PHTLS
24) A 55 year old male has burns to both lower extremities from a car crash. He is
awake ano
pain. Assessment reveals dry, white, leathery appearance in both lower extremies. What
is the burn classification?
A) Full thickness
B. Partial thickness
C) Subdermal
D) Superficial - ANS - A. Full thickness
2A 46 year old male is trapped in his vehicle after a high speed front-end collision. He is
slow to respond
to questions. You note blood pooling on his seat. Vital signs are P 130, R 8. How should
you remove
this patient from the vehicle?
A) Rapidly extricate the patient.
B) Extricate the patient onto a long backboard.
C) Ask the patient to climb out the vehicle window.
D) Immobilize using a vest-type device. - ANS - A. Rapidly extricate the patient
42) A 36 weeks pregnant female has sustained an injury that requires spinal motion
restriction. What
intervention should be implemented to prevent hypotension during transport?
A) Elevate the head of the backboard 30 degrees.
B) Elevate the left leg to displace the uterus.
C) Elevate the right side of the backboard 4-6 inches.
D) Manually displace the uterus to the right - ANS - C. Elevate the right side of the
backboard 4-6 inches
43) A 28 year old male was ejected during a car crash. He is unconscious and has no
obvious bleeding.
Vital signs are BP 70/40, P 120, R 22. What type of shock should you suspect?
, A) Cardiogenic
B) Anaphylactic
C) Hemorrhagic
D) Neurogenic - ANS - C. Hemorrhagic
45) 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?
A) Internal hemorrhage
B) Obtaining parental consent
C) Cervical spine injury
D) Obstruction of the airway - ANS - D. Obstruction of the airway
46) A 33 year old female has a Glasgow Coma Scale score of 3 (E1, V1, M1) after
being ejected from a
motor vehicle. How should you prepare to intubate
A) Maintain spinal precautions and use a video laryngoscope if available.
B) Keep the patient in the c-collar and place in the sniffing position.
C) Hyperflex the patient in the c-collar and attempt direct laryngoscopy.
D) Place patient in the sniffing position and attempt direct visual intubation. - ANS - A.
Maintain spinal precautions and use a video laryngoscope if available
47) Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears or
nose?
A) Diastatic
B) Depressed
C) Linear
D) Basilar - ANS - D. Basilar
A 10 year old male fell from his bicycle and sustained abrasions to his left leg and left
arm. He is alert and oriented. What should you do first?
A. Initiate IV access and administer a 250 mL fluid bolus
B. Apply tourniquets to his left arm and left leg
C. Complete a primary and secondary assessment
24) A 55 year old male has burns to both lower extremities from a car crash. He is
awake ano
pain. Assessment reveals dry, white, leathery appearance in both lower extremies. What
is the burn classification?
A) Full thickness
B. Partial thickness
C) Subdermal
D) Superficial - ANS - A. Full thickness
2A 46 year old male is trapped in his vehicle after a high speed front-end collision. He is
slow to respond
to questions. You note blood pooling on his seat. Vital signs are P 130, R 8. How should
you remove
this patient from the vehicle?
A) Rapidly extricate the patient.
B) Extricate the patient onto a long backboard.
C) Ask the patient to climb out the vehicle window.
D) Immobilize using a vest-type device. - ANS - A. Rapidly extricate the patient
42) A 36 weeks pregnant female has sustained an injury that requires spinal motion
restriction. What
intervention should be implemented to prevent hypotension during transport?
A) Elevate the head of the backboard 30 degrees.
B) Elevate the left leg to displace the uterus.
C) Elevate the right side of the backboard 4-6 inches.
D) Manually displace the uterus to the right - ANS - C. Elevate the right side of the
backboard 4-6 inches
43) A 28 year old male was ejected during a car crash. He is unconscious and has no
obvious bleeding.
Vital signs are BP 70/40, P 120, R 22. What type of shock should you suspect?
, A) Cardiogenic
B) Anaphylactic
C) Hemorrhagic
D) Neurogenic - ANS - C. Hemorrhagic
45) 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?
A) Internal hemorrhage
B) Obtaining parental consent
C) Cervical spine injury
D) Obstruction of the airway - ANS - D. Obstruction of the airway
46) A 33 year old female has a Glasgow Coma Scale score of 3 (E1, V1, M1) after
being ejected from a
motor vehicle. How should you prepare to intubate
A) Maintain spinal precautions and use a video laryngoscope if available.
B) Keep the patient in the c-collar and place in the sniffing position.
C) Hyperflex the patient in the c-collar and attempt direct laryngoscopy.
D) Place patient in the sniffing position and attempt direct visual intubation. - ANS - A.
Maintain spinal precautions and use a video laryngoscope if available
47) Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears or
nose?
A) Diastatic
B) Depressed
C) Linear
D) Basilar - ANS - D. Basilar
A 10 year old male fell from his bicycle and sustained abrasions to his left leg and left
arm. He is alert and oriented. What should you do first?
A. Initiate IV access and administer a 250 mL fluid bolus
B. Apply tourniquets to his left arm and left leg
C. Complete a primary and secondary assessment
