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PHTLS
PHTLS
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Answers
1
Cerebral Perfusion Pressure + Mean Arterial Pressure = ?
Cranial Optic Pressure
Tympanic Pressure
Neuro Pulse Point
Intracranial Pressure
2
Which of the following injuries would be considered a "Blunt" injury
Gunshot Wound
Stabbing
Metal stake impaled in the leg
Assault via baseball bat
3
Decerebrate Posturing is often found in injuries to what location?
Brain Stem
Frontal Lobe
Occipital Lobe
Cerebellum
4
Which of the following statements would be a logical argument for choosing an ETT over an i-Gel in trauma?
More stable airway for future care
Trauma is unlikely to worsen since the damage has already been done
Less risk
Quicker and easier
5
MAP is considered less important than traditional blood pressure in trauma patients
True
False
6
Road Rash is often not considered within the scope of "bleeding"
True
False
7
Organs that exit the abdominal wall and present on the outside of the patient are know as what?
Evisceration
Prolapsed GI Organs
Outside-The-Wall Syndrome
Exterior Lacerations
8
Mortality rate becomes high after exposure to what dosage of radiation
12Gy
1-2Gy
4Gy
6-8Gy
9
When stuck at sea, what condition is likely to occur before fatigue, leading to drowning
Hypotension
Cramping
Hypothermia
Sharting
10
The volume of fluid pumped into the circulatory system with each ventricular contraction is known as:
Diastolic Pressure
Cardiac Output
Minute Volume
Stroke Volume
11
The most common definition of shock is:
Disruption of the normal life sustaining physiology
Low blood volume
Disruption of neurologic systems, causing organ disfunction
Inability to oxygenate
12
EMS dosing for TXA is?
1G IV Push
5mg IV Push
1G over 10 minutes
2G over 20 minutes
13
What is often the first sign of shock noted in trauma patients
Decreased MAP
Skin Condition Changes
Altered Mental Status
Increased Heart Rate
14
How many "golden principals" are found in PHTLS
20
8
13
10
15
The best flow rate for an IO is found where:
Sternum
Humeral Head
Proximal Tibia
Distal Tibia
16
During resuscitation of a pregnant patient, the focus should be on the fetus
True
False
17
Blood volume pumped into the circulatory system over 1 minute is known as:
Total Rate
Strokes Per Minute
Minute Volume
Cardiac Output
18
The most common form of trauma in geriatric populations is?
Car crashes
Suicide
Falls
Abuse
19
Contact burns or contact wounds appear in what form of gunshot injuries
Shotguns Only
When the barrel is close to the subjects body
When the bullet has increased travel time before striking the subject
High Velocity Rifles Only
20
Which of the following PH levels would be an ACID (SELECT MULTIPLE)
6.5
11
4
8.2
21
Why might some full term pregnant patients experience hypotension when lying supine?
The fetus puts weight on the inferior vena cava
They have borderline pre-eclampsia
They had hypotension before pregnancy
The fetus is too large for the heart to pump properly
22
Studies show that bypassing local hospitals in favor of specialized trauma centers decreases event-OR time
True
False
23
The medication often given in the prehospital setting for severe bleeding is?
TXA
Morphine
Levophed
Heparin
24
The "X" in XABCDE stands for Exsanguinating Injury
False
True
25
Which of the following injuries would require a tourniquet rather than just direct pressure? (SELECT MULTIPLE)
Severed finger
Arterial bleeding from a severed hand
GSW to the femoral artery
Crush injury to the lower leg
26
In penetrating trauma, the size of an object and weather that size changes after contact is called what?
Object Injury
Mass
Profile
Impact Radius
27
Which of the following answers is NOT a position within ICS command structure?
Finance Officer
Liaison Officer
Operations Officer
Information Officer
28
When confronted with a patient who has burns to their arms, where would be the next most likely place for an IV
ETT Medications are preferred
Feet
The Phallus
Just do an IO
29
Severity of Injury is often greatly influenced by?
Speed
Mass
Kenetic Energy
Static Energy
30
When classic "starring" is noted on a windshield, what form of head injury is most likely
Face Only Injuries
Shearing
Compression
Internal Decapitation
31
In the example of a motorcycle crash, lower leg injuries are most often noted in what form of crash?
Up and Over crash
Motorcycle vs solid object
Side strikes
Laying the bike on its side
32
With an obvious fracture to the elbow, which of these injuries may NOT commonly be missed?
Radial nerve injury
Brachial Artery injury
Lower Humorous injury
Injury to the hand
33
The three most common types of shock in trauma are:
Neurogenic Shock, Distributive Shock, Cardiogenic Shock
Hypovolemic Shock, Distributive Shock, Neurogenic Shock
Hypovolemic Shock, Distributive Shock, Cardiogenic Shock
Cardiogenic, Gastrointestinal Shock, Anaphylactic Shock
34
Per the rule of nines, a patient with burns to the front torso, right leg, right arm and genitals has what percentage?
45%
46%
40%
52%
35
A patient whos eyes open to sound, has incomprehensible words and withdrawals to pain has a GCS of?
7
10
9
12
36
Which of the following findings would constitute consideration for termination or withholding CPR
Measurable blood pressure at one time during care
Spontaneous respirations at one point during care
Narrow complex PEA that decompensates to wide complex PEA during CPR
Penetrating chest trauma
37
Which organ group has the SHORTEST tolerance to ischemia?
Colon, Intestines and Anus
Heart, Brain and Lungs
Skin, Muscle and Bone
Kidneys, Liver, GI Tract
38
Trauma Care is divided into which three phases
Pre Event, Activation and Debrief
Injury, Treatment and Post Event
Pre Event, Event and Post Event
Event, Transport and Debrief
39
_________ Law states that the volume of a given mass of gas is inversely proportional to the pressure of the environment
Miller's
Henry's
Boyle's
Van Hinkle's
40
Trauma most often occurs due to what physicals principals
Blunt and Penetrating Laws of Physics
Mechanism of Injury
Newtons 3 Laws of Motion
Hemodynamic Collapse
41
Based on the XABCDE assessment algorithm, which of the following conditions should be treated first?
Arterial bleeding from the arm
Snoring respirations
Deformed femur
Broken teeth causing airway obstruction
42
Paradoxical Motion is a hallmark of what condition?
Flail Chest
Spontaneous Pneumothorax
Rib Fracture
Cardiac Tamponade
43
The most effective form of fluid replacement is:
Whole Blood
Hypertonic Solutions
IV Crystalloid Solutions
Reconstituted RBC's
44
Pediatric Traumatic Arrest most often occurs after damage to what body system
Cardiac
Neurologic
Respiratory
Musculoskeletal
45
In regards to scene safety, you should only account for your own safety and let others take care of themselves
False
True
46
Frostbite should be considered trauma
True
False
47
The most common form of mental illness found in first responders after a large scale traumatic event is what?
Anxiety
Alcoholism
PTSD
Depression
48
The most frequently injured abdominal organs due to compression injuries are:
Kidneys, Liver and Spleen
Liver, Intestines and Spleen
Colon, Liver and Aorta
Diaphragm, Lungs and Heart
49
Which of the following findings would lead to a suspicion of child abuse (SELECT MULTIPLE)
Bruises to the head
Burns in various stages of healing
Hand shaped bruises
Burn injuries in strange areas
50
An explosive device intended to harm or kill emergency responders is known as?
Hidden explosive
Booby trap
A secondary device
Targeted attack
51
Membrane ruptures, barotrauma, eye injuries, abdominal hemorrhage and concussions are injuries in what blast stage
Tertiary
Primary
Secondary
Quinary
52
Blunt injuries from being propelled into nearby objects fall under which blast form?
Quaternary
Secondary
Primary
Tertiary
53
Major contraindication for the use of Propofol in trauma patients:
Altered Mental Status
Bleeding risk
Hypotension
Bradycardia
54
A Le Fort I fracture occurs where?
Above the nose
Around the eyes
Under the nose
The bottom jaw
55
Ketamine for sedation dose is?
1.5mg/kg
1mg/kg
2mg/kg
0.1-0.3mg/kg