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PHTLS EXAM QUESTIONS AND ANSWERS 2024/2025( A+ GRADED 100% VERIFIED).
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PHTLS EXAM QUESTIONS AND ANSWERS 2024/2025( A+ GRADED 100% VERIFIED).
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PHTLSWhen the application of kinetic to the body from either a blunt or penetrating mechanism
displaces tissue, this is known as - ANS CAVITATION
Which of the following is an example of the tertiary phase blast injury? - ANS CRUSHING
INJURY DUE TO STRUCTURAL COLLAPSE.
The most common threat to life among trauma patients is? - ANS INTERNAL HEMORRHAGE
Your patient is an injured construction worker bleeding profusely from a large laceration to the
left thigh. He is confused and has pale, moist skin. Direct pressure applied to the wound by a
first responder has failed to control the bleeding. The next step in controlling bleeding is to
apply: - ANS A TOURNIQUET TO THE LACERATION.
Hypotension due to spinal cord trauma occurs due to interruption of the
_______________nervous system pathway. - ANS SYMPATHETIC
The most common fractured ribs are ribs: - ANS 4 THROUGH 8.
A hemothorax is differentiated from a tension pneumothorax by: - ANS DULL PERCUSSION
ON THE AFFECTED SIDE.
Which of the following mechanisms is most likely to result in cardiac tamponade? - ANS A
PATIENT IS STRUCK IN THE LEFT ANTERIOR CHEST BY A NAIL EJECTED FROM A NAIL
GUN.
Management of flail chest includes: - ANS PAIN MANAGEMENT
VENTILATORY SUPPORT
100%O2
Which of the following types of traumatic brain injury is most likely to be associated with
hemorrhage from the middle meningeal artery? - ANS EPIDURAL HEMATOMA
Which of the following groups of findings represents Cushing's phenomenon? - ANS
BRADYCARDIA
ABNORMAL RESPIRATORY PATTERN
ELEVATED BLOOD PRESSURE
Your patient is a 32 year old female who was thrown from a horse and struck her head on the
ground. She was not wearing a helmet. She does not respond verbally or open her eyes to
,painful stimuli, but responds to painful stimuli with decerebrate posturing. Her right pupil is
dilated and does not react to light. Her respirations are 6 per minute and irregular, pulse 56,
blood pressure 188/98. You should ventilate the patient at a rate of? - ANS 20 BPM.
A burn with a reddened, glistening base that may have blisters is most characteristic of a - ANS
SECOND degree burn.
A chemical solution with a pH of 4.0 is considered an ACID and causes damage to the tissues
via - ANS COAGULATION NECROSIS.
An electrical burn caused by superheated air near the source of electricity is an - ANS ARC
burn.
Your patient is an 82 year old female who was an unrestrained front seat passenger in a motor
vehicle collision. Which of the following is the most reliable indication of shock in this patient? -
ANS LEVEL OF CONSCIOUSNESS.
Which of the following findings is not expected in assessment of a pregnant patient? - ANS A
DECREASED BLOOD PRESSURE IN THE THIRD TRIMESTER.
Which of the following is contraindicated in the management of a pregnant trauma patient in the
third trimester? - ANS SUPINE POSITION.
During the assessment of the trauma patient, auscultation of the lung sounds is first performed
during: - ANS THE PRIMARY SURVEY.
Which of the following is indicated for the prehospital management of a circumferential second
degree burn extending from the wrist to the elbow in a 70 Kg patient? - ANS A DRY STERILE
DRESSING
ANALGESIA
The preferred fluid for resuscitation of the patient with significant burns is: - ANS LACTATED
RINGER'S SOLUTION.
Which of the following is the most common cause of spinal injuries? - ANS MOTOR VEHICLE
COLLISIONS.
Hypotension in hemothorax is associated with: - ANS THE ABILITY OF EACH SIDE OF THE
THORAX TO HOLD UP TO 3 LITERS OF BLOOD.
Cardiac tamponade is suspected with the findings of muffled heart sounds___________,
and___________ known as___________. - ANS JUGULAR VEIN DISTENTION, and
HYPOTENSION, known as BECK'S TRIAD.
,When administering isotonic crystalloid solution, about ___________ will remain in the vascular
system after 1 hour. - ANS ONE-THIRD
PASG is contraindicated in patients with - ANS CHEST TRAUMA.
The greatest threat to life from injury to hollow abdominal organ is - ANS PERITONITIS.
IV fluids administered to patients in shock should be _______ in order to ______________
______________. - ANS WARM, PREVENT HYPOTHERMIA.
During pregnancy, signs and symptoms of shock may appear _______ due to an _________ in
maternal blood volume. - ANS LATER, INCREASE
A fractured femur can result in___________________mL of hemorrhage. - ANS 1000 TO 2000
A male patient suffered a stab wound to his left flank. He is found to be in stage III shock. During
the 25 minute transport to the trauma center, intravenous fluids should be administered at a rate
sufficient to maintain a: - ANS SYSTOLIC BP OF 80 TO 90.
The most common type of shock in trauma patients is - ANS HYPOVOLEMIC.
What percentage of blood volume loss in an adult patient is associated with findings of
tachycardia (>120/beats/minute), tachypnea (30-40 Breaths/min), and hypotension (systolic BP
<90mmHg)? - ANS 30 TO 40
Minute volume of ventilation is best represented as - ANS TIDAL VOLUME x ventilatory rate
Which injury is most likely to be sustained by the driver in a lateral impact collision to the left
side of the vehicle with no side impact airbags (assuming the driver sits on the left)? - ANS
FRACTURED LEFT CLAVICLE.
Give me the general ideas of trauma criteria? - ANS Any patient that has a compromise to
Airway, Breathing, Circulation and Deficit. Any Patient that is Altered or
What three areas of a penetrating injury would be trauma criteria? - ANS Thoracic cavity and
up. Cranial, between Thoracic and midclavicular line, neck.
For trauma criteria what must the BP be below in an adult? Child? - ANS Adult >90 / Child >70
(Systolic)
What is the trauma criteria for blunt head injury? - ANS ALOC, GCS less than 14, except pt. 1
y/o, seizures, unequal pupils, or focal neurological deficit.
, For trauma criteria what should also be present in a Cardiac arrest? - ANS Penetrating torso
trauma.
What is the most common threat to life? - ANS Inadequate tissue perfusion
When would a shotgun injury meet trauma criteria? - ANS wounds to the trunk.
A fall from 15 feet is trauma criteria so what type of injuries may also be sustained that APPLY
to trauma criteria? - ANS Blunt chest injury- flail chest, abdominal tenderness, spinal fx w/
extremity weakness and sensory deficit.
If the driver of a vehicle is found in the passenger space can't feel his toes and has no radial
pulse in left extremity is this patient trauma criteria? How many categories does this patient fall
into? - ANS yes/3.
Name some guidelines for trauma patients? transport is advised. - ANS Surviving patients in
MVC where fatalities and complaint of injury occur- Pedestrian vs Auto.- ejection from vehicle,
extrication, young and old patients w/ medical history
What are indications of use of a PASG? - ANS suspected pelvic fx- profound hypotension (sys
<50 to 60)- retroperitoneal hemorrhage.
What are CONTRAindications of use of a PASG? - ANS Penetrating thoracic trauma- splinting
of lower extremity fx.- Eviceration of abdominal organs, impaled objects in abdomen-
Pregnancy- traumatic cardiac arrest.
When using a PASG what syndrome will occur if you decide to splint a lower extremity? - ANS
compartment syndrome.
What is a Colles fracture? - ANS bilateral fracture of wrist- fall w/ outstretched hands
What is Don Juan syndrome? - ANS bilateral heel/ankles/ tib. Fib./Femur/pelvic fall on feet.
What are early signs of increase intracranial pressure? - ANS headache and vomiting
At what height are falls the most significant? - ANS 15 feet
In trauma what's the difference between hollow and solid organs? - ANS hollow causes
peritonitis - solid organs bleed.
What injuries would occur at the time of impact? - ANS crush or compression injuries.
What is the first action with a severe burn patient? - ANS stop the burning.
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