PHTLS Test Questions with Verified
Solutions
The pre-hospital assessment of the trauma patient begins with which of the following?
Select one:
a.
Assessment of scene safety and situation
b.
Information provided by the dispatcher
c.
The initial assessment
d.
The primary survey
Feedback - ANSWER-Information Provided by the dispatcher
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?
Select one:
a.
Hypothermia
b.
Cerebral vasodilation
c.
Increased cardiac output
d.
Inadvertent or excess hyperventilation - ANSWER-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 6 years of age
c.
1 to 2 years of age
d.
Less than 1 year of age - ANSWER-The correct answer is: 1 to 2 years of age
Falls are the most common cause of death in trauma patients over _____ years of age
Select one:
a.
65
b.
75
c.
55
d.
69 - ANSWER-75
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?
Select one:
a.
Apply a tourniquet
b.
Pack the wound with a hemostatic dressing
c.
Initiate intravenous access
d.
Apply direct pressure - ANSWER-Apply Direct Pressure
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:
Select one:
a.
Condition of the patient
b.
Equipment available
c.
Situation that exists
d.
Research information - ANSWER-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
c.
Listening to lung sounds
d.
Waveform capnography - ANSWER-Waveform Capnography
The most common type of shock resulting from trauma is?
Select one:
a.
Neurogenic
b.
Septic
c.
Spinal
d.
Hemorrhagic - ANSWER-Hemorrhagic
, 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?
Select one:
a.
Performing an RSI
b.
Performing a head-tilt chin lift
c.
Intubating
d.
Suctioning the airway - ANSWER-Suctioning the Airway
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?
Select one:
a.
C3
b.
T4
c.
T10
d.
T12 - ANSWER-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
c.
Solutions
The pre-hospital assessment of the trauma patient begins with which of the following?
Select one:
a.
Assessment of scene safety and situation
b.
Information provided by the dispatcher
c.
The initial assessment
d.
The primary survey
Feedback - ANSWER-Information Provided by the dispatcher
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?
Select one:
a.
Hypothermia
b.
Cerebral vasodilation
c.
Increased cardiac output
d.
Inadvertent or excess hyperventilation - ANSWER-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 6 years of age
c.
1 to 2 years of age
d.
Less than 1 year of age - ANSWER-The correct answer is: 1 to 2 years of age
Falls are the most common cause of death in trauma patients over _____ years of age
Select one:
a.
65
b.
75
c.
55
d.
69 - ANSWER-75
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?
Select one:
a.
Apply a tourniquet
b.
Pack the wound with a hemostatic dressing
c.
Initiate intravenous access
d.
Apply direct pressure - ANSWER-Apply Direct Pressure
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:
Select one:
a.
Condition of the patient
b.
Equipment available
c.
Situation that exists
d.
Research information - ANSWER-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
c.
Listening to lung sounds
d.
Waveform capnography - ANSWER-Waveform Capnography
The most common type of shock resulting from trauma is?
Select one:
a.
Neurogenic
b.
Septic
c.
Spinal
d.
Hemorrhagic - ANSWER-Hemorrhagic
, 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?
Select one:
a.
Performing an RSI
b.
Performing a head-tilt chin lift
c.
Intubating
d.
Suctioning the airway - ANSWER-Suctioning the Airway
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?
Select one:
a.
C3
b.
T4
c.
T10
d.
T12 - ANSWER-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
c.
