PHTLS 10th Edition with Complete Solutions Graded A+
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Course
PHTLS
Institution
PHTLS
PHTLS 10th Edition with Complete Solutions Graded A+
1. Significant external hemorrhage: A 27 year old female has multi system trauma.
Which life threat is your first priority?
2. Basilar: Which type of skull fracture will cause leakage of cerebrospinal fluid from
the ears and nose?
3. Move pa...
PHTLS 10th Edition with Complete Solutions Graded A+
1. Significant external hemorrhage: A 27 year old female has multi system trauma.
Which life threat is your first priority?
2. Basilar: Which type of skull fracture will cause leakage of cerebrospinal fluid from
the ears and nose?
3. Move patient to a warm environment: A 78 year old female was involved in a
minor car crash. She is shivering and exhibits repetitive questioning. She is a type
II diabetic and takes a daily anticoagulant. What should your initial treatment be?
4. Epidural: A 14 year old male suffered from helmet-to-helmet contact during a
football game followed by a 30 second period of unconsciousness. Initial exam
shows that he is awake but slow to respond. He is nauseated and has a headache.
He becomes unresponsive during transport. Examination of the pupils reveals a left
pupil that is dilated and not reactive. What type of hemorrhage should you suspect?
5. Subdural hematoma: An 80 year old female fell down a flight of stairs 3 days
ago. Today the family reports she has a headache and is "going in and out of
consciousness." Vital signs are BP 170/72, R 26 and irregular, HR 62, BGL 150
mg/dL (8.3 mol/L). What should you suspect?
6. To manage the airway: An adult patient was involved in a motorcycle accident.
Why should you remove his or her helmet?
7. Apply direct pressure to the wound: A 28 year old male fell from his motorcycle
during a low speed accident. He removed his own helmet after the accident. He
has an open left femur fracture with severe external bleeding from the wound. What
should you do?
8. Restore blood flow: An adult patient has an open angulated injury to the left
lower leg. Distal pulses are absent. Why would you attempt to realign the extremity?
9. Administer 100 mcg of Fentanyl: A 20 year old male was hit in the chest with
a baseball bat. He4 complains of severe pain and tenderness to the left side. He is
unable to take a deep breath. Vital signs are BP 112/76, P 98, R 20 regular, and
ETCO2 38mmHg. What should you do?
10. Obstruction of the airway: A 13 year old male was riding on an all-terrain
vehicle when he drove into a wire fence. He's sitting on the ground with a towel over
his lower face. He has an open jaw fracture. What is your primary concern?
11. 28%: An adult patient has partial thickness burns to his or. her anterior chest and
abdomen, the entire right arm, and the palm of the left hand. What percent of the
total body surface area is affected?
12. Insert an oropharyngeal airway and assist ventilations: An 8 year old female
is being treated in the red treatment area after a housing complex fire. Vital signs
are P 140, R 12 with noted stridor. Her eyebrows and hair are burnt. Suddenly, she
becomes apenic. What should you do?
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