PHTLS REVIEW EXAM QUESTIONS

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PHTLS REVIEW EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -100 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Shock: Class 3 Parameters

Answer:

1,500-2,000 mL (30-40%) HR > 120

RR 30-40

SBP is decreased Urine output 5-15 mL/hr

Question 2: What is the single most common burn injury?

Answer:

Airway Thermal Question 3: Shock: Class 1 Parameters

Answer:

< 750 mL (15%) Normal HR Normal RR Normal SBP Normal urine output

Question 4: Head injuries should be ventilated at a rate of _____ .

Answer:

10 bpm **

UNLESS SHOWING SIGNS OF HERNIATION

** Question 5: What are the different types of injury patterns and their potential injuries?

Answer:

• Up/Over (face, airway, tracheal fracture, diaphragmatic rupture)
• Down/Under (femur and pelvic fracture)
• Lateral (clavicle, humerus, ribs, pelvis, femur)
• Rear (whiplash, cervical hyperextension)
• Rotational (shearing of heart, liver, lungs)
• Rollover (ejection, crush)

Question 6: What is the most common cause of upper airway obstruction in the trauma patient?

Answer:

Tongue Question 7: Shock: Class 2 Parameters

Answer:

750-1,500 mL (15-30%) HR > 100

RR 20-30

SBP Normal Urine output 20-30 mL/hr Question 8: Which categories should go to a trauma center, but won't be in trouble if you don't per Reference 506.1?

Answer:

Categories 4 & 5

Question 9: When can we perform a needle decompression in traumatic patients?

Answer:

Shock or Hemodynamic compromise are evident **

AND ONE OF THE FOLLOWING

**

• diminished or absent lung sounds
• marked difficulty breathing
• loss of distal pulses
• cool, pale, diaphoretic
• BP < 90 mmHg

**

ONLY FOR TENSION PNEUMO

**

Question 10: What is the Fick Principle?

Answer:

• Adequate O2 in alveoli
• Adequate gas exchange to pulmonary capillaries
• Adequate circulation
• Adequate gas exchange to the tissues

**

AIMING FOR AN FIO2 OF 85%

**

Question 11: What is the cone of injury in stabbings?

Answer:

Uses the length of the blade to anticipate organs injured

Question 12: What is more important, minute volume or tidal volume?

Answer:

Minute Volume Question 13: If traumatic patient is in critical condition, what is your primary concern?

Answer:

Getting them to the hospital Vitals, splinting, IV's all done en route

Question 14: Education Injury Prevention

Answer:

Information, training classes (ex. PSA's, safety fairs, school visits, car seat checks, etc.)

Question 15: What is Beck's Triad?

Answer:

• JVD
• Hypotension
• Muffled heart tones

Question 16: What is the Golden Hour?

Answer:

Best survivability from incident to surgery

Question 17: What is the largest body organ?

Answer:

The skin

Question 18: What is the definition of shock?

Answer:

Inadequate tissue perfusion Question 19: Respiratory rates less than _______ and greater than _______ require assisted ventilations.

Answer:

< 10 > 30 Question 20: What should you be worried about in patients with head injuries in shock?

Answer:

Shock should be presumed to be coming from undiscovered hermorrhage

Question 21: Newton's First Law of Motion

Answer:

A body at rest will remain at rest and a body in motion will remain in motion until acted upon by an outside force