PHTLS - Post Test, 8th Edition
What indicates that a trauma patient is having trouble breathing? - CORRECT
ANSWER-the patient's breathing is noticeable
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 pneumo-thorax? - CORRECT ANSWER-
hemo-dynamic compromise (proper blood flow is being prevented) / hämodynamische
Einschränkungen (blutfluss/Versorgung insuffizient)
In addition to direct pressure, tourniquets, and immobilizing fractures, what is
considered most effective when controlling hemorrhage? - CORRECT ANSWER-hemo-
static agents / hämosstatika
What is a preventable cause of secondary brain injury? - CORRECT ANSWER-
systemic hypoxia / systemische Hypoxie
You're called to treat a patient who was knocked unconscious when he slipped and fell
on a wet floor striking his head. It is now several hours later and he is awake but
confused, does not recall the incident, and is vomiting with a headache. What injury is
he most likely to have suffered? - CORRECT ANSWER-concussion /
Gehirnerschütterung
What findings would indicate the need for immobilization when using a selective spinal
immobilization protocol? - CORRECT ANSWER-pain or tenderness along the spine /
Schmerz oder Empfindlichkeit an der Wirbelsäule
What patient should be treated first in a blast-related situation involving multiple
patients? - CORRECT ANSWER-a 30-year-old female with altered level of
consciousness and decreased capillary refill
Excessive fluid resuscitation of the trauma patient can result in, what? - CORRECT
ANSWER-increased blood loss
When should the secondary survey be accomplished? - CORRECT ANSWER-when the
time and situation allow
When approaching a trauma patient, what is the first assessment that must be made? -
CORRECT ANSWER-scene safety
What is the most common type of shock resulting from trauma? - CORRECT ANSWER-
hemorrhagic
, What information gathered can best guide the decision to provide spinal immobilization?
- CORRECT ANSWER-the (patient's) history and complaints
A 38 year old male sustained a large wound to his right thigh while at work. What action
is the most important initial step? - CORRECT ANSWER-hemorrhage control /
Blutstillung
A patient who sustained extensive blunt trauma to his trunk; has absent lung sounds on
the right, marked respiratory distress, tachy-cardia and hyper-tension. What is the most
appropriate intervention? - CORRECT ANSWER-needle decompression (DART) /
Entlastungspunktion
The pre-hospital assessment of the trauma patient begins when? - CORRECT
ANSWER-when information is provided by the dispatcher
E.M.S. responds to a patient involved in a motor vehicle versus car collision. The patient
is unresponsive with vital signs of: BP 82, palpitation; respirations, 24; pulse, 128. What
is the most likely type of shock? - CORRECT ANSWER-hypo-volemic
Care of the trauma patient in the field is an evolving science and should be evidence-
based. As lifelong learners, we must be prepared to adapt our practices based on
research. This is because research may lead to, what? - CORRECT ANSWER-changes
in our current practices
In trauma care, a 'principle' is defined as, what? - CORRECT ANSWER-what needs to
be done
In addition to oxygen, what is required to maintain the metabolic processes of life and
energy production? - CORRECT ANSWER-glucose
You respond for a patient who has sustained a GSW to the right upper thorax. He is
barely responsive, pale, and diaphoretic. What device is most appropriate for transport?
- CORRECT ANSWER-scoop stretcher / Schaufeltrage
Units responding to a motor vehicle accident on the highway should consider what, as
part of their pre-arrival assessment? - CORRECT ANSWER-weather conditions
The most appropriate airway maneuver for trauma patients is what technique? -
CORRECT ANSWER-jaw thrust maneuver / Esmarch Handgriff
Endo-tracheal in-tubation is a technique that requires, what? - CORRECT ANSWER-
Substantial training to maintain proficiency / Umfassende Schulung zur
Aufrechterhaltung der Kompetenz
What indicates that a trauma patient is having trouble breathing? - CORRECT
ANSWER-the patient's breathing is noticeable
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 pneumo-thorax? - CORRECT ANSWER-
hemo-dynamic compromise (proper blood flow is being prevented) / hämodynamische
Einschränkungen (blutfluss/Versorgung insuffizient)
In addition to direct pressure, tourniquets, and immobilizing fractures, what is
considered most effective when controlling hemorrhage? - CORRECT ANSWER-hemo-
static agents / hämosstatika
What is a preventable cause of secondary brain injury? - CORRECT ANSWER-
systemic hypoxia / systemische Hypoxie
You're called to treat a patient who was knocked unconscious when he slipped and fell
on a wet floor striking his head. It is now several hours later and he is awake but
confused, does not recall the incident, and is vomiting with a headache. What injury is
he most likely to have suffered? - CORRECT ANSWER-concussion /
Gehirnerschütterung
What findings would indicate the need for immobilization when using a selective spinal
immobilization protocol? - CORRECT ANSWER-pain or tenderness along the spine /
Schmerz oder Empfindlichkeit an der Wirbelsäule
What patient should be treated first in a blast-related situation involving multiple
patients? - CORRECT ANSWER-a 30-year-old female with altered level of
consciousness and decreased capillary refill
Excessive fluid resuscitation of the trauma patient can result in, what? - CORRECT
ANSWER-increased blood loss
When should the secondary survey be accomplished? - CORRECT ANSWER-when the
time and situation allow
When approaching a trauma patient, what is the first assessment that must be made? -
CORRECT ANSWER-scene safety
What is the most common type of shock resulting from trauma? - CORRECT ANSWER-
hemorrhagic
, What information gathered can best guide the decision to provide spinal immobilization?
- CORRECT ANSWER-the (patient's) history and complaints
A 38 year old male sustained a large wound to his right thigh while at work. What action
is the most important initial step? - CORRECT ANSWER-hemorrhage control /
Blutstillung
A patient who sustained extensive blunt trauma to his trunk; has absent lung sounds on
the right, marked respiratory distress, tachy-cardia and hyper-tension. What is the most
appropriate intervention? - CORRECT ANSWER-needle decompression (DART) /
Entlastungspunktion
The pre-hospital assessment of the trauma patient begins when? - CORRECT
ANSWER-when information is provided by the dispatcher
E.M.S. responds to a patient involved in a motor vehicle versus car collision. The patient
is unresponsive with vital signs of: BP 82, palpitation; respirations, 24; pulse, 128. What
is the most likely type of shock? - CORRECT ANSWER-hypo-volemic
Care of the trauma patient in the field is an evolving science and should be evidence-
based. As lifelong learners, we must be prepared to adapt our practices based on
research. This is because research may lead to, what? - CORRECT ANSWER-changes
in our current practices
In trauma care, a 'principle' is defined as, what? - CORRECT ANSWER-what needs to
be done
In addition to oxygen, what is required to maintain the metabolic processes of life and
energy production? - CORRECT ANSWER-glucose
You respond for a patient who has sustained a GSW to the right upper thorax. He is
barely responsive, pale, and diaphoretic. What device is most appropriate for transport?
- CORRECT ANSWER-scoop stretcher / Schaufeltrage
Units responding to a motor vehicle accident on the highway should consider what, as
part of their pre-arrival assessment? - CORRECT ANSWER-weather conditions
The most appropriate airway maneuver for trauma patients is what technique? -
CORRECT ANSWER-jaw thrust maneuver / Esmarch Handgriff
Endo-tracheal in-tubation is a technique that requires, what? - CORRECT ANSWER-
Substantial training to maintain proficiency / Umfassende Schulung zur
Aufrechterhaltung der Kompetenz
