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PHTLS 10TH EDITION PRE AND POST-TEST
PRACTICE EXAM Q&A NEWLY MODIFIED!!!
Your patient is a 20-year-old male who struck his head on a
teammate's 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? A) 10 breaths per minute.
B) 20 breaths per minute.
C) 30 breaths per minute.
D) 35 breaths per minute. -- ANSWER--B) 20 breaths per minute
A 20 year 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 blood pressure of 70 mm Hg 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 blood pressure
of at least A) 60 mm Hg.
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B) 70 mm Hg.
C) 80 mm Hg.
D) 90 mm Hg. -- ANSWER--D) 90 mm Hg.
Which of the following is the preferred prehospital wound
management for a patient with a 36% body surface area flame burn?
A) Cool moist dressings
B) Dry sterile dressings
C) Elastic bandages
D) Topical ointments -- ANSWER--B) Dry sterile dressings
The most immediate life threatening condition resulting from injury to
solid abdominal organs is which of the following?
A) Acute respiratory failure
B) Hemorrhage.
C) Multiple organ failure.
D) Peritonitis -- ANSWER--B) Hemorrhage.
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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?
A) Apply a topical hemostatic agent and transport
B) Apply a tourniquet and tighten it until bleeding stops
C) Elevate the leg and apply pressure to the femoral artery
D) Maintain direct pressure and transport immediately -- ANSWER--
B) Apply a tourniquet and tighten it until bleeding stops
Which assessment is most beneficial in differentiating hemorrhagic
shock from neurogenic shock in the prehospital setting?
A) Abdomen
B) Blood pressure
C) Neurologic status
D) Skin -- ANSWER--D) Skin
The body initially compensates for blood loss through activation of
which of the following?
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A) Parasympathetic nervous system
B) Reticular activating system
C) Spinal reflex arcs
D) Sympathetic nervous system -- ANSWER--D) Sympathetic
nervous system Medication used by trauma patients for pre-
existing conditions may cause which of the following?
A) Herbal preparations may enhance blood clotting
B) Anti-inflammatory agents may enhance blood clotting
C) Beta blockers may prevent tachycardia with blood loss
D) Calcium channel blockers may slow the onset of shock --
ANSWER--C) Beta blockers may prevent tachycardia with blood
loss
The target blood pressure for a trauma patient with suspected
intraabdominal hemorrhage is which of the following?
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PHTLS 10TH EDITION PRE AND POST-TEST
PRACTICE EXAM Q&A NEWLY MODIFIED!!!
Your patient is a 20-year-old male who struck his head on a
teammate's 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? A) 10 breaths per minute.
B) 20 breaths per minute.
C) 30 breaths per minute.
D) 35 breaths per minute. -- ANSWER--B) 20 breaths per minute
A 20 year 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 blood pressure of 70 mm Hg 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 blood pressure
of at least A) 60 mm Hg.
1
, Page 2 of 39
B) 70 mm Hg.
C) 80 mm Hg.
D) 90 mm Hg. -- ANSWER--D) 90 mm Hg.
Which of the following is the preferred prehospital wound
management for a patient with a 36% body surface area flame burn?
A) Cool moist dressings
B) Dry sterile dressings
C) Elastic bandages
D) Topical ointments -- ANSWER--B) Dry sterile dressings
The most immediate life threatening condition resulting from injury to
solid abdominal organs is which of the following?
A) Acute respiratory failure
B) Hemorrhage.
C) Multiple organ failure.
D) Peritonitis -- ANSWER--B) Hemorrhage.
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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?
A) Apply a topical hemostatic agent and transport
B) Apply a tourniquet and tighten it until bleeding stops
C) Elevate the leg and apply pressure to the femoral artery
D) Maintain direct pressure and transport immediately -- ANSWER--
B) Apply a tourniquet and tighten it until bleeding stops
Which assessment is most beneficial in differentiating hemorrhagic
shock from neurogenic shock in the prehospital setting?
A) Abdomen
B) Blood pressure
C) Neurologic status
D) Skin -- ANSWER--D) Skin
The body initially compensates for blood loss through activation of
which of the following?
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A) Parasympathetic nervous system
B) Reticular activating system
C) Spinal reflex arcs
D) Sympathetic nervous system -- ANSWER--D) Sympathetic
nervous system Medication used by trauma patients for pre-
existing conditions may cause which of the following?
A) Herbal preparations may enhance blood clotting
B) Anti-inflammatory agents may enhance blood clotting
C) Beta blockers may prevent tachycardia with blood loss
D) Calcium channel blockers may slow the onset of shock --
ANSWER--C) Beta blockers may prevent tachycardia with blood
loss
The target blood pressure for a trauma patient with suspected
intraabdominal hemorrhage is which of the following?
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