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PHTLS Study Guide questions with complete solutions 2023.docx
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Inadequate perfusion/energy production at the cellular level. - correct answer Shock Why are case studies important in the hospital? - correct answer It gives us evidence based practice. What is the definition of anaerobic metabolism? - correct answer Without oxygen When does hemorrhage control start in the trauma assessment? - correct answer Right away. Why do we needle decompress somebody? - correct answer If there is an increase work of breathing/absent lung sounds/ inadequate perfusion What is the easiest way to open the airway of a trauma patient? - correct answer Jaw thrust What is the problem with intubation? - correct answer It requires a lot of practice. When you arrive on scene and find your patient with their airway full of blood, how long should you suction for? - correct answer Until the airway is clear from blood. Ten seconds What is the best way to confirm you have the ET tube in place? - correct answer End tidal When should you start the secondary assessment on a trauma patient? - correct answer When time and situation allows What are some pre-arrival factors you should be considering upon arrival to your designated call? - correct answer Time of day, weather, location, hazards and possible additional needs What is the main reason for a primary assessment on a trauma patient? - correct answer To identify and treat immediate life threats What is the most common type of shock and what is the main cause of shock? - correct answer Hemorrhagic shock due to either uncontrolled internal/external hemorrhage
When wanting to get a patient off scene quickly what is a piece of equipment that is best suited for this situation? - correct answer Scoop stretcher What is the first thing that should be treated on a trauma patient? - correct answer XABCDE What is one of the earliest signs you may see on a patient who is starting to go into shock? - correct answer Increased ventilatory rate When you show up on scene and find your patient bleeding out, what are the two steps you should take to care of that bleed? - correct answer Direct pressure and tourniquet What do you want your blood pressure to be at if you have a trauma patient? - correct answer 80 What do you want your blood pressure to be at for neurogenic patients? - correct answer 90 What is the goal as prehospital providers that we want to establish for our patients? - correct answer Restore and maintain airway, ventilation, oxygenation, circulation, and quick transport time for trauma patients. Two of the most important prehospital maneuvers are those that provide and maintain________ patency and _________ ventilation. - correct answer Airway and pulmonary Refers to the process by which oxygen concentration increases within a tissue - correct answer Oxygenation Mechanical exchange of air between the outside environment and the alveoli of the lungs - correct answer Ventilation What two functions does the respiratory system serve? - correct answer Provide oxygen to red blood cells/remove CO2 from the body Causes cerebral vasodilation - correct answer CO Earliest sign and best indicator of increasing ICP is a? - correct answer Decreasing LOC _______ is the earliest sign of deterioration in a patient with a flail chest. - correct answer Respirator rate increase What is the most common cause of airway obstruction in the unresponsive trauma patient? - correct answer Tongue
EMS responds for a patient involved in a motorcycle vs. motor vehicle collision. The patient is poorly responsive with no movement of lower extremities and loss of temperature sensation below the T10. Which of the following types of shock is the patient most likely experiencing? - correct answer Neurogenic A 38 year old male sustains a large would to his right thigh while at work. Which of the following actions is most important initial step? - correct answer Hemorrhage control Which of the following is the best indicator of shock in a trauma patient? - correct answer Depressed level of cognition In a blast-related multiple patient situation, which of the following patients should be treated first? - correct answer A 33 year old female wit altered level of consciousness and decreased capillary refill. A patient presents with a blunt trauma injury to the chest. On exam, he has absent breath sounds on one side of his chest and respiratory distress. Which additional sign would indicate that the patient has a tension pneumothorax? - correct answer Distended neck veins Which best describes the goal of airway management in a trauma patient? - correct answer Provide for adequate exchange of oxygen and CO The secondary survey should be accomplished? - correct answer When time and situation allow EMS is treating a 24 year old soccer player who was kicked in the chest. Prehospital providers note paradoxical movement of a portion of the patient's chest wall. The patient's respiratory is 16 and O2 sat is 94%. What is the most appropriate action? - correct answer Provide supplemental oxygen and transport to a trauma center. Which of the following information is assessed during the secondary survey? - correct answer Vital signs Which of the following patients will compensate for blood loss the longest? - correct answer 6 year old male Units responding to a motor vehicle accident on the highway should consider which of the following as part of their pre-arrival assessment? - correct answer Calling for more units to respond Prehospital providers have treated a sucking chest wound with an occlusive dressing. During transport to the hospital, the patient develops increasing respiratory distress with in - correct answer