PHTLS Pre-Test 9th edition Version 1NV

PHTLS Pre-Test 9th edition Version 1NV 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: a) Condition of the patient b) Equipment available c) Situation that exists d) Research information Ans- Research information Approximately 20% of all child abuse is the result of intentional burning. The majority of the children intentionally burned are of what age? 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 Ans- 1 to 2 years of age In addition to glucose, what is required to maintain the metabolic processes of life and energy production? a) Carbon monoxide b) Krebs cells c) Lymphocytes d) Oxygen Ans- Oxygen You respond to a patient who has sustained a stab wound to the left upper thorax. She is barely responsive, pale and diaphoretic. Which of the following is the most appropriate for transport? a) Stair chair b) Long board with spinal motion restriction c) Scoop stretcher d) Short immobilization device Ans- Scoop stretcher Units responding to a motor vehicle accident on the highway should consider which of the following as part of their pre-arrival assessment? a) Calling for more units to respond b) Weather conditions c) The need for immediate transport d) Post-exposure prophylaxis Ans- Weather conditions The most appropriate airway maneuver in the initial management of a trauma patient is which of the following? a) Head tilt, chin lift b) Supraglottic airway c) Trauma jaw thrust d) Oropharyngeal airway Ans- Trauma jaw thrust When verifying ET tube placement on a perfusing patient, the "gold standard" of monitoring is considered to be? a) Colorimetric carbon dioxide detector b) Pulse oximetry c) Listening to lung sounds d) Waveform capnography Ans- Waveform capnography A patient presents with a blunt trauma injury to the chest. On exam, he has absent breath sounds on one side of his chest and respiratory distress. Which additional sign would indicate that the patient has a tension pneumothorax? a) Distended neck veins b) Inspiratory wheezing c) narrowed pulse pressure d) Tracheal deviation towards the side of injury Ans- Distended neck veins 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? 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 Ans- Placing the agent properly into the wound and holding direct pressure Of the following, which is a preventable cause of secondary brain injury addressable during the transport phase? a) Intraparenchymal hemorrhage b) Systemic hypoxia c) Intracranial hematomas d) Herniation syndromes Ans- Systemic hypoxia You are called to treat a patient who was knocked unconscious when he slipped and fell on a wet floor, striking his head. It is now several hours later. He is awake but confused, does not recall the incident, and is vomiting with a headache. Which of the following injuries is most likely? a) Brain herniation b) Intraabdominal hemorrhage c) Diffuse axonal injury d) Concussion Ans- Concussion When using a selective spinal immobilization protocol, which of the following findings indicate the need for immobilization? a) Past history of spinal injury b) Being an unrestrained passenger in a motor vehicle crash c) Being ambulatory at the scene d) An associated femoral shaft fracture with severe pain Ans- An associated femoral shaft fracture with severe pain In a blast-related multiple patient situation, which of the following patients should be treated first? 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 Ans- A 33-year-old female with altered level of consciousness and decreased capillary refil