PHTLS 9th Edition Self-test Questions and Answers, Exams of Legal and Social Theory

Download PHTLS 9th Edition Self-test Questions and Answers and more Exams Legal and Social Theory in PDF only on Docsity! PHTLS 9th Edition Self-test Questions and Answers 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. You first action should be to do which of the following? - correct answers Confirm the tourniquet was properly applied. Which of the following information is assessed during the secondary survey? - correct answers vitals 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 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 - correct answers 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 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* 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 PHTLS 9th Edition Self-test Questions and Answers d. Less than 1 year of age - correct answers 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 In addition to glucose, what is required to maintain the metabolic processes of life and energy production? a. Carbon monoxide b. Krebs cells c. Lymphocytes d. Oxygen - correct answers In addition to glucose, what is required to maintain the metabolic processes of life and energy production? a. Carbon monoxide b. Krebs cells c. Lymphocytes *d. Oxygen* You respond to a patient who has sustained 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 immobilization c. Scoop stretcher d. Short immobilization device - correct answers You respond to a patient who has sustained 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 immobilization PHTLS 9th Edition Self-test Questions and Answers d. Hemostatic agents should never be used unless you have a fall in blood pressure - correct answers 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? a. Placing the agent around the edges of the wound *b. Placing the agent properly into the wound and holding direct pressure* c. Only using it after a tourniquet has been applied for 10 minutes d. Hemostatic agents should never be used unless you have a fall in blood pressure Of the following, which is a preventable cause of secondary brain injury? a. Cerebral edema b. Systemic hypoxia c. Intracranial hematomas d. Herniation syndromes - correct answers Of the following, which is a preventable cause of secondary brain injury? a. Cerebral edema *b. Systemic hypoxia* c. Intracranial hematomas d. Herniation syndromes 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? a. Brain herniation b. Intracranial hemorrhage c. Diffuse axonal injury d. Concussion - correct answers 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? PHTLS 9th Edition Self-test Questions and Answers a. Brain herniation b. Intracranial hemorrhage c. Diffuse axonal injury *d. Concussion* When using a selective spinal immobilization protocol, which of the following findings indicate the need for immobilization? a. Past history of spinal injury b. Being an unrestrained passenger in a motor vehicle crash c. Being ambulatory at the scene d. An associated femoral shaft fracture with severe pain - correct answers When using a selective spinal immobilization protocol, which of the following findings indicate the need for immobilization? a. Past history of spinal injury b. Being an unrestrained passenger in a motor vehicle crash c. Being ambulatory at the scene *d. An associated femoral shaft fracture with severe pain* In a blast-related multiple patient situation, which of the following patients should be treated first? a. A 33-year-old female with altered level of consciousness and decreased capillary refill b. A 28-year-old male with an arm amputation 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 unable to hear - correct answers In a blast-related multiple patient situation, which of the following patients should be treated first? *a. A 33-year-old female with altered level of consciousness and decreased capillary refill* b. A 28-year-old male with an arm amputation 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 unable to hear PHTLS 9th Edition Self-test Questions and Answers 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 - correct answers 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 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 - correct answers 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 When approaching a trauma patient, what is the first assessment that must be made? a. Circulation b. Scene safety c. Airway d. Breathing - correct answers When approaching a trauma patient, what is the first assessment that must be made? a. Circulation PHTLS 9th Edition Self-test Questions and Answers d. The primary survey - correct answers 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 dispatcher* c. The initial assessment d. The primary survey 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? a. Cardiogenic b. Hypovolemic c. Neurogenic d. Obstructive - correct answers 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? a. Cardiogenic b. Hypovolemic *c. Neurogenic* d. Obstructive 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 - correct answers Which of the following is the best indicator of shock? *a. Depressed level of cognition* b. Heart rate of 80 c. Respirations of 18 PHTLS 9th Edition Self-test Questions and Answers d. GCS of 15 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 - correct answers 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 What is the most common cause of airway obstruction in the unresponsive trauma patient? a. Blood b. Teeth c. Tongue d. Vomitus - correct answers What is the most common cause of airway obstruction in the unresponsive trauma patient? a. Blood b. Teeth *c. Tongue* d. Vomitus While caring for a patient who was involved in an altercation, he vomits and his airway is totally obstructed with vomitus and blood. What is the most important action? a. Performing an RSI b. Performing a head-tilt chin lift PHTLS 9th Edition Self-test Questions and Answers c. Intubating d. Suctioning the airway - correct answers While caring for a patient who was involved in an altercation, he vomits and his airway is totally obstructed with vomitus and blood. What is the most important action? a. Performing an RSI b. Performing a head-tilt chin lift c. Intubating *d. Suctioning the airway* When energy produced by the cells occurs during a state of adequate oxygenation, it is referred to as which of the following conditions? a. Aerobic metabolism b. Anaerobic metabolism c. Lactic acidosis d. Lactic alkalosis - correct answers When energy produced by the cells occurs during a state of adequate oxygenation, it is referred to as which of the following conditions? *a. Aerobic metabolism* b. Anaerobic metabolism c. Lactic acidosis d. Lactic alkalosis Which of the following signs of shock is found during the secondary survey? a. Absent radial pulse b. Decreased LOC c. Increased respiratory rate d. Low blood pressure measurement - correct answers Which of the following signs of shock is found during the secondary survey? a. Absent radial pulse b. Decreased LOC PHTLS 9th Edition Self-test Questions and Answers d. 6-year-old male - correct answers 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* 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 intubation c. Perform nasotracheal intubation d. Perform a surgical Cricothyrotomy - correct answers 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 intubation c. Perform nasotracheal intubation d. Perform a surgical Cricothyrotomy In a multi-system trauma patient, what is considered the best method for confirming proper placement of an endotracheal tube? a. Auscultation of the left upper abdominal quadrant b. Waveform capnography c. Presence of bilateral breath sounds d. Pulse oximetry - correct answers In a multi-system trauma patient, what is considered the best method for confirming proper placement of an endotracheal tube? a. Auscultation of the left upper abdominal quadrant PHTLS 9th Edition Self-test Questions and Answers *b. Waveform capnography* c. Presence of bilateral breath sounds d. Pulse oximetry 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 - correct answers 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 Hypoperfusion will affect which of the following organs first? a. Kidney b. Gl tract c. Brain d. Liver - correct answers Hypoperfusion will affect which of the following organs first? a. Kidney b. Gl tract *c. Brain* d. Liver 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 min. You do not have waveform capnography, so what is the most appropriate rate of ventilations? PHTLS 9th Edition Self-test Questions and Answers a. 30 BPM b. 25 BPM c. 20 BPM d. 12 BPM - correct answers 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 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 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 b. T4 c. T10 d. T12 - correct answers 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 *b. T4* c. T10 d. T12 In a patient with a suspected traumatic brain injury, what is the most concerning physical finding? a. BP 140/90 b. Heart rate of 58 c. Respiratory rate of 30 PHTLS 9th Edition Self-test Questions and Answers b. Logroll patient into a left lateral recumbent position c. Place padding under the patient's head and neck *d. Place padding under the patient's torso* Falls are the most common cause of death in trauma patients over ____ years of age. a. 65 b. 75 c. 55 d. 69 - correct answers Falls are the most common cause of death in trauma patients over ____ years of age. a. 65 *b. 75* c. 55 d. 69 What is the earliest sign of deterioration in a patient with a flail chest? a. Respiratory rate increase b. Oxygen saturation decrease c. Pulse rate increase d. Blood pressure decrease - correct answers What is the earliest sign of deterioration in a patient with a flail chest? *a. Respiratory rate increase* b. Oxygen saturation decrease c. Pulse rate increase d. Blood pressure decrease EMS 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? PHTLS 9th Edition Self-test Questions and Answers a. Endotracheal intubation b. Provide supplemental oxygen and transport to a trauma center c. Place bulky dressing over the wound and tightly wrap the chest d. Stabilize the segment with sandbags on the chest - correct answers EMS 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? a. Endotracheal intubation *b. Provide supplemental oxygen and transport to a trauma center* c. Place bulky dressing over the wound and tightly wrap the chest d. Stabilize the segment with sandbags on the chest Prehospital providers respond to a 17-year-old male who fell through a sliding glass door and sustained a large laceration to his arm that is bleeding heavily. He is restless and diaphoretic, with a weak, thready pulse. What is the most appropriate first action? a. Apply a tourniquet b. Pack the wound with a hemostatic dressing c. Initiate intravenous access d. Apply direct pressure - correct answers Prehospital providers respond to a 17-year-old male who fell through a sliding glass door and sustained a large laceration to his arm that is bleeding heavily. He is restless and diaphoretic, with a weak, thready pulse. What is the most appropriate first action? a. Apply a tourniquet b. Pack the wound with a hemostatic dressing c. Initiate intravenous access *d. Apply direct pressure* When managing a pediatric patient, pre-hospital providers should do all of the following EXCEPT: a. Use appropriately sized equipment b. Frequently reassess the patient c. Preserve body heat PHTLS 9th Edition Self-test Questions and Answers d. Exclude the parents from immediate care - correct answers When managing a pediatric patient, pre-hospital providers should do all of the following EXCEPT: a. Use appropriately sized equipment b. Frequently reassess the patient c. Preserve body heat *d. Exclude the parents from immediate care* Which of the following is a Golden Principle of trauma care? a. Ensure adequate airway and ventilation b. Complete a thorough head-to-toe survey before initiating treatment c. Rescuer safety is secondary to caring for the patient d. Use chilled intravenous fluids to promote hypothermia - correct answers Which of the following is a Golden Principle of trauma care? *a. Ensure adequate airway and ventilation* b. Complete a thorough head-to-toe survey before initiating treatment c. Rescuer safety is secondary to caring for the patient d. Use chilled intravenous fluids to promote hypothermia PHTLS 9th Edition Self-test Questions and Answers