PHTLS 9TH Edition Self-Test | Questions With Answers | Complete Solution 2023/2024

Excessive fluid resuscitation of the trauma patient can result in which of the following? a. Increased blood loss b. Decreased mortality c. Earlier discharge from the hospital d. A higher incidence of sepsis in the ICU: Excessive fluid resuscitation of the trauma patient can result in which of the following? *a. Increased blood loss* b. Decreased mortality c. Earlier discharge from the hospital d. A higher incidence of sepsis in the ICU 17. 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: The secondary survey should be accomplished: a. Never on a critical patient PHTLS 9th Ed. Self-test 2022 with complete solution 6 / 17 b. Before transport *c. When time and Situation allow* d. Before moving the patient 18. When approaching a trauma patient, what is the first assessment that must be made? a. Circulation b. Scene safety c. Airway d. Breathing: When approaching a trauma patient, what is the first assessment that must be made? a. Circulation *b. Scene safety* c. Airway d. Breathing 19. The most common type of shock resulting from trauma is? a. Neurogenic b. Septic c. Spinal d. Hemorrhagic: The most common type of shock resulting from trauma is? a. Neurogenic b. Septic c. Spinal *d. Hemorrhagic* 20. 18. Which of the following best guides the decision to provide spinal immobilization? a. History and complaint b. Obvious signs of associated injury c. Avoid due to possible pressure sores d. Mechanism alone: Which of the following best guides the decision to provide spinal immobilization? a. History and complaint b. Obvious signs of associated injury c. Avoid due to possible pressure sores *d. Mechanism alone* 21. 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? a. Obtain IV access and infuse crystalloid b. Administer supplemental oxygen PHTLS 9th Ed. Self-test 2022 with complete solution 7 / 17 c. Hemorrhage control d. Rapid transport: 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? a. Obtain IV access and infuse crystalloid b. Administer supplemental oxygen *c. Hemorrhage control* d. Rapid transport 22. 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 alley behind the bar. 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? a. Subarachnoid hemorrhage b. Alcohol poisoning c. Epidural hematoma d. Subdural hematoma: 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 alley behind the bar. 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? a. Subarachnoid hemorrhage b. Alcohol poisoning c. Epidural hematoma *d. Subdural hematoma* 23. The pre-hospital assessment of the trauma patient begins with which of the following? a. Assessment of scene safety and situation b. Information provided by the dispatcher c. The initial assessment d. The primary survey: The pre-hospital assessment of the trauma patient begins with which of the following? a. Assessment of scene safety and situation *b. Information provided by the dispatcher* c. The initial assessment d. The primary survey PHTLS 9th Ed. Self-test 2022 with complete solution 8 / 17 24. EMS responds for a patient involved in a motorcycle vs. car collision. The patient is unresponsive with no movement of lower extremities and loss of temperature control below the T10. Which type of shock is the patient experiencing? a. Cardiogenic b. Hypovolemic c. Neurogenic d. Obstructive: EMS responds for a patient involved in a motorcycle vs. car collision. The patient is unresponsive with no movement of lower extremities and loss of temperature control below the T10. Which type of shock is the patient experiencing? a. Cardiogenic b. Hypovolemic *c. Neurogenic* d. Obstructive 25. Which of the following is the best indicator of shock? a. Depressed level of cognition b. Heart rate of 80 c. Respirations of 18 d. GCS of 15: Which of the following is the best indicator of shock? *a. Depressed level of cognition* b. Heart rate of 80 c. Respirations of 18 d. GCS of 15 26. Which best describes the goal of airway management in a trauma patient? a. Perform complex airway maneuvers b. Perform a surgical Cricothyrotomy c. Provide for adequate exchange of oxygen and C02 d. Perform RSI: Which best describes the goal of airway management in a trauma patient? a. Perform complex airway maneuvers b. Perform a surgical Cricothyrotomy *c. Provide for adequate exchange of oxygen and C02* d. Perform RSI 27. What is the most common cause of airway obstruction in the unresponsive trauma patient? a. Blood PHTLS 9th Ed. Self-test 2022 with complete solution 9 / 17 b. Teeth c. Tongue d. Vomitus: What is the most common cause of airway obstruction in the unresponsive trauma patient? a. Blood b. Teeth *c. Tongue* d. Vomitus 28. While caring for a patient who was involved in an altercation, he vomits and his airway is totally obstructed with vomitus and blood. What is the most important action? a. Performing an RSI b. Performing a head-tilt chin lift c. Intubating d. Suctioning the airway: While caring for a patient who was involved in an altercation, he vomits and his airway is totally obstructed with vomitus and blood. What is the most important action? a. Performing an RSI b. Performing a head-tilt chin lift c. Intubating *d. Suctioning the airway* 29. When energy produced by the cells occurs during a state of adequate oxygenation, it is referred to as which of the following conditions? a. Aerobic metabolism b. Anaerobic metabolism c. Lactic acidosis d. Lactic alkalosis: When energy produced by the cells occurs during a state of adequate oxygenation, it is referred to as which of the following conditions? *a. Aerobic metabolism* b. Anaerobic metabolism c. Lactic acidosis d. Lactic alkalosis 30. Which of the following signs of shock is found during the secondary survey? a. Absent radial pulse b. Decreased LOC c. Increased respiratory rate d. Low blood pressure measurement: Which of the following signs of shock is PHTLS 9th Ed. Self-test 2022 with complete solution 10 / 17 found during the secondary survey? a. Absent radial pulse b. Decreased LOC c. Increased respiratory rate *d. Low blood pressure measurement* 31. EMS responds for a patient who has sustained a blunt injury to the head. She had a period of unconsciousness followed by a brief period of consciousness and then became unresponsive just as EMS arrived. Based solely on this information, when did the injury occur? a. Primary blast injury b. Secondary blast injury c. Tertiary blast injury d. Quaternary blast injury: EMS responds for a patient who has sustained a blunt injury to the head. She had a period of unconsciousness followed by a brief period of consciousness and then became unresponsive just as EMS arrived. Based solely on this information, when did the injury occur? a. Primary blast injury b. Secondary blast injury c. Tertiary blast injury *d. Quaternary blast injury* 32. Hyperventilation of a patient with suspected traumatic brain injury should occur when? a. At time of injury b. When signs of impending brain herniation are present c. During a concussion d. Whenever the patient complains of headache: Hyperventilation of a patient with suspected traumatic brain injury should occur when? a. At time of injury *b. When signs of impending brain herniation are present* c. During a concussion d. Whenever the patient complains of headache 33. Patients with suspected traumatic brain injuries (TBI) are susceptible to secondary injuries that are typically preventable. In addition to hypoxia and hypotension, which of the following can also decrease cerebral perfusion? a. Hypothermia b. Cerebral vasodilation c. Increased cardiac output d. Inadvertent or excess hyperventilation: Patients with suspected traumatic PHTLS 9th Ed. Self-test 2022 with complete solution 11 / 17 brain injuries (TBI) are susceptible to secondary injuries that are typically preventable. In addition to hypoxia and hypotension, which of the following can also decrease cerebral perfusion? a. Hypothermia b. Cerebral vasodilation c. Increased cardiac output *d. Inadvertent or excess hyperventilation* 34. Hypotension due to a spinal cord injury is a result of what physiologic mechanism? a. Loss of sympathetic tone causing vasodilation b. Increased capillary permeability c. Increased sympathetic tone causing vasoconstriction d. Increased Intrathoracic pressure: Hypotension due to a spinal cord injury is a result of what physiologic mechanism? *a. Loss of sympathetic tone causing vasodilation* b. Increased capillary permeability c. Increased sympathetic tone causing vasoconstriction d. Increased Intrathoracic pressure 35. Which of the following patients will compensate for blood loss the longest? a. 24-year-old male b. 82-year-old female c. 45-year-old female d. 6-year-old male: Which of the following patients will compensate for blood loss the longest? a. 24-year-old male b. 82-year-old female c. 45-year-old female *d. 6-year-old male* 36. You respond to a reported assault at a local bar. On arrival, you find a 46-year-old male on the bathroom floor with snoring respirations at 4 times per minute and obvious facial injuries. Pupils reveal the R pupil is 4mm and the L pupil is 7mm and non-reactive. What is the most appropriate first step? a. Jaw-thrust maneuver b. Pharmacologically assisted intubation c. Perform nasotracheal intubation d. Perform a surgical Cricothyrotomy: You respond to a reported assault at a local bar. On arrival, you find a 46-year-old male on the bathroom floor with snoring PHTLS 9th Ed. Self-test 2022 with complete solution 12 / 17 respirations at 4 times per minute and obvious facial injuries. Pupils reveal the R pupil is 4mm and the L pupil is 7mm and non-reactive. What is the most appropriate first step? *a. Jaw-thrust maneuver* b. Pharmacologically assisted intubation c. Perform nasotracheal intubation d. Perform a surgical Cricothyrotomy 37. In a multi-system trauma patient, what is considered the best method for confirming proper placement of an endotracheal tube? a. Auscultation of the left upper abdominal quadrant b. Waveform capnography c. Presence of bilateral breath sounds d. Pulse oximetry: In a multi-system trauma patient, what is considered the best method for confirming proper placement of an endotracheal tube? a. Auscultation of the left upper abdominal quadrant *b. Waveform capnography* c. Presence of bilateral breath sounds d. Pulse oximetry 38. What is the most likely source of bleeding in a patient with signs of shock and no obvious injury? a. Femur fracture b. Intra-abdominal injury c. Severe traumatic brain injury d. Pelvic fracture: What is the most likely source of bleeding in a patient with signs of shock and no obvious injury? a. Femur fracture *b. Intra-abdominal injury* c. Severe traumatic brain injury d. Pelvic fracture 39. Hypoperfusion will affect which of the following organs first? a. Kidney b. Gl tract c. Brain d. Liver: Hypoperfusion will affect which of the following organs first? a. Kidney b. Gl tract *c. Brain* d. Liver PHTLS 9th Ed. Self-test 2022 with complete solution 13 / 17 40. A 23-year-old male construction worker fell approximately 30 feet from a roof. The patient is unresponsive to all stimuli; his R pupil is 7mm and non-reactive and his l pupil is 3mm. He has irregular respirations at 8 breaths per min.You do not have waveform capnography, so what is the most appropriate rate of ventilations? a. 30 BPM b. 25 BPM c. 20 BPM d. 12 BPM: A 23-year-old male construction worker fell approximately 30 feet from a roof. The patient is unresponsive to all stimuli; his R pupil is 7mm and non-reactiveand his l pupil is 3mm. He has irregular respirations at 8 breaths per min.You do not have waveform capnography, so what is the most appropriate rate of ventilations? a. 30 BPM b. 25 BPM *c. 20 BPM* d. 12 BPM 41. A 30-year-old male is thrown from his horse, landing on the top rail of a pipe fence and now has a loss of sensation from the nipples down. What level of the spine do you suspect he injured? a. C3 b. T4 c. T10 d. T12: A 30-year-old male is thrown from his horse, landing on the top rail of a pipefence and now has a loss of sensation from the nipples down. What level of the spine do you suspect he injured? a. C3 *b. T4* c. T10 d. T12 42. In a patient with a suspected traumatic brain injury, what is the most concerning physical finding? a. BP 140/90 b. Heart rate of 58 c. Respiratory rate of 30 d. Altered level of consciousness: In a patient with a suspected traumatic brain injury, what is the most concerning physical finding? a. BP 140/90 b. Heart rate of 58 PHTLS 9th Ed. Self-test 2022 with complete solution 14 / 17 c. Respiratory rate of 30 *d. Altered level of consciousness* 43. 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? a. Placenta previa b. Abruptio placenta c. Ruptured uterus d. Abdominal aortic aneurysm: 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? a. Placenta previa b. Abruptio placenta *c. Ruptured uterus* d. Abdominal aortic aneurysm 44. EMS responds to an adult barista who spilled a cup of hot coffee and sustained partial-thickness burns to the abdomen and right leg. Initial treatment of this injury would include: a. Apply antibiotic ointment b. Run copious amounts of room temperature water over the burn c. Cover burned area with dry sterile dressings d. Cover burned