PHTLS 10TH ED EXAM QUESTIONS

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PHTLS 10TH ED EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -50 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: A 29-year-old male falls 17 feet (5m) to the ground from a tree. He complains of pain with movement and pain on the right side of his chest when he breathes. You note accessory muscle use, focal tenderness, bony crepitus, and absent breath sounds on his right side. What should you suspect?

Answer:

Simple pneumothorax

Question 2: Which type of shock included neurogenic and anaphylactic shock?

Answer:

Distributive Question 3: 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?

Answer:

Complete a primary and secondary assessment Question 4: A 16-year-old male complains of chest pain and difficulty taking a deep breath. He was assaulted with a metal pipe. He has unilateral chest rise and crepitus over the injured area.What should you do?

Answer:

Apply high-flow oxygen

Question 5: 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?

Answer:

Obstruction of the airway Question 6: An 80-year-old female fell down a flight of stairs 3 days ago. Today the family reports she has a headache and is going "in and out of consciousness." Vital signs are BP 170/72, R26 and irregular, P 62, BGL 150 mg/dL (8.3 mmol/L). What should you suspect?

Answer:

Subdural hematoma Question 7: Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears or nose?

Answer:

Basilar Question 8: Which of the following physiological changes associated with aging may contribute to an increased incidence of falls among the elderly?

Answer:

Declining visual acuity Question 9: A 78-year-old female fell 12 hours ago. Now she complains of 10/10 hip and groin pain during movement. Vital signs 98/50, P 132, R 26. What should you administer?

Answer:

Ketamine Question 10: A 42-year-old female has been pulled from a smoke-filled apartment. Her mouth and nose are covered in soot. She has a weak, hoarse cry with inspiratory stridor. What should you do?

Answer:

Prepare for a difficult intubation

Question 11: Which is an early finding in compartment syndrome?

Answer:

Pain

Question 12: Which of the following presents the greatest risk for EMS provider fatalities

Answer:

Motor vehicle collision either in an EMS unit or on-scene Question 13: A 4-year-old female fell down approximately 8 carpeted stairs. Her parents said she initially complained of neck pain and a tingling sensation in all four extremities, but the symptoms have since resolved. What should you do?

Answer:

Initiate spinal motion restriction and transport Question 14: What is a priority treatment for an internal hemorrhage due to pelvic fracture?

Answer:

Binder application Question 15: A 28-year-old male fell from his motorcycle during a low-speed accident. He removed his own helmet after the accident. He has an open left femur fracture with severe external bleeding from the wound. What should you do?

Answer:

Apply direct pressure to the wound Question 16: An anxious 54-year-old female complains of chest pain. She hit the steering wheel after a car crash at highway speeds. Her sternum is red and tender. Vital signs are BP 100/68, P112, R 28 clear, SPO2 92%. What should you suspect?

Answer:

Cardiac contusion Question 17: A 47-year-old female was stabbed with a knife in her right upper quadrant. Her Glasgow Coma Scale score was 9 (E2, V2, M5). Vital signs are BP 78/50, P 130, R 26. What should you do?

Answer:

Immediately transport to a trauma center and establish IV en route Question 18: A 14-year-old male suffered from helmet-to-helmet contact during a football game followed by a 30 second period of unconsciousness. Initial exam shows that he is awake but slow to respond. He is nauseated and has a headache. He becomes unresponsive during transport. Examination of the pupils reveals a left pupil that is dilatated and nonreactive. What type of hemorrhage should you suspect?

Answer:

Epidural Question 19: A 24-year-old construction worker amputated his thumb. How should you manage the amputation?

Answer:

Wrap in moistened gauze Question 20: A 20-year-old male was hit in the chest with a baseball bat. He complain of severe pain and tenderness on the left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 9, R 20, SpO2 98%, and ETCO2 38 mmHg. What should you do

Answer:

Administer 100mcg Fentanyl Question 21: A 28-year-old male was ejected during a car crash. He is unconscious and has no obvious bleeding. Vital signs are 70/40, P 120, R 22. What type of shock should you suspect?

Answer:

Hemorrhagic Question 22: An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet?

Answer:

To manage the airway Question 23: Upon examining a 43-year-old male, you note unequal breath sounds. What is a sign or symptom of a simple pneumothorax?

Answer:

Shortness of breath, decreased lung sounds on affected side Question 24: A 36 week pregnant female has sustained an injury that requires spinal motion restriction. What intervention should be implemented to prevent hypotension during transport?

Answer:

Elevate the right side of the backboard 4-6 inches

Question 25: What is a sign of brain stem herniation?

Answer:

Decerebrate posturing