PHTLS Pre-Test and Post Test Actual Exam 2/
PHTLS Pre-Test and Post Test Exam
Preparation /PHTLS Pre-Test and Post Test
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You come across a 17-year-old male who fell through a sliding glass door sustaining a large
laceration to his arm that is bleeding heavily. He is restless and diaphoretic, with a weak, thready
pulse. What is the most appropriate first action?
a) Give TXA
b) Pack the wound with a haemostatic dressing
c) Intravenous access and 250ml fluid bolus
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, PHTLS Pre-Test and Post Test Actual Exam
d) Apply direct pressure to the wound –
Correct Answer :d) Apply direct pressure to the wound
In a 'can't intubate, can't oxygenate' situation, the most appropriate airway intervention to allow
ventilation and oxygenation would be?
a) Trauma jaw thrust
b) Needle cricothyroidotomy
c) An emergency surgical airway
d) Nasotracheal intubation –
Correct Answer :c) An emergency surgical airway
You attend a 24-year-old footballer who was kicked in the thigh and now has shortening of the
injured leg with obvious swelling to the thigh. You are with two other ambulance staff, what is
the most appropriate interve ntion?
a) Apply a traction device to the injured leg
b) Provide manual traction, analgesia and prepare a traction device
c) Apply a box splint and transport to a local trauma unit .
d) Give analgesia and contact critical care for advice –
Correct Answer :b) Provide manual traction, analgesia and prepare a traction device
The potential for death or serious injury is greatest in which of the following motor vehicle
collisions?
A) Down and under
B) Ejection from vehicle
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, PHTLS Pre-Test and Post Test Actual Exam
C) Lateral compression
D) Up and over –
Correct Answer :B) Ejection from vehicle
Bilateral femur fractures are most often associated with which type of motorcycle crash?
A) Angular impact
B) Bike-road impact
C) Head-on impact
D) Rear impact –
Correct Answer :C) Head-on impact
Which is the preferred fluid for resuscitation of hemorrhagic shock in the prehospital setting?
A) 5% dextrose in water
B) 7.5% hypertonic saline
C) Hetastarch
D) Lactated Ringer's –
Correct Answer :D) Lactated Ringer's
Which is the most common cause of upper airway obstruction in the trauma patient?
A) Blood
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, PHTLS Pre-Test and Post Test Actual Exam
B) Teeth
C) Tongue
D) Vomitus –
Correct Answer :C) Tongue
Which is the preferred adjunct device for verifying placement of an endotracheal tube in a
patient with a perfusing rhythm?
A) End-tidal CO2 monitoring (capnography)
B) Esophageal detector device
C) Pulse oximeter
D) Stethoscope
Correct Answer :A) End-tidal CO2 monitoring (capnography)
Which is the most important reason to maintain an open airway in the trauma patient?
A) Prevents aspiration and pneumonia
B) Prevents hypoxemia and hypercarbia
C) Prevents snoring respirations
D) Prevents the tongue from blocking the pharynx –
Correct Answer :B) Prevents hypoxemia and hypercarbia
Essential airway skills include manual clearing of the airway, manual maneuvers, suctioning and
which of the following?
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