PHTLS Post Exam with 100% Correct
Answers
______ is the earliest sign of deterioration in a patient with flail chest. - ANS-Respiratory
rate increase
What is the most common cause of airway obstruction in the unresponsive trauma
patient? - ANS-Tongue
Which of the following is a Golden Principle of trauma care? - ANS-Ensure adequate
airway and ventilation
Hypoperfusion will affect which of the following organs first? - ANS-Brain
The most common type of sock resulting from trauma is? - ANS-Hemorrhagic
Which of the following information is assessed during the secondary survery? - ANS-
Vital signs
Which of the following patients will compensate for blood loss the longest? - ANS-6-
year-old male
Units responding to a motor vehicle accident on the highway should consider which of
the following as part of their pre-arrival assessment? - ANS-Weather conditions
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? - ANS-Scoop stretcher
EMS responds to an adult barista with partial-thickness burns to the abdomen and right
leg, sustained from a cooking accident. Initial treatment of this injury would include: -
ANS-Cover burned area with dry sterile dressing
You have a patient who is 35 weeks pregnant who was assaulted by her boyfriend.
Patient is having severe abdominal pain described as "tearing" and on exam you note
her abdomen is asymmetrical and believe you can feel the fetus through the abdominal
wall. What condition do you suspect? - ANS-Ruptured uterus
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: - ANS-Research information
Hyperventilation of a patient with suspected traumatic brain injury should occur when? -
ANS-When signs of impending brain herniation are present
A 30-year-old male is injured in a terror bombing. He experiences traumatic amputation
of his left leg at knee level. An improvised tourniquet was put in place by bystanders.
The victim is conscious and in severe pain. Your first action should be to do which of the
following? - ANS-Confirm the tourniquet was properly placed
When managing a pediatric patient, pre-hospital providers should do all of the following
EXCPET: - ANS-Use half the adult dose or medication administration
Hypotension due to a spinal cord injury is a result of what physiological mechanism? -
ANS-Loss of sympathetic tone causing vasodilation
What is the most likely source of bleeding in a patient which signs of shock and no
obvious injury? - ANS-Intra-abdominal injury
In a multi-system trauma patient what is considered the best method for confirming
proper placement of an endotracheal tube? - ANS-Waveform capnography
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 v cold) below T10. Which of the following types of shock is
the patient most likely experiencing? - ANS-Neurogenic
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? - ANS-Hemorrhage control
Which of the following is the best indicator of shock in a trauma patient? - ANS-
Depressed level of cognition
In a blast-related multiple patient situation, which of the following patients should be
treated first? - ANS-A 33-year-old female with altered level of consciousness and
decreased capillary refill
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 signs
would indicate that the patient has a tension pneumothorax? - ANS-Distended neck
veins
Prehospital providers have treated a sucking chest wound with an occlusive dressing.
During transport to the hospital, the patient develops increasing respiratory distress with
increased respirations and absent lung sounds are noted on repeat auscultation. What
Answers
______ is the earliest sign of deterioration in a patient with flail chest. - ANS-Respiratory
rate increase
What is the most common cause of airway obstruction in the unresponsive trauma
patient? - ANS-Tongue
Which of the following is a Golden Principle of trauma care? - ANS-Ensure adequate
airway and ventilation
Hypoperfusion will affect which of the following organs first? - ANS-Brain
The most common type of sock resulting from trauma is? - ANS-Hemorrhagic
Which of the following information is assessed during the secondary survery? - ANS-
Vital signs
Which of the following patients will compensate for blood loss the longest? - ANS-6-
year-old male
Units responding to a motor vehicle accident on the highway should consider which of
the following as part of their pre-arrival assessment? - ANS-Weather conditions
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? - ANS-Scoop stretcher
EMS responds to an adult barista with partial-thickness burns to the abdomen and right
leg, sustained from a cooking accident. Initial treatment of this injury would include: -
ANS-Cover burned area with dry sterile dressing
You have a patient who is 35 weeks pregnant who was assaulted by her boyfriend.
Patient is having severe abdominal pain described as "tearing" and on exam you note
her abdomen is asymmetrical and believe you can feel the fetus through the abdominal
wall. What condition do you suspect? - ANS-Ruptured uterus
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: - ANS-Research information
Hyperventilation of a patient with suspected traumatic brain injury should occur when? -
ANS-When signs of impending brain herniation are present
A 30-year-old male is injured in a terror bombing. He experiences traumatic amputation
of his left leg at knee level. An improvised tourniquet was put in place by bystanders.
The victim is conscious and in severe pain. Your first action should be to do which of the
following? - ANS-Confirm the tourniquet was properly placed
When managing a pediatric patient, pre-hospital providers should do all of the following
EXCPET: - ANS-Use half the adult dose or medication administration
Hypotension due to a spinal cord injury is a result of what physiological mechanism? -
ANS-Loss of sympathetic tone causing vasodilation
What is the most likely source of bleeding in a patient which signs of shock and no
obvious injury? - ANS-Intra-abdominal injury
In a multi-system trauma patient what is considered the best method for confirming
proper placement of an endotracheal tube? - ANS-Waveform capnography
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 v cold) below T10. Which of the following types of shock is
the patient most likely experiencing? - ANS-Neurogenic
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? - ANS-Hemorrhage control
Which of the following is the best indicator of shock in a trauma patient? - ANS-
Depressed level of cognition
In a blast-related multiple patient situation, which of the following patients should be
treated first? - ANS-A 33-year-old female with altered level of consciousness and
decreased capillary refill
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 signs
would indicate that the patient has a tension pneumothorax? - ANS-Distended neck
veins
Prehospital providers have treated a sucking chest wound with an occlusive dressing.
During transport to the hospital, the patient develops increasing respiratory distress with
increased respirations and absent lung sounds are noted on repeat auscultation. What
