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PHTLS Pre Course Test

The document consists of a pre-course test for PHTLS, containing multiple-choice questions related to trauma assessment and management. Topics covered include types of motorcycle crashes, airway management, shock differentiation, and initial trauma care interventions. The test aims to evaluate knowledge on critical emergency response protocols and patient assessment in trauma situations.

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xarlie.edwards
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67 views

PHTLS Pre Course Test

The document consists of a pre-course test for PHTLS, containing multiple-choice questions related to trauma assessment and management. Topics covered include types of motorcycle crashes, airway management, shock differentiation, and initial trauma care interventions. The test aims to evaluate knowledge on critical emergency response protocols and patient assessment in trauma situations.

Uploaded by

xarlie.edwards
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PHTLS Pre Course Test

1.​ Bilateral femur fractures are most often associated with which type of motorcycle crash?​
Select one:​
A. Bike-road impact​
B. Angular impact​
C. Head-on impact​
D. Rear impact​

2.​ The body initially compensates for blood loss through activation of which of the following?​
Select one:​
A. Spinal reflex arcs​
B. Parasympathetic nervous system​
C. Sympathetic nervous system​
D. Reticular activating system​

3.​ Essential airway skills include manual clearing of the airway, manual maneuvers, suctioning and which
of the following?​
Select one:​
A. Oropharyngeal airway​
B. Dual lumen airway​
C. Endotracheal intubation​
D. Laryngeal mask airway​

4.​ Your patient is a middle aged male who crashed his motorcycle. He is unresponsive. After opening the
airway using a modified jaw thrust, you note the patient has respirations at a rate of 6. Auscultation reveals
breath sounds are absent on the left side. Which of the following is the most appropriate next intervention?​
Select one:​
A. Begin ventilation with a BVM​
B. Perform a needle decompression​
C. Apply a non-rebreather mask​
D. Insert an endotracheal tube​

5.​ Which is the most important reason to maintain an open airway in the trauma patient?​
Select one:​
A. Prevents the tongue from blocking the pharynx​
B. Prevents aspiration and pneumonia​
C. Prevents snoring respirations​
D. Prevents hypoxemia and hypercarbia​

6.​ Which best describes shock?​


Select one:​
A. Decreased Glasgow Coma Scale (GCS)​
B. Generalized inadequate tissue perfusion​
C. Low blood pressure combined with tachycardia​
D. Flushed, dry, hot skin combined with bradycardia​

7.​ Which assessment is most beneficial in differentiating hemorrhagic shock from neurogenic shock in the
prehospital setting?​
Select one:​
A. Abdomen​
B. Neurologic status​
C. Blood pressure​
D. Skin​
8.​ An 18-year-old female was struck by a car and has sustained an apparent left femur fracture.
Communication with her is hampered because she only speaks a foreign language. Which finding, by itself, does
not mandate immobilization of the cervical spine?​
Select one:​
A. Mechanism of injury​
B. Fracture of the femur​
C. Tenderness over the cervical spine​
D. Inability to communicate​

9.​ Your patient has a deep laceration to his antecubital fossa with significant bleeding. What is the most
appropriate initial action?​
Select one:-​
A. Restore blood volume​
B. Apply a tourniquet​
C. Apply direct pressure​
D. Initiate rapid transport​

10.​ The potential for death or serious injury is greatest in which of the following motor vehicle collisions?​
Select one:​
A. Down and under​
B. Up and over​
C. Ejection from vehicle​
D. Lateral compression​

11.​ Your patient is a 20 year old male who struck his head on a teammate’s knee while diving to catch a
football. He was not wearing a helmet. He demonstrates decerebrate posturing and has a GCS score of 4. His
heart rate is 58, blood pressure 180/102 and his left pupil is dilated. What is the best ventilation rate to use when
managing this patient?​
Select one:​
A. 35 breaths per minute​
B. 30 breaths per minute​
C. 20 breaths per minute​
D. 10 breaths per minute

12. During the primary survey of a trauma patient, you note that the patient is agitated and confused, and has
multiple injuries from an altercation. Which of the following choices is the most appropriate first treatment
priority?​
Select one:​
A. Full immobilization to a backboard​
B. Correction of possible hypoxia​
C. Blood glucose determination​
D. Obtain intravenous access

13. Hypotension of unknown etiology in a trauma patient should be assumed to result from which of the
following?​
Select one:​
A. Tension pneumothorax​
B. Blood loss​
C. Cardiac tamponade​
D. Spinal injury
14. Which of the following is the preferred prehospital wound management for a patient with a 36% body surface
area flame burn?​
Select one:​
A. Dry sterile dressings​
B. Cool moist dressings​
C. Elastic bandage​
D. Topical ointments

15. The most immediate life threatening condition resulting from injury to solid abdominal organs is which of
the following?​
Select one:​
A. Peritonitis​
B. Acute respiratory failure​
C. Multiple organ failure​
D. Hemorrhage

16. You arrive at the scene of a motor vehicle collision in which a vehicle struck a tree. Which is the best
indicator of potential injury?​
Select one:​
A. Circumference of the vehicle​
B. Diameter of the tree​
C. Speed of the vehicle​
D. Mass of the vehicle

17. Which best explains the mechanism by which gas exchange is impaired in pulmonary contusion?​
Select one:​
A. Partial occlusion of the bronchi​
B. Blood in the alveoli​
C. Collapse of the alveoli​
D. Compression of the lung tissue

18. Which is the most common cause of upper airway obstruction in the trauma patient?​
Select one:​
A. Blood​
B. Vomitus​
C. Teeth​
D. Tongue

19. An adult male sustained a deep laceration to his distal thigh. Bright red blood is spurting from the wound.
Direct pressure is not controlling the bleeding. What is the most appropriate next step?​
Select one:​
A. Maintain direct pressure and transport immediately​
B. Elevate the leg and apply pressure to the femoral artery​
C. Apply a tourniquet and tighten it until bleeding stops​
D. Apply a topical hemostatic agent and transport
20. The target blood pressure for a trauma patient with suspected intraabdominal hemorrhage is which of the
following?​
Select one:​
A) 60 - 70mm Hg​
B) 80 - 90 mm Hg​
C) 100 - 110 mm Hg​
D) 120 - 130 mm Hg

21. Which is the preferred adjunct device for verifying placement of an endotracheal tube in a patient with a
perfusing rhythm?​
Select one:​
A. Esophageal detector device​
B. Pulse oximeter​
C. End-tidal CO2 monitoring (capnography)​
D. Stethoscope

22. Which is the preferred fluid for resuscitation of hemorrhagic shock in the prehospital setting?​
Select one:​
A. Lactated Ringer's​
B. Hetastarch​
C. 7.5% hypertonic saline​
D. 5% dextrose in water

23. A 20 year old female was ejected from her vehicle during a high speed roll-over motor vehicle collision. She
has significant bleeding from a large laceration. Your initial assessment reveals a GCS score of 7, systolic blood
pressure of 70 mm Hg and pupils that are equal but respond sluggishly to light, After establishing two large bore
IV lines, you should titrate the infusion rate to achieve a target blood pressure of at least​
Select one:​
A. 60 mm Hg​
B. 90 mm Hg​
C. 80 mm Hg​
D. 70 mm Hg

24. Which of the following is a key finding that differentiates cardiac tamponade from tension pneumothorax?​
Select one:​
A. Distended jugular veins​
B. Equal breath sounds​
C. Tachycardia​
D. Hypotension

25. Medication used by trauma patients for pre-existing conditions may cause which of the following?​
Select one:​
A. Beta blockers may prevent tachycardia with blood loss​
B. Herbal preparations may enhance blood clotting​
C. Anti-inflammatory agents may enhance blood clotting​
D. Calcium channel blockers may slow the onset of shock

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