PHTLS TEST QUESTIONS, TRAUMA PHTLS REVIEW

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PHTLS TEST QUESTIONS, TRAUMA PHTLS REVIEW

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

-Format: Multiple-choice / Flashcard

Question 1: Delayed death due to trauma is usually a result of:

• Biochemical and pathophysiological effects of inadequate initial resuscitation
• Acute circulatory failure
• Brain injury
• Acute hypoxia

Answer:

• Biochemical and pathophysiological effects of inadequate initial resuscitation

Question 2: Which of the following assessment techniques is least useful in the prehospital assessment of the patient with suspected intraabdominal trauma?

• Palpation
• Auscultation
• Inspection
• Scene assessment

Answer:

• Auscultation

Question 3: Which of the following is a Golden Principle of trauma care?

Select one:

a.Ensure adequate airway and ventilation b.Complete a thorough head-to-toe survey before initiating treatment c.Rescuer safety is secondary to caring for the patient d.Use chilled intravenous fluids to promote hypothermia

Answer:

Ensure adequate airway and ventilation Question 4: Which of the following is a limitation of prehospital fluid resuscitation of the patient in hemorrhagic shock?

• Inability of fluids to carry oxygen
• Pulmonary edema
• Increased hemorrhage
• All of the above

Answer:

• All of the above

Question 5: Which of the following is the mechanism by which pulmonary contusion interferes with oxygenation?

• Inability to generate negative intrapleural pressure
• Decrease in vital capacity due to collapse of the flail segment
• Increased intrathoracic pressure
• Blood and fluid in the alveoli and interstitial spaces of the lung

Answer:

• Blood and fluid in the alveoli and interstitial spaces of the lung

Question 6: One of the earliest signs of hypovolemic shock is:

• Hypotension
• Bradycardia
• Anxiety
• Reduced urine output

Answer:

• Anxiety

Question 7: A patient struck in the back of the head with a baseball bat may sustain a cerebral contusion to which area of the brain?

• Frontal and occipital
• Occipital
• Parietal
• Frontal

Answer:

• Occipital

(probably too low velocity for Coup & Contre Coup) Question 8: A regional resource center with a full spectrum of trauma services from prevention to rehabilitation which serves as the leader in trauma care for a geographical region is a:

• Level IV trauma center
• Level III trauma center
• Level II trauma center
• Level I trauma center

Answer:

• Level I trauma center

Question 9: In a blast-related multiple patient situation, which of the following patients should be treated first?

Select one:

a.A 33-year-old female with altered level of consciousness and decreased capillary refill b.A 28-year-old male with an arm amputation who has bleeding controlled with a tourniquet c.A 14-year-old pulseless female with grey matter visible from a head wound d.a 78-year-old male awake and unable to hear Feedback The correct answer is: A 33-year-old female with altered level of consciousness and decreased capillary refill

Answer:

A 33-year-old female with altered level of consciousness and decreased capillary refill Question 10: The earliest site for intraosseous infusion is:

• Anterior tibia, just above the tibial tuberosity
• Anterior fibula
• Anterior tibia, just below the tibial tuberosity
• Posterior fibula

Answer:

• Anterior tibia, just below the tibial tuberosity

Question 11: In which of the following situations is the use of a short spinal immobilization device indicated?

• 28 year old male, unrestrained driver in a frontal impact crash. Awake, asks repeatedly what

happened, complains of a headache, has a hematoma on his forehead. BP 122/84, HR 92, VR 20.

• 40 year old female who was pushed down a flight of stairs and is lying prone on the landing

between two flights of stairs, complaining of back pain. BP 118/78, HR 100, VR 20.

• 17 year old female, restrained driver in a frontal impact crash. Awake, pale and diaphoretic,