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PHTLS Pre-Test 9th Edition (Latest 2023/
2024) Questions and Verified Answers| Grade
A
QUESTION
When approaching a trauma patient, what is the first assessment that must be made? a) Exsanguinating hemorrhage b) Scene safety c) Airway d) Breathing Answer: Scene safety
QUESTION
The most common type of shock resulting from trauma is? a) Neurogenic b) Septic c) Spinal d) Hemorrhagic Answer: Hemorrhagic
QUESTION
Which of the following best guides the decision to provide spinal immobilization? a) History and complaint b) Obvious signs of associated injury c) Patient's age and presence of pressure sores d) Mechanism alone Answer: History and complaint
QUESTION
A 38-year-old male sustains a large wound to his right thigh while at work. Which of the following actions is the most important initial step? a) Obtain IV access and infuse crystalloid b) Administer supplemental oxygen c) Hemorrhage control d) Rapid transport Answer: Hemorrhage control
QUESTION
You respond to a local bar for an unconscious person. On arrival, you are met by a police officer who reports that one of their "regular alcoholics" was found in the alley behind the bar. On exam, you note the smell of an alcoholic beverage as well as the following: Patient flexes his arms to painful stimuli, has bilateral fixed and dilated pupils, irregular respirations at 12 breaths per minute and a BP of 210/100. What condition do you suspect? a) Subarachnoid hemorrhage b) Alcohol poisoning c) Ruptured abdominal aortic aneurysm d) Subdural hematoma Answer: Subdural hematoma
QUESTION
The pre-hospital assessment of the trauma patient begins with which of the following? a) Assessment of scene safety and situation b) Information provided by the dispatcher c) The initial assessment d) The primary survey Answer: Information provided by the dispatcher
a) Blood b) Teeth c) Tongue d) Vomitus Answer: Tongue
QUESTION
While caring for a patient who was involved in an altercation, the patient vomits, causing his airway to become totally obstructed with vomitus and blood. What is the most important action? a) Performing an RSI b) Performing a head-tilt chin lift c) Intubating d) Suctioning the airway Answer: Suctioning the airway
QUESTION
When energy produced by the cells occurs during a state of adequate oxygenation, it is referred to as which of the following conditions? a) Aerobic metabolism b) Anaerobic metabolism c) Lactic acidosis d) Ketosis Answer: Aerobic metabolism
QUESTION
Which of the following information is assessed during the secondary survey? a) Skin temperature b) Hemorrhage c) Breathing d) Vital signs
Answer: Vital signs
QUESTION
Hyperventilation of a patient with suspected traumatic brain injury should occur when? a) At time of injury b) When signs of impending brain herniation are present c) During a concussion d) Whenever the patient complains of headache Answer: When signs of impending brain herniation are present
QUESTION
Patients with suspected traumatic brain injuries (TBI) are susceptible to secondary injuries which are typically preventable. In addition to hypoxia and hypotension which of the following can also decrease cerebral perfusion? a) Hypothermia b) Cerebral vasodilation c) Increased cardiac output d) Inadvertent or excess hyperventilation Answer: Inadvertent or excess hyperventilation
QUESTION
Hypotension due to a spinal cord injury is a result of what physiological mechanism? a) Loss of sympathetic tone causing vasodilation b) Increased capillary permeability c) Increased sympathetic tone causing vasoconstriction d) Increased intrathoracic pressure Answer: Loss of sympathetic tone causing vasodilation
QUESTION
What is the most likely source of bleeding in a patient with signs of shock and no obvious injury? a) Femur fracture b) Intra-abdominal injury c) Severe traumatic brain injury d) Pelvic fracture Answer: Intra-abdominal injury
QUESTION
Hypoperfusion will affect which of the following organs first? a) Kidney b) GI tract c) Brain d) Liver Answer: Brain
QUESTION
A 23-year-old male construction worker fell approximately 30 feet from a roof. The patient is unresponsive to all stimuli; his R pupil is 7mm and non-reactive and his L pupil is 3mm. He has irregular respirations at 8 breaths per min. You do not have waveform capnography, so what is the most appropriate rate of ventilations? a) 30 BPM b) 25 BPM c) 20 BPM d) 12 BPM Answer: 20 BPM
QUESTION
A 30-year-old male is thrown from his horse, landing on the top rail of a pipe fence and now has a loss of sensation from the nipples down. What level of the spine do you suspect he injured? a) C b) T c) T d) T Answer: T
QUESTION
In a patient with a suspected traumatic brain injury, what is the most concerning physical finding? a) BP 140/ b) Heart rate of 58 c) Respiratory rate of 30 d) Altered level of consciousness Answer: Altered level of consciousness
QUESTION
You have a patient who is 35 weeks pregnant who was assaulted by her boyfriend. Patient is having severe abdominal pain described as "tearing" and on exam you note her abdomen is asymmetrical and believe you can feel the fetus through the abdominal wall. What condition do you suspect? a) Placenta previa b) Abruptio placenta c) Ruptured uterus d) Abdominal aortic aneurysm Answer: Ruptured uterus
QUESTION
Falls are the most common cause of death in trauma patients over _____ years of age a) 65 b) 75 c) 55 d) 69 Answer: 75
QUESTION
__________ is the earliest sign of deterioration in a patient with a flail chest. a) Respiratory rate increase b) Oxygen saturation decrease c) Pulse rate increase d) Blood pressure decrease Answer: Respiratory rate increase
QUESTION
EMS is treating a 24-year-old soccer player who was kicked in the chest. Prehospital providers note paradoxical movement of a portion of the patient's chest wall. The patient's respiratory rate is 16 and oxygen saturation is 94%. What is the most appropriate action? a) Endotracheal intubation b) Provide supplemental oxygen and transport to a trauma center c) Place bulky dressing over the wound and tightly wrap the chest d) Stabilize the segment with sandbags on the chest Answer: Provide supplemental oxygen and transport to a trauma center
QUESTION
Prehospital providers respond to a 17-year-old male who fell through a sliding glass door and sustained a large laceration to his arm that is bleeding heavily. He is restless and diaphoretic, with a weak, thready pulse. What is the most appropriate first action? a) Apply a tourniquet
b) Pack the wound with a hemostatic dressing c) Initiate intravenous access d) Apply direct pressure Answer: Apply direct pressure
QUESTION
When verifying ET tube placement on a perfusing patient, the "gold standard" of monitoring is considered to be? a) Colorimetric carbon dioxide detector b) Pulse oximetry c) Listening to lung sounds d) Waveform capnography Answer: Waveform capnography
QUESTION
A patient presents with a blunt trauma injury to the chest. On exam, he has absent breath sounds on one side of his chest and respiratory distress. Which additional sign would indicate that the patient has a tension pneumothorax? a) Distended neck veins b) Inspiratory wheezing c) narrowed pulse pressure d) Tracheal deviation towards the side of injury Answer: Distended neck veins
QUESTION
Hemostatic agents should be used for excessive bleeding when direct pressure alone does not work. The proper way to use most hemostatic agents is which of the following? a) Placing the agent around the edges of the wound b) Placing the agent properly into the wound and holding direct pressure c) Only using it after a tourniquet has been applied for 10 minutes
Answer: An associated femoral shaft fracture with severe pain
QUESTION
In a blast-related multiple patient situation, which of the following patients should be treated first? 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 Answer: A 33-year-old female with altered level of consciousness and decreased capillary refill
QUESTION
Excessive fluid resuscitation of the trauma patient can result in which of the following? a) Worsening coagulopathy b) Decreased mortality c) Earlier discharge from the hospital d) A higher incidence of sepsis in the ICU Answer: Worsening coagulopathy
QUESTION
The secondary survey should be accomplished: a) Never on a critical patient b) Before transport c) When time and situation allow d) Before moving the patient Answer: When time and situation allow
QUESTION
When managing a pediatric patient, pre-hospital providers should do all of the following EXCEPT: a) Use appropriately sized equipment b) Frequently reassess the patient c) Preserve body heat d) Use half the adult dose or medication administration Answer: Use half the adult dose or medication administration
QUESTION
Which of the following is a Golden Principle of trauma care? 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
A 30-year-old male is injured in a terror bombing. He experiences traumatic amputation of his left leg at knee level. An improvised tourniquet was put in place by bystanders. The victim is conscious and in severe pain. Your first action should be to do which of the following? a) Provide IV analgesia b) Put on pressure dressing c) Confirm the tourniquet was properly applied d) Check the airway Answer: Confirm the tourniquet was properly applied
QUESTION
a) Stair chair b) Long board with spinal motion restriction c) Scoop stretcher d) Short immobilization device Answer: Scoop stretcher
QUESTION
Units responding to a motor vehicle accident on the highway should consider which of the following as part of their pre-arrival assessment? a) Calling for more units to respond b) Weather conditions c) The need for immediate transport d) Post-exposure prophylaxis Answer: Weather conditions
QUESTION
The most appropriate airway maneuver in the initial management of a trauma patient is which of the following? a) Head tilt, chin lift b) Supraglottic airway c) Trauma jaw thrust d) Oropharyngeal airway Answer: Trauma jaw thrust
