PHTLS Pretest Combo | 563 questions| with complete solution
When the application of kinetic energy to the body from either a blunt or penetrating mechanism
displaces tissue, this is known as Correct Answer: CAVITATION
Which of the following is an example of the tertiary phase blast injury? Correct Answer:
CRUSHING INJURY DUE TO STRUCTURAL COLLAPSE.
The most common threat to life among trauma patients is? Correct Answer: INTERNAL
HEMORRHAGE
Your patient is an injured construction worker bleeding profusely from a large laceration to the
left thigh. He is confused and has pale, moist skin. Direct pressure applied to the wound by a first
responder has failed to control the bleeding. The next step in controlling bleeding is to apply:
Correct Answer: A TOURNIQUET TO THE LACERATION.
Hypotension due to spinal cord trauma occurs due to interruption of the
_______________nervous system pathway. Correct Answer: SYMPATHETIC
The most common fractured ribs are ribs: Correct Answer: 4 THROUGH 8.
A hemothorax is differentiated from a tension pneumothorax by: Correct Answer: DULL
PERCUSSION ON THE AFFECTED SIDE.
Which of the following mechanisms is most likely to result in cardiac tamponade? Correct
Answer: A PATIENT IS STRUCK IN THE LEFT ANTERIOR CHEST BY A NAIL EJECTED
FROM A NAIL GUN.
Management of flail chest includes: Correct Answer: PAIN MANAGEMENT
VENTILATORY SUPPORT
100%O2
Which of the following types of traumatic brain injury is most likely to be associated with
hemorrhage from the middle meningeal artery? Correct Answer: EPIDURAL HEMATOMA
Which of the following groups of findings represents Cushing's phenomenon? Correct Answer:
BRADYCARDIA
ABNORMAL RESPIRATORY PATTERN
ELEVATED BLOOD PRESSURE
Your patient is a 32 year old female who was thrown from a horse and struck her head on the
ground. She was not wearing a helmet. She does not respond verbally or open her eyes to painful
stimuli, but responds to painful stimuli with decerebrate posturing. Her right pupil is dilated and
does not react to light. Her respirations are 6 per minute and irregular, pulse 56, blood pressure
188/98. You should ventilate the patient at a rate of? Correct Answer: 20 BPM.
,A burn with reddened, glistening base that may have blisters is most characteristic of a Correct
Answer: SECOND degree burn.
A chemical solution with a pH of 4.0 is considered an ACID and causes damage to the tissues
via Correct Answer: COAGULATION NECROSIS.
An electrical burn caused by superheated air near the source of electricity is an Correct Answer:
ARC burn.
Your patient is an 82 year old female who was an unrestrained front seat passenger in a motor
vehicle collision. Which of the following is the most reliable indication of shock in this patient?
Correct Answer: LEVEL OF CONSCIOUSNESS.
Which of the following findings is not expected in assessment of a pregnant patient? Correct
Answer: A DECREASED BLOOD PRESSURE IN THE THIRD TRIMESTER.
Which of the following is contraindicated in the management of a pregnant trauma patient in the
third trimester? Correct Answer: SUPINE POSITION.
During the assessment of the trauma patient, auscultation of the lung sounds is first performed
during: Correct Answer: THE PRIMARY SURVEY.
Which of the following is indicated for the prehospital management of a circumferential second
degree burn extending from the wrist to the elbow in a 70 Kg patient? Correct Answer: A DRY
STERILE DRESSING
ANALGESIA
The preferred fluid for resuscitation of the patient with significant burns is: Correct Answer:
LACTATED RINGER'S SOLUTION.
Which of the following is the most common cause of spinal injuries? Correct Answer: MOTOR
VEHICLE COLLISIONS.
Hypotension in hemothorax is associated with: Correct Answer: THE ABILITY OF EACH
SIDE OF THE THORAX TO HOLD UP TO 3 LITERS OF BLOOD.
Cardiac tamponade is suspected with the findings of muffled heart sounds___________,
and___________ known as___________. Correct Answer: JUGULAR VEIN DISTENTION,
and HYPOTENSION, known as BECK'S TRIAD.
When administering isotonic crystalloid solution, about ___________ will remain in the vascular
system after 1 hour. Correct Answer: ONE-THIRD
PASG is contraindicated in patients with Correct Answer: CHEST TRAUMA.
,The greatest threat to life from injury to hollow abdominal organ is Correct Answer:
PERITONITIS.
IV fluids administered to patients in shock should be _______ in order to ______________
______________. Correct Answer: WARM, PREVENT HYPOTHERMIA.
During pregnancy, signs and symptoms of shock may appear _______ due to an _________ in
maternal blood volume. Correct Answer: LATER, INCREASE
A fractured femur can result in___________________mL of hemorrhage. Correct Answer: 1000
TO 2000
A male patient suffered a stab wound to his left flank. He is found to be in stage III shock.
During the 25 minute transport to the trauma center, intravenous fluids should be administered at
a rate sufficient to maintain a: Correct Answer: SYSTOLIC BP OF 80 TO 90.
The most common type of shock in trauma patients is Correct Answer: HYPOVOLEMIC.
What percentage of blood volume loss in an adult patient is associated with findings of
tachycardia (>120/beats/minute), tachypnea (30-40 Breaths/min), and hypotension (systolic BP
<90mmHg)? Correct Answer: 30 TO 40
Minute volume of ventilation is best represented as Correct Answer: TIDAL VOLUME x
ventilatory rate
Which injury is most likely to be sustained by the driver in a lateral impact collision to the left
side of the vehicle with no side impact airbags (assuming the driver sits on the left)? Correct
Answer: FRACTURED LEFT CLAVICLE.
SSS Correct Answer: כפפות ומיגון, דיווח למשטרה,מיקום אמבולנס
יש עוד פצועים?מרחק פינוי,?התרשמות מקינמטיקה
גישה לפצוע מאחור עם קיבוע צוואר,הצגה עצמית
A Correct Answer: )' טמפ, הזעה,פתיחת פה (התרשמות מצבע
או סקשיין/סילוק הפרשות בגריפה ו
הרמת לסת נכונה
החדרתAW ( בצורה ישרה- )עם יש חשד לעמש"צ
להתחיל עם הצוורון, לפרוס אינטובציה,)*( להביא חמצן
B Correct Answer: ) גודש ורידי צוואר,חשיפת בית חזה (אשרמן
בדיקת נשימה
עומק נשימה, מספר נשימות- כן,
חיבור פאלס
להוריד את הסטטוסקופ מהצוואר
האזנה
) סקלפל,נידל (חיטוי
, אמבו וחמצן1:6 הנשמות- לאLPM 10
)*( להביא קרש גב
C Correct Answer: חום, לחות,צבע, מילוי קפילרי+ דופק רדיאלי
ח"ע,עצירת שט"דים בלחץ ישיר
הדוייס,)*(קרש גב
D Correct Answer: אישונים, GCS
זוכר? ארוחה אחרונה,תרופות, מחלות, אלרגיות, גיל,?לשאול שם
קצוות גפיים
E Correct Answer: הפשטה
חיפוש דימומים חבויים
כיסוי
קיבוע לקרש ולהדויייס
( לשים משהו בין ברכיים וקרסוליים, בכפות רגליים8 ,)רצועות
Secondary survey Correct Answer: פינוי לבית חולים מתאים
הערכה מחודשת
לחץ דם
עירוי
קיבועים, המרת חבישות, מוניטור,קפנוגרף
Give me the general ideas of trauma criteria? Correct Answer: Any patient that has a
compromise to Airway, Breathing, Circulation and Deficit. Any Patient that is Altered or
What three areas of a penetrating injury would be trauma criteria? Correct Answer: Thoracic
cavity and up. Cranial, between Thoracic and midclavicular line, neck.
For trauma criteria what must the BP be below in an adult? Child? Correct Answer: Adult >90 /
Child >70 (Systolic)
What is the trauma criteria for blunt head injury? Correct Answer: ALOC, GCS less than 14,
except pt. 1 y/o, seizures, unequal pupils, or focal neurological deficit.
For trauma criteria what should also be present in a Cardiac arrest? Correct Answer: Penetrating
torso trauma.
What is the most common threat to life? Correct Answer: Inadequate tissue perfusion
When would a shotgun injury meet trauma criteria? Correct Answer: wounds to the trunk.
A fall from 15 feet is trauma criteria so what type of injuries may also be sustained that APPLY
to trauma criteria? Correct Answer: Blunt chest injury- flail chest, abdominal tenderness, spinal
fx w/ extremity weakness and sensory deficit.
When the application of kinetic energy to the body from either a blunt or penetrating mechanism
displaces tissue, this is known as Correct Answer: CAVITATION
Which of the following is an example of the tertiary phase blast injury? Correct Answer:
CRUSHING INJURY DUE TO STRUCTURAL COLLAPSE.
The most common threat to life among trauma patients is? Correct Answer: INTERNAL
HEMORRHAGE
Your patient is an injured construction worker bleeding profusely from a large laceration to the
left thigh. He is confused and has pale, moist skin. Direct pressure applied to the wound by a first
responder has failed to control the bleeding. The next step in controlling bleeding is to apply:
Correct Answer: A TOURNIQUET TO THE LACERATION.
Hypotension due to spinal cord trauma occurs due to interruption of the
_______________nervous system pathway. Correct Answer: SYMPATHETIC
The most common fractured ribs are ribs: Correct Answer: 4 THROUGH 8.
A hemothorax is differentiated from a tension pneumothorax by: Correct Answer: DULL
PERCUSSION ON THE AFFECTED SIDE.
Which of the following mechanisms is most likely to result in cardiac tamponade? Correct
Answer: A PATIENT IS STRUCK IN THE LEFT ANTERIOR CHEST BY A NAIL EJECTED
FROM A NAIL GUN.
Management of flail chest includes: Correct Answer: PAIN MANAGEMENT
VENTILATORY SUPPORT
100%O2
Which of the following types of traumatic brain injury is most likely to be associated with
hemorrhage from the middle meningeal artery? Correct Answer: EPIDURAL HEMATOMA
Which of the following groups of findings represents Cushing's phenomenon? Correct Answer:
BRADYCARDIA
ABNORMAL RESPIRATORY PATTERN
ELEVATED BLOOD PRESSURE
Your patient is a 32 year old female who was thrown from a horse and struck her head on the
ground. She was not wearing a helmet. She does not respond verbally or open her eyes to painful
stimuli, but responds to painful stimuli with decerebrate posturing. Her right pupil is dilated and
does not react to light. Her respirations are 6 per minute and irregular, pulse 56, blood pressure
188/98. You should ventilate the patient at a rate of? Correct Answer: 20 BPM.
,A burn with reddened, glistening base that may have blisters is most characteristic of a Correct
Answer: SECOND degree burn.
A chemical solution with a pH of 4.0 is considered an ACID and causes damage to the tissues
via Correct Answer: COAGULATION NECROSIS.
An electrical burn caused by superheated air near the source of electricity is an Correct Answer:
ARC burn.
Your patient is an 82 year old female who was an unrestrained front seat passenger in a motor
vehicle collision. Which of the following is the most reliable indication of shock in this patient?
Correct Answer: LEVEL OF CONSCIOUSNESS.
Which of the following findings is not expected in assessment of a pregnant patient? Correct
Answer: A DECREASED BLOOD PRESSURE IN THE THIRD TRIMESTER.
Which of the following is contraindicated in the management of a pregnant trauma patient in the
third trimester? Correct Answer: SUPINE POSITION.
During the assessment of the trauma patient, auscultation of the lung sounds is first performed
during: Correct Answer: THE PRIMARY SURVEY.
Which of the following is indicated for the prehospital management of a circumferential second
degree burn extending from the wrist to the elbow in a 70 Kg patient? Correct Answer: A DRY
STERILE DRESSING
ANALGESIA
The preferred fluid for resuscitation of the patient with significant burns is: Correct Answer:
LACTATED RINGER'S SOLUTION.
Which of the following is the most common cause of spinal injuries? Correct Answer: MOTOR
VEHICLE COLLISIONS.
Hypotension in hemothorax is associated with: Correct Answer: THE ABILITY OF EACH
SIDE OF THE THORAX TO HOLD UP TO 3 LITERS OF BLOOD.
Cardiac tamponade is suspected with the findings of muffled heart sounds___________,
and___________ known as___________. Correct Answer: JUGULAR VEIN DISTENTION,
and HYPOTENSION, known as BECK'S TRIAD.
When administering isotonic crystalloid solution, about ___________ will remain in the vascular
system after 1 hour. Correct Answer: ONE-THIRD
PASG is contraindicated in patients with Correct Answer: CHEST TRAUMA.
,The greatest threat to life from injury to hollow abdominal organ is Correct Answer:
PERITONITIS.
IV fluids administered to patients in shock should be _______ in order to ______________
______________. Correct Answer: WARM, PREVENT HYPOTHERMIA.
During pregnancy, signs and symptoms of shock may appear _______ due to an _________ in
maternal blood volume. Correct Answer: LATER, INCREASE
A fractured femur can result in___________________mL of hemorrhage. Correct Answer: 1000
TO 2000
A male patient suffered a stab wound to his left flank. He is found to be in stage III shock.
During the 25 minute transport to the trauma center, intravenous fluids should be administered at
a rate sufficient to maintain a: Correct Answer: SYSTOLIC BP OF 80 TO 90.
The most common type of shock in trauma patients is Correct Answer: HYPOVOLEMIC.
What percentage of blood volume loss in an adult patient is associated with findings of
tachycardia (>120/beats/minute), tachypnea (30-40 Breaths/min), and hypotension (systolic BP
<90mmHg)? Correct Answer: 30 TO 40
Minute volume of ventilation is best represented as Correct Answer: TIDAL VOLUME x
ventilatory rate
Which injury is most likely to be sustained by the driver in a lateral impact collision to the left
side of the vehicle with no side impact airbags (assuming the driver sits on the left)? Correct
Answer: FRACTURED LEFT CLAVICLE.
SSS Correct Answer: כפפות ומיגון, דיווח למשטרה,מיקום אמבולנס
יש עוד פצועים?מרחק פינוי,?התרשמות מקינמטיקה
גישה לפצוע מאחור עם קיבוע צוואר,הצגה עצמית
A Correct Answer: )' טמפ, הזעה,פתיחת פה (התרשמות מצבע
או סקשיין/סילוק הפרשות בגריפה ו
הרמת לסת נכונה
החדרתAW ( בצורה ישרה- )עם יש חשד לעמש"צ
להתחיל עם הצוורון, לפרוס אינטובציה,)*( להביא חמצן
B Correct Answer: ) גודש ורידי צוואר,חשיפת בית חזה (אשרמן
בדיקת נשימה
עומק נשימה, מספר נשימות- כן,
חיבור פאלס
להוריד את הסטטוסקופ מהצוואר
האזנה
) סקלפל,נידל (חיטוי
, אמבו וחמצן1:6 הנשמות- לאLPM 10
)*( להביא קרש גב
C Correct Answer: חום, לחות,צבע, מילוי קפילרי+ דופק רדיאלי
ח"ע,עצירת שט"דים בלחץ ישיר
הדוייס,)*(קרש גב
D Correct Answer: אישונים, GCS
זוכר? ארוחה אחרונה,תרופות, מחלות, אלרגיות, גיל,?לשאול שם
קצוות גפיים
E Correct Answer: הפשטה
חיפוש דימומים חבויים
כיסוי
קיבוע לקרש ולהדויייס
( לשים משהו בין ברכיים וקרסוליים, בכפות רגליים8 ,)רצועות
Secondary survey Correct Answer: פינוי לבית חולים מתאים
הערכה מחודשת
לחץ דם
עירוי
קיבועים, המרת חבישות, מוניטור,קפנוגרף
Give me the general ideas of trauma criteria? Correct Answer: Any patient that has a
compromise to Airway, Breathing, Circulation and Deficit. Any Patient that is Altered or
What three areas of a penetrating injury would be trauma criteria? Correct Answer: Thoracic
cavity and up. Cranial, between Thoracic and midclavicular line, neck.
For trauma criteria what must the BP be below in an adult? Child? Correct Answer: Adult >90 /
Child >70 (Systolic)
What is the trauma criteria for blunt head injury? Correct Answer: ALOC, GCS less than 14,
except pt. 1 y/o, seizures, unequal pupils, or focal neurological deficit.
For trauma criteria what should also be present in a Cardiac arrest? Correct Answer: Penetrating
torso trauma.
What is the most common threat to life? Correct Answer: Inadequate tissue perfusion
When would a shotgun injury meet trauma criteria? Correct Answer: wounds to the trunk.
A fall from 15 feet is trauma criteria so what type of injuries may also be sustained that APPLY
to trauma criteria? Correct Answer: Blunt chest injury- flail chest, abdominal tenderness, spinal
fx w/ extremity weakness and sensory deficit.
