PHTLS Final Exam Question With
Complete Solutions
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. Equipment available
B. Condition of the patient
C. Research information
D. Situation that exists
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. 1 to 2 years of age
C. 5 to 6 years of age
D. Less than 1 year of age
In addition to glucose, what is required to maintain the metabolic processes of
life and energy production?
A. Lymphocytes
B. Krebs cells
C. Carbon monoxide
D. 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. Long board with spinal motion restriction
B. Stair chair
C. Short immobilization device
D. 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. The need for immediate transport
C. Weather conditions
D. Post-exposure prophylaxis
, The most appropriate airway maneuver in the initial management of a trauma
patient is which of the following?
A. Oropharyngeal airway
B. Trauma jaw thrust
C. Supraglottic airway
D. Head tilt, chin lift
When verifying ET tube placement on a perfusing patient, the "gold standard" of
monitoring is considered to be?
A. Pulse oximetry
B. Colorimetric carbon dioxide detector
C. Listening to lung sounds
D. 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. Tracheal deviation towards the side of injury
B. Distended neck veins
C. Inspiratory wheezing
D. narrowed pulse pressure
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. Hemostatic agents should never be used unless you have a fall in blood
pressure
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
Of the following, which is a preventable cause of secondary brain injury
addressable during the transport phase?
A. Herniation syndromes
B. Systemic hypoxia
C. Intracranial hematomas
D. Intraparenchymal hemorrhage
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. Concussion
D. Diffuse axonal injury
Complete Solutions
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. Equipment available
B. Condition of the patient
C. Research information
D. Situation that exists
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. 1 to 2 years of age
C. 5 to 6 years of age
D. Less than 1 year of age
In addition to glucose, what is required to maintain the metabolic processes of
life and energy production?
A. Lymphocytes
B. Krebs cells
C. Carbon monoxide
D. 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. Long board with spinal motion restriction
B. Stair chair
C. Short immobilization device
D. 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. The need for immediate transport
C. Weather conditions
D. Post-exposure prophylaxis
, The most appropriate airway maneuver in the initial management of a trauma
patient is which of the following?
A. Oropharyngeal airway
B. Trauma jaw thrust
C. Supraglottic airway
D. Head tilt, chin lift
When verifying ET tube placement on a perfusing patient, the "gold standard" of
monitoring is considered to be?
A. Pulse oximetry
B. Colorimetric carbon dioxide detector
C. Listening to lung sounds
D. 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. Tracheal deviation towards the side of injury
B. Distended neck veins
C. Inspiratory wheezing
D. narrowed pulse pressure
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. Hemostatic agents should never be used unless you have a fall in blood
pressure
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
Of the following, which is a preventable cause of secondary brain injury
addressable during the transport phase?
A. Herniation syndromes
B. Systemic hypoxia
C. Intracranial hematomas
D. Intraparenchymal hemorrhage
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. Concussion
D. Diffuse axonal injury
