PHTLS PRE-TEST EXAM QUESTIONS

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PHTLS PRE-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 bloodtinged 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:

Hemothorax

Question 2: Generalized chest pain due to increased intrathoracic pressure

Answer:

Motor vehicle collision either in an EMS unit or on-scene Question 3: A 13 year old male was a restrained passenger in a car crash at highway speed. He is alert and oriented on-scene and walking around. What should you do?

Answer:

Consider spinal motion restriction and assess his c-spine Question 4: What is a priority treatment for an internal hemorrhage due to pelvic fracture?

Answer:

Binder application

Question 5: A 78 year old female fell 12 hours ago. Now she complains of 10/10 hip and groin pain during movement. Vital signs are BP 98/50, P 132, R 26. What should you administer?

Answer:

Ketamine Question 6: A 14 year old male suffered from helmet-to-helmet contact during a football game followed by a 30 second period of unconsciousness. Initial exam shows that he is awake but slow to respond. He is nauseated and has a headache. He becomes unresponsive during transport. Examination of the pupils reveals a left pupil that is dilated and non-reactive. What type of hemorrhage should you suspect?

Answer:

Epidural Question 7: Which of the following physiological changes associated with aging may contribute to an increased incidence of falls among the elderly?

Answer:

Declining visual acuity Question 8: A 25 year old female has a gunshot wound to the abdomen. Vital signs are BP 80/40, P 122, R 18 with clear, equal lung sounds. What is the most appropriate IV fluid to administer?

Answer:

Warmed lactated ringer's Question 9: A 4 year old female fell down approximately 8 carpeted stairs. Her parents said she initially complained of neck pain and a tingling sensation in all four extremities, but the symptoms have since resolved. What should you do?

Answer:

Initiate spinal motion restriction and transport Question 10: Upon examining a 43 year old male, you note unequal breath sounds. What is a sign or symptom of a simple pneumothorax?

Answer:

Shortness of breath, decreased lung sounds on affected side

Question 11: Which of the following is true when log rolling a patient?

Answer:

The provider maintaining spinal motion restriction is in charge Question 12: A 23 year old male was skateboarding down a ramp when he flipped over and landed on his head. He is clenching his jaw and you are unable to insert an oral airway. He thrashes his head when you attempt to provide bag-mask ventilations. His oxygen saturation is decreasing, and his ETCO2 is increasing. What is the best option to secure his airway and provide effective ventilations?

Answer:

Pharmacologically assisted intubation Question 13: A 44 year old male was involved in a motorcycle crash. He sustained severe blunt trauma to his chest and has a deformity of the right femur. Multiple IV attempts were unsuccessful. Vital signs are BP 70/40, P 126, R 28. What should you do?

Answer:

Establish intraosseous access Question 14: An 80 year old female fell down a flight of stairs 3 days ago. Today the family reports she has a headache and is "going in and out of consciousness." Vital signs are BP 170/72, R 26 and irregular, P 62, BGL 150 mg/dL (8.3 mmol/L). What should you suspect?

Answer:

Subdural hematoma Question 15: What type of burn should be treated as a life or limb threatening injury due to constriction of the injured tissues?

Answer:

Circumferential Question 16: An anxious 54 year old female complains of chest pain. She hit the steering wheel after a car crash at highway speeds. Her sternum is red and tender. Vital signs are BP 100/68, P 112, R 28 clear, SpO2 92%. What should you suspect?

Answer:

Cardiac contusion

Question 17: A 22 year old male was involved in a car crash and hit a tree head-on. The patient is on the ground outside the vehicle and is unconscious. His forearm is avulsed and you note a large pool of blood with active bleeding. His breathing is deep and labored. What should you do?

Answer:

Apply a tourniquet Question 18: An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet?

Answer:

To manage the airway Question 19: 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:

Insert a supraglottic airway device Question 20: A 27 year old female has multisystem trauma. Which life threat is your first priority?

Answer:

Significant external hemorrhage

Question 21: What is a sign of brain stem herniation?

Answer:

Decerebrate posturing

Question 22: Where is the preferred landmark for needle decompression?

Answer:

Anterior axillary line, 5th intercostal space Question 23: A 36 weeks pregnant female has sustained an injury that requires spinal motion restriction. What intervention should be implemented to prevent hypotension during transport?

Answer:

Elevate the right side of the backboard 4-6 inches