PHTLS 10TH EDITION EXAM FULLY SOLVED #4
A 27 year old female has multi system trauma. Which life threat is your first priority? -
correct answer Significant external hemorrhage
Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears and
nose? - correct answer Basilar
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? - correct answer Move patient to a warm environment
A 14 year old male suffered from helmet-to-helmet contact during a football game
followed by a 30 second period of unconsciousness. Initial exam shows that he is
awake but slow to respond. He is nauseated and has a headache. He becomes
unresponsive during transport. Examination of the pupils reveals a left pupil that is
dilated and not reactive. What type of hemorrhage should you suspect? - correct
answer Epidural
An 80 year old female fell down a flight of stairs 3 days ago. Today the family reports
she has a headache and is "going in and out of consciousness." Vital signs are BP
170/72, R 26 and irregular, HR 62, BGL 150 mg/dl (8.3 mol/L). What should you
suspect? - correct answer Subdural hematoma
An adult patient was involved in a motorcycle accident. Why should you remove his or
her helmet? - correct answer To manage the airway
A 28 year old male fell from his motorcycle during a low speed accident. He removed
his own helmet after the accident. He has an open left femur fracture with severe
external bleeding from the wound. What should you do? - correct answer Apply direct
pressure to the wound
An adult patient has an open angulated injury to the left lower leg. Distal pulses are
absent. Why would you attempt to realign the extremity? - correct answer Restore blood
flow
A 20 year old male was hit in the chest with a baseball bat. He4 complains of severe
pain and tenderness to the left side. He is unable to take a deep breath. Vital signs are
BP 112/76, P 98, R 20 regular, and ETCO2 38mmhg. What should you do? - correct
answer Administer 100 mcg of Fentanyl
A 13 year old male was riding on an all-terrain vehicle when he drove into a wire fence.
He's sitting on the ground with a towel over his lower face. He has an open jaw fracture.
What is your primary concern? - correct answer Obstruction of the airway
, An adult patient has partial thickness burns to his or. Her anterior chest and abdomen,
the entire right arm, and the palm of the left hand. What percent of the total body
surface area is affected? - correct answer 28%
An 8 year old female is being treated in the red treatment area after a housing complex
fire. Vital signs are P 140, R 12 with noted stridor. Her eyebrows and hair are burnt.
Suddenly, she becomes apenic. What should you do? - correct answer Insert an
oropharyngeal airway and assist ventilations
What type of burn should be treated as a life or limb threatening injury due to
constriction of the injured tissues? - correct answer Circumferential
A 26 year old female was the unrestrained driver of a head on collision. Her Glascow
Coma Scale score is 4 (E1, V1, M2). Vital signs are BP 156/78, P 66, R 12 and
irregular, and her pupils are unequal. What should you do? - correct answer Assist
ventilations at a rate of 20 breaths per minute
Which of the following presents the greatest risk for EMS provider fatalities? - correct
answer Motor vehicle collision either in an EMS unit or on-scene
A 50 year old male fell from a 6th story balcony. Intubation attempts have been
unsuccessful. His Glasgow Coma Scale score is 6 (E1, V1, M4). You note agonal
respirations. What should you do first? - correct answer Insert a superglottic airway
device
A 22 year old male was involved in a car crash and hit a tree head-on. The patient is on
the ground outside the vehicle and is unconscious. His forearm is avulsed and you note
a large pool of blood with active bleeding. His breathing is deep and labored. What
should you do? - correct answer Apply a tourniquet
A 46 year old male is trapped in his vehicle after a high speed front-end collision. He is
slow to respond to questions. You note blood pooling on his seat. Vital signs are P 130,
R 8. How should you remove this patient from the vehicle? - correct answer Rapidly
extricate the patient
A 24 year old construction worker amputated his thumb. How should you manage the
amputation? - correct answer Wrap in moistened gauze
A 36 weeks pregnant female has sustained an injury that requires spinal motion
restriction. What intervention should be implemented to prevent hypotension during
transport? - correct answer Elevate the right side of the back board 4-6 inches
A 41 year old male was stabbed in the chest immediately below the sternum. He
complains of shortness of breath and has engorged jugular veins. Vital signs are BP
108/84, P 130, R 26. What should you suspect? - correct answer Cardiac tamponade
A 27 year old female has multi system trauma. Which life threat is your first priority? -
correct answer Significant external hemorrhage
Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears and
nose? - correct answer Basilar
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? - correct answer Move patient to a warm environment
A 14 year old male suffered from helmet-to-helmet contact during a football game
followed by a 30 second period of unconsciousness. Initial exam shows that he is
awake but slow to respond. He is nauseated and has a headache. He becomes
unresponsive during transport. Examination of the pupils reveals a left pupil that is
dilated and not reactive. What type of hemorrhage should you suspect? - correct
answer Epidural
An 80 year old female fell down a flight of stairs 3 days ago. Today the family reports
she has a headache and is "going in and out of consciousness." Vital signs are BP
170/72, R 26 and irregular, HR 62, BGL 150 mg/dl (8.3 mol/L). What should you
suspect? - correct answer Subdural hematoma
An adult patient was involved in a motorcycle accident. Why should you remove his or
her helmet? - correct answer To manage the airway
A 28 year old male fell from his motorcycle during a low speed accident. He removed
his own helmet after the accident. He has an open left femur fracture with severe
external bleeding from the wound. What should you do? - correct answer Apply direct
pressure to the wound
An adult patient has an open angulated injury to the left lower leg. Distal pulses are
absent. Why would you attempt to realign the extremity? - correct answer Restore blood
flow
A 20 year old male was hit in the chest with a baseball bat. He4 complains of severe
pain and tenderness to the left side. He is unable to take a deep breath. Vital signs are
BP 112/76, P 98, R 20 regular, and ETCO2 38mmhg. What should you do? - correct
answer Administer 100 mcg of Fentanyl
A 13 year old male was riding on an all-terrain vehicle when he drove into a wire fence.
He's sitting on the ground with a towel over his lower face. He has an open jaw fracture.
What is your primary concern? - correct answer Obstruction of the airway
, An adult patient has partial thickness burns to his or. Her anterior chest and abdomen,
the entire right arm, and the palm of the left hand. What percent of the total body
surface area is affected? - correct answer 28%
An 8 year old female is being treated in the red treatment area after a housing complex
fire. Vital signs are P 140, R 12 with noted stridor. Her eyebrows and hair are burnt.
Suddenly, she becomes apenic. What should you do? - correct answer Insert an
oropharyngeal airway and assist ventilations
What type of burn should be treated as a life or limb threatening injury due to
constriction of the injured tissues? - correct answer Circumferential
A 26 year old female was the unrestrained driver of a head on collision. Her Glascow
Coma Scale score is 4 (E1, V1, M2). Vital signs are BP 156/78, P 66, R 12 and
irregular, and her pupils are unequal. What should you do? - correct answer Assist
ventilations at a rate of 20 breaths per minute
Which of the following presents the greatest risk for EMS provider fatalities? - correct
answer Motor vehicle collision either in an EMS unit or on-scene
A 50 year old male fell from a 6th story balcony. Intubation attempts have been
unsuccessful. His Glasgow Coma Scale score is 6 (E1, V1, M4). You note agonal
respirations. What should you do first? - correct answer Insert a superglottic airway
device
A 22 year old male was involved in a car crash and hit a tree head-on. The patient is on
the ground outside the vehicle and is unconscious. His forearm is avulsed and you note
a large pool of blood with active bleeding. His breathing is deep and labored. What
should you do? - correct answer Apply a tourniquet
A 46 year old male is trapped in his vehicle after a high speed front-end collision. He is
slow to respond to questions. You note blood pooling on his seat. Vital signs are P 130,
R 8. How should you remove this patient from the vehicle? - correct answer Rapidly
extricate the patient
A 24 year old construction worker amputated his thumb. How should you manage the
amputation? - correct answer Wrap in moistened gauze
A 36 weeks pregnant female has sustained an injury that requires spinal motion
restriction. What intervention should be implemented to prevent hypotension during
transport? - correct answer Elevate the right side of the back board 4-6 inches
A 41 year old male was stabbed in the chest immediately below the sternum. He
complains of shortness of breath and has engorged jugular veins. Vital signs are BP
108/84, P 130, R 26. What should you suspect? - correct answer Cardiac tamponade
