PHTLS STUDY GUIDE Questions and answers

Care of the trauma patient in the field is an evolving science and should be evidence-based. As lifelong learners, we must be prepared to adapt our practices based on research. This is because research may lead to the following? change in our current practices In trauma care, a principle is defined as which of the following? what needs to be done In addition to oxygen what is required to maintain the metabolic processes of life and energy production? Glucose You respond foe a patient who has sustained a GSW to the right upper thorax he is barely responsive, pale, and diaphoretic which of the following is most appropriate for transport? 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? weather conditions The most appropriate for airway maneuver for trauma patients is which of the following? trauma jaw thrust Endotracheal intubation is a technique that requires which of the following? substantial training to maintain proficiency Which of the following indicates that a trauma patient is having trouble breathing? the patient breathing is noticeable The patient presents with a blunt trauma injury to the chest. on exam, he has absent breath sounds the one side of his chest and respiratory distress which additional sign would indicate that the patient has a tension pneumothorax? hemodynamic compromise In addition to direct pressure, tourniquets and immobilizing fractures, which of the following is most effective by controlling hemorrhage? hemostatic agents Which of the following is a preventable cause of secondary brain injury? systemic hypoxia You're 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 ? Concussion Which of the following findings indicate the need for immobilization when using a selective spinal immobilization protocol? pain or tenderness along the spine Which of the following patients should be treated first in a blast-related multiple patient situation? a 30-year-old female with altered level of consciousness and a decreased capillary refill Excessive fluid resuscitation of a trauma patient can result in which of the following? increase blood loss When should the secondary survey be accomplished? when the time and situation allows When approaching a trauma patient what is the first assessment that must be made? scene safe What is the most common type of shock resulting from trauma? hemorrhagic Which of the following best guides the decision to provide spinal immobilization? history and complaint A 38-year-old male sustained a large wound to his right thigh while at work which of the following actions are the most important initial step? hemorrhage control A patient who sustained extensive blunt trauma to his trunk has absent lung sounds on the right, marked respiratory distress, tachycardia and hypotension. What is the most appropriate intervention? needle decompression The prehospital assessment of the trauma patient begins with which of the following? information provided by dispatch EMS response for patient involved in a motor vehicle VS car collision. The patient is unresponsive with vital signs of BP 82/palpation, RR of 24, and pulse of 128. What is the most likely type of shock? hypovolemic Which of the following best describes shock? a state on inadequate energy production What is the most common cause of airway obstruction in an unconscious trauma patient? tongue 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 maximum amount of time that you can suction his airway? until his airways clear