PHTLS PRE-TEST LATEST QUESTIONS AND ANSWERS 130
QUESTIONS AND CORRECT ANSWERS
__________ is the earliest sign of deterioration in a patient with a flail chest.
a. Respirator rate increase
b. Oxygen saturation decrease
c. Pulse rate increase
d. Blood pressure decrease - ANSWER: a. Respirator rate increase
What is the most common cause of airway obstruction in the unresponsive trauma
patient?
a. Blood
b. Teeth
c. Tongue
d. Vomitus - ANSWER: c. Tongue
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: a. Ensure
adequate airway and ventilation
Hypoperfusion will affect which of the following organs first?
a. Kidney
b. GI tract
c. Brain
d. Liver - ANSWER: c. Brain
The most common type of shock resulting from trauma is?
a. Neurogenic
b. Septic
c. Spinal
d. Hemorrhagic - ANSWER: d. Hemorrhagic
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?
a. Adjust the cervical collar
b. Logroll patient into a left lateral recumbent position
c. Place padding under the patient's head and neck
d. Place padding under the patient's torso - ANSWER: d. Place padding under the
patient's torso
, 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 -
ANSWER: b. Placing the agent properly into the wound and holding direct pressure
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: d. Subdural hematoma
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: c. Trauma jaw thrust
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: d. Waveform capnography
Of the following, which is a preventable cause of secondary brain injury addressable
during the transport phase?
a. Intraparenchymal hemorrhage
b. Systemic hypoxia
c. Intracranial hematomas
d. Herniation syndromes - ANSWER: b. Systemic hypoxia
Which best describes the goal of airway management in a trauma patient?
a. Perform complex airway maneuvers
b. Perform a surgical cricothyrotomy
c. Provide for adequate exchange of oxygen and CO2
d. Perform RSI - ANSWER: c. Provide for adequate exchange of oxygen and CO2
QUESTIONS AND CORRECT ANSWERS
__________ is the earliest sign of deterioration in a patient with a flail chest.
a. Respirator rate increase
b. Oxygen saturation decrease
c. Pulse rate increase
d. Blood pressure decrease - ANSWER: a. Respirator rate increase
What is the most common cause of airway obstruction in the unresponsive trauma
patient?
a. Blood
b. Teeth
c. Tongue
d. Vomitus - ANSWER: c. Tongue
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: a. Ensure
adequate airway and ventilation
Hypoperfusion will affect which of the following organs first?
a. Kidney
b. GI tract
c. Brain
d. Liver - ANSWER: c. Brain
The most common type of shock resulting from trauma is?
a. Neurogenic
b. Septic
c. Spinal
d. Hemorrhagic - ANSWER: d. Hemorrhagic
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?
a. Adjust the cervical collar
b. Logroll patient into a left lateral recumbent position
c. Place padding under the patient's head and neck
d. Place padding under the patient's torso - ANSWER: d. Place padding under the
patient's torso
, 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 -
ANSWER: b. Placing the agent properly into the wound and holding direct pressure
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: d. Subdural hematoma
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: c. Trauma jaw thrust
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: d. Waveform capnography
Of the following, which is a preventable cause of secondary brain injury addressable
during the transport phase?
a. Intraparenchymal hemorrhage
b. Systemic hypoxia
c. Intracranial hematomas
d. Herniation syndromes - ANSWER: b. Systemic hypoxia
Which best describes the goal of airway management in a trauma patient?
a. Perform complex airway maneuvers
b. Perform a surgical cricothyrotomy
c. Provide for adequate exchange of oxygen and CO2
d. Perform RSI - ANSWER: c. Provide for adequate exchange of oxygen and CO2
