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PHTLS Qs from Exam 5 & 6.
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PHTLS Qs from Exam 5 & 6When caring for a trauma patient, a principle is what is necessary for patient
improvement or survival. A preference is how the principle is achieved and
depends upon four factors. The factors used to establish the preference in
treating the patient include all except:
a) Condition of the patient
b) Equipment available
c) Situation that exists
d) Research information - CORRECT ANSWER-d) Research information
Approximately 20% of all child abuse is the result of intentional burning. The
majority of the children intentionally burned are of what age?
a) 10 to 12 years of age
b) 5 to 6 years of age
c) 1 to 2 years of age
d) Less than 1 year of age. - CORRECT ANSWER-c) 1 to 2 years of age
You are called to treat a patient who was knocked unconscious when he slipped
and fell on a wet
floor, striking his head. It is now several hours later. He is awake but confused,
does not recall
the incident, and is vomiting with a headache. Which of the following injuries is
most likely?
a) Brain herniation
b) Intraabdominal hemorrhage
c) Diffuse axonal injury
d) Concussion. - CORRECT ANSWER-d) Concussion.
When using a selective spinal immobilization protocol, which of the following
findings indicate
the need for immobilization?
a) Past history of spinal injury
b) Being an unrestrained passenger in a motor vehicle crash
c) Being ambulatory at the scene
d) An associated femoral shaft fracture with severe pain - CORRECT
ANSWER-d) An associated femoral shaft fracture with severe pain
,A patient presents with a blunt trauma injury to the chest. On exam, he has
absent breath sounds on one side of his chest and respiratory distress. Which
additional sign would indicate that the patient has a tension pneumothorax?
a) Distended neck veins
b) Inspiratory wheezing
c) narrowed pulse pressure
d) Tracheal deviation towards the side of injury - CORRECT ANSWER-a)
Distended neck veins
Hemostatic agents should be used for excessive bleeding when direct pressure
alone does not work. The proper way to use most hemostatic agents is which of
the following?
a) Placing the agent around the edges of the wound
b) Placing the agent properly into the wound and holding direct pressure
c) Only using it after a tourniquet has been applied for 10 minutes
d) Hemostatic agents should never be used unless you have a fall in blood
pressure - CORRECT ANSWER-b) Placing the agent properly into the wound
and holding direct pressure
Excessive fluid resuscitation of the trauma patient can result in which of the
following?
a) Worsening coagulopathy
b) Decreased mortality
c) Earlier discharge from the hospital
d) A higher incidence of sepsis in the ICU - CORRECT ANSWER-a) Worsening
coagulopathy
In a blast-related multiple patient situation, which of the following patients should
be treated
first?
a) A 33-year-old female with altered level of consciousness and decreased
capillary refill
b) A 28-year-old male with an arm amputation who has bleeding controlled with a
tourniquet
c) A 14-year-old pulseless female with grey matter visible from a head wound
, d) a 78-year-old male awake and unable to hear - CORRECT ANSWER-a) A
33-year-old female with altered level of consciousness and decreased capillary
refill
When approaching a trauma patient, what is the first assessment that must be
made?
a) Exsanguinating hemorrhage
b) Scene safety
c) Airway
d) Breathing - CORRECT ANSWER-b) Scene safety
Which of the following best guides the decision to provide spinal immobilization?
a) History and complaint
b) Obvious signs of associated injury
c) Patient's age and presence of pressure sores
d) Mechanism alone - CORRECT ANSWER-a) History and complaint
A 38-year-old male sustains a large wound to his right thigh while at work. Which
of the following actions is the most important initial step?
a) Obtain IV access and infuse crystalloid
b) Administer supplemental oxygen
c) Hemorrhage control
d) Rapid transport - CORRECT ANSWER-c) Hemorrhage control
The pre-hospital assessment of the trauma patient begins with which of the
following?
a) Assessment of scene safety and situation
b) Information provided by the dispatcher
c) The initial assessment
d) The primary survey - CORRECT ANSWER-b) Information provided by the
dispatcher
Which of the following is the best indicator of shock in a trauma patient?
a) Depressed level of cognition
b) Heart rate of 80
c) Respirations of 18
d) GCS of 15 - CORRECT ANSWER-a) Depressed level of cognition
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