PHTLS
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: - ANSresearch
information
Approximately 20% of all child abuse is the result of intentional burning. The majority of the
children intentionally burned are of what age? - ANS1 to 2 years of age
In addition to glucose, what is required to maintain the metabolic processes of life and energy
production? - ANSoxygen
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? -
ANSscoop stretcher
Units responding to a motor vehicle accident on the highway should consider which of the
following as part of their pre-arrival assessment? - ANSweather conditions
The most appropriate airway maneuver in the initial management of a trauma patient is which of
the following? - ANStrauma jaw thrust
When verifying ET Tube placement on a perfusing patient, the "Gold standard" of monitoring is
considered to be? - ANSwaveform 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? - ANSdistended 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? -
ANSplacing 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? - ANSsystemic 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? - ANSconcussion
, when using a selective spinal immobilization protocol, which of the following findings indicate
the need for imbolization? - ANSan associated femoral shaft fracture with severe pain
In a blast-related multiple patient situation, which of the following patients should be treated
first? - ANSa 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? -
ANSworsening coagulopathy
the secondary survey should be accomplished: - ANSwhen time and situation allow
when approaching a trauma patient, what is the first assessment that must be made? -
ANSscene safety
the most common type if shock resulting from trauma is? - ANShemorrhaging
when of the following best guides the decision to provide spinal immobilization? - ANShistory
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? - ANShemorrhage 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? - ANSsubdural hematoma
the pre-hospital assessment of the trauma patient beings with which of the following? -
ANSinformation 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? - ANSneurogenic
Which of the following is the best indicator of shock in a trauma patient? - ANSDepressed level
of cognition
Which best describes the goal of airway management in a trauma patient? - ANSprovide 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: - ANSresearch
information
Approximately 20% of all child abuse is the result of intentional burning. The majority of the
children intentionally burned are of what age? - ANS1 to 2 years of age
In addition to glucose, what is required to maintain the metabolic processes of life and energy
production? - ANSoxygen
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? -
ANSscoop stretcher
Units responding to a motor vehicle accident on the highway should consider which of the
following as part of their pre-arrival assessment? - ANSweather conditions
The most appropriate airway maneuver in the initial management of a trauma patient is which of
the following? - ANStrauma jaw thrust
When verifying ET Tube placement on a perfusing patient, the "Gold standard" of monitoring is
considered to be? - ANSwaveform 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? - ANSdistended 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? -
ANSplacing 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? - ANSsystemic 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? - ANSconcussion
, when using a selective spinal immobilization protocol, which of the following findings indicate
the need for imbolization? - ANSan associated femoral shaft fracture with severe pain
In a blast-related multiple patient situation, which of the following patients should be treated
first? - ANSa 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? -
ANSworsening coagulopathy
the secondary survey should be accomplished: - ANSwhen time and situation allow
when approaching a trauma patient, what is the first assessment that must be made? -
ANSscene safety
the most common type if shock resulting from trauma is? - ANShemorrhaging
when of the following best guides the decision to provide spinal immobilization? - ANShistory
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? - ANShemorrhage 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? - ANSsubdural hematoma
the pre-hospital assessment of the trauma patient beings with which of the following? -
ANSinformation 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? - ANSneurogenic
Which of the following is the best indicator of shock in a trauma patient? - ANSDepressed level
of cognition
Which best describes the goal of airway management in a trauma patient? - ANSprovide or
adequate exchange of oxygen and CO2
