TLS PRACTICE QUESTIONS WITH 100% CORRECT
ANSWERS
Assessed first in trauma patient - Correct Answer - Airway
h h h h h h hh h h
(*)Degree of burn that is characterized by bone involvement - Correct Answer - Fourth
h h h h h h h h h h hh h h
Complications of head trauma - Correct Answer - Intracerebral hematoma h h h h h hh h h h
Extradural hematoma h
Brain abscess h
Most common cause of laryngotracheal stenosis - Correct Answer - Trauma
h h h h h h h hh h h
Intervention that can help prevent development of acute renal failure - Correct Answer -
h h h h h h h h h h h hh h
hInfusion of normal saline h h h
A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision
h h h h h h h h h h h h
hthat was complicated by a fractured pelvis. A few hours later, the patient becomes
h h h h h h h h h h h h h
hfebrile, hypotensive with a normal CVP, and oliguric. Upon examination, the patient is
h h h h h h h h h h h h
hfound to be bleeding from the NG tube and IV sites. Which of the following is the most
h h h h h h h h h h h h h h h h h
hlikely diagnosis? h
A. Hemorrhagic shock
h h
B. Acute adrenal insufficiency
h h h
C. Fat embolism syndrome
h h h
D. Transfusion reaction - Correct Answer - D. Transfusion reaction
h h h h hh h h h h
Skin antiseptic - Correct Answer - -Ethanol 70% is an effective skin antiseptic
h h h hh h h h h h h h h
-Acetic acid can be used to treat Gram- skin infections
h h h h h h h h h
-Salicylic acid is used to treat certain skin yeast infections
h h h h h h h h h
Class IV hemorrhage indicates what % blood loss - Correct Answer - 55%
h h h h h h h h h hh h h
How does shivering affect body temperature - Correct Answer - Increases body
h h h h h h h hh h h h
htemperature
Class III hemorrhage indicates what % of blood loss - Correct Answer - 35%
h h h h h h h h h h hh h h
Management of a stable patient with kidney contusion - Correct Answer - Observation
h h h h h h h h h hh h h
Associated with hypovolemic shock - Correct Answer - -Inadequate tissue perfusion
h h h h h hh h h h h
hwith resultant tissue hypoxia
h h h
-Blood shunting to vital organs h h h h
-Decreased circulating blood volume and decreased venous return h h h h h h h
-Low cardiac output h h
-Loss of less than 20% of the blood volume is usually without symptom except for mild
h h h h h h h h h h h h h h h
htachycardia h
-Patients become orthostatic with losses between 20 and 40%
h h h h h h h h h
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins
h h h h h h h h h
The most effective method of monitoring the success of resuscitation during CPR? -
h h h h h h h h h h h h
hCorrect Answer - Reactivity of pupils to light
hh h h h h h h
Used to ensure correct placement of endotracheal tube - Correct Answer - -Ultrasound
h h h h h h h h h hh h h h
,-Bilateral breath sounds h h
-Sustained end-tidal CO2 h h
Total body surface area involved in a burn in an adult to the anterior chest and
h h h h h h h h h h h h h h h
habdomen - Correct Answer - 18% h h hh h h
What is often caused by carotid massage? - Correct Answer - Bradycardia
h h h h h h h h hh h h
Step in a patient diagnosed with tension pneumothorax - Correct Answer - 1. Needle
h h h h h h h h h hh h h h
hdecompression/ thoracotomy h
2. Chest tube
h h
True statements regarding diaphragmatic injuries - Correct Answer - -Blunt
h h h h h h hh h h
hdiaphragmatic injuries are usually associated with skeletal trauma h h h h h h h h
-Penetrating diaphragmatic injuries may be missed h h h h h
-Repair of traumatic diaphragmatic injuries usually does not require prosthetic material
h h h h h h h h h h
First priority in the treatment of an unconscious patient - Correct Answer - Checking the
h h h h h h h h h h hh h h h
hpulse
A patient involved in a road accident is brought to the emergency department in an
h h h h h h h h h h h h h h
hunconscious state. On arrival, her vitals show a temperature of 96.4 degrees
h h h h h h h h h h h
hFahrenheit, a respiration rate of 24 breaths per minute, a heart rate of 140 beats per
h h h h h h h h h h h h h h h
hminute, and a blood pressure of 80/40 mm Hg. She is cold, shivering, and perspiring
h h h h h h h h h h h h h h
hprofusely. She has bilateral reactive pupils but she does not respond to pain. On
h h h h h h h h h h h h h
hphysical examination, she has no obvious sign of external bleeding. Which of the
h h h h h h h h h h h h
hfollowing cannot be the cause of hypotension in this patient?
h h h h h h h h h
A. Pelvic fracture
h h
B. Fracture of femur
h h h
C. Intracranial hemorrhage
h h
D. Hemothorax - Correct Answer - C. Intracranial hemorrhage
h h h hh h h h h
A patient suffered a slash to his right neck. The wound is over the mid-portion of the
h h h h h h h h h h h h h h h h
hsternocleidomastoid. There is a large hematoma and brisk bleeding when uncovered. h h h h h h h h h h
hHe is stable. What is the next step in management?
h h h h h h h h h
A. Get an angiogram
h h h
B. Close the wound in the ER
h h h h h h
C. Take him to the operating room
h h h h h h
D. CT scan to evaluate neck structure - Correct Answer - C. Take him to the OR
h h h h h h h h hh h h h h h h h
After abdominal injury, which of the following urinalysis findings would be an indication
h h h h h h h h h h h h
hfor further testing?
h h
A. 0-5 casts/HPF
h h
B. 5-10 WBC/HPF
h h
C. 10-20 RBC/HPF
h h
D. Gross hematuria - Correct Answer - D. Gross hematuria
h h h h hh h h h h
A laceration of the neck superficial to the deep cervical fascia along the
h h h h h h h h h h h h
hsternocleidomastoid muscle at its midpoint would cause bleeding from which structure? h h h h h h h h h h
h- Correct Answer - External jugular vein
h hh h h h h
Clinical features associated with tension pneumothorax - Correct Answer - Unilateral
h h h h h h h hh h h
hdecrease in breath sounds h h h
Hyperresonance
, Respiratory distress h
Tachycardia
Tracheal shift h
Desatruation
Decreased breath sounds h h
Decreased compliance h
Asymmetric chest movement h h
NOT hypertension, audible bronchial sounds
h h h h
Not recommended as a mode of ventilation for a patient with a diaphragmatic hernia
h h h h h h h h h h h h h
A. Bag and mask
h h h
B. LMA h
C. Endotracheal intubation
h h
D. Jet ventilation - Correct Answer - A. Bag and mask
h h h h hh h h h h h
What is the next step in the assessment of a traumatic patient after airway is
h h h h h h h h h h h h h h
established? - Correct Answer - Breathing
h h h hh h h
Blood group that is considered a universal donor - Correct Answer - O
h h h h h h h h h hh h h
A provider is examining a patient who sustained a severe traumatic head injury. He
h h h h h h h h h h h h h
documents no Doll's eyes. What does this signify? - Correct Answer - Brainstem injury
h h h h h h h h h h hh h h h
Which of the following is the least preferred method of administering IV fluids?
h h h h h h h h h h h h
A. Cubital veins
h h
B. Cephalic veins
h h
C. Subclavian veins
h h
D. Saphenous vein - Correct Answer - Subclavian veins
h h h h hh h h h
Dermatome level for nipple sensation h h h h
Dermatome level for umbilicus - Correct Answer - T4 h h h h h hh h h
T10
At which temperature would a hypothermic patient stop shivering? - Correct Answer -
h h h h h h h h h h hh h
88 degrees F
h h h
What is the energy recommendation for the first defibrillation in an adult (*) - Correct
h h h h h h h h h h h h h h h
Answer - 300 J
h h h h
Pharmacologic effects of Morphine - Correct Answer - Behavioral changes h h h h h hh h h h
Analgesia
Respiratory depression h
NOT diarrhea h
A patient with which condition should be triaged to receive medical attention first?
h h h h h h h h h h h h
A. Choking
h
B. Dizziness
h h
C. Leg cramp
h h h
D. Vomiting - Correct Answer - A. Choking
h h h hh h h h
ANSWERS
Assessed first in trauma patient - Correct Answer - Airway
h h h h h h hh h h
(*)Degree of burn that is characterized by bone involvement - Correct Answer - Fourth
h h h h h h h h h h hh h h
Complications of head trauma - Correct Answer - Intracerebral hematoma h h h h h hh h h h
Extradural hematoma h
Brain abscess h
Most common cause of laryngotracheal stenosis - Correct Answer - Trauma
h h h h h h h hh h h
Intervention that can help prevent development of acute renal failure - Correct Answer -
h h h h h h h h h h h hh h
hInfusion of normal saline h h h
A 26-year-old male is resuscitated with blood transfusion after a motor vehicle collision
h h h h h h h h h h h h
hthat was complicated by a fractured pelvis. A few hours later, the patient becomes
h h h h h h h h h h h h h
hfebrile, hypotensive with a normal CVP, and oliguric. Upon examination, the patient is
h h h h h h h h h h h h
hfound to be bleeding from the NG tube and IV sites. Which of the following is the most
h h h h h h h h h h h h h h h h h
hlikely diagnosis? h
A. Hemorrhagic shock
h h
B. Acute adrenal insufficiency
h h h
C. Fat embolism syndrome
h h h
D. Transfusion reaction - Correct Answer - D. Transfusion reaction
h h h h hh h h h h
Skin antiseptic - Correct Answer - -Ethanol 70% is an effective skin antiseptic
h h h hh h h h h h h h h
-Acetic acid can be used to treat Gram- skin infections
h h h h h h h h h
-Salicylic acid is used to treat certain skin yeast infections
h h h h h h h h h
Class IV hemorrhage indicates what % blood loss - Correct Answer - 55%
h h h h h h h h h hh h h
How does shivering affect body temperature - Correct Answer - Increases body
h h h h h h h hh h h h
htemperature
Class III hemorrhage indicates what % of blood loss - Correct Answer - 35%
h h h h h h h h h h hh h h
Management of a stable patient with kidney contusion - Correct Answer - Observation
h h h h h h h h h hh h h
Associated with hypovolemic shock - Correct Answer - -Inadequate tissue perfusion
h h h h h hh h h h h
hwith resultant tissue hypoxia
h h h
-Blood shunting to vital organs h h h h
-Decreased circulating blood volume and decreased venous return h h h h h h h
-Low cardiac output h h
-Loss of less than 20% of the blood volume is usually without symptom except for mild
h h h h h h h h h h h h h h h
htachycardia h
-Patients become orthostatic with losses between 20 and 40%
h h h h h h h h h
-Shock is evidenced by tachycardia, hypotension, oliguria, flat neck veins
h h h h h h h h h
The most effective method of monitoring the success of resuscitation during CPR? -
h h h h h h h h h h h h
hCorrect Answer - Reactivity of pupils to light
hh h h h h h h
Used to ensure correct placement of endotracheal tube - Correct Answer - -Ultrasound
h h h h h h h h h hh h h h
,-Bilateral breath sounds h h
-Sustained end-tidal CO2 h h
Total body surface area involved in a burn in an adult to the anterior chest and
h h h h h h h h h h h h h h h
habdomen - Correct Answer - 18% h h hh h h
What is often caused by carotid massage? - Correct Answer - Bradycardia
h h h h h h h h hh h h
Step in a patient diagnosed with tension pneumothorax - Correct Answer - 1. Needle
h h h h h h h h h hh h h h
hdecompression/ thoracotomy h
2. Chest tube
h h
True statements regarding diaphragmatic injuries - Correct Answer - -Blunt
h h h h h h hh h h
hdiaphragmatic injuries are usually associated with skeletal trauma h h h h h h h h
-Penetrating diaphragmatic injuries may be missed h h h h h
-Repair of traumatic diaphragmatic injuries usually does not require prosthetic material
h h h h h h h h h h
First priority in the treatment of an unconscious patient - Correct Answer - Checking the
h h h h h h h h h h hh h h h
hpulse
A patient involved in a road accident is brought to the emergency department in an
h h h h h h h h h h h h h h
hunconscious state. On arrival, her vitals show a temperature of 96.4 degrees
h h h h h h h h h h h
hFahrenheit, a respiration rate of 24 breaths per minute, a heart rate of 140 beats per
h h h h h h h h h h h h h h h
hminute, and a blood pressure of 80/40 mm Hg. She is cold, shivering, and perspiring
h h h h h h h h h h h h h h
hprofusely. She has bilateral reactive pupils but she does not respond to pain. On
h h h h h h h h h h h h h
hphysical examination, she has no obvious sign of external bleeding. Which of the
h h h h h h h h h h h h
hfollowing cannot be the cause of hypotension in this patient?
h h h h h h h h h
A. Pelvic fracture
h h
B. Fracture of femur
h h h
C. Intracranial hemorrhage
h h
D. Hemothorax - Correct Answer - C. Intracranial hemorrhage
h h h hh h h h h
A patient suffered a slash to his right neck. The wound is over the mid-portion of the
h h h h h h h h h h h h h h h h
hsternocleidomastoid. There is a large hematoma and brisk bleeding when uncovered. h h h h h h h h h h
hHe is stable. What is the next step in management?
h h h h h h h h h
A. Get an angiogram
h h h
B. Close the wound in the ER
h h h h h h
C. Take him to the operating room
h h h h h h
D. CT scan to evaluate neck structure - Correct Answer - C. Take him to the OR
h h h h h h h h hh h h h h h h h
After abdominal injury, which of the following urinalysis findings would be an indication
h h h h h h h h h h h h
hfor further testing?
h h
A. 0-5 casts/HPF
h h
B. 5-10 WBC/HPF
h h
C. 10-20 RBC/HPF
h h
D. Gross hematuria - Correct Answer - D. Gross hematuria
h h h h hh h h h h
A laceration of the neck superficial to the deep cervical fascia along the
h h h h h h h h h h h h
hsternocleidomastoid muscle at its midpoint would cause bleeding from which structure? h h h h h h h h h h
h- Correct Answer - External jugular vein
h hh h h h h
Clinical features associated with tension pneumothorax - Correct Answer - Unilateral
h h h h h h h hh h h
hdecrease in breath sounds h h h
Hyperresonance
, Respiratory distress h
Tachycardia
Tracheal shift h
Desatruation
Decreased breath sounds h h
Decreased compliance h
Asymmetric chest movement h h
NOT hypertension, audible bronchial sounds
h h h h
Not recommended as a mode of ventilation for a patient with a diaphragmatic hernia
h h h h h h h h h h h h h
A. Bag and mask
h h h
B. LMA h
C. Endotracheal intubation
h h
D. Jet ventilation - Correct Answer - A. Bag and mask
h h h h hh h h h h h
What is the next step in the assessment of a traumatic patient after airway is
h h h h h h h h h h h h h h
established? - Correct Answer - Breathing
h h h hh h h
Blood group that is considered a universal donor - Correct Answer - O
h h h h h h h h h hh h h
A provider is examining a patient who sustained a severe traumatic head injury. He
h h h h h h h h h h h h h
documents no Doll's eyes. What does this signify? - Correct Answer - Brainstem injury
h h h h h h h h h h hh h h h
Which of the following is the least preferred method of administering IV fluids?
h h h h h h h h h h h h
A. Cubital veins
h h
B. Cephalic veins
h h
C. Subclavian veins
h h
D. Saphenous vein - Correct Answer - Subclavian veins
h h h h hh h h h
Dermatome level for nipple sensation h h h h
Dermatome level for umbilicus - Correct Answer - T4 h h h h h hh h h
T10
At which temperature would a hypothermic patient stop shivering? - Correct Answer -
h h h h h h h h h h hh h
88 degrees F
h h h
What is the energy recommendation for the first defibrillation in an adult (*) - Correct
h h h h h h h h h h h h h h h
Answer - 300 J
h h h h
Pharmacologic effects of Morphine - Correct Answer - Behavioral changes h h h h h hh h h h
Analgesia
Respiratory depression h
NOT diarrhea h
A patient with which condition should be triaged to receive medical attention first?
h h h h h h h h h h h h
A. Choking
h
B. Dizziness
h h
C. Leg cramp
h h h
D. Vomiting - Correct Answer - A. Choking
h h h hh h h h
