SURE A+
1
✔✔1. You are called to the scene of an explosion and fire at a chemical plant where you
find multiple casualties.Triage has begun. Your first patient is a 40-year-old man who
was near the source of the explosion. He is unconscious and has extensive injuries.
You note gurgling respirations. Why should you use the trauma jaw thrust maneuver
first when dealing with a trauma patient?
A. It's an easy technique that always works to open the airway.
B. It allows you to open the airway with little or no movement of the head and cervical
spine.
C. Other techniques and interventions don't work as well.
D. It can relieve a variety of anatomic airway obstructions in patients who are breathing
spontaneously. - ✔✔Question 1: B
Manual maneuvers like the trauma jaw thrust or chin lift are always the first airway
maneuver you should make when treating a trauma patient. In patients with suspected
head, neck, orfacial trauma, the cervical spine is maintained in a neutral in-line
position.The trauma jaw thrust maneuver allows you to open the airway with little or no
movement of the head and cervical spine.
✔✔2. The patient becomes apneic. You suspect he has a cervical injury. Which type of
airway should you use?
, A. Supraglottic airway
B. Blind nasotracheal intubation
C. Oropharyngeal airway
D. Surgical airway - ✔✔Question 2: A
The supraglottic airway's greatest advantage is that it can be inserted independent of
the patient's position, which may be especially important in trauma patients with high
suspicion of cervical injury.
✔✔3. Why might it be more difficult to deal with an airway obstruction in a child?
A. Children have longer tracheas.
B. Children have larger heads and tongues so there is a greater potential for airway
obstruction.
C. Children have smaller heads, so there is less room to clear the obstruction.
D. A child's epiglottis is smaller and stiffer than an adult's. - ✔✔Question 3: B
Children have larger heads and tongues as compared to an adult so there is a greater
potential for airway obstruction in a pediatric patient. You must pay special attention to
the proper positioning of a pediatric patient to maintain a patent airway.
✔✔4. Why might you consider early mechanical ventilation via bag-mask device in a
geriatric patient?
A. Shorter tracheas in geriatric patients create the need for ventilation assistance.
B. Laxity of the rib cage makes hyperventilation more likely.
C. Geriatric patients have greatly limited physiologic reserve.
D. Geriatric patients have a greater alveolar surface area of the lungs. - ✔✔Question 4:
C
Early mechanical ventilation via bag mask device or advanced airway measures should
be considered in geriatric trauma patients because of their greatly limited physiologic
reserve.
✔✔1. You have been performing ongoing management on a 35-year-old female patient
who sustained thoracic trauma when a car hit her as she crossed the street. Originally,
your electronic monitoring devices all produce results consistent with your patient's
clinical condition. However, en route the trauma center, the monitors start to differ from
your patient's current clinical condition each time you reassess. How should you handle
this situation?
A. Treat the patient's condition, not the monitor results.
B. Continue to reassess the patient and record the results for the trauma center.
C. Treat your patient based on the test results.
D. Stop testing and wait until you arrive at the trauma center for them to perform an
assessment. - ✔✔Question 1: A
If there are inconsistent data from electronic monitoring devices, reassess to be sure
the monitor matches the patient's current clinical condition. However, it is most
important to treat the patient, not the monitor, so use other signs and symptoms of
potential patient deterioration.
