PHTLS POST TEST EXAM QUESTIONS

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PHTLS POST TEST EXAM QUESTIONS

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

-Format: Multiple-choice / Flashcard

Question 1: a 30 year old male is injured in a terror bombing. he experiences traumatic amputation of his left leg at knee level. an improvised tourniquet was put in place by bystanders. the victim is conscious and in severe pain. your first action should be to do which of the following?

Answer:

confirm the tourniquet was properly applied Question 2: Prehospital providers have treated a sucking chest wound with an occlusive dressing. During transport to the hospital, the patient developed increasing respiratory distress with increased respirations and absent lung sounds are noted on repeat auscultation. What is the most appropriate next intervention?

Answer:

release and reapply the occlusive dressing Question 3: which of the following best guides the decision to provide spinal immobilization?

Answer:

history and complaint Question 4: In a multi-system trauma patient, what is considered the best method for confirming proper placement of an endotracheal tube?

Answer:

waveform capnography

Question 5: the most appropriate airway maneuver in the initial management of a trauma patient is which of the following?

Answer:

trauma jaw thrust Question 6: you are called to treat a patient who was knocked unconscious when he slipped and fell on a wet floor, striking his head. it is now several hours later. he is awake but confused, does not recall the incident, and is vomiting with a headache. which of the following injuries is most likely?

Answer:

concussion Question 7: in addition to glucose, what is required to maintain the metabolic processess of life and energy production?

Answer:

oxygen Question 8: When using a selective spinal immobilization protocol, which of the following findings indicate the need for immobilization?

Answer:

an associated femoral shaft fracture with severe pain Question 9: when caring for a trauma patient, a principle is what is necessary for patient improvement or survival. a preference is how the principle is achieved and depends upon four factors. the factors used to establish the preference in treating the patient include all except

Answer:

research information Question 10: patient 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?

Answer:

inadvertent or excess hyperventilation

Question 11: 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 12: while caring for a patient who was involved in an altercation, the patient vomits, causing his airway to become totally obsturcted with vomitus and blood. what is the most important action?

Answer:

suctioning the airway Question 13: Hypotension due to a spinal cord injury is a result of what physiologic mechanism?

Answer:

loss of sympathetic tone causing vasodilation Question 14: when managing a pediatric patient, pre hospital providers should do all of the following EXCEPT

Answer:

use half the adult dose or medication administration Question 15: 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 16: 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 17: You respond to a reported assault at a local bar. On arrival, you find a 46-year-old male on the bathroom floor with snoring respirations at 4 times per minute and obvious facial injuries. Pupils reveal the R pupil is 4mm and the L pupil is 7mm and non-reactive. What is the most appropriate first step?

• Jaw-thrust maneuver
• Pharmacologically assisted intubation
• Perform nasotracheal intubation
• Perform a surgical Cricothyrotomy

Answer:

jaw thrust maneuver Question 18: which of the following is the best indicator of shock in a trauma patient?

Answer:

depressed level of cognition Question 19: the pre-hospital assessment of the trauma patient begins with which of the following?

Answer:

infromation provided by the dispatcher Question 20: a patient presents with a blunt trauma injury to the chest. on exam, he has absent breath sounds on one side of his chest and respiratory distress. which additional sign would indicate that the patient has a tension pneumothorax?

Answer:

tracheal deviation towards the side of the injury Question 21: which best desribes the goal of airway management in a trauma patient?

Answer:

provide for adequate exchnage of oxygen and CO2

Question 22: hypoperfusion will affect which of the following organs first?

Answer:

brain