PHTLS EXAM QUESTIONS

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PHTLS EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -25 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Which best explains the mechanism by which gas exchange is impaired in pulmonary contusion?

• Blood in the alveoli
• Collapse of the alveoli
• Compression of the lung tissue
• Partial occlusion of the bronchi

Answer:

A)Blood in alveoli Pg.340,342 Blunt force Injury Question 2: An adult male sustained a deep laceration to his distal thigh. Bright red blood is spurting from the wound. Direct pressure is not controlling the bleeding. What is the most appropriate next step?

• Apply a topical hemostatic agent and transport
• Apply a tourniquet and tighten it until bleeding stops
• Elevate the leg and apply pressure to the femoral artery
• Maintain direct pressure and transport immediately

Answer:

• Apply a tourniquet and tighten it until bleeding stops

Pg.142 Question 3: Which of the following is the preferred prehospital wound management for a patient with a 36% body surface area flame burn?

• Cool moist dressings
• Dry sterile dressings
• Elastic bandages
• Topical ointments

Answer:

• Dry sterile dressings

Pg. 413-414 Dressings Question 4: An 18-year-old female was struck by a car and has sustained an apparent left femur fracture. Communication with her is hampered because she only speaks a foreign language.Which finding, by itself, does not mandate immobilization of the cervical spine?

• Fracture of the femur
• Inability to communicate
• Mechanism of injury
• Tenderness over the cervical spine

Answer:

C)mechanism of injury Pg.306 Question 5: Your patient has a deep laceration to his antecubital fossa with significant bleeding.What is the most appropriate initial action?

• Apply a tourniquet
• Apply direct pressure
• Initiate rapid transport

• Restore blood volume

Answer:

pg.142

• Initiate rapid transport

Question 6: Medication used by trauma patients for pre-existing conditions may cause which of the following?

• Herbal preparations may enhance blood clotting
• Anti-inflammatory agents may enhance blood clotting
• Beta blockers may prevent tachycardia with blood loss
• Calcium channel blockers may slow the onset of shock

Answer:

c)Beta Blockers may prevent tachycardia with blood Loss Pg 72 Question 7: The most immediate life threatening condition resulting from injury to solid abdominal organs is which of the following?

• Acute respiratory failure
• Hemorrhage.
• Multiple organ failure.
• Peritonitis

Answer:

B)Hemorrhage pg.363 introduction Question 8: Your patient is a middle aged male who crashed his motorcycle. He is unresponsive. After opening the airway using a modified jaw thrust, you note the patient has respirations at a rate of 6. Auscultation reveals breath sounds are absent on the left side. Which of the following is the most appropriate next intervention?

• Apply a non-rebreather mask

• Begin ventilation with a BVM
• Insert an endotracheal tube
• Perform a needle decompression

Answer:

B)Begin ventilation with BVM pg 202 BLS interventions before ALS assist pt with ventalations while you prepare to complete next step Question 9: Hypotension of unknown etiology in a trauma patient should be assumed to result from which of the following?

• Blood loss
• Cardiac tamponade
• Spinal injury
• Tension pneumothorax

Answer:

A)Blood Loss pg)62 class 3 hemorrhage Question 10: The body initially compensates for blood loss through activation of which of the following?

• Parasympathetic nervous system
• Reticular activating system
• Spinal reflex arcs
• Sympathetic nervous system

Answer:

• Sympathetic nervous system

pg 59 Blood vessels