PHTLS post test
________ is the earliest sign of deterioration in a patient with a flail chest - ANS -
respiratory rate increase
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 minute. You do not have waveform
capnography, so what is the most appropriate rate of ventilations - ANS - 20 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. your 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? - ANS - T4
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? - ANS - hemorrhage control
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? - ANS - tracheal
deviation towards the side of the injury
approximately 20% of all child abuse is the result of intentional burning. the majority of
the children intentionally burned are of what age? - ANS - 1 to 2 years 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? -
ANS - 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? - ANS - Provide supplemental oxygen and transport to a trauma
center
EMS responds for a patient involved in a motorcycle vs. car collision. The patient is
unresponsive with no movement of lower extremities and loss of temperature control
below the T10. Which type of shock is the patient experiencing? - ANS - neurogenic
EMS responds to an adult barista with partial thickness burns to the abdomen and right
leg, sustained from a cooking accident. Initial treatment of this injury would include: -
ANS - cover burned area with dry sterile dressings
excessive fluid resuscitation of the trauma patient can result in which of the following? -
ANS - worsening coagulopathy
falls are the most common cause of death in trauma patients over
________ years of age - ANS - 75
hemostatic agents should be used for excessive bleeding when direct pressure alone
does not work. the proper way to use most hemostatic agents is which of the following?
- ANS - placing the agent properly into the wound and holding direct pressure
hyperventilation of a patient with suspected traumatic brain injury should occur when? -
ANS - when signs of impending brain herniation are present
hypoperfusion will affect which of the following organs first? - ANS - brain
Hypotension due to a spinal cord injury is a result of what physiologic mechanism? -
ANS - loss of sympathetic tone causing vasodilation
in a blast related multiple patient situation, which of the following patients should be
treated first? - ANS - a 33 year old female with altered level of consciousness and
decreased capillary refill
In a multi-system trauma patient, what is considered the best method for confirming
proper placement of an endotracheal tube? - ANS - waveform capnography
in a patient with a suspected traumatic brain injury, what is the most concerning physical
finding? - ANS - altered level of consciousness
________ is the earliest sign of deterioration in a patient with a flail chest - ANS -
respiratory rate increase
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 minute. You do not have waveform
capnography, so what is the most appropriate rate of ventilations - ANS - 20 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. your 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? - ANS - T4
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? - ANS - hemorrhage control
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? - ANS - tracheal
deviation towards the side of the injury
approximately 20% of all child abuse is the result of intentional burning. the majority of
the children intentionally burned are of what age? - ANS - 1 to 2 years 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? -
ANS - 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? - ANS - Provide supplemental oxygen and transport to a trauma
center
EMS responds for a patient involved in a motorcycle vs. car collision. The patient is
unresponsive with no movement of lower extremities and loss of temperature control
below the T10. Which type of shock is the patient experiencing? - ANS - neurogenic
EMS responds to an adult barista with partial thickness burns to the abdomen and right
leg, sustained from a cooking accident. Initial treatment of this injury would include: -
ANS - cover burned area with dry sterile dressings
excessive fluid resuscitation of the trauma patient can result in which of the following? -
ANS - worsening coagulopathy
falls are the most common cause of death in trauma patients over
________ years of age - ANS - 75
hemostatic agents should be used for excessive bleeding when direct pressure alone
does not work. the proper way to use most hemostatic agents is which of the following?
- ANS - placing the agent properly into the wound and holding direct pressure
hyperventilation of a patient with suspected traumatic brain injury should occur when? -
ANS - when signs of impending brain herniation are present
hypoperfusion will affect which of the following organs first? - ANS - brain
Hypotension due to a spinal cord injury is a result of what physiologic mechanism? -
ANS - loss of sympathetic tone causing vasodilation
in a blast related multiple patient situation, which of the following patients should be
treated first? - ANS - a 33 year old female with altered level of consciousness and
decreased capillary refill
In a multi-system trauma patient, what is considered the best method for confirming
proper placement of an endotracheal tube? - ANS - waveform capnography
in a patient with a suspected traumatic brain injury, what is the most concerning physical
finding? - ANS - altered level of consciousness
