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PHTLS 9TH EDITION (125 QUESTIONS*) EXAM QUESTIONS
Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -100 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: A 38-year-old male sustains a large wound to his right thigh while at work.Which of the following actions is the most important initial step?
Answer:
Hemorrhage control Question 2: When approaching a trauma patient, what is the first assessment that must be made?
Answer:
Scene safety Question 3: Your patient is a 55 year old male who was struck in the right side of the chest with a piece of steel pipe. He presents with uncooperative behavior, his skin is pale and moist, the ventilatory rate is 32, there is a weak radial pulse of 112, and breath sounds are decreased on the right side. The trachea is midline and jugular veins are flat while the patient is supine. There is isolated crepitus over the 4th and 5th ribs in the midaxillary line on the patient's right side.Based on the mechanism of injury and the assessment findings, which of the following is the most likely cause of the patient's signs and symptoms?
Answer:
Hemothorax
Question 4: What is the most likely source of bleeding in a patient with signs of shock and no obvious injury?
Answer:
Intra-abdominal injury
Question 5: Which of the following is the best indicator of shock?
Answer:
Depressed level of cognition Question 6: A patient struck in the back of the head with a baseball bat may sustain a cerebral contusion to which area of the brain?
Answer:
Occipital (probably too low velocity for Coup & Contre Coup) Question 7: A 23-year-old male construction worker fell approximately 30 feet from a roof. The patient is unresponsive to all stimuli; his R pupil is 7mm and non-reactive and his l pupil is 3mm. He has irregular respirations at 8 breaths per min. You do not have waveform capnography, so what is the most appropriate rate of ventilations?
Answer:
20 BPM
Question 8: Which of the following procedures is considered an essential airway
Answer:
Insertion of an oropharyngeal airway Question 9: You have a patient who is 35 weeks pregnant who was assaulted by her boyfriend.Patient is having severe abdominal pain described as "tearing" and on exam you note her abdomen is asymmetrical and believe you can feel the fetus through the abdominal wall. What condition do you suspect?
Answer:
Ruptured uterus Question 10: Which of the following is the preferred site for needle decompression of a tension pneumothorax?
Answer:
2nd intercostal space, midclavicular line, just over top of the 3rd rib
Question 11: The displacement of tissue away from the path of a projectile, both temporarily and
permanently, is known as:
Answer:
Cavitation Question 12: What is the most common cause of airway obstruction in the unresponsive trauma patient?
Answer:
Tongue Question 13: Which of the following is the mechanism by which pulmonary contusion interferes with oxygenation?
Answer:
Blood and fluid in the alveoli and interstitial spaces of the lung Question 14: The preferred method of dressing burns in the prehospital setting is:
Answer:
Dry sterile dressing Question 15: Units responding to a motor vehicle accident on the highway should consider which of the following as part of their pre-arrival assessment?
Answer:
Weather conditions Question 16: Deterioration of ventilation and oxygenation after inflation of a PASG in a patient who has sustained a high-pressure compression injury of the abdomen, such as a sudden deceleration with the lap belt placed across the abdomen, most likely represents which of the following
Answer:
Ruptured diaphragm Question 17: The secondary survey should be accomplished:
Answer:
When the time and situation allow
Question 18: EMS responds for a patient involved in a motorcycle vs. car collision. The patient is unresponsive with no movement of lower extremities and loss of temperature control below the T10. Which type of shock is the patient experiencing?
Answer:
Neurogenic Question 19: When utilizing percutaneous transtracheal ventilation, the correct ration of lung
inflation to lung inflation time, in seconds, is:
Answer:
1:4
Question 20: Which of the following information is assessed during the secondary survey?
Answer:
vitals Question 21: Which of the following best guides the decision to provide spinal immobilization?
Answer:
Mechanism alone Question 22: When energy produced by the cells occurs during a state of adequate oxygenation, it is referred to as which of the following conditions?
Answer:
Aerobic metabolism Question 23: While caring for a patient who was involved in an altercation, he vomits and his airway is totally obstructed with vomitus and blood. What is the most important action?
Answer:
Suctioning the airway
Question 24: A traction splint may be used for which of the following
Answer:
Femur fractures