PHTLS 10TH EDITION FINAL EXAM | QUESTIONS AND ANSWERS |
VERIFIED ANSWERS | ALREADY GRADED A+ | LATEST UPDATE
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
VERIFIED ANSWERS | ALREADY GRADED A+ | LATEST UPDATE
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
