PHTLS PRACTICE TEST EXAM QUESTIONS

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PHTLS PRACTICE TEST EXAM QUESTIONS

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

-Format: Multiple-choice / Flashcard

Question 1: 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 92%. What should you suspect?

Answer:

Cardiac tamponade *Hemothorax Tension pneumothorax Traumatic asphyxia Question 2: A 28-year-old male fell from his motorcycle during a low-speed accident. He removed his own helmet after the accident. He has an open left femur fracture with severe external bleeding from the wound. What should you do?

Answer:

*Apply direct pressure to the wound.Assess the airway by auscultation.Perform a head tilt chin-lift.Immediately apply a traction splint.

Question 3: Which is an early finding in compartment syndrome?

Answer:

*Pain Pallor Paralysis Pulselessness Question 4: A 78-year-old female was involved in a minor car crash. She is shivering and exhibits repetitive questioning. She is a type II diabetic and takes a daily anticoagulant. What should your initial treatment be?

Answer:

Administer hot packs to the axilla.Establish intravenous access and administer dextrose.*Move patient to a warm environment.Obtain a blood alcohol analysis.Question 5: Which of the following presents the greatest risk for EMS provider fatalities?

Answer:

Active shooter incidents Falling from height on-scene Freshwater drowning *Motor vehicle collision either in an EMS unit or on-scene Question 6: An adult patient has partial thickness burns to his or her anterior chest and abdomen, the entire right arm, and the palm of the left hand. What percent of the total body area is affected?

Answer:

25% *28% 29% 30% Question 7: A 50-year-old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. His Glasgow Coma Scale score is 6 (E1, V1, M4). You note agonal respirations.What should you do first?

Answer:

Continue endotracheal intubation attempts.*Insert a supraglottic airway device.Provide oxygen via nonrebreather mask.Perform a surgical cricothyrotomy.

Question 8: 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?

Answer:

*Cardiac tamponade Flail chest Tension pneumothorax Tracheal laceration Question 9: A 3-year-old female was involved in a car crash with 2 feet (61 cm) of intrusion into the 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?

Answer:

*Significant energy has been distributed to this patient.The biggest concern would be growth plate injury.Treatment will require rapid management of pain prior to assessment.Utilization of traction splint will be necessary.Question 10: A 28-year-old male was ejected during a car crash. He is unconscious and has no obvious bleeding. Vital signs are BP 70/40, P 120, R 22. What type of shock should you suspect?

Answer:

Anaphylactic Cardiogenic *Hemorrhagic Neurogenic Question 11: A 26-year-old male is supine on the ground. He was assaulted and has obvious head and facial trauma. He has snoring respirations at a rate of 8 per minute. What should you do?

Answer:

Assist ventilations via bag-valve mask.Perform a head tilt chin-lift.*Perform a modified jaw thrust.Suction the airway.Question 12: A 13-year-old male was riding on an all-terrain vehicle when he drove into a wire fence. He is sitting on the ground with a towel over his lower face. He has an open jaw fracture.What is your primary concern?

Answer:

Cervical spine injury

Internal hemorrhage *Obstruction of the airway Obtaining parental consent Question 13: A 46-year-old male is trapped in his vehicle after a high-speed front-end collision.He is slow to respond to questions. You note blood pooling on his seat. Vital signs are P 130, R

• How should you remove this patient from the vehicle?

Answer:

Ask the patient to climb out the vehicle window.Extricate the patient onto a long backboard.Immobilize using a vest-type device.*Rapidly extricate the patient.

Question 14: Where is the preferred landmark for needle decompression?

Answer:

*Anterior axillary line, 5th intercostal space Midclavicular line, 2nd intercostal space Midclavicular line, 4th intercostal space Anterior axillary line, 3rd intercostal space Question 15: A 27-year-old female has multisystem trauma. Which life threat is your first priority?

Answer:

Penetrating injury to the abdomen Penetrating injury to the chest Perceived tension pneumothorax *Significant external hemorrhage Question 16: An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet?

Answer:

To allow helmet inspection by law enforcement To assess the pupils *To manage the airway To provide spinal motion restriction