PHTLS 10th Edition questions and solutions

PHTLS 10th Edition questions and solutions

A 27 year old female has multi system trauma. Which life threat is your first priority? - answersSignificant
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external hemorrhage
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Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears and nose? - answersBasilar
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A 78 year old female was involved in a minor car crash. She is shivering and exhibits repetitive questioning. She
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is a type II diabetic and takes a daily anticoagulant. What should your initial treatment be? - answersMove
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patient to a warm environment
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A 14 year old male suffered from helmet-to-helmet contact during a football game followed by a 30 second
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period of unconsciousness. Initial exam shows that he is awake but slow to respond. He is nauseated and has a
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headache. He becomes unresponsive during transport. Examination of the pupils reveals a left pupil that is
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dilated and not reactive. What type of hemorrhage should you suspect? - answersEpidural
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An 80 year old female fell down a flight of stairs 3 days ago. Today the family reports she has a headache and is
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"going in and out of consciousness." Vital signs are BP 170/72, R 26 and irregular, HR 62, BGL 150 mg/dL (8.3
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mol/L). What should you suspect? - answersSubdural hematoma
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An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet? - answersTo
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manage the airway
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A 28 year old male fell from his motorcycle during a low speed accident. He removed his own helmet after the
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accident. He has an open left femur fracture with severe external bleeding from the wound. What should you
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do? - answersApply direct pressure to the wound
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An adult patient has an open angulated injury to the left lower leg. Distal pulses are absent. Why would you
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attempt to realign the extremity? - answersRestore blood flow
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A 20 year old male was hit in the chest with a baseball bat. He4 complains of severe pain and tenderness to the
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left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 98, R 20 regular, and ETCO2
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38mmHg. What should you do? - answersAdminister 100 mcg of Fentanyl
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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
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with a towel over his lower face. He has an open jaw fracture. What is your primary concern? -
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answersObstruction of the airway
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An adult patient has partial thickness burns to his or. her anterior chest and abdomen, the entire right arm, and
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the palm of the left hand. What percent of the total body surface area is affected? - answers28%
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An 8 year old female is being treated in the red treatment area after a housing complex fire. Vital signs are P 140,
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R 12 with noted stridor. Her eyebrows and hair are burnt. Suddenly, she becomes apenic. What should you do?
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- answersInsert an oropharyngeal airway and assist ventilations
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What type of burn should be treated as a life or limb threatening injury due to constriction of the injured tissues? -
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answersCircumferential
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