PHTLS Pre-Test Quizzes with complete solutions to pass!

You arrive at the scene of a motor vehicle collision in which a vehicle struck a tree. What is the best indicator of potential injury? Speed of the Vehicle The potential for death or serious injury is greatest in which of following motor vehicle collisions? Ejection from the vehicle Bilateral femur fractures are most often associated with which type of motorcycle crash? Head-on impact Which is the preferred fluid for resuscitation of hemorrhagic shock in the prehospital setting? Lactated Ringer's Which is the most common cause of upper airway obstruction in the trauma patient? The Tongue Which is the preferred adjunct device for verifying placement of an endotracheal tube in a patient with a perfusing rhythm? End-tidal CO2 monitoring (capnography) Which is the most important reason to maintain an open airway in the trauma patient? Prevents hypoxemia and hypercarbia Essential airway skills include manual clearing of the airway, manual maneuvers, suctions, and _____? OPA Your patient is a middle aged male who crashed his motorcycle. He is unresponsive. After opening the airway using a modified jaw thrust, you note the patient has respiration at a rate of 6. Auscultation reveals breath sounds are absent on the left side. What is the most appropriate next intervention? Begin ventilation with a BVM Which best describes shock? Generalized inadequate tissue perfusion Your patient has a deep laceration to his antecubital fossa with significant bleeding. What is the most appropriate initial action? Apply direct pressure Hypotension of unknown etiology in a trauma patient should be assumed to result from which of the following? Blood loss Which assessment is most beneficial in differentiating hemorrhagic shock from neurogenic shock in the prehospital setting? Skin The body initially compensates for blood loss through activation of which of the following? Sympathetic nervous system Medication used by trauma patients for pre-existing conditions may cause which of the following? Beta blockers may prevent tachycardia with blood loss The target blood pressure for a trauma patient with suspected intraabdominal hemorrhage is which of the following? 80-90 mmHG Which best explains the mechanism by which gas exchange is impaired in pulmonary contusion? Blood in the alveoli Which of the following is a key finding that differentiates cardiac tamponade from tension pneumothorax? Equal breath sounds Your patient is a 20 year old male who struck his head on a teammate's knee while diving to catch a football. He was not wearing a helmet. He demonstrates decerebrate posturing and has a GCS score of 4. His heart rate is 58, BP 108/102, and his left pupil is dilated. What is the best ventilation rate to use when managing this patient? 20 breaths per minute A 20 year old female was ejected from her vehicle during a high speed roll-over motor vehicle collision. She has significant bleeding from a large laceration. Your initial assessment reveals a GCS score of 7, systolic blood pressure of 70 mmHG and pupils that are equal but respond sluggishly to light. After establishing two large bore IV lines, you should titrate the infusion rate to achieve a target blood pressure of at least... 90 mmHG Which of the following is the preferred prehospital wound management for a patient with a 36% body surface area flame burn? Dry sterile dressing The most immediate life threatening condition resulting from injury to solid abdominal organs is... Hemorrhage An adult male sustained a deep laceration to his distal thigh. Bright red blood is spurting from the wound. Direct pressure is not controlling the bleeding. What is the most appropriate step? Apply a tourniquet and tighten it until the bleeding stops An 18 year old female was struck by a car and has sustained an apparent left femur fracture. Communication with her is hampered because she only speaks a foreign language. Which finding, by itself, does not mandate immobilization of the cervical spine? Mechanism of injury During the primary survey of a trauma patient, you note that the patient is agitated and confused, and has multiple injuries from an altercation. What is the most appropriate choice for your first treatment priority? Correction of possible hypoxia A