PHTLS Pre-Test 9th edition Version 1NV Questions and Answers (2023) (Verified Answers)

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 patien t has a tension pneumothorax? a) Distended neck veins b) Inspiratory wheezing c) narrowed pulse pressure d) Tracheal deviation towards the side of injury Distended neck veins 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 Placing the agent properly into the wound and holding direct pressure 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 Systemic hypoxia 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) Diffuse axonal injury d) Concussion Concussion When using a selective spinal immobilization protocol, which of the following findings indicate the need for immobilization? a) Past history of spinal injury b) Being an unrestrained passenger in a motor vehicle crash c) Being ambulatory at the scene d) An associated femoral shaft fracture with severe pain An associated femoral shaft fracture with severe pain In a blast-related multiple patient situation, which of the following patients should be treated first? a) A 33-year-old female with altered level of consciousness and decreased capillary refill b) A 28-year-old male with an arm amputation who has bleeding controlled with a tourniquet c) A 14-year-old pulseless female with grey matter visible from a head wound d) a 78-year-old male awake and unable to hear A 33-year-old female with altered level of consciousness and decreased capillary refill Excessive fluid resuscitation of the trauma patient can result in which of the following? a) Worsening coagulopathy b) Decreased mortality c) Earlier discharge from the hospital d) A higher incidence of sepsis in the ICU Worsening coagulopathy The secondary survey should be accomplished: a) Never on a critical patient b) Before transport c) When time and situation allow d) Before moving the patient When time and situation allow When approaching a trauma patient, what is the first assessment that must be made? a) Exsanguinating hemorrhage b) Scene safety c) Airway d) Breathing Show Less