PHTLS 9E Pre-Test
Which is an early finding in compartment syndrome?
- Paralysis
- Pallor
- Pulselessness
- Pain - CORRECT ANSWER-Pain
A 29 year old male was injured in a high speed motor vehicle collision with lateral
impact and intrusion into the side of a sedan. He has pale and diaphoretic skin, appears
anxious, and is coughing up blood-tinged sputum. He complains of chest pain, has
decreased breath sounds on the left lateral side, has crepitus on palpation of his ribs,
and his jugular veins are flat. Vital signs are BP 88/56, P 120, R 24, SpO2 98%. What
should you suspect?
- Tension pneumothorax
- Traumatic asphyxia
- Cardiac tamponade
- Hemothorax - CORRECT ANSWER-Hemothorax
A 23 year old male was skateboarding down a ramp when he flipped over and landed
on his head. He is clenching his jaw and you are unable to inset an oral airway. He
thrashes his head when you attempt to provide bag-mask ventilations. His oxygen
saturation is decreasing, and his ETCO2 is increasing. What is the best option to secure
his airway and provide effective ventilations?
- Insert a nasal airway
- Pharmacologically assisted intubation
- Insert a supraglottic airway
- Video laryngoscopy - CORRECT ANSWER-Pharmacologically assisted intubation
A 13 year old male was a restrained passenger in a car crash at highway speed. He is
alert and oriented on-scene and walking around. What should you do?
- Immobilize him to a padded splint
- Apply a c-collar and secure him to a long backboard
- Consider spinal motion restriction and assess his c-spine
- Apply a c-collar and secure him to a cot - CORRECT ANSWER-Consider spinal
motion restriction and assess his c-spine
A 4 year old female fell down approximately 8 carpeted stairs. Her parents said she
initially complained of neck pain and a tingling sensation in all four extremities, but the
symptoms have since resolved. What should you do?
, - Advise the parents to call their pediatrician if symptoms return
- Allow the parents to transport the patient in their vehicle
- Place patient in a position of comfort on a stretcher
- Initiate spinal motion restriction and transport - CORRECT ANSWER-Initiate spinal
motion restriction and transport
A 20 year old male was hit in the chest with a baseball bat. He complains of severe pain
and tenderness on the left side. He is unable to take a deep breath. Vital signs are BP
112/76, P 98, R 20, SpO2 98%, and ETCO2 33 mmHg. What should you do?
- Administer oxygen via nonrebreather mask
- Administer 100 mg Ketamine
- Administer 100 mcg Fentanyl
- Apply continuous positive airway pressure - CORRECT ANSWER-Administer 100 mcg
Fentanyl
A 78 year old female was involved in a minor car crash. She is shivering and exhibits
repetitive questioning. She is a type II diabetic and takes a daily anticoagulant. What
should your initial treatment be?
- Establish intravenous access and administer dextrose
- Administer hot packs to the axilla
- Obtain a blood alcohol analysis
- Move patient to a warm environment - CORRECT ANSWER-Move patient to a warm
environment
What is a priority treatment for an internal hemorrhage due to pelvic fracture?
- Traction splint application
- Tourniquet application
- Binder application
- Endotracheal intubation - CORRECT ANSWER-Binder application
What type of burn should be treated as a life or limb threatening injury due to
constriction of the injured tissues?
- Full thickness
- Circumferential
- Subdermal
- Partial thickness - CORRECT ANSWER-Circumferential
A 44 year old male was ejected from a truck traveling 36 mph. He is lying supine on the
ground and has snoring respirations. What should you do first?
- Check his blood glucose level
Which is an early finding in compartment syndrome?
- Paralysis
- Pallor
- Pulselessness
- Pain - CORRECT ANSWER-Pain
A 29 year old male was injured in a high speed motor vehicle collision with lateral
impact and intrusion into the side of a sedan. He has pale and diaphoretic skin, appears
anxious, and is coughing up blood-tinged sputum. He complains of chest pain, has
decreased breath sounds on the left lateral side, has crepitus on palpation of his ribs,
and his jugular veins are flat. Vital signs are BP 88/56, P 120, R 24, SpO2 98%. What
should you suspect?
- Tension pneumothorax
- Traumatic asphyxia
- Cardiac tamponade
- Hemothorax - CORRECT ANSWER-Hemothorax
A 23 year old male was skateboarding down a ramp when he flipped over and landed
on his head. He is clenching his jaw and you are unable to inset an oral airway. He
thrashes his head when you attempt to provide bag-mask ventilations. His oxygen
saturation is decreasing, and his ETCO2 is increasing. What is the best option to secure
his airway and provide effective ventilations?
- Insert a nasal airway
- Pharmacologically assisted intubation
- Insert a supraglottic airway
- Video laryngoscopy - CORRECT ANSWER-Pharmacologically assisted intubation
A 13 year old male was a restrained passenger in a car crash at highway speed. He is
alert and oriented on-scene and walking around. What should you do?
- Immobilize him to a padded splint
- Apply a c-collar and secure him to a long backboard
- Consider spinal motion restriction and assess his c-spine
- Apply a c-collar and secure him to a cot - CORRECT ANSWER-Consider spinal
motion restriction and assess his c-spine
A 4 year old female fell down approximately 8 carpeted stairs. Her parents said she
initially complained of neck pain and a tingling sensation in all four extremities, but the
symptoms have since resolved. What should you do?
, - Advise the parents to call their pediatrician if symptoms return
- Allow the parents to transport the patient in their vehicle
- Place patient in a position of comfort on a stretcher
- Initiate spinal motion restriction and transport - CORRECT ANSWER-Initiate spinal
motion restriction and transport
A 20 year old male was hit in the chest with a baseball bat. He complains of severe pain
and tenderness on the left side. He is unable to take a deep breath. Vital signs are BP
112/76, P 98, R 20, SpO2 98%, and ETCO2 33 mmHg. What should you do?
- Administer oxygen via nonrebreather mask
- Administer 100 mg Ketamine
- Administer 100 mcg Fentanyl
- Apply continuous positive airway pressure - CORRECT ANSWER-Administer 100 mcg
Fentanyl
A 78 year old female was involved in a minor car crash. She is shivering and exhibits
repetitive questioning. She is a type II diabetic and takes a daily anticoagulant. What
should your initial treatment be?
- Establish intravenous access and administer dextrose
- Administer hot packs to the axilla
- Obtain a blood alcohol analysis
- Move patient to a warm environment - CORRECT ANSWER-Move patient to a warm
environment
What is a priority treatment for an internal hemorrhage due to pelvic fracture?
- Traction splint application
- Tourniquet application
- Binder application
- Endotracheal intubation - CORRECT ANSWER-Binder application
What type of burn should be treated as a life or limb threatening injury due to
constriction of the injured tissues?
- Full thickness
- Circumferential
- Subdermal
- Partial thickness - CORRECT ANSWER-Circumferential
A 44 year old male was ejected from a truck traveling 36 mph. He is lying supine on the
ground and has snoring respirations. What should you do first?
- Check his blood glucose level
