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PHTLS post test 50 Questions and ANSWERS 2023 2024
Typology: Exams
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when approaching a trauma patient, what is the first assessment that must be made? - scene safety 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? - place padding under the patient's torso the pre-hospital assessment of the trauma patient begins with which of the following?
________ is the earliest sign of deterioration in a patient with a flail chest - respiratory rate increase of the following, which is a preventable cause of secondary brain injury addressable during the transport phase - systemic hypoxia in a patient with a suspected traumatic brain injury, what is the most concerning physical finding? - altered level of consciousness a 23 year old male construction worker fell approximately 30 feet from a roof. the patient is unresponsive to all stimuli; his R pupil is 7mm and non-reactive and his L pupil is 3mm. he has irregular respirations at 8 breaths per minute. You do not have waveform capnography, so what is the most appropriate rate of ventilations - 20 BPM while caring for a patient who was involved in an altercation, the patient vomits, causing his airway to become totally obsturcted with vomitus and blood. what is the most important action? - suctioning the airway when caring for a trauma patient, a principle is what is necessary for patient improvement or survival. a preference is how the principle is achieved and depends upon four factors. the factors used to establish the preference in treating the patient include all except - research information which of the following is the best indicator of shock in a trauma patient? - depressed level of cognition approximately 20% of all child abuse is the result of intentional burning. the majority of the children intentionally burned are of what age? - 1 to 2 years of age when managing a pediatric patient, pre hospital providers should do all of the following EXCEPT - use half the adult dose or medication administration You respond to a reported assault at a local bar. On arrival, you find a 46-year-old male on the bathroom floor with snoring respirations at 4 times per minute and
an associated femoral shaft fracture with severe pain EMS responds for a patient involved in a motorcycle vs. car collision. The patient is unresponsive with no movement of lower extremities and loss of temperature control below the T10. Which type of shock is the patient experiencing? - neurogenic in addition to glucose, what is required to maintain the metabolic processess of life and energy production? - oxygen In a multi-system trauma patient, what is considered the best method for confirming proper placement of an endotracheal tube? - waveform capnography the most appropriate airway maneuver in the initial management of a trauma patient is which of the following? - trauma jaw thrust patient with suspected traumatic brain injuries (TBI) are susceptible to secondary injuries which are typically preventable. in addition to hypoxia and hypotension which of the following can also decrease cerebral perfusion? - inadvertent or excess hyperventilation which of the following patients will compensate for blood loss the longest? - 6-year old male 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: - cover burned area with dry sterile dressings 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? - concussion falls are the most common cause of death in trauma patients over ________ years of age -
the secondary survery should be accomplished - when time and situation allow hypoperfusion will affect which of the following organs first? - brain hemostatic agents should be used for excessive bleeding when direct pressure alone does not work. the proper way to use most hemostatic agents is which of the following? - placing the agent properly into the wound and holding direct pressure what is the most likely source of bleeding in a patient with signs of shock and no obvious injury - intra-abdominal injury Units responding to a motor vehicle accident on the highway should consider which of the following as part of their pre-arrival assessment? - weather conditions when verifying ET tube placement on a perfusing patinet, the "gold standard" of monitoring is considered to be? - waveform capnography Hypotension due to a spinal cord injury is a result of what physiologic mechanism? - loss of sympathetic tone causing vasodilation excessive fluid resuscitation of the trauma patient can result in which of the following? - worsening coagulopathy 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? - hemorrhage control hyperventilation of a patient with suspected traumatic brain injury should occur when? - when signs of impending brain herniation are present