PHTLS Pre Test 2023
A 28 year old male fell from his motorcycle during a low-speed accident.
He removed his helmet after the accident. He has an open left femur
fracture with severe external bleeding from the wound. What should
you do? - ANS>Apply direct pressure to the wound
A 42 year old female has been pulled from a smoke-filled apartment.
Her mouth and nose are covered in soot. She has a weak, hoarse cry
with inspiratory stridor. What should you do? - ANS>Prepare for a
difficult intubation
A 28 year old female has suffered a head injury after falling from a
horse. Her Glasgow Coma Scale score is 6 (E1, V1, M4) and she has
snoring respirations at 8 per minute. What should you do first? -
ANS>Place an oropharyngeal airway
A 50 year old male fell from a 6th story balcony. Intubation attempts
have been unsuccessful. His Glasgow Coma Scale score is 6 (E1, V1,
M4). You note agonal respirations. What should you do first? -
ANS>Insert a supraglottic airway device
A 28 year old male was ejected during a car crash. He is unconscious
and has no obvious bleeding. His vital signs are BP 70/40, P120, R22.
What type of shock should you suspect? - ANS>Hemorrhagic
, What is a priority treatment for an internal hemorrhage due to a pelvic
fracture? - ANS>Binder application
A 3 year old female was involved in a car crash with 2 feet (61 cm) of
intrusion into the passenger compartment. She is crying and has an
obvious deformed right humerus. Her car seat has a crack on the side of
impact. What should you expect? - ANS>Significant energy has been
distributed to this patient
Which of the following presents the greatest risk of EMS provider
fatalities? - ANS>Motor vehicle collision in either an EMS unit or on-
scene
A 29 year old female has multisystem trauma. Which life threat is your
first priority? - ANS>Significant external hemorrhage
A 29 year old male falls 17 feet (5 m) to the ground from a tree. He
complains of pain on the right side of his chest when he breathes. You
note accessory muscle use, focal tenderness, bony crepitus, and absent
breath sounds on his right side. What should you suspect? -
ANS>Simple pneumothorax
A 22 year old male was involved in a car crash and hit a tree head-on.
The patient is on the ground outside the vehicle and is unconscious. His
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