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PHTLS PRE-TEST NEWEST EXAM 100
QUESTIONS AND CORRECT
DETAILED ANSWERS |RATED A + |
NEW AND REVISED
A 22 y.o. M 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? - ANSWER- Apply a tourniquet
Which type of shock includes neurogenic and anaphylactic
shock? - ANSWER- Distributive
An anxious 54 y.o. F complains of chest pain. She hit the
steering wheel after a car crash at high speeds. Her sternum is
red and tender. Vital signs are BP 100/68, P 112 RR 28 clear,
SPO2 92%. What should you suspect? - ANSWER- Cardiac
contusion
A 32 year old male was ejected from a motor vehicle. He is
unconscious with agonal respirations upon assessment you note
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a dilated right pupil. What is the best device to secure the
airway. - ANSWER- Endotracheal tube
A 44 year-old male was involved in a motorcycle crash. He
sustained severe blunt trauma to the chest and has a deformity of
the right femur. Multiple IV attempts were unsuccessful. Vitals
are BP 70/40 HR 126 RR 28. What should you do? - ANSWER-
Establish IO access
A 16-year-old male complains of chest pain and difficulty taking
a deep breath. He was assaulted with a metal pipe. He has
unilateral chest rise and crepitus over the injured area. What
should you do? - ANSWER- Apply high flow oxygen
A 14-year-old male suffered from helmet to helmet contact
during a football game followed by 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 non-reactive. What type of
hemorrhage should you suspect? - ANSWER- Epidural
An 8 y.o. female is being treated in the red treatment area after a
housing complex fire. Vital signs are P 140 RR 12 with noted
stridor. Her eyebrows and hair are burnt. Suddenly, she became
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apneic. What should you do? - ANSWER- Insert an OPA and
assist ventilations
A 13-year-old male was a restrained passenger in a car crash at
high speed. He is alert and oriented on scene and walking
around. What should you do? - ANSWER- Consider spinal
motion restriction and assess his c-spine
Where is the preferred landmark for needle decompression? -
ANSWER- Anterior axiliary line, 5th intercostal
What is a sign of brain stem herniation? - ANSWER-
Decerebrate posturing
A 13-year-old male was riding on an all-terrain vehicle when he
drove into a wire fence. He is sitting on the ground with a towel
over his lower face. He has an open jaw fracture. What is your
primary concern? - ANSWER- obstruction of the airway
A 2 Two 5-year-old female has a gunshot wound to the
abdomen. Vital signs are BP 80/40 HR 122 RR 18 with clear,
equal lung sounds. What is the most appropriate IV fluid to
administer? - ANSWER- Warmed LR
PHTLS PRE-TEST NEWEST EXAM 100
QUESTIONS AND CORRECT
DETAILED ANSWERS |RATED A + |
NEW AND REVISED
A 22 y.o. M 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? - ANSWER- Apply a tourniquet
Which type of shock includes neurogenic and anaphylactic
shock? - ANSWER- Distributive
An anxious 54 y.o. F complains of chest pain. She hit the
steering wheel after a car crash at high speeds. Her sternum is
red and tender. Vital signs are BP 100/68, P 112 RR 28 clear,
SPO2 92%. What should you suspect? - ANSWER- Cardiac
contusion
A 32 year old male was ejected from a motor vehicle. He is
unconscious with agonal respirations upon assessment you note
,2|Page
a dilated right pupil. What is the best device to secure the
airway. - ANSWER- Endotracheal tube
A 44 year-old male was involved in a motorcycle crash. He
sustained severe blunt trauma to the chest and has a deformity of
the right femur. Multiple IV attempts were unsuccessful. Vitals
are BP 70/40 HR 126 RR 28. What should you do? - ANSWER-
Establish IO access
A 16-year-old male complains of chest pain and difficulty taking
a deep breath. He was assaulted with a metal pipe. He has
unilateral chest rise and crepitus over the injured area. What
should you do? - ANSWER- Apply high flow oxygen
A 14-year-old male suffered from helmet to helmet contact
during a football game followed by 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 non-reactive. What type of
hemorrhage should you suspect? - ANSWER- Epidural
An 8 y.o. female is being treated in the red treatment area after a
housing complex fire. Vital signs are P 140 RR 12 with noted
stridor. Her eyebrows and hair are burnt. Suddenly, she became
, 3|Page
apneic. What should you do? - ANSWER- Insert an OPA and
assist ventilations
A 13-year-old male was a restrained passenger in a car crash at
high speed. He is alert and oriented on scene and walking
around. What should you do? - ANSWER- Consider spinal
motion restriction and assess his c-spine
Where is the preferred landmark for needle decompression? -
ANSWER- Anterior axiliary line, 5th intercostal
What is a sign of brain stem herniation? - ANSWER-
Decerebrate posturing
A 13-year-old male was riding on an all-terrain vehicle when he
drove into a wire fence. He is sitting on the ground with a towel
over his lower face. He has an open jaw fracture. What is your
primary concern? - ANSWER- obstruction of the airway
A 2 Two 5-year-old female has a gunshot wound to the
abdomen. Vital signs are BP 80/40 HR 122 RR 18 with clear,
equal lung sounds. What is the most appropriate IV fluid to
administer? - ANSWER- Warmed LR
