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PHTLS: TEST
Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -50 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet?
Answer:
To manage the airway Question 2: 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 3: A 20 year old male was hit in 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, P 98, R 20, SpO2 98%, and ETCO2 38 mmHg. What should you do?
Answer:
Administer 100 mcg Fentanyl.Question 4: A 44 year old male was ejected from a truck traveling 36 mph (60 kph). He is lying supine on the ground and has snoring respirations. What should you do first?
Answer:
Manually stabilize the cervical spine.
Question 5: A 28 year old female has suffered a head injury after falling from a horse. Her Glasgow Coma Scale score is 6 (E1, V1, M4) and she has snoring respirations at 8 per minute.Which should you do first?
Answer:
Place an oropharyngeal airway.Question 6: 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 blood-tinged 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 7: A 78 year old female was involved in a minor car crash. She is shivering and exhibits repetitive questioning. She is a type II diabetic and takes a daily anticoagulant. What should your initial treatment be?
Answer:
Move patient to a warm environment.Question 8: A 32 year old male was ejected from a motor vehicle. He is unconscious with agonal respirations. Upon assessment, you note a dilated right pupil. What is the best device to secure the airway?
Answer:
Endotracheal tube Question 9: A 10 year old male fell from his bicycle and sustained abrasions to his left leg and left arm. He is alert and oriented. What should you do first?
Answer:
Complete a primary and secondary assessment.Question 10: A 13 year old male was riding on an all-terrain vehicle when he drove into a wire fence. He is sitting on the ground with a towel over his lower face. He has an open jaw fracture.What is your primary concern?
Answer:
Obstruction of the airway
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 26 year old female was the unrestrained driver of a head on collision. Her Glasgow Coma Scale score is 4 (E1, V1, M2). Vital signs are BP 156/78, P 66, R 12 and irregular, and her pupils are unequal. What should you do?
Answer:
Assist ventilations at a rate of 20 breaths per minute.Question 13: A 33 year old female has a Glasgow Coma Scale 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 14: What type of burn should be treated as a life or limb threatening injury due to constriction of the injured tissues?
Answer:
Circumferential
Question 15: What is a sign of brain stem herniation?
Answer:
Decerebrate posturing Question 16: An adult patient has an open angulated injury to the left lower leg. Distal pulses are absent. Why should you attempt to realign the extremity?
Answer:
Restore blood flow Question 17: 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 18: Which is an early finding in compartment syndrome?
Answer:
Pain Question 19: What is a priority treatment for an internal hemorrhage due to pelvic fracture?
Answer:
Binder application
Question 20: Which type of shock includes neurogenic and anaphylactic shock?
Answer:
Distributive Question 21: A 26 year old male 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 22: 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 23: 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 24: 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
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