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PHTLS PRE TEST 8TH EDITION EXAM QUESTIONS
Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -25 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: what is the preferred fluid for resuscitation of hemorrhagic shock in the prehospital setting?
Answer:
lactated ringers Question 2: what is the preferred adjunct device for verifying placement of an ET tub in a patient with a perfusing rhythm?
Answer:
end-tidal CO2 monitoring Question 3: the target blood pressure for a trauma patient with suspected intraabdominal hemorrhage is what?
Answer:
80-90 mmHg Question 4: the body initially compensates for blood loss through activation of what?
Answer:
sympathetic nervous system
Question 5: a 20 yr old female was ejected from her vehicle during a high speed roll-over motor vehicle collision. She has significant bleeding from a large laceration. Your initial assessment reveals a GCS score of 7, systolic bp of 70 and pupils that are equal but respond sluggishly to light. After establishing two large bore IV lines, you should titrate the infusion rate to achieve a target bp of at least
Answer:
90 mmHg Question 6: You arrive at the scene of a motor vehicle collision in which a vehicle struck a tree.Which is the best indicator of potential injury?-circumference of vehicle -diameter of the tree -mass of the vehicle -speed of the vehicle
Answer:
speed of the vehicle Question 7: what is the preferred prehospital wound management for a patient which a 36% body surface area flame burn?
Answer:
dry sterile dressings Question 8: essential airway skills include manual clearing of the airway, manual maneuvers, suctioning and what?
Answer:
oropharyngeal airway Question 9: the potential for death or serious injury is greatest in which of the following motor vehicle collisions?-down and under -ejection from vehicle -lateral compression -up and over
Answer:
ejection from vehicle
Question 10: the most immediate life threatening condition resulting from injury to solid abdominal organs is what?
Answer:
hemorrhage Question 11: what best explains the mechanism by which gas exchange is impaired in pulmonary contusion?
Answer:
blood in the alveoli Question 12: what is a key finding that differentiates cardiac tamponade from tension pneumothorax?
Answer:
equal breath sounds Question 13: medication used by trauma patients for pre-existing conditions may cause what?
Answer:
beta-blockers may prevent tachycardia with blood loss Question 14: bilateral femur fractures are most often associated with which type of motorcycle crash?
Answer:
head-on impact Question 15: an 18 yr 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?
Answer:
mechanism of injury Question 16: 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?
Answer:
apply a tourniquet and tighten it until bleeding stops
Question 17: hypotension of unknown etiology in a trauma patient should be assumed to result from what?
Answer:
blood loss Question 18: which assessment is most beneficial in differentiating hemorrhagic shock from neurogenic shock in the prehospital setting?
Answer:
skin
Question 19: what best describes shock?
Answer:
generalized inadequate tissue perfusion Question 20: what is the most common cause of upper airway obstruction in the trauma patient?
Answer:
tongue Question 21: your patient is a 20yr old male who struck his head on a teammates knee while diving to catch a football. He was not wearing a helmet. He demonstrates decerebrate posturing and has a GCS score of
- His heart rate is 58, blood pressure 180/102 and his left pupil is dilated. What is the best
ventilation rate to use when managing this patient?
Answer:
20 breaths per minute Question 22: during the primary survey of a trauma patient, you note that the patient is agitated and confused, and has multiple injuries from an altercation. what is the most appropriate first treatment priority?
Answer:
correction of possible hypoxia Question 23: 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. What is the most appropriate next intervention?
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