PHTLS Pretest complete solution
(Questions & Answers)
When the application of kinetic energy to the body from either a blunt or penetrating mechanism
displaces tissue, this is known as - (answer)CAVITATION
Which of the following is an example of the tertiary phase blast injury? - (answer)CRUSHING INJURY DUE
TO STRUCTURAL COLLAPSE.
The most common threat to life among trauma patients is? - (answer)INTERNAL HEMORRHAGE
Your patient is an injured construction worker bleeding profusely from a large laceration to the left
thigh. He is confused and has pale, moist skin. Direct pressure applied to the wound by a first responder
has failed to control the bleeding. The next step in controlling bleeding is to apply: - (answer)A
TOURNIQUET TO THE LACERATION.
Hypotension due to spinal cord trauma occurs due to interruption of the _______________nervous
system pathway. - (answer)SYMPATHETIC
The most common fractured ribs are ribs: - (answer)4 THROUGH 8.
A hemothorax is differentiated from a tension pneumothorax by: - (answer)DULL PERCUSSION ON THE
AFFECTED SIDE.
Which of the following mechanisms is most likely to result in cardiac tamponade? - (answer)A PATIENT
IS STRUCK IN THE LEFT ANTERIOR CHEST BY A NAIL EJECTED FROM A NAIL GUN.
Management of flail chest includes: - (answer)PAIN MANAGEMENT
VENTILATORY SUPPORT
100%O2
Which of the following types of traumatic brain injury is most likely to be associated with hemorrhage
from the middle meningeal artery? - (answer)EPIDURAL HEMATOMA
Which of the following groups of findings represents Cushing's phenomenon? - (answer)BRADYCARDIA
ABNORMAL RESPIRATORY PATTERN
ELEVATED BLOOD PRESSURE
Your patient is a 32 year old female who was thrown from a horse and struck her head on the ground.
She was not wearing a helmet. She does not respond verbally or open her eyes to painful stimuli, but
responds to painful stimuli with decerebrate posturing. Her right pupil is dilated and does not react to
,light. Her respirations are 6 per minute and irregular, pulse 56, blood pressure 188/98. You should
ventilate the patient at a rate of? - (answer)20 BPM.
A burn with reddened, glistening base that may have blisters is most characteristic of a -
(answer)SECOND degree burn.
A chemical solution with a pH of 4.0 is considered an ACID and causes damage to the tissues via -
(answer)COAGULATION NECROSIS.
An electrical burn caused by superheated air near the source of electricity is an - (answer)ARC burn.
Your patient is an 82 year old female who was an unrestrained front seat passenger in a motor vehicle
collision. Which of the following is the most reliable indication of shock in this patient? - (answer)LEVEL
OF CONSCIOUSNESS.
Which of the following findings is not expected in assessment of a pregnant patient? - (answer)A
DECREASED BLOOD PRESSURE IN THE THIRD TRIMESTER.
Which of the following is contraindicated in the management of a pregnant trauma patient in the third
trimester? - (answer)SUPINE POSITION.
During the assessment of the trauma patient, auscultation of the lung sounds is first performed during: -
(answer)THE PRIMARY SURVEY.
Which of the following is indicated for the prehospital management of a circumferential second degree
burn extending from the wrist to the elbow in a 70 Kg patient? - (answer)A DRY STERILE DRESSING
ANALGESIA
The preferred fluid for resuscitation of the patient with significant burns is: - (answer)LACTATED
RINGER'S SOLUTION.
Which of the following is the most common cause of spinal injuries? - (answer)MOTOR VEHICLE
COLLISIONS.
Hypotension in hemothorax is associated with: - (answer)THE ABILITY OF EACH SIDE OF THE THORAX TO
HOLD UP TO 3 LITERS OF BLOOD.
Cardiac tamponade is suspected with the findings of muffled heart sounds___________,
and___________ known as___________. - (answer)JUGULAR VEIN DISTENTION, and HYPOTENSION,
known as BECK'S TRIAD.
When administering isotonic crystalloid solution, about ___________ will remain in the vascular system
after 1 hour. - (answer)ONE-THIRD
PASG is contraindicated in patients with - (answer)CHEST TRAUMA.
,The greatest threat to life from injury to hollow abdominal organ is - (answer)PERITONITIS.
IV fluids administered to patients in shock should be _______ in order to ______________
______________. - (answer)WARM, PREVENT HYPOTHERMIA.
During pregnancy, signs and symptoms of shock may appear _______ due to an _________ in maternal
blood volume. - (answer)LATER, INCREASE
A fractured femur can result in___________________mL of hemorrhage. - (answer)1000 TO 2000
A male patient suffered a stab wound to his left flank. He is found to be in stage III shock. During the 25
minute transport to the trauma center, intravenous fluids should be administered at a rate sufficient to
maintain a: - (answer)SYSTOLIC BP OF 80 TO 90.
The most common type of shock in trauma patients is - (answer)HYPOVOLEMIC.
What percentage of blood volume loss in an adult patient is associated with findings of tachycardia
(>120/beats/minute), tachypnea (30-40 Breaths/min), and hypotension (systolic BP <90mmHg)? -
(answer)30 TO 40
Minute volume of ventilation is best represented as - (answer)TIDAL VOLUME x ventilatory rate
Which injury is most likely to be sustained by the driver in a lateral impact collision to the left side of the
vehicle with no side impact airbags (assuming the driver sits on the left)? - (answer)FRACTURED LEFT
CLAVICLE.
SSS - (answer) כפפות ומיגון, דיווח למשטרה,מיקום אמבולנס
יש עוד פצועים?מרחק פינוי,?התרשמות מקינמטיקה
גישה לפצוע מאחור עם קיבוע צוואר,הצגה עצמית
A - (answer))' טמפ, הזעה,פתיחת פה (התרשמות מצבע
או סקשיין/סילוק הפרשות בגריפה ו
הרמת לסת נכונה
החדרתAW ( בצורה ישרה- )עם יש חשד לעמש"צ
להתחיל עם הצוורון, לפרוס אינטובציה,)*( להביא חמצן
B - (answer)) גודש ורידי צוואר,חשיפת בית חזה (אשרמן
בדיקת נשימה
עומק נשימה, מספר נשימות- כן,
חיבור פאלס
, להוריד את הסטטוסקופ מהצוואר
האזנה
נידל (חיטוי ,סקלפל)
LPM 10לא -הנשמות 1:6אמבו וחמצן
)*( להביא קרש גב
דופק רדיאלי +מילוי קפילרי,צבע ,לחות ,חום)C - (answer
עצירת שט"דים בלחץ ישיר ,ח"ע
)*(קרש גב ,הדוייס
, GCSאישונים)D - (answer
?לשאול שם ,גיל ,אלרגיות ,מחלות,תרופות ,זוכר? ארוחה אחרונה
קצוות גפיים
הפשטה)E - (answer
חיפוש דימומים חבויים
כיסוי
קיבוע לקרש ולהדויייס
)רצועות 8 ,בכפות רגליים ,לשים משהו בין ברכיים וקרסוליים(
פינוי לבית חולים מתאים)Secondary survey - (answer
הערכה מחודשת
לחץ דם
עירוי
קפנוגרף ,מוניטור ,המרת חבישות ,קיבועים
Give me the general ideas of trauma criteria? - (answer)Any patient that has a compromise to Airway,
Breathing, Circulation and Deficit. Any Patient that is Altered or
What three areas of a penetrating injury would be trauma criteria? - (answer)Thoracic cavity and up.
Cranial, between Thoracic and midclavicular line, neck.
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(Questions & Answers)
When the application of kinetic energy to the body from either a blunt or penetrating mechanism
displaces tissue, this is known as - (answer)CAVITATION
Which of the following is an example of the tertiary phase blast injury? - (answer)CRUSHING INJURY DUE
TO STRUCTURAL COLLAPSE.
The most common threat to life among trauma patients is? - (answer)INTERNAL HEMORRHAGE
Your patient is an injured construction worker bleeding profusely from a large laceration to the left
thigh. He is confused and has pale, moist skin. Direct pressure applied to the wound by a first responder
has failed to control the bleeding. The next step in controlling bleeding is to apply: - (answer)A
TOURNIQUET TO THE LACERATION.
Hypotension due to spinal cord trauma occurs due to interruption of the _______________nervous
system pathway. - (answer)SYMPATHETIC
The most common fractured ribs are ribs: - (answer)4 THROUGH 8.
A hemothorax is differentiated from a tension pneumothorax by: - (answer)DULL PERCUSSION ON THE
AFFECTED SIDE.
Which of the following mechanisms is most likely to result in cardiac tamponade? - (answer)A PATIENT
IS STRUCK IN THE LEFT ANTERIOR CHEST BY A NAIL EJECTED FROM A NAIL GUN.
Management of flail chest includes: - (answer)PAIN MANAGEMENT
VENTILATORY SUPPORT
100%O2
Which of the following types of traumatic brain injury is most likely to be associated with hemorrhage
from the middle meningeal artery? - (answer)EPIDURAL HEMATOMA
Which of the following groups of findings represents Cushing's phenomenon? - (answer)BRADYCARDIA
ABNORMAL RESPIRATORY PATTERN
ELEVATED BLOOD PRESSURE
Your patient is a 32 year old female who was thrown from a horse and struck her head on the ground.
She was not wearing a helmet. She does not respond verbally or open her eyes to painful stimuli, but
responds to painful stimuli with decerebrate posturing. Her right pupil is dilated and does not react to
,light. Her respirations are 6 per minute and irregular, pulse 56, blood pressure 188/98. You should
ventilate the patient at a rate of? - (answer)20 BPM.
A burn with reddened, glistening base that may have blisters is most characteristic of a -
(answer)SECOND degree burn.
A chemical solution with a pH of 4.0 is considered an ACID and causes damage to the tissues via -
(answer)COAGULATION NECROSIS.
An electrical burn caused by superheated air near the source of electricity is an - (answer)ARC burn.
Your patient is an 82 year old female who was an unrestrained front seat passenger in a motor vehicle
collision. Which of the following is the most reliable indication of shock in this patient? - (answer)LEVEL
OF CONSCIOUSNESS.
Which of the following findings is not expected in assessment of a pregnant patient? - (answer)A
DECREASED BLOOD PRESSURE IN THE THIRD TRIMESTER.
Which of the following is contraindicated in the management of a pregnant trauma patient in the third
trimester? - (answer)SUPINE POSITION.
During the assessment of the trauma patient, auscultation of the lung sounds is first performed during: -
(answer)THE PRIMARY SURVEY.
Which of the following is indicated for the prehospital management of a circumferential second degree
burn extending from the wrist to the elbow in a 70 Kg patient? - (answer)A DRY STERILE DRESSING
ANALGESIA
The preferred fluid for resuscitation of the patient with significant burns is: - (answer)LACTATED
RINGER'S SOLUTION.
Which of the following is the most common cause of spinal injuries? - (answer)MOTOR VEHICLE
COLLISIONS.
Hypotension in hemothorax is associated with: - (answer)THE ABILITY OF EACH SIDE OF THE THORAX TO
HOLD UP TO 3 LITERS OF BLOOD.
Cardiac tamponade is suspected with the findings of muffled heart sounds___________,
and___________ known as___________. - (answer)JUGULAR VEIN DISTENTION, and HYPOTENSION,
known as BECK'S TRIAD.
When administering isotonic crystalloid solution, about ___________ will remain in the vascular system
after 1 hour. - (answer)ONE-THIRD
PASG is contraindicated in patients with - (answer)CHEST TRAUMA.
,The greatest threat to life from injury to hollow abdominal organ is - (answer)PERITONITIS.
IV fluids administered to patients in shock should be _______ in order to ______________
______________. - (answer)WARM, PREVENT HYPOTHERMIA.
During pregnancy, signs and symptoms of shock may appear _______ due to an _________ in maternal
blood volume. - (answer)LATER, INCREASE
A fractured femur can result in___________________mL of hemorrhage. - (answer)1000 TO 2000
A male patient suffered a stab wound to his left flank. He is found to be in stage III shock. During the 25
minute transport to the trauma center, intravenous fluids should be administered at a rate sufficient to
maintain a: - (answer)SYSTOLIC BP OF 80 TO 90.
The most common type of shock in trauma patients is - (answer)HYPOVOLEMIC.
What percentage of blood volume loss in an adult patient is associated with findings of tachycardia
(>120/beats/minute), tachypnea (30-40 Breaths/min), and hypotension (systolic BP <90mmHg)? -
(answer)30 TO 40
Minute volume of ventilation is best represented as - (answer)TIDAL VOLUME x ventilatory rate
Which injury is most likely to be sustained by the driver in a lateral impact collision to the left side of the
vehicle with no side impact airbags (assuming the driver sits on the left)? - (answer)FRACTURED LEFT
CLAVICLE.
SSS - (answer) כפפות ומיגון, דיווח למשטרה,מיקום אמבולנס
יש עוד פצועים?מרחק פינוי,?התרשמות מקינמטיקה
גישה לפצוע מאחור עם קיבוע צוואר,הצגה עצמית
A - (answer))' טמפ, הזעה,פתיחת פה (התרשמות מצבע
או סקשיין/סילוק הפרשות בגריפה ו
הרמת לסת נכונה
החדרתAW ( בצורה ישרה- )עם יש חשד לעמש"צ
להתחיל עם הצוורון, לפרוס אינטובציה,)*( להביא חמצן
B - (answer)) גודש ורידי צוואר,חשיפת בית חזה (אשרמן
בדיקת נשימה
עומק נשימה, מספר נשימות- כן,
חיבור פאלס
, להוריד את הסטטוסקופ מהצוואר
האזנה
נידל (חיטוי ,סקלפל)
LPM 10לא -הנשמות 1:6אמבו וחמצן
)*( להביא קרש גב
דופק רדיאלי +מילוי קפילרי,צבע ,לחות ,חום)C - (answer
עצירת שט"דים בלחץ ישיר ,ח"ע
)*(קרש גב ,הדוייס
, GCSאישונים)D - (answer
?לשאול שם ,גיל ,אלרגיות ,מחלות,תרופות ,זוכר? ארוחה אחרונה
קצוות גפיים
הפשטה)E - (answer
חיפוש דימומים חבויים
כיסוי
קיבוע לקרש ולהדויייס
)רצועות 8 ,בכפות רגליים ,לשים משהו בין ברכיים וקרסוליים(
פינוי לבית חולים מתאים)Secondary survey - (answer
הערכה מחודשת
לחץ דם
עירוי
קפנוגרף ,מוניטור ,המרת חבישות ,קיבועים
Give me the general ideas of trauma criteria? - (answer)Any patient that has a compromise to Airway,
Breathing, Circulation and Deficit. Any Patient that is Altered or
What three areas of a penetrating injury would be trauma criteria? - (answer)Thoracic cavity and up.
Cranial, between Thoracic and midclavicular line, neck.
)Powered by TCPDF (www.tcpdf.org
