phtls + GEMS
The secondary survey should be accomplished:
a.Never on a critical patient
b.Before transport
c.When time and situation allow
d.Before moving the patient - CORRECT ANSWER-c
You respond to a patient who has sustained a stab wound to the left upper thorax. She
is barely responsive, pale and diaphoretic. Which of the following is the most
appropriate for transport?
a.Stair chair
b.Long board with spinal motion restriction
c.Scoop stretcher
d.Short immobilization device - CORRECT ANSWER-c
While caring for a patient who was involved in an altercation, the patient vomits, causing
his airway to become totally obstructed with vomitus and blood. What is the most
important action?
a.Performing an RSI
b.Performing a head-tilt chin lift
c.Intubating
d.Suctioning the airway - CORRECT ANSWER-d
EMS responds to an adult barista with partial-thickness burns to the abdomen and right
leg, sustained from a cooking accident. Initial treatment of this injury would include:
a.Apply antibiotic ointment
b.Run copious amounts of room temperature water over the burn
c.Cover burned area with dry sterile dressings
d.Cover burned area with moist sterile dressings - CORRECT ANSWER-c
When verifying ET tube placement on a perfusing patient, the "gold standard" of
monitoring is considered to be?
a.Colorimetric carbon dioxide detector
b.Pulse oximetry
c.Listening to lung sounds
d.Waveform capnography - CORRECT ANSWER-d
, EMS responds for a patient involved in a motorcycle vs. motor vehicle collision. The
patient is poorly responsive with no movement of lower extremities and loss of
temperature sensation (hot vs cold) below the T10. Which of the following types of
shock is the patient most likely experiencing?
a.Cardiogenic
b.Hypovolemic
c.Neurogenic
d.Obstructive - CORRECT ANSWER-c
Which best describes the goal of airway management in a trauma patient?
a.Perform complex airway maneuvers
b.Perform a surgical cricothyrotomy
c.Provide for adequate exchange of oxygen and CO2
d.Perform RSI - CORRECT ANSWER-c
When caring for a trauma patient, a principle is what is necessary for patient
improvement or survival. A preference is how the principle is achieved and depends
upon four factors. The factors used to establish the preference in treating the patient
include all except:
a.Condition of the patient
b.Equipment available
c.Situation that exists
d.Research information - CORRECT ANSWER-d
Hyperventilation of a patient with suspected traumatic brain injury should occur when?
a.At time of injury
b.When signs of impending brain herniation are present
c.During a concussion
d.Whenever the patient complains of headache - CORRECT ANSWER-b
When using a selective spinal immobilization protocol, which of the following findings
indicate the need for immobilization?
a.Past history of spinal injury
b.Being an unrestrained passenger in a motor vehicle crash
c.Being ambulatory at the scene
d.An associated femoral shaft fracture with severe pain - CORRECT ANSWER-d
Which of the following is the best indicator of shock in a trauma patient?
a.Depressed level of cognition
The secondary survey should be accomplished:
a.Never on a critical patient
b.Before transport
c.When time and situation allow
d.Before moving the patient - CORRECT ANSWER-c
You respond to a patient who has sustained a stab wound to the left upper thorax. She
is barely responsive, pale and diaphoretic. Which of the following is the most
appropriate for transport?
a.Stair chair
b.Long board with spinal motion restriction
c.Scoop stretcher
d.Short immobilization device - CORRECT ANSWER-c
While caring for a patient who was involved in an altercation, the patient vomits, causing
his airway to become totally obstructed with vomitus and blood. What is the most
important action?
a.Performing an RSI
b.Performing a head-tilt chin lift
c.Intubating
d.Suctioning the airway - CORRECT ANSWER-d
EMS responds to an adult barista with partial-thickness burns to the abdomen and right
leg, sustained from a cooking accident. Initial treatment of this injury would include:
a.Apply antibiotic ointment
b.Run copious amounts of room temperature water over the burn
c.Cover burned area with dry sterile dressings
d.Cover burned area with moist sterile dressings - CORRECT ANSWER-c
When verifying ET tube placement on a perfusing patient, the "gold standard" of
monitoring is considered to be?
a.Colorimetric carbon dioxide detector
b.Pulse oximetry
c.Listening to lung sounds
d.Waveform capnography - CORRECT ANSWER-d
, EMS responds for a patient involved in a motorcycle vs. motor vehicle collision. The
patient is poorly responsive with no movement of lower extremities and loss of
temperature sensation (hot vs cold) below the T10. Which of the following types of
shock is the patient most likely experiencing?
a.Cardiogenic
b.Hypovolemic
c.Neurogenic
d.Obstructive - CORRECT ANSWER-c
Which best describes the goal of airway management in a trauma patient?
a.Perform complex airway maneuvers
b.Perform a surgical cricothyrotomy
c.Provide for adequate exchange of oxygen and CO2
d.Perform RSI - CORRECT ANSWER-c
When caring for a trauma patient, a principle is what is necessary for patient
improvement or survival. A preference is how the principle is achieved and depends
upon four factors. The factors used to establish the preference in treating the patient
include all except:
a.Condition of the patient
b.Equipment available
c.Situation that exists
d.Research information - CORRECT ANSWER-d
Hyperventilation of a patient with suspected traumatic brain injury should occur when?
a.At time of injury
b.When signs of impending brain herniation are present
c.During a concussion
d.Whenever the patient complains of headache - CORRECT ANSWER-b
When using a selective spinal immobilization protocol, which of the following findings
indicate the need for immobilization?
a.Past history of spinal injury
b.Being an unrestrained passenger in a motor vehicle crash
c.Being ambulatory at the scene
d.An associated femoral shaft fracture with severe pain - CORRECT ANSWER-d
Which of the following is the best indicator of shock in a trauma patient?
a.Depressed level of cognition
