PHTLS 10th Edition questions and solutions
A 27 year old female has multi system trauma. Which life threat is your first priority? - answersSignificant
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external hemorrhage
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Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears and nose? - answersBasilar
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A 78 year old female was involved in a minor car crash. She is shivering and exhibits repetitive questioning. She
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is a type II diabetic and takes a daily anticoagulant. What should your initial treatment be? - answersMove
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patient to a warm environment
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A 14 year old male suffered from helmet-to-helmet contact during a football game followed by a 30 second
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period of unconsciousness. Initial exam shows that he is awake but slow to respond. He is nauseated and has a
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headache. He becomes unresponsive during transport. Examination of the pupils reveals a left pupil that is
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dilated and not reactive. What type of hemorrhage should you suspect? - answersEpidural
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An 80 year old female fell down a flight of stairs 3 days ago. Today the family reports she has a headache and is
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"going in and out of consciousness." Vital signs are BP 170/72, R 26 and irregular, HR 62, BGL 150 mg/dL (8.3
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mol/L). What should you suspect? - answersSubdural hematoma
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An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet? - answersTo
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manage the airway
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A 28 year old male fell from his motorcycle during a low speed accident. He removed his own helmet after the
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accident. He has an open left femur fracture with severe external bleeding from the wound. What should you
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do? - answersApply direct pressure to the wound
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An adult patient has an open angulated injury to the left lower leg. Distal pulses are absent. Why would you
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attempt to realign the extremity? - answersRestore blood flow
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A 20 year old male was hit in the chest with a baseball bat. He4 complains of severe pain and tenderness to the
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left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 98, R 20 regular, and ETCO2
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38mmHg. What should you do? - answersAdminister 100 mcg of Fentanyl
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A 13 year old male was riding on an all-terrain vehicle when he drove into a wire fence. He's sitting on the ground
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with a towel over his lower face. He has an open jaw fracture. What is your primary concern? -
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answersObstruction of the airway
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An adult patient has partial thickness burns to his or. her anterior chest and abdomen, the entire right arm, and
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the palm of the left hand. What percent of the total body surface area is affected? - answers28%
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An 8 year old female is being treated in the red treatment area after a housing complex fire. Vital signs are P 140,
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R 12 with noted stridor. Her eyebrows and hair are burnt. Suddenly, she becomes apenic. What should you do?
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- answersInsert an oropharyngeal airway and assist ventilations
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What type of burn should be treated as a life or limb threatening injury due to constriction of the injured tissues? -
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answersCircumferential
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A 27 year old female has multi system trauma. Which life threat is your first priority? - answersSignificant
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
external hemorrhage
ky ky
Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears and nose? - answersBasilar
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
A 78 year old female was involved in a minor car crash. She is shivering and exhibits repetitive questioning. She
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
is a type II diabetic and takes a daily anticoagulant. What should your initial treatment be? - answersMove
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
patient to a warm environment
ky ky ky ky ky
A 14 year old male suffered from helmet-to-helmet contact during a football game followed by a 30 second
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
period of unconsciousness. Initial exam shows that he is awake but slow to respond. He is nauseated and has a
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
headache. He becomes unresponsive during transport. Examination of the pupils reveals a left pupil that is
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
dilated and not reactive. What type of hemorrhage should you suspect? - answersEpidural
ky ky ky ky ky ky ky ky ky ky ky ky ky
An 80 year old female fell down a flight of stairs 3 days ago. Today the family reports she has a headache and is
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
"going in and out of consciousness." Vital signs are BP 170/72, R 26 and irregular, HR 62, BGL 150 mg/dL (8.3
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
mol/L). What should you suspect? - answersSubdural hematoma
ky ky ky ky ky ky ky ky
An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet? - answersTo
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
manage the airway
ky ky ky
A 28 year old male fell from his motorcycle during a low speed accident. He removed his own helmet after the
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
accident. He has an open left femur fracture with severe external bleeding from the wound. What should you
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
do? - answersApply direct pressure to the wound
ky ky ky ky ky ky ky ky
An adult patient has an open angulated injury to the left lower leg. Distal pulses are absent. Why would you
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
attempt to realign the extremity? - answersRestore blood flow
ky ky ky ky ky ky ky ky ky
A 20 year old male was hit in the chest with a baseball bat. He4 complains of severe pain and tenderness to the
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 98, R 20 regular, and ETCO2
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
38mmHg. What should you do? - answersAdminister 100 mcg of Fentanyl
ky ky ky ky ky ky ky ky ky ky ky
A 13 year old male was riding on an all-terrain vehicle when he drove into a wire fence. He's sitting on the ground
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
with a towel over his lower face. He has an open jaw fracture. What is your primary concern? -
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
answersObstruction of the airway
ky ky ky ky
An adult patient has partial thickness burns to his or. her anterior chest and abdomen, the entire right arm, and
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
the palm of the left hand. What percent of the total body surface area is affected? - answers28%
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
An 8 year old female is being treated in the red treatment area after a housing complex fire. Vital signs are P 140,
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
R 12 with noted stridor. Her eyebrows and hair are burnt. Suddenly, she becomes apenic. What should you do?
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
- answersInsert an oropharyngeal airway and assist ventilations
ky ky ky ky ky ky ky ky
What type of burn should be treated as a life or limb threatening injury due to constriction of the injured tissues? -
ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky ky
answersCircumferential
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