PHTLS FINAL EXAM QUESTIONS AND ANSWERS #1
1. When caring for a trauma patient, a principle is what is necessary for patientimprovement 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. Equipment available
B. Condition of the patient
C. Research information
D. Situation that exists: C
2. Approximately 20% of all child abuse is the result of intentional burning.Themajority of the children
intentionally burned are of what age?
A. 10 to 12 years of age
B. 1 to 2 years of age
C. 5 to 6 years of age
D. Less than 1 year of age: B
3. In addition to glucose, what is required to maintain the metabolic processesof life and energy
production?
A. Lymphocytes
B. Krebs cells
C. Carbon monoxide
D. Oxygen: D
4. You respond to a patient who has sustained a stab wound to the left upperthorax. She is barely
responsive, pale and diaphoretic. Which of the followingis the most appropriate for transport?
A. Long board with spinal motion restriction
B. Stair chair
C. Short immobilization device
D. Scoop stretcher: D
5. Units responding to a motor vehicle accident on the highway should con-sider which of the
following as part of their pre-arrival assessment?
A. Calling for more units to respond
B. The need for immediate transport
C. Weather conditions
D. Post-exposure prophylaxis: C
6. The most appropriate airway maneuver in the initial management of atrauma patient is
which of the following?
A. Oropharyngeal airway
B. Trauma jaw thrust
C. Supraglottic airway
D. Head tilt, chin lift: B
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, PHTLS FINAL EXAM QUESTIONS AND ANSWERS #1
7. When verifying ET tube placement on a perfusing patient, the "gold stan-dard" of monitoring is
considered to be?
A. Pulse oximetry
B. Colorimetric carbon dioxide detector
C. Listening to lung sounds
D. Waveform capnography: D
8. A patient presents with a blunt trauma injury to the chest. On exam, he hasabsent breath sounds on
one side of his chest and respiratory distress. Whichadditional sign would indicate that the patient has a
tension pneumothorax?
A. Tracheal deviation towards the side of injury
B. Distended neck veins
C. Inspiratory wheezing
D. narrowed pulse pressure: B
9. Hemostatic agents should be used for excessive bleeding when direct pressure alone does not
work. The proper way to use most hemostatic agentsis which of the following?
A. Hemostatic agents should never be used unless you have a fall in bloodpressure
B. Placing the agent properly into the wound and holding direct pressure
C. Placing the agent around the edges of the wound
D. Only using it after a tourniquet has been applied for 10 minutes: B
10. Of the following, which is a preventable cause of secondary brain injuryaddressable during the
transport phase?
A. Herniation syndromes
B. Systemic hypoxia
C. Intracranial hematomas
D. Intraparenchymal hemorrhage: B
11. 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 aheadache. Which of the following injuries is most likely?
A. Brain herniation
B. Intraabdominal hemorrhage
C. Concussion
D. Diffuse axonal injury: C
12. When using a selective spinal immobilization protocol, which of the follow-ing findings indicate the
need for immobilization?
A. Past history of spinal injury
B. Being an unrestrained passenger in a motor vehicle crash
2/9
1. When caring for a trauma patient, a principle is what is necessary for patientimprovement 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. Equipment available
B. Condition of the patient
C. Research information
D. Situation that exists: C
2. Approximately 20% of all child abuse is the result of intentional burning.Themajority of the children
intentionally burned are of what age?
A. 10 to 12 years of age
B. 1 to 2 years of age
C. 5 to 6 years of age
D. Less than 1 year of age: B
3. In addition to glucose, what is required to maintain the metabolic processesof life and energy
production?
A. Lymphocytes
B. Krebs cells
C. Carbon monoxide
D. Oxygen: D
4. You respond to a patient who has sustained a stab wound to the left upperthorax. She is barely
responsive, pale and diaphoretic. Which of the followingis the most appropriate for transport?
A. Long board with spinal motion restriction
B. Stair chair
C. Short immobilization device
D. Scoop stretcher: D
5. Units responding to a motor vehicle accident on the highway should con-sider which of the
following as part of their pre-arrival assessment?
A. Calling for more units to respond
B. The need for immediate transport
C. Weather conditions
D. Post-exposure prophylaxis: C
6. The most appropriate airway maneuver in the initial management of atrauma patient is
which of the following?
A. Oropharyngeal airway
B. Trauma jaw thrust
C. Supraglottic airway
D. Head tilt, chin lift: B
1/9
, PHTLS FINAL EXAM QUESTIONS AND ANSWERS #1
7. When verifying ET tube placement on a perfusing patient, the "gold stan-dard" of monitoring is
considered to be?
A. Pulse oximetry
B. Colorimetric carbon dioxide detector
C. Listening to lung sounds
D. Waveform capnography: D
8. A patient presents with a blunt trauma injury to the chest. On exam, he hasabsent breath sounds on
one side of his chest and respiratory distress. Whichadditional sign would indicate that the patient has a
tension pneumothorax?
A. Tracheal deviation towards the side of injury
B. Distended neck veins
C. Inspiratory wheezing
D. narrowed pulse pressure: B
9. Hemostatic agents should be used for excessive bleeding when direct pressure alone does not
work. The proper way to use most hemostatic agentsis which of the following?
A. Hemostatic agents should never be used unless you have a fall in bloodpressure
B. Placing the agent properly into the wound and holding direct pressure
C. Placing the agent around the edges of the wound
D. Only using it after a tourniquet has been applied for 10 minutes: B
10. Of the following, which is a preventable cause of secondary brain injuryaddressable during the
transport phase?
A. Herniation syndromes
B. Systemic hypoxia
C. Intracranial hematomas
D. Intraparenchymal hemorrhage: B
11. 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 aheadache. Which of the following injuries is most likely?
A. Brain herniation
B. Intraabdominal hemorrhage
C. Concussion
D. Diffuse axonal injury: C
12. When using a selective spinal immobilization protocol, which of the follow-ing findings indicate the
need for immobilization?
A. Past history of spinal injury
B. Being an unrestrained passenger in a motor vehicle crash
2/9
