PHTLS 7th Edition 4

Question 1

A trauma patient has a Glasgow Coma Scale (GCS) score of 13. Which component breakdown is consistent with this score?

Accepted Answer

E4 V3 M6

Answer

E4 (spontaneous eye opening) + V3 (inappropriate words) + M6 (obeys commands) = 13.

Question 2

In PHTLS, the primary purpose of the 'load and go' concept is to:

Accepted Answer

Minimize scene time and transport rapidly to definitive care

Answer

Load and go prioritizes rapid transport to a trauma center because definitive hemorrhage control requires surgical intervention.

Question 3

Which mechanism of injury is MOST associated with a posterior hip dislocation?

Accepted Answer

Dashboard impact with knees flexed in a frontal collision

Answer

Dashboard impact drives the femur posteriorly into the acetabulum when the knee strikes with the hip flexed.

Question 4

A patient involved in a blast injury presents with pulmonary contusion, intestinal perforation, and ruptured eardrums. This pattern is BEST classified as:

Accepted Answer

Primary blast injury

Answer

Primary blast injury results from the overpressure wave affecting air-filled organs such as lungs, bowel, and ears.

Question 5

When assessing a penetrating abdominal wound, the PHTLS provider should AVOID:

Accepted Answer

Probing the wound to determine depth

Answer

Probing a penetrating wound is contraindicated because it can cause additional injury and introduce infection.

PHTLS - Prehospital Trauma Life Support Practice Test

PHTLS - Prehospital Trauma Life Support Practice Test

PHTLS 7th Edition 4