PHTLS 10TH EDITION QUESTIONS EXAM QUESTIONS

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PHTLS 10TH EDITION QUESTIONS EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -38 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: After 400 mL of lactated Ringer solution, you get a radial pulse and his level of consciousness improves. The monitor shows heart rate 110 beats/minute, blood pressure 85/60 mm Hg, SpO2 95%, ventilation rate 25 breaths/minute. What should you do?

• Give an additional 500 mL of lactated Ringer solution.
• Stop fluids and give 2 g of TXA.
• Give TXA and 500 mL of normal saline.
• Give 2 mg of morphine for analgesia.

Answer:

• Stop fluids and give 2 g of TXA.

Question 2: You have been performing ongoing management on a 35-year-old female patient who sustained thoracic trauma when a car hit her as she crossed the street. Originally, your electronic monitoring devices all produce results consistent with your patient's clinical condition. However, en route to the trauma center, the monitors start to differ from your patient's current clinical condition each time you reassess. How should you handle this situation?

• Treat the patient's condition, not the monitor results.
• Continue to reassess the patient and record the results for the trauma center.

• Treat your patient based on the test results.
• Stop testing and wait until you arrive at the trauma center for them to perform an

assessment.

Answer:

• Treat the patient's condition, not the monitor results.

Question 3: Upon examination, you find the patient responsive to your presence, although she is clearly confused. Motor response shows reduced pain response but normal flexion.What's her GCS score?

• 15
• 12
• 10
• 8

Answer:

• 12

Question 4: Which of the following signs would be most concerning at this point?

• A drop in systolic blood pressure to 88 mm Hg
• SpO2 of 93%
• A field GCS motor score of 4
• Hemiplegia on the left side

Answer:

• A drop in systolic blood pressure to 88 mm Hg

Question 5: Your partner is compressing the bleeding site of a male patient who was stabbed multiple times in the left chest. The bleeding seems to be controlled, yet the patient becomes combative. He is pale and is breathing rapidly, yet states that he "can't breathe" and feels that he is about to die. Your next step in patient management is to:

• start assisted ventilation.

• give high-flow oxygen.
• decompress the left chest.
• give a 250-mL fluid bolus.

Answer:

• decompress the left chest.

Question 6: You are responding to a call to an MVC involving one patient. When you perform your primary survey, you find a patent airway, but abnormalities with breathing and circulation. You suspect hypovolemic shock, but cannot determine the source. What does this finding most likely indicate?

• Hemothorax
• Intra-abdominal bleed
• Blunt cardiac injury
• Diaphragmatic rupture

Answer:

• Intra-abdominal bleed

Question 7: You're called out to an assisted living facility for a 72-year-old woman complaining of a severe headache and experiencing increased confusion. Staff reports she fell out of her wheelchair earlier in the week but didn't appear to be hurt; however, she's become increasingly disoriented over the last day or so. Vital signs show: BP 110/90; heart rate 118 and irregularly regular; ventilation rate 20 and slightly labored; SpO2 93% on room air. She is taking warfarin for a clotting issue. Which of the following should you suspect?

• Cerebral contusion
• Epidural hematoma
• Subarachnoid hemorrhage
• Subdural hematoma

Answer:

• Subdural hematoma

Question 8: What type of padding should you provide for this patient?

• Use compressible padding under the shoulders and torso to prevent hyperflexion.
• Use firm padding between the back of the head and the backboard to prevent

hyperextension.

• Do not use any padding. It can cause extension or flexion in the neck.
• No padding needed, but to avoid decreased venous return you should tip the backboard to a

left lateral position

Answer:

• Use firm padding between the back of the head and the backboard to prevent

hyperextension.Question 9: The patient's caregiver is a babysitter who reports the child was crawling on the counter and placed his hand in a pot of water that was boiling on the stove. She is applying ice to the burn and the child is shivering. What is your next step?

• Administer analgesia for pain.
• Cover the patient with a blanket to stop the shivering.
• Start IV for fluid resuscitation.
• Stop the burning process and remove the ice pack.

Answer:

• Stop the burning process and remove the ice pack.

Question 10: You are called to the scene of a possible mass casualty motor vehicle collision on the highway. Once you arrive on scene, what is your first priority?

• Immediately begin triaging patients.
• Treat the patient with the most visible blood loss.
• Determine the need for additional resources.
• Assess the scene and ensure it is safe.

Answer: