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PHTLS FINAL EXAM NEWEST ACTUAL EXAM QUESTIONS AND DETAILED CORRECT ANSWERS | BRAND NEW
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PHTLS FINAL EXAM NEWEST ACTUAL EXAM QUESTIONS AND DETAILED CORRECT ANSWERS | BRAND NEW
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PHTLS FINAL EXAM 2024 -2025 NEWEST ACTUAL EXAM QUESTIONS AND DETAILED CORRECT ANSWERS | BRAND NEW A 10 year old male fell from his bicycle and sustained abrasions to his left leg and left arm. He is alert and oriented. What should you do first ? A. Initiate IV access and administer a 250 mL fluid bolus B. Apply tourniquets to his left arm and left leg C. Complete a primary and secondary assessment D. Secure the patient to a long backboard Correct Answer C. Complete a primary and secondary asses sment 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, Sp02 92%. What should you suspect? A) Cardiac tamponade B) Traumatic asphyxia C) Hemothorax D) Tension pneumothorax Correct Answer C. Traumatic asphyxia A 44 year old male was involved in a motorcycle crash. He sustained severe blunt trauma to his chest and has a deformity of the right femur. Multiple IV attem pts were unsuccessful. Vital signs are BP 70/40, P 126, R 28. What should you do? A) Apply a pulse oximeter. B) Apply a traction splint. C) Establish intraosseous access. D) Place patient in reverse Trendelenburg. Correct Answer C. Establish intraosseous access A 28 year old male fell from his motorcycle during a low -speed accident. He removed his own helmet after the accident. He has an open left femur fracture with severe external bleeding from the wound What should you do? A) Immediately apply a tract ion splint. B) Perform a head tilt chin -lift. C) Apply direct pressure to the wound D) Assess the airway by auscultation. Correct Answer C. Apply direct pressure to the wound A 28 year old female has suffered a head iniury after falling from a horse. Her Glasgow Coma Scale score is 6 (E1, V1, M4) and she has snoring respirations at 8 per minute. Which should you do first? A) Perform drug -assisted intubation. B) Place an oropharyngeal airway. C) Perform a head tilt chin -lift maneuver. D) Administer oxygen by nasal cannula. Correct Answer B. Place an oropharyngeal airway An 80 year old female fell down a flight of stairs 3 days ago. Today the family reports she has a headache and is "going in and out of consciousness." Vital signs are BP 170/72, R 26 and irregular, P 62, BGL 150 mg/dL (8.3 mmol/L). What should you suspect? A) Concussion B) Subdural hematoma C) Subarachnoid bleed D) Epidural hematoma Correct Answer B. Subdural hematoma A 78 year old female was involved in a minor car crash. She is shivering and exhibits repetitive questioning. She is a type Il diabetic and takes a daily anticoagulant. What should your initial treatment be? A) Move patient to a warm environment. B) Administer hot packs to the axilla. C) Obtain a blood alcohol analysis. D) Establish intravenous access and administer dextrose. Correct Answer A. Move patient to a warm environment A 25 year old femaie has a gunshot wound to the abdomen. Vital signs are BP 80/40, P 122., R 18 with clear, equal lung sounds. What is the most appropriate IV fluid to administer? A) Normal saline (0.9% NaCi) B) Lact ated Ringer's C) Hypertonic crystalloid solution (7.5% NaCI) D) Warmed lactated Ringer's Correct Answer D. Warmed lactated Ringer's An anxious 54 year old fernale complains of chest pain. She hit the steering wheel aft a car crash, at highway speeds. Her sternum is red and tender. Vital signs are BP 100/68, P 112. R 28 clear, SpO2 92%. What should you suspect? A) Transected aorta B) Cardiac contusion C) Cardiac rupture D) Pneumothorax Correct Answer B. Cardiac contusion Which of the following is true when log rolling a patient? Al The provider controlling the patient's hips is in change B) The provider maintaining spinal motion restriction is in charge C) The pabient s hould assist you in rolling to his or her side
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