PHTLS 10th Edition Exam
Questions With Correct Detailed
Answers || Graded A+
A 13 year old male was riding on an all-terrain vehicle when he
drove into a wire fence. He's sitting on the ground with a towel
over his lower face. He has an open jaw fracture. What is your
primary concern? - ...
A 13 year old male was riding on an all-terrain vehicle when he
drove into a wire fence. He's sitting on the ground with a towel
over his lower face. He has an open jaw fracture. What is your
primary concern? - ANSWER ✔ Obstruction of the airway
An adult patient has partial thickness burns to his or. her anterior
chest and abdomen, the entire right arm, and the palm of the left
hand. What percent of the total body surface area is affected? -
ANSWER ✔ 28%
An 8 year old female is being treated in the red treatment area
after a housing complex fire. Vital signs are P 140, R 12 with
noted stridor. Her eyebrows and hair are burnt. Suddenly, she
becomes apenic. What should you do? - ANSWER ✔ Insert an
oropharyngeal airway and assist ventilations
What type of burn should be treated as a life or limb threatening
injury due to constriction of the injured tissues? - ANSWER ✔
Circumferential
A 26 year old female was the unrestrained driver of a head on
collision. Her Glascow Coma Scale score is 4 (E1, V1, M2). Vital
signs are BP 156/78, P 66, R 12 and irregular, and her pupils are
unequal. What should you do? - ANSWER ✔ Assist ventilations at
a rate of 20 breaths per minute
, Which of the following presents the greatest risk for EMS
provider fatalities? - ANSWER ✔ Motor vehicle collision either in
an EMS unit or on-scene
A 50 year old male fell from a 6th story balcony. Intubation
attempts have been unsuccessful. His Glasgow Coma Scale
score is 6 (E1, V1, M4). You note agonal respirations. What
should you do first? - ANSWER ✔ Insert a superglottic airway
device
A 22 year old male was involved in a car crash and hit a tree
head-on. The patient is on the ground outside the vehicle and is
unconscious. His forearm is avulsed and you note a large pool of
blood with active bleeding. His breathing is deep and labored.
What should you do? - ANSWER ✔ Apply a tourniquet
Multisystem trauma - ANSWER ✔ more then one major body
system
Single system trauma - ANSWER ✔ One body part affected
If the patient is breathing faster than 30 - ANSWER ✔ Assist
ventilation
Tachypnea could indicate - ANSWER ✔ Acidosis and anaerobic
metabolism
How much fluids to give in trauma - ANSWER ✔ Enough to keep
vitals organs perfusioning
Priorities of trauma - ANSWER ✔ Control bleeding X
maintain open airway and spinal stabilization A
,support ventilation to maintain spo2 above 94 B
manage perfusion n body temp C
gcs pupils D
expose E
SAMPLER - ANSWER ✔ symptoms
Allergies
Medication
Past history n surgical history
Events leading to injury
Risk factors for complication
With hold cpr for - ANSWER ✔ Obvious fatal injury
Evidence of prolonged arrest
Blunt truama with apnea with out organized electrical acvitity on
ekg
Penetrating truama without pulse, apnea, and other signs of life
Special considerations before terminating arrest - ANSWER ✔
Preggie
Peds
Drowning
Hypothermic
Arrest after getting ****ed by lighting
Laryngeal truama or inhalation burn with hoarseness/stridor
indicates - ANSWER ✔ Intubating
Causes of tidal volume reduction - ANSWER ✔ Airway
obstruction with aloc
Broken ribs
Air in the pleural space
, Paralysis of the respiratory muscle
Unstable or perforated rib cage
Flail chest - ANSWER ✔ fracture of two or more adjacent ribs in
two or more places that allows for free movement of the fractured
segment
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