PHTLS POST TEST 9TH EDITION LATEST ACTUAL EXAM
when approaching a trauma patient, what is the first assessment that must be
made? - ANSWER: scene safety
EMS arrives on a scene and finds that emergency medical responders have
attempted to immobilize a pediatric patient onto a long backboard. They note that
the patient's head is in a flexed position. Which of the following actions is the most
appropriate? - ANSWER: place padding under the patient's torso
the pre-hospital assessment of the trauma patient begins with which of the
following? - ANSWER: infromation provided by the dispatcher
which of the following is a Golden Principle of trauma care? - ANSWER: ensure
adequate airway and ventilation
When energy produced by cells occurs during the state of inadequate oxygenation, it
is referred to as which of the following conditions? - ANSWER: aerobic metabolism
in a blast related multiple patient situation, which of the following patients should be
treated first? - ANSWER: a 33 year old female with altered level of consciousness and
decreased capillary refill
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? - ANSWER: T4
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? - ANSWER: confirm the tourniquet was properly applied
________ is the earliest sign of deterioration in a patient with a flail chest - ANSWER:
respiratory rate increase
of the following, which is a preventable cause of secondary brain injury addressable
during the transport phase - ANSWER: systemic hypoxia
in a patient with a suspected traumatic brain injury, what is the most concerning
physical finding? - ANSWER: altered level of consciousness
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 minute. You do not have
waveform capnography, so what is the most appropriate rate of ventilations -
ANSWER: 20 BPM
, while caring for a patient who was involved in an altercation, the patient vomits,
causing his airway to become totally obsturcted with vomitus and blood. what is the
most important action? - ANSWER: suctioning the airway
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 establish the preference in treating the patient
include all except - ANSWER: research information
which of the following is the best indicator of shock in a trauma patient? - ANSWER:
depressed level of cognition
approximately 20% of all child abuse is the result of intentional burning. the majority
of the children intentionally burned are of what age? - ANSWER: 1 to 2 years of age
when managing a pediatric patient, pre hospital providers should do all of the
following EXCEPT - ANSWER: use half the adult dose or medication administration
You respond to a reported assault at a local bar. On arrival, you find a 46-year-old
male on the bathroom floor with snoring respirations at 4 times per minute and
obvious facial injuries. Pupils reveal the R pupil is 4mm and the L pupil is 7mm and
non-reactive. What is the most appropriate first step?
a. Jaw-thrust maneuver
b. Pharmacologically assisted intubation
c. Perform nasotracheal intubation
d. Perform a surgical Cricothyrotomy - ANSWER: jaw thrust maneuver
Prehospital providers have treated a sucking chest wound with an occlusive dressing.
During transport to the hospital, the patient developed increasing respiratory
distress with increased respirations and absent lung sounds are noted on repeat
auscultation. What is the most appropriate next intervention? - ANSWER: release
and reapply the occlusive dressing
which of the following best guides the decision to provide spinal immobilization? -
ANSWER: history and complaint
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? - ANSWER: ruptured uterus
what is the most common cause of airway obstruction in the unresponsive trauma
patient? - ANSWER: tongue
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
when approaching a trauma patient, what is the first assessment that must be
made? - ANSWER: scene safety
EMS arrives on a scene and finds that emergency medical responders have
attempted to immobilize a pediatric patient onto a long backboard. They note that
the patient's head is in a flexed position. Which of the following actions is the most
appropriate? - ANSWER: place padding under the patient's torso
the pre-hospital assessment of the trauma patient begins with which of the
following? - ANSWER: infromation provided by the dispatcher
which of the following is a Golden Principle of trauma care? - ANSWER: ensure
adequate airway and ventilation
When energy produced by cells occurs during the state of inadequate oxygenation, it
is referred to as which of the following conditions? - ANSWER: aerobic metabolism
in a blast related multiple patient situation, which of the following patients should be
treated first? - ANSWER: a 33 year old female with altered level of consciousness and
decreased capillary refill
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? - ANSWER: T4
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? - ANSWER: confirm the tourniquet was properly applied
________ is the earliest sign of deterioration in a patient with a flail chest - ANSWER:
respiratory rate increase
of the following, which is a preventable cause of secondary brain injury addressable
during the transport phase - ANSWER: systemic hypoxia
in a patient with a suspected traumatic brain injury, what is the most concerning
physical finding? - ANSWER: altered level of consciousness
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 minute. You do not have
waveform capnography, so what is the most appropriate rate of ventilations -
ANSWER: 20 BPM
, while caring for a patient who was involved in an altercation, the patient vomits,
causing his airway to become totally obsturcted with vomitus and blood. what is the
most important action? - ANSWER: suctioning the airway
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 establish the preference in treating the patient
include all except - ANSWER: research information
which of the following is the best indicator of shock in a trauma patient? - ANSWER:
depressed level of cognition
approximately 20% of all child abuse is the result of intentional burning. the majority
of the children intentionally burned are of what age? - ANSWER: 1 to 2 years of age
when managing a pediatric patient, pre hospital providers should do all of the
following EXCEPT - ANSWER: use half the adult dose or medication administration
You respond to a reported assault at a local bar. On arrival, you find a 46-year-old
male on the bathroom floor with snoring respirations at 4 times per minute and
obvious facial injuries. Pupils reveal the R pupil is 4mm and the L pupil is 7mm and
non-reactive. What is the most appropriate first step?
a. Jaw-thrust maneuver
b. Pharmacologically assisted intubation
c. Perform nasotracheal intubation
d. Perform a surgical Cricothyrotomy - ANSWER: jaw thrust maneuver
Prehospital providers have treated a sucking chest wound with an occlusive dressing.
During transport to the hospital, the patient developed increasing respiratory
distress with increased respirations and absent lung sounds are noted on repeat
auscultation. What is the most appropriate next intervention? - ANSWER: release
and reapply the occlusive dressing
which of the following best guides the decision to provide spinal immobilization? -
ANSWER: history and complaint
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? - ANSWER: ruptured uterus
what is the most common cause of airway obstruction in the unresponsive trauma
patient? - ANSWER: tongue
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
