PHTLS Rehearsal Exam Toolkit Questions and Verified Marking Scheme 2024/2025
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Course
PHTLS
Institution
PHTLS
PHTLS Rehearsal Exam Toolkit Questions and Verified Marking Scheme 2024/2025
What is the first intervention you should take? - correct answer Apply an occlusive dressing
Unfortunately, you don't have a vented chest seal in your kit. Which of the following should you use instead? - correct ans...
PHTLS Rehearsal Exam Toolkit
Questions and Verified Marking
Scheme 2024/2025
What is the first intervention you should take? - correct answer
Apply an occlusive dressing
Unfortunately, you don't have a vented chest seal in your kit.
Which of the following should you use instead? - correct answer
Grab a piece of foil off a shelf, fold it into a square, and tape it on
three sides.
The patients breathing is starting to get worse. What should yo
do? - correct answer Remove the dressing for a few seconds,
and assist ventilations with a bag-mask device.
Things aren't going well. The patient's breathing is not
improving. In fact, breath sounds continue to diminish on the
side of the injury. What is most likely happening? - correct
answer Air is trapped in the pleural space, increasing
intrathoracic pressure. This indicates a tension pneumothorax.
The patient has become hypoxic and is not responding to your
attempts at oxygenation. His systolic pressure has dropped to 85
mm Hg. What's your next step? - correct answer Intubation.
Your patient is a 40 year old male who has been stabbed multiple
times in the left chest. He ran away from his attacker before he
collapsed on the sidewalk. He is pale and confused and
,complains of difficulty breathing. A wound above the left clavicle
is bleeding profusely. Your first move is to: - correct answer
begin direct compression of the bleeding site
Your partner is compressing the bleeding site. The bleeding
seems to be controlled, yet the patient becomes combative. He
complains that he can't breathe and that he is about to die. Your
next move is to: - correct answer decompress the left chest
You have decompressed the chest, and the patient's respiration
improves markedly, but he remains confused. He has an absent
radial pulse, and his carotid pulse is fast and thready. Your
partner asks if he can let the compression go to put in an IV. How
should you respond? - correct answer No, keep the pressure
and lets get out of here!
While en route to the hospital, you manage to put an 18-gauge IV
in the right arm. Your patient is still confused, and you still have
no radial pulse. Your next move is to: - correct answer Give fluid
until you get a radial pulse.
After 400 ml of lactated Ringer solution, you get a radial pulse
and his level of consciousness improves. The monitor shows:
heart rate 110 beats/min, blood pressure 85/60 mm Hg, Spo2
95%, ventilation rate 25 breaths/min. What should you do? -
correct answer Stop fluids and 1 G of TXA
You now perform a secondary survey and SAMPLE. You notice
two additional stab wounds medial to the left nipple and a
sternotomy scar. Your patient tells you he is on clopidogrel PO
since he had a coronary artery bypass graft 2 years ago. Is this
, information useful? - correct answer Yes, he will need platelets
and a heart surgeon ASAP
Oh, by the way, did you immobilize your patient? - correct
answer No, its a waste of time in a patient with stab wounds
After assessing for life-threatening injuries, what should you do
next? - correct answer Obtain vital signs
What does the GCS score indicate? - correct answer Moderate
TBI
Upon examination, you find the patient responsive to your
presence, although she is clearly confused. Motor response
shows reduced pain response but normal flexion. What's her GCS
score? - correct answer 12
At what point should you do a neurologic evaluation on the
patient? - correct answer As the finial step of the secondary
survey
You are responding to a call for a 25 year old fit and healthy
female who fell off of a mountain bike. Upon arrival, you find the
patient walking around. She is alert but complaining of pain in
her clavicle and on her right side when she inhales. You notice
that her helmet is split in two. What's the first thing you need to
do? - correct answer Perform manual in-line stabilization
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