PHTLS Pre-Test Questions And Answers

PHTLS Pre-Test Questions And Answers __________ is the earliest sign of deterioration in a patient with a flail chest. a. Respiratory rate increase b. Oxygen saturation decrease c. Pulse rate increase d. Blood pressure decreases - ANS a. Respiratory rate increase What is the most common cause of airway obstruction in the unresponsive trauma patient? a. Blood b. Teeth c. Tongue d. Vomitus - ANS c. Tongue Which of the following is a Golden Principle of trauma care? a. Ensure adequate airway and ventilation b. Complete a thorough head-to-toe survey before initiating treatment c. Rescuer safety is secondary to caring for the patient d. Use chilled intravenous fluids to promote hypothermia - ANS a. Ensure adequate airway and ventilation Hypoperfusion will affect which of the following organs first? a. Kidney b. GI tract c. Brain d. Liver - ANS c. Brain The most common type of shock resulting from trauma is? a. Neurogenic b. Septic c. Spinal d. Hemorrhagic - ANS d. Hemorrhagic EMS arrives on a scene and finds that emergency medical responders have attempted to immobilize a pediatric patient onto a long backboard. They note that the patient's head is in a flexed position. Which of the following actions is the most appropriate? a. Adjust the cervical collar b. Logroll patient into a left lateral recumbent position c. Place padding under the patient's head and neck d. Place padding under the patient's torso - ANS d. Place padding under the patient's torso 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 b. Placing the agent properly into the wound and holding direct pressure You respond to a local bar for an unconscious person. On arrival, you are met by a police officer who reports that one of their "regular alcoholics" was found in the alley behind the bar. On exam, you note the smell of an alcoholic beverage as well as the following: Patient flexes his arms to painful stimuli, has bilateral fixed and dilated pupils, irregular respirations at 12 breaths per minute and a BP of 210/100. What condition do you suspect? a. Subarachnoid hemorrhage b. Alcohol poisoning c. Ruptured abdominal aortic aneurysm d. Subdural hematoma - ANS d. Subdural hematoma 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 c. 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 d. Waveform capnography 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 b. Systemic hypoxia Which best describes the goal of airway management in a trauma patient? a. Perform complex airway maneuvers b. Perform a surgical cricothyrotomy