PHTLS STUDY EXAM QUESTIONS

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PHTLS STUDY EXAM QUESTIONS

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

-Format: Multiple-choice / Flashcard

Question 1: 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 pulse 130. Respirations 8. How should you remove this patient from the vehicle?

Answer:

Rapidly extricate the patient Question 2: 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 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: 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 5: 78-year-old female was involved in a minor car crash. She is shivering and exhibits repetitive questioning. She's a type two diabetic and takes a daily anticoagulant. What should your initial treatment be?

Answer:

Move patient to a warm environment Question 6: 29-year-old male falls 17 feet to the ground from a tree. He complains of pain with movement and pain on the right side of his chest when he breathes. You know accessory muscle use. Focal tenderness. Bony crepitus. And absent breath sounds on his right side, which should you suspect

Answer:

Simple pneumothorax Question 7: A 25-year-old female has a gunshot wound to the abdomen. Vital signs are BP 80/40. Pulse 122. Respirations 18 with clear equal lung sounds. what is the most appropriate IV fluid to administer

Answer:

Warmed lactated ringers Question 8: An 80-year-old female fell down a flight of stairs three days ago today the family report she has a headache and is going in and out of consciousness. Vital signs are BP 170/72, respirations 26 and irregular, pulse 62 blood sugar 150, what should you suspect?

Answer:

Subdural hematoma

Question 9: Which of the following is true when log rolling a patient

Answer:

The provider maintaining spinal motion restriction is in charge

Question 10: What is a sign of brain stem herniation?

Answer:

Decerebrate posturing Question 11: A 24-year-old construction worker amputated his thumb. How should you manage the amputation

Answer:

Wrap in moistened gauze

Question 12: A four-year-old fell down approximately eight 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:

Initial spinal motion, restriction and transport Question 13: A 20-year-old male was hitting the chest with a baseball bat. He complains of severe pain and tenderness on the left side. He is unable to take a deep breath. Vital signs are BP 112/76. Pulse 98. Respirations 20. SPO2 98%. ETCO2 38. What should you do?

Answer:

Administer 100 mcg of fentanyl Question 14: An eight-year-old female is being treated in the red treatment area after housing complex fire. Vital signs are pulse 140. Respirations 12 with noted stridor. Her eyebrows and hair are burnt. Suddenly, she becomes apneic. What should you do?

Answer:

Insert an oropharyngeal airway and assist ventilations Question 15: 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 area is affected?

Answer:

28% Question 16: What type of burn should be treated as a life or limb, threatening injury due to constriction of the injured tissues

Answer:

circumferential

Question 17: Which is an early finding in compartment syndrome

Answer:

Pain Question 18: Which of the following physiological changes associated with aging may contribute to an increased incident of falls among the elderly.

Answer:

Declining visual acuity

Question 19: What is a priority treatment for an internal hemorrhage due to pelvic fracture?

Answer:

Binder application Question 20: 33 year-old female has a GCS score of three 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: An anxious 54-year-old female complains of chest pain. She hit the steering wheel after car crash at highway speeds. Her sternum is red and tender. Vital signs are BP 100/68, pulse 112 respirations 28 clear, SPO2 92% what should you suspect?

Answer:

Cardiac contusion Question 22: 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. Pulse 126., respirations 28. What should you do?

Answer:

Establish intraosseous access Question 23: An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet?

Answer:

To manage the airway Question 24: A 47-year-old female was stabbed with a knife in her right upper quadrant. Her GCS score is nine. Vital signs are BP 78/50 pulse 130 respirations 26. What should you do?

Answer:

Immediately transport to a trauma center and establish IV en route Question 25: Upon examining a 43-year-old male you know unequal breast sounds what is a sign or symptom of a simple pneumothorax

Answer:

Shortness of breath, decreased lung sounds on affected side