PHTLS 9th Edition Self-test Questions and Answers
(GRADED A) (Verified Answers)
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. You first action
should be to do which of the following?
Confirm the tourniquet was properly applied.
Which of the following information is assessed during the secondary survey?
vitals
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 factors used to accomplish the preference in
treating the patient include all except:
a. Condition of the patient
b. Equipment available
c. Situation that exists
d. 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?
a. 0 to 12 years of age
b. 5 to 6 years of age
c. 1 to 2 years of age
d. Less than 1 year of age
In addition to glucose, what is required to maintain the metabolic processes of
life and energy production?
a. Carbon monoxide
b. Krebs cells
c. Lymphocytes
d. Oxygen
You respond to a patient who has sustained a stab wound to the left upper
thorax. She is barely responsive, pale and diaphoretic. Which of the following is
the most appropriate for transport?
a. Stair chair
b. Long board with full spine immobilization
c. Scoop stretcher
d. Short immobilization device
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
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
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. EtCO2
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. Muffled heart sounds
c. Narrowed pulse pressure
d. Tracheal deviation away from the side of injury
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
d. Hemostatic agents should never be used unless you have a fall in blood
pressure
Of the following, which is a preventable cause of secondary brain injury?
a. Cerebral edema
b. Systemic hypoxia
c. Intracranial hematomas
d. Herniation syndromes
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 recall the incident and is vomiting with a headache. Which
of the following injuries is most likely?
a. Brain herniation
(GRADED A) (Verified Answers)
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. You first action
should be to do which of the following?
Confirm the tourniquet was properly applied.
Which of the following information is assessed during the secondary survey?
vitals
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 factors used to accomplish the preference in
treating the patient include all except:
a. Condition of the patient
b. Equipment available
c. Situation that exists
d. 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?
a. 0 to 12 years of age
b. 5 to 6 years of age
c. 1 to 2 years of age
d. Less than 1 year of age
In addition to glucose, what is required to maintain the metabolic processes of
life and energy production?
a. Carbon monoxide
b. Krebs cells
c. Lymphocytes
d. Oxygen
You respond to a patient who has sustained a stab wound to the left upper
thorax. She is barely responsive, pale and diaphoretic. Which of the following is
the most appropriate for transport?
a. Stair chair
b. Long board with full spine immobilization
c. Scoop stretcher
d. Short immobilization device
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
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
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. EtCO2
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. Muffled heart sounds
c. Narrowed pulse pressure
d. Tracheal deviation away from the side of injury
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
d. Hemostatic agents should never be used unless you have a fall in blood
pressure
Of the following, which is a preventable cause of secondary brain injury?
a. Cerebral edema
b. Systemic hypoxia
c. Intracranial hematomas
d. Herniation syndromes
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 recall the incident and is vomiting with a headache. Which
of the following injuries is most likely?
a. Brain herniation
