PHTLS GEMS EXAM QUESTIONS

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PHTLS + GEMS EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -69 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: While caring for a patient who was involved in an altercation, the patient vomits, causing his airway to become totally obstructed with vomitus and blood. What is the most important action?a.Performing an RSI b.Performing a head-tilt chin lift c.Intubating d.Suctioning the airway

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d Question 2: When approaching a trauma patient, what is the first assessment that must be made?a.Exsanguinating hemorrhage b.Scene safety c.Airway d.Breathing

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b Question 3: Factors leading to increased infections in older patients include: a.Increased pulmonary function b.Thicker skin layer c.Increased gastric acidity d.Decreased nutritional status

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d Question 4: A sign or symptom of dehydration in the older patient may include: a.Lack of concentration b.Frequent, light colored urination c.Bradycardia and hypotension d.Tachycardia and hypertension

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a Question 5: Calling an older person by their first name, honey, or dear: a.Demonstrates trust b.Establishes rapport c.Portrays ageism d.Ensures a detailed patient history

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c Question 6: EMS is treating a 24-year-old soccer player who was kicked in the chest. Prehospital providers note paradoxical movement of a portion of the patient's chest wall. The patient's respiratory rate is 16 and oxygen saturation is 94%. What is the most appropriate action?a.Endotracheal intubation b.Provide supplemental oxygen and transport to a trauma center c.Place bulky dressing over the wound and tightly wrap the chest d.Stabilize the segment with sandbags on the chest

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b Question 7: When assessing the older patient, you know that: a.Getting a list of medications is irrelevant b.A patient's medications can tell you a lot about the patient c.Physician prescribed medications will not cause a problem d.It is not necessary to look at over the counter medications

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b

Question 8: EMS responds for a patient involved in a motorcycle vs. motor vehicle collision. The patient is poorly responsive with no movement of lower extremities and loss of temperature sensation (hot vs cold) below the T10. Which of the following types of shock is the patient most likely experiencing?a.Cardiogenic b.Hypovolemic c.Neurogenic d.Obstructive

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c Question 9: Mobile integrated healthcare: a.Takes the place of visiting nurse services b.Is focused on quality of life c.Takes the place of hospice care d.Is only a prevention service

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b Question 10: Patients with suspected traumatic brain injuries (TBI) are susceptible to secondary injuries which are typically preventable. In addition to hypoxia and hypotension which of the following can also decrease cerebral perfusion?a.Hypothermia b.Cerebral vasodilation c.Increased cardiac output d.Inadvertent or excess hyperventilation

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d Question 11: The secondary survey should be accomplished: a.Never on a critical patient b.Before transport c.When time and situation allow d.Before moving the patient

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c

Question 12: Disaster planning for older persons is: a.Only necessary for long-term care facilities b.Not necessarily different than other disaster planning c.Only the responsibility of emergency management agencies d.Necessary for all emergency medical services agencies

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d Question 13: In the older patient, anginal equivalents include: a.Dyspnea on exertion b.Ankle pain c.Hemiplegia d.Low blood sugar

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a Question 14: DNR and DNAR orders: a.Are written by the patient or the patient's family b.Limit oxygen and IVs prior to cardiac arrest c.Only prevent treatment once the patient is pulseless d.Prevent treatments other than CPR

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c Question 15: A 30-year-old male is thrown from his horse, landing on the top rail of a pipe fence and now has a loss of sensation from the nipples down. What level of the spine do you suspect he injured?a.C3 b.T4 c.T10 d.T12

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b Question 16: In older persons a normal electrocardiogram means: a.They are having an acute coronary syndrome b.An EKG can never help with the diagnosis c.An EKG is only useful for determining arrhythmias d.There is still a 50% chance of an acute coronary syndrome

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