PHTLS 9E PRE-TEST - -Guaranteed passing score -50 Questions and Ans...

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PHTLS 9E PRE-TEST

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

-Format: Multiple-choice / Flashcard

Question 1: 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?

• Prepare for hypotensive shock
• Attempt a surgical cricothyrotomy
• Prepare for a difficult intubation
• Administer albuterol via nebulizer

Answer:

Prepare for a difficult intubation Question 2: 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?

• Apply high-flow oxygen
• Obtain IV access
• Perform needle decompression
• Place the patient in full spinal precautions

Answer:

Apply high-flow oxygen Question 3: 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 98%. What should you suspect?

• Tension pneumothorax
• Traumatic asphyxia
• Cardiac tamponade
• Hemothorax

Answer:

Hemothorax Question 4: A 10 year old male fell fro his bicycle and sustained abrasions to his left leg and left arm. He is alert and oriented. What should you do first?

• Secure the patient to a long backboard
• Apply tourniquets to his left arm and left leg
• Initiate IV access and administer a 250 mL fluid bolus
• Complete a primary and secondary assessment

Answer:

Complete a primary and secondary assessment Question 5: A 13 year old male was a restrained passenger in a car crash at highway speed. He is alert and oriented on-scene and walking around. What should you do?

• Immobilize him to a padded splint
• Apply a c-collar and secure him to a long backboard
• Consider spinal motion restriction and assess his c-spine
• Apply a c-collar and secure him to a cot

Answer:

Consider spinal motion restriction and assess his c-spine

Question 6: Which is an early finding in compartment syndrome?

• Paralysis
• Pallor
• Pulselessness
• Pain

Answer:

Pain Question 7: A 3 year old female was involved in a car crash with 2 feet of intrusion into passenger compartment. She is crying and has an obvious deformed right humerus. Her car seat has a crack on the side of impact. What should you suspect?

• Treatment will require rapid management of pain prior to assessment
• Utilization of traction splint will be necessary
• The biggest concern would be growth plate injury
• Significant energy has been distributed to this patient

Answer:

Significant energy has been distributed to this patient Question 8: An 8 year old female is being treated in the red treatment area after a housing complex fire. Vital signs are P 140, R 12 with noted stridor. Her eyebrows and hair are burnt.Suddenly, she becomes apneic. What should you do?

• Apply supplemental oxygen via nonrebreather mask
• Insert an oropharyngeal airway and assist ventilations
• Perform surgical cricothyrotomy
• Perform needle circothyrotomy

Answer:

Insert an oropharyngeal airway and assist ventilations Question 9: A 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. What should you suspect?

• Subdural hematoma
• Subarachnoid bleed
• Concussion
• Epidural hematoma

Answer:

Subdural hematoma Question 10: 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?

• Ketamine
• Versed
• Normal saline

- NSAID

Answer:

Ketamine Question 11: Which of the following physiological changes associated with aging may contribute to an increased incidence of falls among the elderly?

• Increased brain mass
• Declining visual acuity
• Decreased body fat
• Decreased gastric secretions

Answer:

Declining visual acuity

Question 12: 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?

• Maintain a blood pressure of 140/90
• Establish IV and administer 2 L normal saline
• Assist ventilations at a rate of 20 breaths per minute
• Place in Trendelenburg positon

Answer:

Assist ventilations at a rate of 20 breaths per minute Question 13: Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears and nose?

• Depressed
• Linear
• Basilar
• Diastatic

Answer:

Basilar Question 14: 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?

• Flail chest
• Tracheal laceration
• Cardiac tamponade
• Tension pneumothorax

Answer:

Cardiac tamponade Question 15: A 27 year old female has a multi system trauma. Which life threat is your first priority?

• Penetrating injury to the chest
• Penetrating injury to the abdomen
• Perceived tension pneumothorax
• Significant external hemorrhage

Answer:

Significant external hemorrhage