PHTLS Questions And Answers 2023 A+

PHTLS Questions And Answers 2023 A+ when caring for a trauma patient, a principle is what is necessary for patient improvement or survival. A preference is how the principle is achieved and depends upon four factors. The factor used to establish the preference in treating the patient include all except: Ans- research information Approximately 20% of all child abuse is the result of intentional burning. The majority of the children intentionally burned are of what age? Ans- 1 to 2 years of age In addition to glucose, what is required to maintain the metabolic processes of life and energy production? Ans- oxygen you response to a patient who has sustained a stab wound to the left upper thorax. she is barley responsive, pale and diaphoretic. Which of the following is the most appropriate for transport? Ansscoop stretcher Units responding to a motor vehicle accident on the highway should consider which of the following as part of their pre-arrival assessment? Ans- weather conditions The most appropriate airway maneuver in the initial management of a trauma patient is which of the following? Ans- trauma jaw thrust When verifying ET Tube placement on a perfusing patient, the "Gold standard" of monitoring is considered to be? Ans- waveform capnography A patent presents with a blunt trauma injury to the chest. On exam, he has absent sounds on one side of his chest and respiratory distress. Which additional sign would indicate that the patient has a tension pneumothorax? Ans- distended neck veins Hemostatic agents should be used for excessive bleeding when direct pressure alone does not work. The proper way to use the most hemostatic agents is which of the following? Ans- placing the agent property into the wound and holding direct pressure of the following, which is preventable cause of secondary brain injury addressable during the transport phase? Ans- systemic hypoxia you are called to treat a patient who was knocked unconscious when he slipped and fell on a wet floor, striking his head. It is now several hours later. He is awake but confused, does not recalled the incident, and is vomiting which a headache. Which of the following inures is most likely? Ans- concussion when using a selective spinal immobilization protocol, which of the following findings indicate the need for imbolization? Ans- an associated femoral shaft fracture with severe pain In a blast-related multiple patient situation, which of the following patients should be treated first? Ansa 33 year old female with altered level of consciousness and decreased capillary refill Excessive fluid resuscitation of the trauma patient can result in which of the following? Ans- worsening coagulopathy the secondary survey should be accomplished: Ans- when time and situation allow when approaching a trauma patient, what is the first assessment that must be made? Ans- scene safety the most common type if shock resulting from trauma is? Ans- hemorrhaging when of the following best guides the decision to provide spinal immobilization? Ans- history and complaint 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? Ans- hemorrhage control 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 ally behind their. 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? Ans- subdural hematoma the pre-hospital assessment of the trauma patient beings with which of the following? Ans- information provided by the dispatcher EMS responds for a patient involved in a motorcycle vs. motor vehicle collision. The patient is poorly responsive with no movement of lower extremities and loss of temperature sensation (hot vs cold) below the T10. Which of the following types of shock is the patient most likely experiencing? Ansneurogenic Which of the following is the best indicator of shock in a trauma patient? Ans- Depressed level of cognition Which best describes the goal of airway management in a trauma patient? Ans- provide or adequate exchange of oxygen and CO2 What is the most common cause of airway obstruction in the unresponsive trauma patient? Ans- Tongue 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? Ans- Suctioning the airway When energy proceeded by the cells occurs during a state of adequate oxygenation, it is referred to as which of the following conditions? Ans- Aerobic Metabolism Which of the following information is assessed during the secondary surgery? Ans- vital signs Hyperventlation of a patient with suspected traumatic brain injury should occur when? Ans- when signs of impending brain herniation are present Patients with a suspected traumatic brain injury (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? Ans- inadvertent of excess hyperventilation Hypotension due to a spinal cord injury is a result of what physiological mechanisms? Ans- Loss of sympathetic tone causing vasodilation Which of the following patients will compensate for blood loss the long