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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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PHTLSEMS is treating a 24-year-old soccer player who was kicked in the chest. Prehospital providers
note paradoxical movement of a portion of the patient's chest wall. The patient's respiratory rate
is 16 and oxygen saturation is 94%. What is the most appropriate action? - ANS Provide
supplemental oxygen and transport to a trauma center
Hypotension due to a spinal cord injury is a result of what physiological mechanism? - ANS
Loss of sympathetic tone causing vasodilation
__________ is the earliest sign of deterioration in a patient with a flail chest. - ANS Respiratory
rate increase
Hypoperfusion will affect which of the following organs first? - ANS Brain
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? - ANS Concussion
EMS arrives on a scene and finds that emergency medical responders have attempted to
immobilize a pediatric patient onto a long backboard. They note that the patient's head is in a
flexed position. Which of the following actions is the most appropriate? - ANS Place padding
under the patient's torso
In a patient with a suspected traumatic brain injury, what is the most concerning physical
finding? - ANS Altered level of consciousness
The most appropriate airway maneuver in the initial management of a trauma patient is which of
the following? - ANS Trauma jaw thrust
Which of the following best guides the decision to provide spinal immobilization? - ANS History
and complaint
When approaching a trauma patient, what is the first assessment that must be made? - ANS
Scene safety
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? - ANS Hemorrhage control
, EMS responds to an adult barista with partial-thickness burns to the abdomen and right leg,
sustained from a cooking accident. Initial treatment of this injury would include: - ANS Cover
burned area with dry sterile dressings
In addition to glucose, what is required to maintain the metabolic processes of life and energy
production? - ANS Oxygen
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? - ANS Distended neck veins
You have a patient who is 35 weeks pregnant who was assaulted by her boyfriend. Patient is
having severe abdominal pain described as "tearing" and on exam you note her abdomen is
asymmetrical and believe you can feel the fetus through the abdominal wall. What condition do
you suspect? - ANS Ruptured uterus
In a multi-system trauma patient what is considered the best method for confirming proper
placement of an endotracheal tube? - ANS Waveform capnography
What is the most common cause of airway obstruction in the unresponsive trauma patient? -
ANS Tongue
A 30-year-old male is injured in a terror bombing. He experiences traumatic amputation of his
left leg at knee level. An improvised tourniquet was put in place by bystanders. The victim is
conscious and in severe pain. Your first action should be to do which of the following? - ANS
Confirm the tourniquet was properly applied
You respond to a local bar for an unconscious person. On arrival, you are met by a police officer
who reports that one of their "regular alcoholics" was found in the alley behind the bar. On
exam, you note the smell of an alcoholic beverage as well as the following: Patient flexes his
arms to painful stimuli, has bilateral fixed and dilated pupils, irregular respirations at 12 breaths
per minute and a BP of 210/100. What condition do you suspect? - ANS Subdural hematoma
The pre-hospital assessment of the trauma patient begins with which of the following? - ANS
Information provided by the dispatcher
EMS responds for a patient involved in a motorcycle vs. motor vehicle collision. The patient is
poorly responsive with no movement of lower extremities and loss of temperature sensation (hot
vs cold) below the T10. Which of the following types of shock is the patient most likely
experiencing? - ANS Neurogenic
The most common type of shock resulting from trauma is? - ANS Hemorrhagic
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