| ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EX4AM |
ACCURATE REAL EXAM QUESTIONS AND ANSWERS | GUARANTEED
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3 phases of trauma care - CORRECT ANSWER 1. pre-event
2. event
3. post-event
greatest mechanism of traumatic deaths in early life (2) - CORRECT
ANSWER MVCs and drownings
after age 65, __________ surpass MVCs as greatest mechanism for
traumatic deaths - CORRECT ANSWER falls
XABCDE - CORRECT ANSWER EXsanguination
Airway
Breathing
Circulation
Disability
Exposure
Which of the following requires you to develop a plan of action, initiate the
plan, reassess the plan as care for the patient moves forward, and adjust
the plan as the patient's condition or circumstances change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process - CORRECT ANSWER D. Critical thinking
process
To help achieve the PHTLS goals, you will apply your critical thinking skills
in the field. Critical thinking in medicine is a process in which the
healthcare practitioner assesses the situation, the patient, and the
,resources available and uses the information to decide on and provide the
best care for the patient.
When using the XABCDE assessment, which of the following takes
precedence over all other actions?
A. Controlling severe bleeding from a limb or other compressible site
B. Airway stabilization and assessing circulatory status
C. Exposing the body to allow a thorough evaluation
D. Ensuring adequate breathing - CORRECT ANSWER A. Controlling
severe bleeding from a limb or other compressible site
The "X" placed before "ABCDE" in the primary survey refers to the need to
address exsanguinating hemorrhage immediately after establishing scene
safety and before addressing airway. Severe exsanguinating hemorrhage,
particularly arterial bleeding, has the potential to lead to loss of total or
near total blood volume in a relatively short period of time.
Which of the following is the basis on which a patient's chance of survival
is maximized?
A. Preferences
B. Phases
C. Principles
D. Transport - CORRECT ANSWER C. Principles
The science of medicine provides the principles of medical care. Simply
stated, principles define the duties required of the prehospital care
practitioner in optimizing patient survival and outcome.
Which of the following is a goal of the Golden Period?
A. Provide written documentation from field care to receiving hospital.
B. Expedite the field care and transport of the patient.
C. Use a team approach for optimal patient care.
D. Use the XABCDE approach to patient assessment. - CORRECT ANSWER
B. Expedite the field care and transport of the patient.
,One of your most important responsibilities as a prehospital care
practitioner is to spend as little time on the scene as possible and
expedite your field care and transport of the patient. Studies show that the
time from injury to arrival at the appropriate site for definitive care is
critical to survival.
GCS - eyes 1-4 - CORRECT ANSWER 4. spontaneous/tracking
3. on command/verbal
2. pressure/pain/touch
1. none
GCS - verbal response 1-5 - CORRECT ANSWER 5. oriented/appropriate
4. confused
3. inappropriate words
2. unintelligible noises
1. none
GCS - motor response 1-6 - CORRECT ANSWER 6. follows commands
5. localizes
4. normal flexion/withdraws
3. abnormal flexion/decorticate
2. extension/decerebrate
1. none
What does START triage stand for? - CORRECT ANSWER Simple Triage
And Rapid Transport
START triage criteria (3) - CORRECT ANSWER YELLOW
- respirations 10-30
- cap refill < 2 seconds (pulses present)
- follows commands
any deviation is RED
what 5 interventions might you do during a triage patient assessment? -
CORRECT ANSWER - open the airway
- control bleeding
- recovery position
, - chemical antidote
- needle decompression
You are called to the scene of a possible mass casualty motor vehicle
collision on the highway. Once you arrive on scene, what is your first
priority?
A. Immediately begin triaging patients.
B. Treat the patient with the most visible blood loss.
C. Determine the need for additional resources.
D. Assess the scene and ensure it is safe. - CORRECT ANSWER D.
Assess the scene and ensure it is safe.
A trauma patient from the highway incident (TC MCI) is holding her right
arm, and you note a significant amount of blood steadily flowing from a
long gash. This is an example of what type of hemorrhage?
A. Capillary
B. Venous
C. Arterial
D. Road rash - CORRECT ANSWER B. Venous
What is the best way to control (venous) bleeding?
A. Direct pressure
B. Elevation of the arm above the heart
C. Tourniquet
D. Occlusive dressing - CORRECT ANSWER A. Direct pressure
The patient is wearing long sleeves, and you are having trouble visualizing
the (long gash) wound. What should you do?
A. Cut the cloth away from the site until the entire wound site is visible.
B. Leave the clothing in place. Put gauze over the wound.
C. Remove the patient's shirt.
D. Cut through the slash on the sleeve, and use the material as a
makeshift tourniquet. - CORRECT ANSWER A. Cut the cloth away from
the site until the entire wound site is visible.