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PHTLS - POST TEST, 10TH EDITION 2024
WITH COMPLETE SOLUTION
"Excessive fluid resuscitation of the trauma patient can result in which of the following? - CORRECT
ANSWER Increased blood loss"
"What is the most common cause of airway obstruction in the unconscious trauma patient? - CORRECT
ANSWER Tongue"
"What is the most important physical finding a patient with a suspected traumatic brain injury? -
CORRECT ANSWER Abnormal levels of consciousness"
"In addition to oxygen what is required to maintain the metabolic processes of life and energy
production? - CORRECT ANSWER Glucose"
"You respond for a patient who is sustained a GSW to the right upper thorax he is barely responsive,
pale, and diaphoretic which of the following is most appropriate for transport? - CORRECT ANSWER
Scoop stretcher" "Units responding to a motor vehicle accident on the highway should consider which of the following as
part of their pre-arrival assessment? - CORRECT ANSWER Weather conditions"
"The most appropriate for airway maneuver for trauma patients as which of the following? - CORRECT
ANSWER Trauma jaw thrust"
"Endotracheal intubation is a technique that requires which of the following? - CORRECT ANSWER
Substantial training to maintain proficiency"
"Which of the following indicates that a trauma patient is having trouble breathing? - CORRECT
ANSWER The patient breathing is noticeable"
"The patient presents with a blunt trauma injury to the chest. On exam, he has absent breath sounds on the one side of his chest and respiratory distress which additional sign would indicate that the patient
has a tension pneumothorax? - CORRECT ANSWER Hemodynamic compromise"
"In addition to direct pressure, tourniquets and immobilizing fractures, which of the following is most
effective by controlling hemorrhage - CORRECT ANSWER Hemostatic agents"
"Which of the following is a preventable cause of secondary brain injury? - CORRECT ANSWER
Systemic hypoxia"
"Which of the following patients should be treated first in a blast-related multiple patients situation? -
CORRECT ANSWER A 30-year-old female with altered level of consciousness and decreased capillary
refill"
"When should the secondary survey be accomplished? - CORRECT ANSWER When the time and
situation allow"
"When approaching a trauma patient what is the first thing must be made? - CORRECT ANSWER Scene
safety"
"What is the most common type of shock resulting from trauma? - CORRECT ANSWER Hemorrhagic"
"Which of the following best guides the decision to provide spinal immobilization? - CORRECT
ANSWER History and complaint"
"A 38 male sustained a large wound to his right thigh while at work what are the following actions is the
most important initial step? - CORRECT ANSWER Hemorrhage control"
"A patient who sustained extensive blunt trauma to his trunk has absent lung sounds on the right,
marked respiratory distress, tachycardia and hypertension. What is the most appropriate intervention? -
CORRECT ANSWER Needle decompression"
"The prehospital assessment of the trauma patient begins of which of the following? - CORRECT
ANSWER Information provided by the dispatcher"
"EMS response for patient valve in a motor vehicle versus car collision. The patient is unresponsive with
vital signs of BP 82/palpitation, are our 24, pulse 128. What is the most likely type of shock? - CORRECT
ANSWER Hypovolemic"
"Which of the following best describes shock? - CORRECT ANSWER A state of inadequate energy
production/ low perfusion"
"Which of the following is the earliest signs of deterioration in a patient with a flail chest? - CORRECT
ANSWER respiratory rate increase"
"Which of the following is a golden principle of trauma care? - CORRECT ANSWER Provide adequate
pain relief"
"After falling from The high bar, a gymnast has loss of senstation from the nipples down what area of
the spine is most likely damage? - CORRECT ANSWER T4"
"Prehospital the writers respond to a male patient lying on the ground after being struck by a high-speed
motor vehicle. The patient is apneic and pulseless. What is the most appropriate action? - CORRECT
ANSWER Declare the patient dead....(This was the actual answer on the test...)"
"EMS response and adult barista who spilled a cup of hot coffee and sustained partial thickness burns to the abdomen and right leg. The patient ran cool water over the branch which of the following
interventions is most appropriate next up? - CORRECT ANSWER Cover burn area with dry sterile
dressing's" "Prehospital providers have treated a sucking chest wound with an occlusive dressing. During transport to the hospital, the patient developed increasing respiratory distress with increased respirations and
absent lung sounds are noted on repeat auscultation. What is the most appropriate next intervention? -
CORRECT ANSWER Remove the occlusive dressing"
"EMS arrived on scene and finds a emergency medical responder to immobilize a pediatric patient onto a long backboard. They know that the patient's head is in a flex position. Which of the following actions
is most appropriate? - CORRECT ANSWER Place padding under the patients torso"
"What is the most common cause of death from trauma patients over 75 years of age? - CORRECT
ANSWER Falls"
"EMS is treating an unrestrained driver of an automobile involved in a high-speed crash who struck his chest against the steering column. Prehospital providers no 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? - CORRECT ANSWER Provide supplemental oxygen and observe"
"Prehospital providers respond we 16-year-old male who punched a glass window and sustained a large laceration to his arm that is bleeding heavily. He is restless, diaphoretic and was a weak, 30 pulse. What
is the most appropriate action? - CORRECT ANSWER Apply direct pressure"
"In addition to using appropriately sized equipment, frequently reassessing the patient, employing age- appropriate Imobilization techniques, prehospital providers should do which of the following when
managing pediatric patients? - CORRECT ANSWER Preserve body heat"
"You're call 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? - CORRECT ANSWER
Concussion"
"Which of the following findings indicate the need for immobilization when using a selective spinal
immobilization protocol? - CORRECT ANSWER Pain or tenderness along the spine"
"While caring for a patient who was involved in an altercation, he vomits and his airways totally obstructed with vomitus and blood. What is the maximum amount of time that you can suction his
airway? - CORRECT ANSWER Until his airways clear"
"After falling from the third story at a construction site, a 27-year-old male is found in contrast with unequal pupils and a regular respirations. Which of the following is most appropriate rate of
ventilations? - CORRECT ANSWER 20 BPM"
