PHTLS EXAM SOLVED WITH CORRECT ANSWERS #7
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 factor used to establish the preference in treating the patient
include all except: - correct answer research information
Approximately 20% of all child abuse is the result of intentional burning. The majority of
the children intentionally burned are of what age? - correct answer 1 to 2 years of age
In addition to glucose, what is required to maintain the metabolic processes of life and
energy production? - correct answer oxygen
You response to a patient who has sustained a stab wound to the left upper thorax. She
is barley responsive, pale and diaphoretic. Which of the following is the most
appropriate for transport? - correct answer 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? - correct answer weather
conditions
The most appropriate airway maneuver in the initial management of a trauma patient is
which of the following? - correct answer trauma jaw thrust
When verifying et tube placement on a perfusing patient, the "gold standard" of
monitoring is considered to be? - correct answer waveform capnography
A patent presents with a blunt trauma injury to the chest. On exam, he has absent
sounds on one side of his chest and respiratory distress. Which additional sign would
indicate that the patient has a tension pneumothorax? - correct answer distended neck
veins
Hemostatic agents should be used for excessive bleeding when direct pressure alone
does not work. The proper way to use the most hemostatic agents is which of the
following? - correct answer placing the agent property into the wound and holding direct
pressure
Of the following, which is preventable cause of secondary brain injury addressable
during the transport phase? - correct answer 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 recalled the incident, and is vomiting which a headache. Which of the following
inures is most likely? - correct answer concussion
, When using a selective spinal immobilization protocol, which of the following findings
indicate the need for imbolization? - correct answer an associated femoral shaft fracture
with severe pain
In a blast-related multiple patient situation, which of the following patients should be
treated first? - correct answer 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? -
correct answer worsening coagulopathy
The secondary survey should be accomplished: - correct answer when time and
situation allow
When approaching a trauma patient, what is the first assessment that must be made? -
correct answer scene safety
The most common type if shock resulting from trauma is? - correct answer
hemorrhaging
When of the following best guides the decision to provide spinal immobilization? -
correct answer history and complaint
A 38-year old male sustains a large wound to his right thigh while at work. Which of the
following actions is the most important initial step? - correct answer hemorrhage control
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 ally
behind their. 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? - correct answer subdural hematoma
The pre-hospital assessment of the trauma patient beings with which of the following? -
correct answer information provided by the dispatcher
Ems responds for a patient involved in a motorcycle vs. Motor vehicle collision. The
patient is poorly responsive with no movement of lower extremities and loss of
temperature sensation (hot vs cold) below the t10. Which of the following types of shock
is the patient most likely experiencing? - correct answer neurogenic
Which of the following is the best indicator of shock in a trauma patient? - correct
answer depressed level of cognition
Which best describes the goal of airway management in a trauma patient? - correct
answer provide or adequate exchange of oxygen and co2
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 factor used to establish the preference in treating the patient
include all except: - correct answer research information
Approximately 20% of all child abuse is the result of intentional burning. The majority of
the children intentionally burned are of what age? - correct answer 1 to 2 years of age
In addition to glucose, what is required to maintain the metabolic processes of life and
energy production? - correct answer oxygen
You response to a patient who has sustained a stab wound to the left upper thorax. She
is barley responsive, pale and diaphoretic. Which of the following is the most
appropriate for transport? - correct answer 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? - correct answer weather
conditions
The most appropriate airway maneuver in the initial management of a trauma patient is
which of the following? - correct answer trauma jaw thrust
When verifying et tube placement on a perfusing patient, the "gold standard" of
monitoring is considered to be? - correct answer waveform capnography
A patent presents with a blunt trauma injury to the chest. On exam, he has absent
sounds on one side of his chest and respiratory distress. Which additional sign would
indicate that the patient has a tension pneumothorax? - correct answer distended neck
veins
Hemostatic agents should be used for excessive bleeding when direct pressure alone
does not work. The proper way to use the most hemostatic agents is which of the
following? - correct answer placing the agent property into the wound and holding direct
pressure
Of the following, which is preventable cause of secondary brain injury addressable
during the transport phase? - correct answer 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 recalled the incident, and is vomiting which a headache. Which of the following
inures is most likely? - correct answer concussion
, When using a selective spinal immobilization protocol, which of the following findings
indicate the need for imbolization? - correct answer an associated femoral shaft fracture
with severe pain
In a blast-related multiple patient situation, which of the following patients should be
treated first? - correct answer 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? -
correct answer worsening coagulopathy
The secondary survey should be accomplished: - correct answer when time and
situation allow
When approaching a trauma patient, what is the first assessment that must be made? -
correct answer scene safety
The most common type if shock resulting from trauma is? - correct answer
hemorrhaging
When of the following best guides the decision to provide spinal immobilization? -
correct answer history and complaint
A 38-year old male sustains a large wound to his right thigh while at work. Which of the
following actions is the most important initial step? - correct answer hemorrhage control
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 ally
behind their. 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? - correct answer subdural hematoma
The pre-hospital assessment of the trauma patient beings with which of the following? -
correct answer information provided by the dispatcher
Ems responds for a patient involved in a motorcycle vs. Motor vehicle collision. The
patient is poorly responsive with no movement of lower extremities and loss of
temperature sensation (hot vs cold) below the t10. Which of the following types of shock
is the patient most likely experiencing? - correct answer neurogenic
Which of the following is the best indicator of shock in a trauma patient? - correct
answer depressed level of cognition
Which best describes the goal of airway management in a trauma patient? - correct
answer provide or adequate exchange of oxygen and co2
