Prehospital Trauma Life Support (PHTLS) Exam Prep /
PHTLS Test Bank_ Solution guide.
When the application of kinetic energy to the body from either a blunt or penetrating
mechanism displaces tissue, this is known as
CAVITATION
Which of the following is an example of the tertiary phase blast injury?
CRUSHING INJURY DUE TO STRUCTURAL COLLAPSE.
The most common threat to life among trauma patients is?
INTERNAL HEMORRHAGE
Your patient is an injured construction worker bleeding profusely from a large laceration
to the left thigh. He is confused and has pale, moist skin. Direct pressure applied to the
wound by a first responder has failed to control the bleeding. The next step in controlling
bleeding is to apply:
A TOURNIQUET TO THE LACERATION.
Hypotension due to spinal cord trauma occurs due to interruption of the
_______________nervous system pathway.
SYMPATHETIC
The most common fractured ribs are ribs:
4 THROUGH 8.
A hemothorax is differentiated from a tension pneumothorax by:
DULL PERCUSSION ON THE AFFECTED SIDE.
Which of the following mechanisms is most likely to result in cardiac tamponade?
A PATIENT IS STRUCK IN THE LEFT ANTERIOR CHEST BY A NAIL EJECTED
FROM A NAIL GUN.
Management of flail chest includes:
PAIN MANAGEMENT
VENTILATORY SUPPORT
100%O2
Which of the following types of traumatic brain injury is most likely to be associated with
hemorrhage from the middle meningeal artery?
EPIDURAL HEMATOMA
Which of the following groups of findings represents Cushing's phenomenon?
BRADYCARDIA
ABNORMAL RESPIRATORY PATTERN
ELEVATED BLOOD PRESSURE
Your patient is a 32 year old female who was thrown from a horse and struck her head
on the ground. She was not wearing a helmet. She does not respond verbally or open
her eyes to painful stimuli, but responds to painful stimuli with decerebrate posturing.
Her right pupil is dilated and does not react to light. Her respirations are 6 per minute
and irregular, pulse 56, blood pressure 188/98. You should ventilate the patient at a rate
of?
20 BPM.
A burn with reddened, glistening base that may have blisters is most characteristic of a
, SECOND degree burn.
A chemical solution with a pH of 4.0 is considered an ACID and causes damage to the
tissues via
COAGULATION NECROSIS.
An electrical burn caused by superheated air near the source of electricity is an
ARC burn.
Your patient is an 82 year old female who was an unrestrained front seat passenger in a
motor vehicle collision. Which of the following is the most reliable indication of shock in
this patient?
LEVEL OF CONSCIOUSNESS.
Which of the following findings is not expected in assessment of a pregnant patient?
A DECREASED BLOOD PRESSURE IN THE THIRD TRIMESTER.
Which of the following is contraindicated in the management of a pregnant trauma
patient in the third trimester?
SUPINE POSITION.
During the assessment of the trauma patient, auscultation of the lung sounds is first
performed during:
THE PRIMARY SURVEY.
Which of the following is indicated for the prehospital management of a circumferential
second degree burn extending from the wrist to the elbow in a 70 Kg patient?
A DRY STERILE DRESSING
ANALGESIA
The preferred fluid for resuscitation of the patient with significant burns is:
LACTATED RINGER'S SOLUTION.
Which of the following is the most common cause of spinal injuries?
MOTOR VEHICLE COLLISIONS.
Hypotension in hemothorax is associated with:
THE ABILITY OF EACH SIDE OF THE THORAX TO HOLD UP TO 3 LITERS OF
BLOOD.
Cardiac tamponade is suspected with the findings of muffled heart
sounds___________, and___________ known as___________.
JUGULAR VEIN DISTENTION, and HYPOTENSION, known as BECK'S TRIAD.
When administering isotonic crystalloid solution, about ___________ will remain in the
vascular system after 1 hour.
ONE-THIRD
PASG is contraindicated in patients with
CHEST TRAUMA.
The greatest threat to life from injury to hollow abdominal organ is
PERITONITIS.
IV fluids administered to patients in shock should be _______ in order to
______________ ______________.
WARM, PREVENT HYPOTHERMIA.
During pregnancy, signs and symptoms of shock may appear _______ due to an
_________ in maternal blood volume.
LATER, INCREASE
A fractured femur can result in___________________mL of hemorrhage.
PHTLS Test Bank_ Solution guide.
When the application of kinetic energy to the body from either a blunt or penetrating
mechanism displaces tissue, this is known as
CAVITATION
Which of the following is an example of the tertiary phase blast injury?
CRUSHING INJURY DUE TO STRUCTURAL COLLAPSE.
The most common threat to life among trauma patients is?
INTERNAL HEMORRHAGE
Your patient is an injured construction worker bleeding profusely from a large laceration
to the left thigh. He is confused and has pale, moist skin. Direct pressure applied to the
wound by a first responder has failed to control the bleeding. The next step in controlling
bleeding is to apply:
A TOURNIQUET TO THE LACERATION.
Hypotension due to spinal cord trauma occurs due to interruption of the
_______________nervous system pathway.
SYMPATHETIC
The most common fractured ribs are ribs:
4 THROUGH 8.
A hemothorax is differentiated from a tension pneumothorax by:
DULL PERCUSSION ON THE AFFECTED SIDE.
Which of the following mechanisms is most likely to result in cardiac tamponade?
A PATIENT IS STRUCK IN THE LEFT ANTERIOR CHEST BY A NAIL EJECTED
FROM A NAIL GUN.
Management of flail chest includes:
PAIN MANAGEMENT
VENTILATORY SUPPORT
100%O2
Which of the following types of traumatic brain injury is most likely to be associated with
hemorrhage from the middle meningeal artery?
EPIDURAL HEMATOMA
Which of the following groups of findings represents Cushing's phenomenon?
BRADYCARDIA
ABNORMAL RESPIRATORY PATTERN
ELEVATED BLOOD PRESSURE
Your patient is a 32 year old female who was thrown from a horse and struck her head
on the ground. She was not wearing a helmet. She does not respond verbally or open
her eyes to painful stimuli, but responds to painful stimuli with decerebrate posturing.
Her right pupil is dilated and does not react to light. Her respirations are 6 per minute
and irregular, pulse 56, blood pressure 188/98. You should ventilate the patient at a rate
of?
20 BPM.
A burn with reddened, glistening base that may have blisters is most characteristic of a
, SECOND degree burn.
A chemical solution with a pH of 4.0 is considered an ACID and causes damage to the
tissues via
COAGULATION NECROSIS.
An electrical burn caused by superheated air near the source of electricity is an
ARC burn.
Your patient is an 82 year old female who was an unrestrained front seat passenger in a
motor vehicle collision. Which of the following is the most reliable indication of shock in
this patient?
LEVEL OF CONSCIOUSNESS.
Which of the following findings is not expected in assessment of a pregnant patient?
A DECREASED BLOOD PRESSURE IN THE THIRD TRIMESTER.
Which of the following is contraindicated in the management of a pregnant trauma
patient in the third trimester?
SUPINE POSITION.
During the assessment of the trauma patient, auscultation of the lung sounds is first
performed during:
THE PRIMARY SURVEY.
Which of the following is indicated for the prehospital management of a circumferential
second degree burn extending from the wrist to the elbow in a 70 Kg patient?
A DRY STERILE DRESSING
ANALGESIA
The preferred fluid for resuscitation of the patient with significant burns is:
LACTATED RINGER'S SOLUTION.
Which of the following is the most common cause of spinal injuries?
MOTOR VEHICLE COLLISIONS.
Hypotension in hemothorax is associated with:
THE ABILITY OF EACH SIDE OF THE THORAX TO HOLD UP TO 3 LITERS OF
BLOOD.
Cardiac tamponade is suspected with the findings of muffled heart
sounds___________, and___________ known as___________.
JUGULAR VEIN DISTENTION, and HYPOTENSION, known as BECK'S TRIAD.
When administering isotonic crystalloid solution, about ___________ will remain in the
vascular system after 1 hour.
ONE-THIRD
PASG is contraindicated in patients with
CHEST TRAUMA.
The greatest threat to life from injury to hollow abdominal organ is
PERITONITIS.
IV fluids administered to patients in shock should be _______ in order to
______________ ______________.
WARM, PREVENT HYPOTHERMIA.
During pregnancy, signs and symptoms of shock may appear _______ due to an
_________ in maternal blood volume.
LATER, INCREASE
A fractured femur can result in___________________mL of hemorrhage.
