PHTLS 9th Ed. Self-test
18. Which of the following best guides the decision to provide spinal immobilization?
a. History and complaint
b. Obvious signs of associated injury
c. Avoid due to possible pressure sores
d. Mechanism alone - ANS - Which of the following best guides the decision to
provide spinal immobilization?
a. History and complaint
b. Obvious signs of associated injury
c. Avoid due to possible pressure sores
*d. Mechanism alone*
A 23-year-old male construction worker fell approximately 30 feet from a roof. The
patient is unresponsive to all stimuli; his R pupil is 7mm and non-reactive and his l pupil
is 3mm. He has irregular respirations at 8 breaths per min. You do not have waveform
capnography, so what is the most appropriate rate of ventilations?
a. 30 BPM
b. 25 BPM
c. 20 BPM
d. 12 BPM - ANS - A 23-year-old male construction worker fell approximately 30 feet
from a roof. The patient is unresponsive to all stimuli; his R pupil is 7mm and
non-reactive and his l pupil is 3mm. He has irregular respirations at 8 breaths per min.
You do not have waveform capnography, so what is the most appropriate rate of
ventilations?
a. 30 BPM
b. 25 BPM
*c. 20 BPM*
d. 12 BPM
A 30 year old male is injured in a terror bombing. He experiences traumatic amputation
of his left leg at knee level. An improvised tourniquet was put in place by bystanders.
The victim is conscious and in severe pain. You first action should be to do which of the
following? - ANS - Confirm the tourniquet was properly applied.
,A 30-year-old male is thrown from his horse, landing on the top rail of a pipe fence and
now has a loss of sensation from the nipples down. What level of the spine do you
suspect he injured?
a. C3
b. T4
c. T10
d. T12 - ANS - A 30-year-old male is thrown from his horse, landing on the top rail of a
pipe fence and now has a loss of sensation from the nipples down. What level of the
spine do you suspect he injured?
a. C3
*b. T4*
c. T10
d. T12
A 38-year-old male sustains a large wound to his right thigh while at work. Which of the
following actions is the most important initial step?
a. Obtain IV access and infuse crystalloid
b. Administer supplemental oxygen
c. Hemorrhage control
d. Rapid transport - ANS - A 38-year-old male sustains a large wound to his right thigh
while at work. Which of the following actions is the most important initial step?
a. Obtain IV access and infuse crystalloid
b. Administer supplemental oxygen
*c. Hemorrhage control*
d. Rapid transport
A patient presents with a blunt trauma injury to the chest. On exam, he has absent
breath sounds on one side of his chest and respiratory distress. Which additional sign
would indicate that the patient has a tension pneumothorax?
a. Distended neck veins
b. Muffled heart sounds
c. Narrowed pulse pressure
d. Tracheal deviation towards the side of injury - ANS - A patient presents with a blunt
trauma injury to the chest. On exam, he has absent breath sounds on one side of his
chest and respiratory distress. Which additional sign would indicate that the patient has
a tension pneumothorax?
*a. Distended neck veins*
b. Muffled heart sounds
c. Narrowed pulse pressure
d. Tracheal deviation away from the side of injury
, Approximately 20% of all child abuse is the result of intentional burning. The majority of
the children intentionally burned are of what age?
a. 0 to 12 years of age
b. 5 to 6 years of age
c. 1 to 2 years of age
d. Less than 1 year of age - ANS - Approximately 20% of all child abuse is the result
of intentional burning. The majority of the children intentionally burned are of what age?
a. 0 to 12 years of age
b. 5 to 6 years of age
*c. 1 to 2 years of age*
d. Less than 1 year of age
EMS arrives on a scene and finds that emergency medical responders have attempted
to immobilize a pediatric patient onto a long backboard. They note that the patient's
head is in a flexed position. Which of the following actions is the most appropriate?
a. Adjust the cervical collar
b. Logroll patient into a left lateral recumbent position
c. Place padding under the patient's head and neck
d. Place padding under the patient's torso - ANS - EMS arrives on a scene and finds
that emergency medical responders have attempted to immobilize a pediatric patient
onto a long backboard. They note that the patient's head is in a flexed position. Which of
the following actions is the most appropriate?
a. Adjust the cervical collar
b. Logroll patient into a left lateral recumbent position
c. Place padding under the patient's head and neck
*d. Place padding under the patient's torso*
EMS is treating a 24-year-old soccer player who was kicked in the chest. Prehospital
providers note paradoxical movement of a portion of the patient's chest wall. The
patient's respiratory rate is 16 and oxygen saturation is 94%. What is the most
appropriate action?
a. Endotracheal intubation
b. Provide supplemental oxygen and transport to a trauma center
c. Place bulky dressing over the wound and tightly wrap the chest
d. Stabilize the segment with sandbags on the chest - ANS - EMS is treating a
24-year-old soccer player who was kicked in the chest. Prehospital providers note
paradoxical movement of a portion of the patient's chest wall. The patient's respiratory
rate is 16 and oxygen saturation is 94%. What is the most appropriate action?
a. Endotracheal intubation
18. Which of the following best guides the decision to provide spinal immobilization?
a. History and complaint
b. Obvious signs of associated injury
c. Avoid due to possible pressure sores
d. Mechanism alone - ANS - Which of the following best guides the decision to
provide spinal immobilization?
a. History and complaint
b. Obvious signs of associated injury
c. Avoid due to possible pressure sores
*d. Mechanism alone*
A 23-year-old male construction worker fell approximately 30 feet from a roof. The
patient is unresponsive to all stimuli; his R pupil is 7mm and non-reactive and his l pupil
is 3mm. He has irregular respirations at 8 breaths per min. You do not have waveform
capnography, so what is the most appropriate rate of ventilations?
a. 30 BPM
b. 25 BPM
c. 20 BPM
d. 12 BPM - ANS - A 23-year-old male construction worker fell approximately 30 feet
from a roof. The patient is unresponsive to all stimuli; his R pupil is 7mm and
non-reactive and his l pupil is 3mm. He has irregular respirations at 8 breaths per min.
You do not have waveform capnography, so what is the most appropriate rate of
ventilations?
a. 30 BPM
b. 25 BPM
*c. 20 BPM*
d. 12 BPM
A 30 year old male is injured in a terror bombing. He experiences traumatic amputation
of his left leg at knee level. An improvised tourniquet was put in place by bystanders.
The victim is conscious and in severe pain. You first action should be to do which of the
following? - ANS - Confirm the tourniquet was properly applied.
,A 30-year-old male is thrown from his horse, landing on the top rail of a pipe fence and
now has a loss of sensation from the nipples down. What level of the spine do you
suspect he injured?
a. C3
b. T4
c. T10
d. T12 - ANS - A 30-year-old male is thrown from his horse, landing on the top rail of a
pipe fence and now has a loss of sensation from the nipples down. What level of the
spine do you suspect he injured?
a. C3
*b. T4*
c. T10
d. T12
A 38-year-old male sustains a large wound to his right thigh while at work. Which of the
following actions is the most important initial step?
a. Obtain IV access and infuse crystalloid
b. Administer supplemental oxygen
c. Hemorrhage control
d. Rapid transport - ANS - A 38-year-old male sustains a large wound to his right thigh
while at work. Which of the following actions is the most important initial step?
a. Obtain IV access and infuse crystalloid
b. Administer supplemental oxygen
*c. Hemorrhage control*
d. Rapid transport
A patient presents with a blunt trauma injury to the chest. On exam, he has absent
breath sounds on one side of his chest and respiratory distress. Which additional sign
would indicate that the patient has a tension pneumothorax?
a. Distended neck veins
b. Muffled heart sounds
c. Narrowed pulse pressure
d. Tracheal deviation towards the side of injury - ANS - A patient presents with a blunt
trauma injury to the chest. On exam, he has absent breath sounds on one side of his
chest and respiratory distress. Which additional sign would indicate that the patient has
a tension pneumothorax?
*a. Distended neck veins*
b. Muffled heart sounds
c. Narrowed pulse pressure
d. Tracheal deviation away from the side of injury
, Approximately 20% of all child abuse is the result of intentional burning. The majority of
the children intentionally burned are of what age?
a. 0 to 12 years of age
b. 5 to 6 years of age
c. 1 to 2 years of age
d. Less than 1 year of age - ANS - Approximately 20% of all child abuse is the result
of intentional burning. The majority of the children intentionally burned are of what age?
a. 0 to 12 years of age
b. 5 to 6 years of age
*c. 1 to 2 years of age*
d. Less than 1 year of age
EMS arrives on a scene and finds that emergency medical responders have attempted
to immobilize a pediatric patient onto a long backboard. They note that the patient's
head is in a flexed position. Which of the following actions is the most appropriate?
a. Adjust the cervical collar
b. Logroll patient into a left lateral recumbent position
c. Place padding under the patient's head and neck
d. Place padding under the patient's torso - ANS - EMS arrives on a scene and finds
that emergency medical responders have attempted to immobilize a pediatric patient
onto a long backboard. They note that the patient's head is in a flexed position. Which of
the following actions is the most appropriate?
a. Adjust the cervical collar
b. Logroll patient into a left lateral recumbent position
c. Place padding under the patient's head and neck
*d. Place padding under the patient's torso*
EMS is treating a 24-year-old soccer player who was kicked in the chest. Prehospital
providers note paradoxical movement of a portion of the patient's chest wall. The
patient's respiratory rate is 16 and oxygen saturation is 94%. What is the most
appropriate action?
a. Endotracheal intubation
b. Provide supplemental oxygen and transport to a trauma center
c. Place bulky dressing over the wound and tightly wrap the chest
d. Stabilize the segment with sandbags on the chest - ANS - EMS is treating a
24-year-old soccer player who was kicked in the chest. Prehospital providers note
paradoxical movement of a portion of the patient's chest wall. The patient's respiratory
rate is 16 and oxygen saturation is 94%. What is the most appropriate action?
a. Endotracheal intubation
