PHTLS 9E Pre-Test Questions and answers

A 28 year old female has suffered a head injury after falling from a horse. Her Glasgow Coma Scale score is 6 (E1, V1, M4) and she has snoring respirations at 8 per minute. Which should you do first? - Perform drug-assisted intubation - Administer oxygen by nasal cannula - Place an oropharyngeal airway - Perform a head tilt-chin lift maneuver Place an oropharyngeal airway A 13 year old male was riding on an all-terrain vehicle when he drove into a wire fence. He is sitting on the ground with a towel over his lower face. He has an open jaw fracture. What is your primary concern? - Obstruction of the airway - Internal hemorrhage - Cervical spine injury - Obtaining parental consent Obstruction of the airway An 82 year old male fell in the shower 3 days ago and now only responds to painful stimuli. The nurse's aide at the assisted living facility was unable to wake the patient for breakfast. Vital signs are BP 170/72, R 26 and irregular, P 58, BGL 150 mg/dL, Glasgow Coma Scale score of 5 (E1, V1, M3). What should you do? - Initiate an IV and administer labetalol - Start transcutaneous pacing - Check if the patient has advanced directives or a MOLST form - Administer mannitol via intravenous infusion Check if the patient has advanced directives or a MOLST form Which is an early finding in compartment syndrome? - Paralysis - Pallor - Pulselessness - Pain Pain A 29 year old male was injured in a high speed motor vehicle collision with lateral impact and intrusion into the side of a sedan. He has pale and diaphoretic skin, appears anxious, and is coughing up blood-tinged sputum. He complains of chest pain, has decreased breath sounds on the left lateral side, has crepitus on palpation of his ribs, and his jugular veins are flat. Vital signs are BP 88/56, P 120, R 24, SpO2 98%. What should you suspect? - Tension pneumothorax - Traumatic asphyxia - Cardiac tamponade - Hemothorax Hemothorax A 23 year old male was skateboarding down a ramp when he flipped over and landed on his head. He is clenching his jaw and you are unable to inset an oral airway. He thrashes his head when you attempt to provide bag-mask ventilations. His oxygen saturation is decreasing, and his ETCO2 is increasing. What is the best option to secure his airway and provide effective ventilations? - Insert a nasal airway - Pharmacologically assisted intubation - Insert a supraglottic airway - Video laryngoscopy Pharmacologically assisted intubation A 13 year old male was a restrained passenger in a car crash at highway speed. He is alert and oriented on-scene and walking around. What should you do? - Immobilize him to a padded splint - Apply a c-collar and secure him to a long backboard - Consider spinal motion restriction and assess his c-spine - Apply a c-collar and secure him to a cot Consider spinal motion restriction and assess his c-spine A 4 year old female fell down approximately 8 carpeted stairs. Her parents said she initially complained of neck pain and a tingling sensation in all four extremities, but the symptoms have since resolved. What should you do? - Advise the parents to call their pediatrician if symptoms return - Allow the parents to transport the patient in their vehicle - Place patient in a position of comfort on a stretcher - Initiate spinal motion restriction and transport Initiate spinal motion restriction and transport A 20 year old male was hit in the chest with a baseball bat. He complains of severe pain and tenderness on the left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 98, R 20, SpO2 98%, and ETCO2 33 mmHg. What should you do? - Administer oxygen via nonrebreather mask - Administer 100 mg Ketamine - Administer 100 mcg Fentanyl - Apply continuous positive airway pressure Administer 100 mcg Fentanyl A 78 year old female was involved in a minor car crash. She is shivering and exhibits repetitive questioning. She is a type II diabetic and takes a daily anticoagulant. What should your initial treatment be? - Establish intravenous access and administer dextrose - Administer hot packs to the axilla - Obtain a blood alcohol analysis - Move patient to a warm environment Move patient to a warm environment What is a priority treatment for an internal hemorrhage due to pelvic fracture? - Traction splint application - Tourniquet application - Binder application - Endotracheal intubation Binder application What type of burn should be treated as a life or limb threatening injury due to constriction of the injured tissues? - Full thickness - Circumferential - Subdermal - Partial thickness Circumferential