PHTLS 10TH EDITION JBLEARNING EXAM QUESTIONS

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PHTLS 10TH EDITION JBLEARNING EXAM QUESTIONS

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

-Format: Multiple-choice / Flashcard

Question 1: A 26-year-old female was the unrestrained driver of a head on collision. Her Glasgow Coma Scale score is 4 (E1, V1, M2). Vital signs are BP 156/78, P 66, R 12 and irregular, and her pupils are unequal. What should you do?

Answer:

Assist ventilations at a rate of 20 breaths per minute.Question 2: 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 3: Where is the preferred landmark for needle decompression?

Answer:

Anterior axillary line, 5th intercostal space Question 4: 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?

Answer:

Hemorrhagic

Question 5: 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 6: A 78-year-old female fell 12 hours ago. Now she complains of 10/10 hip and groin pain during movement. Vital signs are BP 98/50, P 132, R 26. What should you administer?

Answer:

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

Answer:

Basilar Question 8: A 44-year-old male was involved in a motorcycle crash. He sustained severe blunt trauma to his chest and has a deformity of the right femur. Multiple IV attempts were unsuccessful. Vital signs are BP 70/40, P 126, R 28. What should you do?

Answer:

Establish intraosseous access.Question 9: 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 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: A 41-year-old male was stabbed in the chest immediately below the sternum. He complains of shortness of breath and has engorged jugular veins. Vital signs are BP 108/84, P 130, R 26. What should you suspect?

Answer:

Cardiac tamponade

Question 12: A 47-year-old female was stabbed with a knife in her right upper quadrant. Her Glasgow Coma Scale score is 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 13: 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, R 26 and irregular, P 62, BGL 150 mg/dL (8.3 mmol/L). What should you suspect?

Answer:

Subdural hematoma Question 14: An adult patient has an open angulated injury to the left lower leg. Distal pulses are absent. Why should you attempt to realign the extremity?

Answer:

Restore blood flow.

Question 15: What is a sign of brain stem herniation?

Answer:

Decerebrate posturing Question 16: A 50-year-old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. His Glasgow Coma Scale score is 6 (E1, V1, M4). You note agonal respirations.What should you do first?

Answer:

Insert a supraglottic airway device.Question 17: An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet?

Answer:

To manage the airway Question 18: 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 19: A 29-year-old male was injured in a high-speed motor vehicle collision with lateral impact and intrusion into the side of a sedan. He has pale and diaphoretic skin, appears anxious, and is coughing up blood-tinged sputum. He complains of chest pain, has decreased breath sounds on the left lateral side, has crepitus on palpation of his ribs, and his jugular veins are flat. Vital signs are BP 88/56, P 120, R 24, SpO2 92%. What should you suspect?

Answer:

Hemothorax Question 20: A 25-year-old female has a gunshot wound to the abdomen. Vital signs are BP 80/40, P 122, R 18 with clear, equal lung sounds. What is the most appropriate IV fluid to administer?

Answer:

Warmed lactated Ringer's Question 21: 29-year-old male falls 17 feet (5 m) 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 22: 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 23: A 26-year-old male is supine on the ground. He was assaulted and has obvious head and facial trauma. He has snoring respirations at a rate of 8 per minute. What should you do?

Answer:

Perform a modified jaw thrust.Question 24: 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?

Answer:

Maintain spinal precautions and use a video laryngoscope if available.