phtls 9th edition self test questions and answers., Exams of Signals and Systems Theory

Download phtls 9th edition self test questions and answers. and more Exams Signals and Systems Theory in PDF only on Docsity! PHTLS 9th Ed. Self-test Study online at https://quizlet.com/_d5l4r1 1. 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 by- standers. The victim is conscious and in severe pain. You first action should be to do which of the follow- ing? Confirm the tourniquet was properly applied. 2. Which of the following information is assessed during the secondary survey? vitals 3. 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 accom- plish the preference in treating the patient include all except: a. Condition of the patient b. Equipment available c. Situation that exists d. Research information When caring for a trauma patient a prin- ciple 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 accomplish the preference in treating the patient include all except: a. Condition of the patient b. Equipment available c. Situation that exists *d. Research information* 4. Approximately 20% of all child abuse is the result of intentional burning. The majority of the chil- dren intentionally burned are of what age? a. 0 to 12 years of age b. 5 to 6 years of age c. 1 to 2 years of age d. Less than 1 year of age Approximately 20% of all child abuse is the result of intentional burning. The majority of the children intentionally burned are of what age? a. 0 to 12 years of age b. 5 to 6 years of age *c. 1 to 2 years of age* d. Less than 1 year of age 5. In addition to glucose, what is re- quired to maintain the metabolic In addition to glucose, what is required to maintain the metabolic processes of 1 / 15 PHTLS 9th Ed. Self-test Study online at https://quizlet.com/_d5l4r1 processes of life and energy pro- duction? a. Carbon monoxide b. Krebs cells c. Lymphocytes d. Oxygen life and energy production? a. Carbon monoxide b. Krebs cells c. Lymphocytes *d. Oxygen* 6. You respond to a patient who has sustained a stab wound to the left upper thorax. She is barely respon- sive, pale and diaphoretic. Which of the following is the most appro- priate for transport? a. Stair chair b. Long board with full spine immo- bilization c. Scoop stretcher d. Short immobilization device You respond to a patient who has sus- tained a stab wound to the left upper thorax. She is barely responsive, pale and diaphoretic. Which of the following is the most appropriate for transport? a. Stair chair b. Long board with full spine immobi- lization *c. Scoop stretcher* d. Short immobilization device 7. Units responding to a motor vehi- cle accident on the highway should consider which of the following as part of their pre-arrival assess- ment? a. Calling for more units to respond b. Weather conditions c. The need for immediate trans- port d. Post-exposure prophylaxis Units responding to a motor vehicle ac- cident on the highway should consider which of the following as part of their pre-arrival assessment? a. Calling for more units to respond *b. Weather conditions* c. The need for immediate transport d. Post-exposure prophylaxis 8. The most appropriate airway ma- neuver in the initial management of a trauma patient is which of the following? a. Head tilt, chin lift b. Supraglottic airway c. Trauma jaw thrust d. Oropharyngeal airway The most appropriate airway maneuver in the initial management of a trauma patient is which of the following? a. Head tilt, chin lift b. Supraglottic airway *c. Trauma jaw thrust* d. Oropharyngeal airway 9. 2 / 15 PHTLS 9th Ed. Self-test Study online at https://quizlet.com/_d5l4r1 b. A 28-year-old male with an arm amputation who has bleeding con- trolled with a tourniquet c. A 14-year-old pulseless female with grey matter visible from a head wound d. A 78-year-old male awake and unable to hear b. A 28-year-old male with an arm am- putation who has bleeding controlled with a tourniquet c. A 14-year-old pulseless female with grey matter visible from a head wound d. A 78-year-old male awake and un- able to hear 16. Excessive fluid resuscitation of the trauma patient can result in which of the following? a. Increased blood loss b. Decreased mortality c. Earlier discharge from the hospi- tal d. A higher incidence of sepsis in the ICU Excessive fluid resuscitation of the trauma patient can result in which of the following? *a. Increased blood loss* b. Decreased mortality c. Earlier discharge from the hospital d. A higher incidence of sepsis in the ICU 17. The secondary survey should be accomplished: a. Never on a critical patient b. Before transport c. When time and Situation allow d. Before moving the patient The secondary survey should be ac- complished: a. Never on a critical patient b. Before transport *c. When time and Situation allow* d. Before moving the patient 18. When approaching a trauma pa- tient, what is the first assessment that must be made? a. Circulation b. Scene safety c. Airway d. Breathing When approaching a trauma patient, what is the first assessment that must be made? a. Circulation *b. Scene safety* c. Airway d. Breathing 19. The most common type of shock resulting from trauma is? a. Neurogenic b. Septic c. Spinal d. Hemorrhagic The most common type of shock result- ing from trauma is? a. Neurogenic b. Septic c. Spinal *d. Hemorrhagic* 5 / 15 PHTLS 9th Ed. Self-test Study online at https://quizlet.com/_d5l4r1 20. 18. Which of the following best guides the decision to provide spinal immobilization? a. History and complaint b. Obvious signs of associated in- jury c. Avoid due to possible pressure sores d. Mechanism alone Which of the following best guides the decision to provide spinal immobiliza- tion? a. History and complaint b. Obvious signs of associated injury c. Avoid due to possible pressure sores *d. Mechanism alone* 21. A 38-year-old male sustains a large wound to his right thigh while at work. Which of the following ac- tions is the most important initial step? a. Obtain IV access and infuse crystalloid b. Administer supplemental oxy- gen c. Hemorrhage control d. Rapid transport 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? a. Obtain IV access and infuse crystal- loid b. Administer supplemental oxygen *c. Hemorrhage control* d. Rapid transport 22. 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 stim- uli, has bilateral fixed and dilat- ed pupils, irregular respirations at 12 breaths per minute and a BP of 210/100. What condition do you suspect? a. Subarachnoid hemorrhage b. Alcohol poisoning You respond to a local bar for an uncon- scious 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 bev- erage as well as the following: Patient flexes his arms to painful stimuli, has bi- lateral fixed and dilated pupils, irregular respirations at 12 breaths per minute and a BP of 210/100. What condition do you suspect? a. Subarachnoid hemorrhage b. Alcohol poisoning c. Epidural hematoma *d. Subdural hematoma* 6 / 15 PHTLS 9th Ed. Self-test Study online at https://quizlet.com/_d5l4r1 c. Epidural hematoma d. Subdural hematoma 23. The pre-hospital assessment of the trauma patient begins with which of the following? a. Assessment of scene safety and situation b. Information provided by the dis- patcher c. The initial assessment d. The primary survey The pre-hospital assessment of the trauma patient begins with which of the following? a. Assessment of scene safety and sit- uation *b. Information provided by the dis- patcher* c. The initial assessment d. The primary survey 24. EMS responds for a patient in- volved in a motorcycle vs. car col- lision. The patient is unresponsive with no movement of lower extrem- ities and loss of temperature con- trol below the T10. Which type of shock is the patient experiencing? a. Cardiogenic b. Hypovolemic c. Neurogenic d. Obstructive EMS responds for a patient involved in a motorcycle vs. car collision. The pa- tient is unresponsive with no movement of lower extremities and loss of temper- ature control below the T10. Which type of shock is the patient experiencing? a. Cardiogenic b. Hypovolemic *c. Neurogenic* d. Obstructive 25. Which of the following is the best indicator of shock? a. Depressed level of cognition b. Heart rate of 80 c. Respirations of 18 d. GCS of 15 Which of the following is the best indi- cator of shock? *a. Depressed level of cognition* b. Heart rate of 80 c. Respirations of 18 d. GCS of 15 26. Which best describes the goal of airway management in a trauma patient? a. Perform complex airway maneu- vers b. Perform a surgical Cricothyroto- my c. Provide for adequate exchange Which best describes the goal of airway management in a trauma patient? a. Perform complex airway maneuvers b. Perform a surgical Cricothyrotomy *c. Provide for adequate exchange of oxygen and C02* d. Perform RSI 7 / 15 PHTLS 9th Ed. Self-test Study online at https://quizlet.com/_d5l4r1 a. Loss of sympathetic tone caus- ing vasodilation b. Increased capillary permeability c. Increased sympathetic tone causing vasoconstriction d. Increased Intrathoracic pressure *a. Loss of sympathetic tone causing vasodilation* b. Increased capillary permeability c. Increased sympathetic tone causing vasoconstriction d. Increased Intrathoracic pressure 35. Which of the following patients will compensate for blood loss the longest? a. 24-year-old male b. 82-year-old female c. 45-year-old female d. 6-year-old male Which of the following patients will compensate for blood loss the longest? a. 24-year-old male b. 82-year-old female c. 45-year-old female *d. 6-year-old male* 36. 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 obvious facial injuries. Pupils reveal the R pupil is 4mm and the L pupil is 7mm and non-reactive. What is the most appropriate first step? a. Jaw-thrust maneuver b. Pharmacologically assisted in- tubation c. Perform nasotracheal intubation d. Perform a surgical Cricothyroto- my 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 obvious facial injuries. Pupils reveal the R pupil is 4mm and the L pupil is 7mm and non-reactive. What is the most appropriate first step? *a. Jaw-thrust maneuver* b. Pharmacologically assisted intuba- tion c. Perform nasotracheal intubation d. Perform a surgical Cricothyrotomy 37. In a multi-system trauma pa- tient, what is considered the best method for confirming prop- er placement of an endotracheal tube? a. Auscultation of the left upper ab- dominal quadrant b. Waveform capnography In a multi-system trauma patient, what is considered the best method for con- firming proper placement of an endo- tracheal tube? a. Auscultation of the left upper abdom- inal quadrant *b. Waveform capnography* 10 / 15 PHTLS 9th Ed. Self-test Study online at https://quizlet.com/_d5l4r1 c. Presence of bilateral breath sounds d. Pulse oximetry c. Presence of bilateral breath sounds d. Pulse oximetry 38. What is the most likely source of bleeding in a patient with signs of shock and no obvious injury? a. Femur fracture b. Intra-abdominal injury c. Severe traumatic brain injury d. Pelvic fracture What is the most likely source of bleed- ing in a patient with signs of shock and no obvious injury? a. Femur fracture *b. Intra-abdominal injury* c. Severe traumatic brain injury d. Pelvic fracture 39. Hypoperfusion will affect which of the following organs first? a. Kidney b. Gl tract c. Brain d. Liver Hypoperfusion will affect which of the following organs first? a. Kidney b. Gl tract *c. Brain* d. Liver 40. A 23-year-old male construction worker fell approximately 30 feet from a roof. The patient is unre- sponsive to all stimuli; his R pupil is 7mm and non-reactive and his l pupil is 3mm. He has irregular res- pirations at 8 breaths per min. You do not have waveform capnogra- phy, so what is the most appropri- ate rate of ventilations? a. 30 BPM b. 25 BPM c. 20 BPM d. 12 BPM A 23-year-old male construction worker fell approximately 30 feet from a roof. The patient is unresponsive to all stim- uli; his R pupil is 7mm and non-reactive and his l pupil is 3mm. He has irregular respirations at 8 breaths per min. You do not have waveform capnography, so what is the most appropriate rate of ventilations? a. 30 BPM b. 25 BPM *c. 20 BPM* d. 12 BPM 41. A 30-year-old male is thrown from his horse, landing on the top rail of a pipe fence and now has a loss of sensation from the nipples down. What level of the spine do you sus- pect he injured? A 30-year-old male is thrown from his horse, landing on the top rail of a pipe fence and now has a loss of sensation from the nipples down. What level of the spine do you suspect he injured? a. C3 11 / 15 PHTLS 9th Ed. Self-test Study online at https://quizlet.com/_d5l4r1 a. C3 b. T4 c. T10 d. T12 *b. T4* c. T10 d. T12 42. In a patient with a suspected trau- matic brain injury, what is the most concerning physical finding? a. BP 140/90 b. Heart rate of 58 c. Respiratory rate of 30 d. Altered level of consciousness In a patient with a suspected traumatic brain injury, what is the most concern- ing physical finding? a. BP 140/90 b. Heart rate of 58 c. Respiratory rate of 30 *d. Altered level of consciousness* 43. You have a patient who is 35 weeks pregnant who was assaulted by her boyfriend. Patient is having se- vere abdominal pain described as "tearing" and on exam you note her abdomen is asymmetrical and be- lieve you can feel the fetus through the abdominal wall. What condition do you suspect? a. Placenta previa b. Abruptio placenta c. Ruptured uterus d. Abdominal aortic aneurysm You have a patient who is 35 weeks pregnant who was assaulted by her boyfriend. Patient is having severe ab- dominal 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? a. Placenta previa b. Abruptio placenta *c. Ruptured uterus* d. Abdominal aortic aneurysm 44. EMS responds to an adult barista who spilled a cup of hot coffee and sustained partial-thickness burns to the abdomen and right leg. Ini- tial treatment of this injury would include: a. Apply antibiotic ointment b. Run copious amounts of room temperature water over the burn c. Cover burned area with dry ster- ile dressings EMS responds to an adult barista who spilled a cup of hot coffee and sus- tained partial-thickness burns to the abdomen and right leg. Initial treatment of this injury would include: a. Apply antibiotic ointment *b. Run copious amounts of room tem- perature water over the burn* c. Cover burned area with dry sterile dressings d. Cover burned area with moist sterile dressings 12 / 15