PHTLS 8TH EDITION: POST TEST QUESTIONS WITH
ACCURATE SOLUTIONS
A 38 year old male sustained a large wound to his right thigh while at work. What
action is the most important initial step? -- Answer ✔✔ hemorrhage control
A patient who sustained extensive blunt trauma to his trunk; has absent lung sounds on
the right, marked respiratory distress, tachy-cardia and hyper-tension. What is the most
appropriate intervention? -- Answer ✔✔ needle decompression (DART)
The pre-hospital assessment of the trauma patient begins when? -- Answer ✔✔ when
information is provided by the dispatcher
E.M.S. responds to a patient involved in a motor vehicle versus car collision. The patient
is unresponsive with vital signs of: BP 82, palpitation; respirations, 24; pulse, 128. What
is the most likely type of shock? -- Answer ✔✔ hypovolemic
What definition best describes shock? -- Answer ✔✔ a state of inadequate energy
production
What is the most common cause of airway obstruction in the unconscious trauma
patient? -- Answer ✔✔ tongue
, While caring for a patient who was involved in an altercation, he vomits and his airway
is totally obstructed with vomitus and blood. What is the maximum amount of time that
you can suction his airway? -- Answer ✔✔ suction until his airway is clear
When energy produced by cells occurs during the state of inadequate oxygenation, it is
referred to as what condition? -- Answer ✔✔ anaerobic metabolism
What sign of shock is not found during the primary survey? -- Answer ✔✔ low blood
pressure measurement
E.M.S. responds to a patient who has sustained a blunt injury to the head. She had a
period of unconsciousness followed by a brief period of consciousness and then became
unresponsive just as E.M.S. arrived. Based solely on this information, what is most likely
her injury? -- Answer ✔✔ epidural hematoma
Inadvertent hyper-ventilation of a patient with suspected traumatic brain injury (TBI)
may lead to which complication? -- Answer ✔✔ cerebral vasoconstriction
Spinal cord injuries can lead to hypo-tension due to what type of physiologic changes? --
Answer ✔✔ vasodilation below the level of injury
Which subset of patients compensate for blood loss the longest? -- Answer ✔✔
pediatrics
ACCURATE SOLUTIONS
A 38 year old male sustained a large wound to his right thigh while at work. What
action is the most important initial step? -- Answer ✔✔ hemorrhage control
A patient who sustained extensive blunt trauma to his trunk; has absent lung sounds on
the right, marked respiratory distress, tachy-cardia and hyper-tension. What is the most
appropriate intervention? -- Answer ✔✔ needle decompression (DART)
The pre-hospital assessment of the trauma patient begins when? -- Answer ✔✔ when
information is provided by the dispatcher
E.M.S. responds to a patient involved in a motor vehicle versus car collision. The patient
is unresponsive with vital signs of: BP 82, palpitation; respirations, 24; pulse, 128. What
is the most likely type of shock? -- Answer ✔✔ hypovolemic
What definition best describes shock? -- Answer ✔✔ a state of inadequate energy
production
What is the most common cause of airway obstruction in the unconscious trauma
patient? -- Answer ✔✔ tongue
, While caring for a patient who was involved in an altercation, he vomits and his airway
is totally obstructed with vomitus and blood. What is the maximum amount of time that
you can suction his airway? -- Answer ✔✔ suction until his airway is clear
When energy produced by cells occurs during the state of inadequate oxygenation, it is
referred to as what condition? -- Answer ✔✔ anaerobic metabolism
What sign of shock is not found during the primary survey? -- Answer ✔✔ low blood
pressure measurement
E.M.S. responds to a patient who has sustained a blunt injury to the head. She had a
period of unconsciousness followed by a brief period of consciousness and then became
unresponsive just as E.M.S. arrived. Based solely on this information, what is most likely
her injury? -- Answer ✔✔ epidural hematoma
Inadvertent hyper-ventilation of a patient with suspected traumatic brain injury (TBI)
may lead to which complication? -- Answer ✔✔ cerebral vasoconstriction
Spinal cord injuries can lead to hypo-tension due to what type of physiologic changes? --
Answer ✔✔ vasodilation below the level of injury
Which subset of patients compensate for blood loss the longest? -- Answer ✔✔
pediatrics
