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PHTLS Pretest Question with complete solution rated A.docx
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When the application of kinetic energy to the body from either a blunt or penetrating mechanism displaces tissue, this is known as - correct answer CAVITATION Which of the following is an example of the tertiary phase blast injury? - correct answer CRUSHING INJURY DUE TO STRUCTURAL COLLAPSE. The most common threat to life among trauma patients is? - correct answer INTERNAL HEMORRHAGE Your patient is an injured construction worker bleeding profusely from a large laceration to the left thigh. He is confused and has pale, moist skin. Direct pressure applied to the wound by a first responder has failed to control the bleeding. The next step in controlling bleeding is to apply: - correct answer A TOURNIQUET TO THE LACERATION. Hypotension due to spinal cord trauma occurs due to interruption of the _______________nervous system pathway. - correct answer SYMPATHETIC The most common fractured ribs are ribs: - correct answer 4 THROUGH 8. A hemothorax is differentiated from a tension pneumothorax by: - correct answer DULL PERCUSSION ON THE AFFECTED SIDE. Which of the following mechanisms is most likely to result in cardiac tamponade? - correct answer A PATIENT IS STRUCK IN THE LEFT ANTERIOR CHEST BY A NAIL EJECTED FROM A NAIL GUN. Management of flail chest includes: - correct answer PAIN MANAGEMENT VENTILATORY SUPPORT 100%O
Which of the following types of traumatic brain injury is most likely to be associated with hemorrhage from the middle meningeal artery? - correct answer EPIDURAL HEMATOMA Which of the following groups of findings represents Cushing's phenomenon? - correct answer BRADYCARDIA ABNORMAL RESPIRATORY PATTERN ELEVATED BLOOD PRESSURE Your patient is a 32 year old female who was thrown from a horse and struck her head on the ground. She was not wearing a helmet. She does not respond verbally or open her eyes to painful stimuli, but responds to painful stimuli with decerebrate posturing. Her right pupil is dilated and does not react to light. Her respirations are 6 per minute and irregular, pulse 56, blood pressure 188/98. You should ventilate the patient at a rate of? - correct answer 20 BPM. A burn with reddened, glistening base that may have blisters is most characteristic of a - correct answer SECOND degree burn. A chemical solution with a pH of 4.0 is considered an ACID and causes damage to the tissues via - correct answer COAGULATION NECROSIS. An electrical burn caused by superheated air near the source of electricity is an - correct answer ARC burn. Your patient is an 82 year old female who was an unrestrained front seat passenger in a motor vehicle collision. Which of the following is the most reliable indication of shock in this patient? - correct answer LEVEL OF CONSCIOUSNESS. Which of the following findings is not expected in assessment of a pregnant patient? - correct answer A DECREASED BLOOD PRESSURE IN THE THIRD TRIMESTER. Which of the following is contraindicated in the management of a pregnant trauma patient in the third trimester? - correct answer SUPINE POSITION.
During pregnancy, signs and symptoms of shock may appear _______ due to an _________ in maternal blood volume. - correct answer LATER, INCREASE A fractured femur can result in___________________mL of hemorrhage. - correct answer 1000 TO 2000 A male patient suffered a stab wound to his left flank. He is found to be in stage III shock. During the 25 minute transport to the trauma center, intravenous fluids should be administered at a rate sufficient to maintain a: - correct answer SYSTOLIC BP OF 80 TO 90. The most common type of shock in trauma patients is - correct answer HYPOVOLEMIC. What percentage of blood volume loss in an adult patient is associated with findings of tachycardia (>120/beats/minute), tachypnea (30-40 Breaths/min), and hypotension (systolic BP <90mmHg)? - correct answer 30 TO 40 Minute volume of ventilation is best represented as - correct answer TIDAL VOLUME x ventilatory rate Which injury is most likely to be sustained by the driver in a lateral impact collision to the left side of the vehicle with no side impact airbags (assuming the driver sits on the left)? - correct answer FRACTURED LEFT CLAVICLE.