PHTLS

Question 1

NOT one of the 4 factors in treating patient

Answer 1

Research information

Question 2

Age of patient intentionally burned

Answer 2

1-2 y/o

Question 3

Glucose and __________ are required to maintain life

Answer 3

Oxygen

Question 4

How would you move an unresponsive stab patient

Answer 4

Scoop Stretcher

Question 5

What is something you should consider enroute to a call

Answer 5

Weather conditions

Question 6

What is the initial way to fix airway in trauma

Answer 6

Trauma Jaw Thrust

Question 7

Best way “Gold Standard” to confirm ETT placement

Answer 7

Waveform Capnography

Question 8

A sign of tension pneumothorax

Answer 8

Distended Neck Veins

Question 9

Where do you place hemostatic agents?

Answer 9

Place into wound, hold direct pressure

Question 10

What is a preventable secondary brain injury

Answer 10

Systematic Hypoxia

Question 11

A patient knocked unconscious and then has N/V what happened

Answer 11

Concussion

Question 12

What indicates the need for spinal immobilization?

Answer 12

An associated femoral shaft fracture with severe pain

Question 13

With a blast which patient should be treated first

Answer 13

33 y/o F with AMS and decreased cap refill

Question 14

Excessive fluid recessitation can cause what?

Answer 14

Worsening coagulopathy

Question 15

When is the secondary survey done?

Answer 15

When time and the situation allows

Question 16

When first approaching a trauma patient what is done first

Answer 16

Scene Safety

Question 17

What is the most common shock

Answer 17

Hemorrhagic

Question 18

What is the best guide for spinal immobilization

Answer 18

History and complaint

Question 19

With a large wound what is the best action

Answer 19

Hemorrhage control

Question 20

Found Uncon, arms flexed, irreg resp at 12, bp 210/100 (possible fall) what do you suspect?

Answer 20

Subdural Hematoma

Question 21

You start thinking about the Trauma call and transport when

Answer 21

The information is given by the dispatcher

Question 22

patient has loss of sensation below T10, what is wrong

Answer 22

Neurogenic Shock

Question 23

Best indicator of Shock

Answer 23

Depressed level of Cognition

Question 24

What is the goal of airway management

Answer 24

Provide good exchange of O2 and CO2

Question 25

Most common cause of airway obstruction in trauma

Answer 25

Tongue

Question 26

a trauma patient has blood and vomit in airway what should you do

Answer 26

Suction the airway

Question 27

When energy produced by the cells occurs during a state of adequate oxygenation. it is called

Answer 27

Aerobic Metabolism

Question 28

What is assessed during the secondary assessment

Answer 28

vital signs

Question 29

When do you hyperventilate

Answer 29

Signs of impending brain herniation

Question 30

Patients with TBI - traumatic brain injury, what should you avoid

Answer 30

Excessive hyperventilation

Question 31

hypotension from spinal cord injury can cause

Answer 31

loss of sympathetic tone, vasodilation

Question 32

Which patient compensate for blood loss longest

Answer 32

6 year old (ped)

Question 33

Best way to attempt to control airway in trauma first

Answer 33

Jaw thrust manuver

Question 34

Best way to confirm ETT tube

Answer 34

Waveform capnography

Question 35

Where could patient in shock be bleeding with no signs

Answer 35

Intra-abdominal Injury

Question 36

Hypoperfusion affects where first

Answer 36

Brain

Question 37

what is the most appropriate rate of ventilation for traumatic fall

Answer 37

20bpm

Question 38

Loss of sensation from nipples down, injury is where?

Answer 38

T4

Question 39

with TBI what is the most serious finding

Answer 39

Altered LOC

Question 40

35 weeks and you can feel fetus through abdominal wall

Answer 40

Ruptured uterus

Question 41

Burns how do you treat

Answer 41

dry sterile dressing

Question 42

You put an occlusive dressing on gunshot (lung) what should you try first if patient has trouble

Answer 42

release and reapply occlusive dressing

Question 43

Ped trauma patients should be padded where for airway

Answer 43

Under torso

Question 44

Common age for falls

Answer 44

75

Question 45

Earliest sign of flail chest

Answer 45

RR increase

Question 46

soccer player kicked to chest what do you do

Answer 46

give supplemental oxygen and transport to trauma center

Question 47

Glass door lac to arm

Answer 47

apply direct pressure

Question 48

What should you NOT do with Ped meds

Answer 48

give half adult dose

Question 49

What is the golden trauma care principal

Answer 49

Airway and ventilation

Question 50

After a bombing people placed a tourniquet on a patient its still leaking what should you do next

Answer 50

confirm tourniquet is place properly