PHTLS TENTH EDITION COURSE MANUAL STUDY

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PHTLS TENTH EDITION COURSE MANUAL STUDY

QUESTIONS EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -38 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: The patient is wearing long sleeves, and you are having trouble visualizing the wound. What should you do?

Answer:

Cut the cloth away from the site until the entire wound site is visible Question 2: You are transporting a 37 y/o male patient with a suspected intra-abdominal bleed.His blood pressure is 70/50 mm Hg (MAP 57), and his skin is pale and diaphoretic. How will you manage fluid resuscitation for this patient?

Answer:

Carefully administer IV fluids to raise the patient's systolic blood pressure to between 80 and 90 mm Hg

Question 3: What type of padding should you secure for this patient?

Answer:

Use firm padding between the back of the head and the backboard to prevent hyperextension Question 4: Upon examination, you find the patient responsive to your presence, although she is clearly confused. Motor response show reduced pain response but normal reflection. Which of the following should you suspect?

Answer:

12

Question 5: While en route to the hospital, you manage to put an 18-gauge IV in the right arm.Your patient is still confused, and you still have no radial pulse. Your next move is to?

Answer:

Give fluid until you get a radial pulse Question 6: You have determined that you are going to need to perform orotracheal intubation on a 50 y/o male motor crash critically injured trauma patient due to prolonged transport time.What do you need to do first?

Answer:

Preoxygenate to maximize oxygen saturation Question 7: Why might you consider early mechanical ventilation via bag mask device in a geriatric patient?

Answer:

Geriatric patients have greatly limited physiologic reserve

Question 8: What does GCS score indicate?

Answer:

Moderate TBI Question 9: What is one reason to use capnography as part of your patient reassessment?

Answer:

To assure proper ET tube placement Question 10: You now perform a secondary survey. You notice a sternotomy scar. Your patient tells you he us in oral clopidogrel since he had a coronary artery bypass graft 2 years ago. Is this information useful?

Answer:

Yes, he will need platelets and a heart surgeon asap Question 11: When you examine the patient's pupils, you notice the right one is dilated significantly and her motor response on the left is delayed. What does this suggest?

Answer:

Uncal herniation

Question 12: You're called out an assisted living facility for a 72 year old woman complaining of a severe headache and experiencing increased confusion. Staff reports she fell out of her wheelchair earlier in the week but didn't appear to be hurt. However, she's become increasingly disoriented over the last day or so. Vital signs show: BP 110/90; heart rate 118 and irregularly regular; ventilation rate 20 and slightly labored; SPO2 93% on room air. She is taking Coumadin for a clotting issue. Which of the following should you suspect?

Answer:

Subdural hematoma Question 13: You are called to the scene of a possible mass casualty motor vehicle collision on the highway. Once you arrive on scene, what is your first priority?

Answer:

Assess the scene and ensure it is safe Question 14: Your partner is compressing the bleeding site of a male patient who was stabbed multiple times in the left chest. The bleeding seems to be controlled, yet the patient becomes combative. He is pale and is breathing rapidly, yet states that he "can't breathe" and feels that he is about to die. Your next step in patient management is to?

Answer:

Decompress the left chest Question 15: The patient becomes apneic. You suspect he has a cervical injury. Which type of airway should you use?

Answer:

Supraglottic airway Question 16: Which of the following is the basis on which a patient's chance of survival is maximized?

Answer:

Principles Question 17: During your primary survey you find the following: LOC, alert and oriented, speaking full sentences. GCS, 15. Airway, good air entry to bases. Circulation, skin warm, flushed and dry. Pulse rate, 112 BPM, strong and regular. BP, 90/42 mm Hg. Pain, severe pain at the clavicle site and pain on inspiration at sight of possible fractured ribs. No other injuries detected.What is your next step?

Answer:

Apply a cervical collar and in-line immobilization device

Question 18: The patient's caregiver is a babysitter who reports the child was crawling on the counter and placed his hand in a pot of water that was boiling on the stove. She is applying ice to the burn and the child is shivering. What is your next step?

Answer:

Stop the burning process and remove the ice pack Question 19: Which of the following requires you to develop a plan of action, initiate the plan, reassess the plan as care for the patient moves forward, and adjust the plan as the patient's condition or circumstances change?

Answer:

Critical thinking process Question 20: Why might it be more difficult to deal with an airway obstruction with a child?

Answer:

Children have larger heads and tongues so there is a greater potential for airway obstruction Question 21: The patient's respiration improves markedly, but he remains confused. He has an absent radial pulse, and his carotid pulse is fast and thready. Your partner asks if he can let the compression go to put in an IV. How should you respond?

Answer:

"No, keep the pressure and let's get out of here" Question 22: When securing a patient to a backboard, which body part should you secure first?

Answer:

Torso Question 23: You are called to the scene of an explosion and fire at a chemical plant where you find multiple casualties. Triage has begun. Your first patient is a 40 y/o man who was near the source of the explosion. He is unconscious and has extensive injuries. You note gurgling respirations. Why should you use the trauma jaw thrust maneuver first when dealing with a trauma patient?

Answer:

It allows you to open the airway with little or no movement of the head and cervical spine