PHTLS 10th Edition EXAM 200 QUESTIONS AND ANSWERS EXAM 2024-2025 |
ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EX4AM | ACCURATE REAL
EXAM QUESTIONS AND ANSWERS | GUARANTEED PASS | LATEST UPDATE
You arrive at the scene of a motor vehicle collision in which a
vehicle struck a tree. Which is the best indicator of potential
injury?
-circumference of vehicle
-diameter of the tree
-mass of the vehicle
-speed of the vehicle - CORRECT ANSWER speed of the vehicle
the potential for death or serious injury is greatest in which of
the following motor vehicle collisions?
-down and under
-ejection from vehicle
-lateral compression
-up and over - CORRECT ANSWER ejection from vehicle
bilateral femur fractures are most often associated with which
type of motorcycle crash? - CORRECT ANSWER head-on impact
what is the preferred fluid for resuscitation of hemorrhagic
shock in the prehospital setting? - CORRECT ANSWER lactated
ringers
what is the most common cause of upper airway obstruction in
the trauma patient? - CORRECT ANSWER tongue
what is the preferred adjunct device for verifying placement of
an ET tub in a patient with a perfusing rhythm? - CORRECT
ANSWER end-tidal CO2 monitoring
,what is the most important reason to maintain an open airway in
the trauma patient? - CORRECT ANSWER prevents hypoxemia
and hypercarbia
essential airway skills include manual clearing of the airway,
manual maneuvers, suctioning and what? - CORRECT ANSWER
oropharyngeal airway
your patient is a middle aged male who crashed his motorcycle.
He is unresponsive. After opening the airway using a modified
jaw thrust, you note the patient has respirations at a rate of 6.
Auscultation reveals breath sounds are absent on the left side.
What is the most appropriate next intervention? - CORRECT
ANSWER begin ventilation with BVM
what best describes shock? - CORRECT ANSWER generalized
inadequate tissue perfusion
your patient has a deep laceration to his antecubital fossa with
significant bleeding. What is the most appropriate initial action? -
CORRECT ANSWER apply direct pressure
hypotension of unknown etiology in a trauma patient should be
assumed to result from what? - CORRECT ANSWER blood loss
which assessment is most beneficial in differentiating
hemorrhagic shock from neurogenic shock in the prehospital
setting? - CORRECT ANSWER skin
the body initially compensates for blood loss through activation
of what? - CORRECT ANSWER sympathetic nervous system
,medication used by trauma patients for pre-existing conditions
may cause what? - CORRECT ANSWER beta-blockers may
prevent tachycardia with blood loss
the target blood pressure for a trauma patient with suspected
intraabdominal hemorrhage is what? - CORRECT ANSWER 80-
90 mmHg
what best explains the mechanism by which gas exchange is
impaired in pulmonary contusion? - CORRECT ANSWER blood
in the alveoli
what is a key finding that differentiates cardiac tamponade from
tension pneumothorax? - CORRECT ANSWER equal breath
sounds
your patient is a 20yr old male who struck his head on a
teammates knee while diving to catch a football. He was not
wearing a helmet. He demonstrates decerebrate posturing and
has a GCS score of 4. His heart rate is 58, blood pressure 180/102
and his left pupil is dilated. What is the best ventilation rate to
use when managing this patient? - CORRECT ANSWER 20
breaths per minute
a 20 yr old female was ejected from her vehicle during a high
speed roll-over motor vehicle collision. She has significant
bleeding from a large laceration. Your initial assessment reveals
a GCS score of 7, systolic bp of 70 and pupils that are equal but
respond sluggishly to light. After establishing two large bore IV
lines, you should titrate the infusion rate to achieve a target bp of
at least - CORRECT ANSWER 90 mmHg
, what is the preferred prehospital wound management for a
patient which a 36% body surface area flame burn? - CORRECT
ANSWER dry sterile dressings
the most immediate life threatening condition resulting from
injury to solid abdominal organs is what? - CORRECT ANSWER
hemorrhage
an adult male sustained a deep laceration to his distal thigh.
Bright red blood is spurting from the wound. Direct pressure is
not controlling the bleeding. What is the most appropriate next
step? - CORRECT ANSWER apply a tourniquet and tighten it
until bleeding stops
an 18 yr old female was struck by a car and has sustained an
apparent left femur fracture. communication with her is
hampered because she only speaks a foreign language. which
finding, by itself, does not mandate immobilization of the cervical
spine? - CORRECT ANSWER mechanism of injury
during the primary survey of a trauma patient, you note that the
patient is agitated and confused, and has multiple injuries from
an altercation. what is the most appropriate first treatment
priority? - CORRECT ANSWER correction of possible hypoxia
The displacement of tissue away from the path of a projectile,
both temporarily and permanently, is known as:
A. Conization
B. Cavitation
C. Crepitation
D. Contusion - CORRECT ANSWER B. Cavitation
ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EX4AM | ACCURATE REAL
EXAM QUESTIONS AND ANSWERS | GUARANTEED PASS | LATEST UPDATE
You arrive at the scene of a motor vehicle collision in which a
vehicle struck a tree. Which is the best indicator of potential
injury?
-circumference of vehicle
-diameter of the tree
-mass of the vehicle
-speed of the vehicle - CORRECT ANSWER speed of the vehicle
the potential for death or serious injury is greatest in which of
the following motor vehicle collisions?
-down and under
-ejection from vehicle
-lateral compression
-up and over - CORRECT ANSWER ejection from vehicle
bilateral femur fractures are most often associated with which
type of motorcycle crash? - CORRECT ANSWER head-on impact
what is the preferred fluid for resuscitation of hemorrhagic
shock in the prehospital setting? - CORRECT ANSWER lactated
ringers
what is the most common cause of upper airway obstruction in
the trauma patient? - CORRECT ANSWER tongue
what is the preferred adjunct device for verifying placement of
an ET tub in a patient with a perfusing rhythm? - CORRECT
ANSWER end-tidal CO2 monitoring
,what is the most important reason to maintain an open airway in
the trauma patient? - CORRECT ANSWER prevents hypoxemia
and hypercarbia
essential airway skills include manual clearing of the airway,
manual maneuvers, suctioning and what? - CORRECT ANSWER
oropharyngeal airway
your patient is a middle aged male who crashed his motorcycle.
He is unresponsive. After opening the airway using a modified
jaw thrust, you note the patient has respirations at a rate of 6.
Auscultation reveals breath sounds are absent on the left side.
What is the most appropriate next intervention? - CORRECT
ANSWER begin ventilation with BVM
what best describes shock? - CORRECT ANSWER generalized
inadequate tissue perfusion
your patient has a deep laceration to his antecubital fossa with
significant bleeding. What is the most appropriate initial action? -
CORRECT ANSWER apply direct pressure
hypotension of unknown etiology in a trauma patient should be
assumed to result from what? - CORRECT ANSWER blood loss
which assessment is most beneficial in differentiating
hemorrhagic shock from neurogenic shock in the prehospital
setting? - CORRECT ANSWER skin
the body initially compensates for blood loss through activation
of what? - CORRECT ANSWER sympathetic nervous system
,medication used by trauma patients for pre-existing conditions
may cause what? - CORRECT ANSWER beta-blockers may
prevent tachycardia with blood loss
the target blood pressure for a trauma patient with suspected
intraabdominal hemorrhage is what? - CORRECT ANSWER 80-
90 mmHg
what best explains the mechanism by which gas exchange is
impaired in pulmonary contusion? - CORRECT ANSWER blood
in the alveoli
what is a key finding that differentiates cardiac tamponade from
tension pneumothorax? - CORRECT ANSWER equal breath
sounds
your patient is a 20yr old male who struck his head on a
teammates knee while diving to catch a football. He was not
wearing a helmet. He demonstrates decerebrate posturing and
has a GCS score of 4. His heart rate is 58, blood pressure 180/102
and his left pupil is dilated. What is the best ventilation rate to
use when managing this patient? - CORRECT ANSWER 20
breaths per minute
a 20 yr old female was ejected from her vehicle during a high
speed roll-over motor vehicle collision. She has significant
bleeding from a large laceration. Your initial assessment reveals
a GCS score of 7, systolic bp of 70 and pupils that are equal but
respond sluggishly to light. After establishing two large bore IV
lines, you should titrate the infusion rate to achieve a target bp of
at least - CORRECT ANSWER 90 mmHg
, what is the preferred prehospital wound management for a
patient which a 36% body surface area flame burn? - CORRECT
ANSWER dry sterile dressings
the most immediate life threatening condition resulting from
injury to solid abdominal organs is what? - CORRECT ANSWER
hemorrhage
an adult male sustained a deep laceration to his distal thigh.
Bright red blood is spurting from the wound. Direct pressure is
not controlling the bleeding. What is the most appropriate next
step? - CORRECT ANSWER apply a tourniquet and tighten it
until bleeding stops
an 18 yr old female was struck by a car and has sustained an
apparent left femur fracture. communication with her is
hampered because she only speaks a foreign language. which
finding, by itself, does not mandate immobilization of the cervical
spine? - CORRECT ANSWER mechanism of injury
during the primary survey of a trauma patient, you note that the
patient is agitated and confused, and has multiple injuries from
an altercation. what is the most appropriate first treatment
priority? - CORRECT ANSWER correction of possible hypoxia
The displacement of tissue away from the path of a projectile,
both temporarily and permanently, is known as:
A. Conization
B. Cavitation
C. Crepitation
D. Contusion - CORRECT ANSWER B. Cavitation
