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PHTLS PRE-TEST
Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -99 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: 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 surface areas affected?
Answer:
28%
Question 2: Altered level of consciousness
Answer:
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?Question 3: You respond to a patient who has sustained a stab wound to the left upper thorax.She is barely responsive, pale and diaphoretic. Which of the following is the most appropriate for transport?
Answer:
Scoop stretcher Question 4: A 44-year-old male was ejected from a truck traveling 36 mph. He is laying supine on the ground and has snoring respirations. What should you do first?
Answer:
Manually stabilize C-spine
Question 5: A 16-year-old male complains of chest pain and difficulty taking a deep breath. He was assaulted with a metal pipe. He has unilateral chest rise and crepitus over the injured area.What should you do?
Answer:
Apply high flow oxygen Question 6: A 36 week 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 to 6 inches
Question 7: Where is the preferred landmark for needle decompression?
Answer:
Anterior axiliary line, 5th intercostal
Question 8: Apply direct pressure
Answer:
When managing a pediatric patient, pre-hospital providers should do all of the following
EXCEPT:
Question 9: A 78-year-old female was involved in a minor crash. She is shivering and exhibits repetitive questioning. She is a type two diabetic and takes a daily anticoagulant. What should your initial treatment be?
Answer:
Move patient to a warm environment Question 10: Approximately 20% of all child abuse is the result of intentional burning. The majority of the children intentionally burned are of what age?
Answer:
- to 2 years of age
Question 11: Ensure adequate airway and ventilation
Answer:
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?
Question 12: A 26 y.o. M 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:
Perform a modified jaw thrust Question 13: 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
Question 14: Cover burned area with dry sterile dressings
Answer:
Prehospital providers have treated a sucking chest wound with an occlusive dressing. During transport to the hospital, the patient develops increasing respiratory distress with increased respirations and absent lung sounds are noted on repeat auscultation. What is the most appropriate next intervention?Question 15: A 27 y.o. F has multi system trauma. Which life threat is your first priority?
Answer:
Significant external hemorrhage
Question 16: Tongue
Answer:
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?Question 17: A four-year-old female fell down approximately 8 carpeted stairs. Her parents said she initially complained of neck, pain and tingling sensation in all for extremities, but the symptoms have since resolved. What should you do?
Answer:
Initiate spinal motion, restriction and transport
Question 18: Loss of sympathetic tone causing vasodilation
Answer:
Which of the following patients will compensate for blood loss the longest?
Question 19: History and complaint
Answer:
A 38-year-old male sustains a large wound to his right thigh while at work. Which of the following actions is the most important initial step?Question 20: A 33-year-old female has a GCS score of 3 (E1, V1, M1) after being ejected from a motor vehicle. How should you prepare to intubate?
Answer:
Maintain spinal precautions and use a video laryngoscope if available Question 21: Hemostatic agents should be used for excessive bleeding when direct pressure alone does not work. The proper way to use most hemostatic agents is which of the following?
Answer:
Placing the agent properly into the wound and holding direct pressure Question 22: Upon examining a 43 y.o. M 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 23: Which type of scope fracture will cause leakage of cerebrospinal spinal fluid from the ears or nose?
Answer:
Basilar
Question 24: Which of the following is true when log rolling a patient?
Answer:
The provider maintaining spinal motion restriction is in charge
Question 25: Waveform capnography
Answer:
What is the most likely source of bleeding in a patient with signs of shock and no obvious injury?
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