PHTLS PHTLS - Prehospital Trauma Life Support Pediatric Trauma 4

Question 1

A 4-year-old is unresponsive after a motor vehicle collision. Which airway maneuver is preferred to open the airway given possible cervical spine injury?

Accepted Answer

Jaw thrust without head extension

Answer

The jaw thrust without head extension maintains spinal alignment while opening the airway in trauma patients with possible cervical spine injury.

Question 2

Which of the following is the MOST reliable early indicator of shock in a pediatric trauma patient?

Accepted Answer

Tachycardia

Answer

Tachycardia is the earliest and most reliable sign of shock in children, as hypotension is a late and often pre-terminal finding.

Question 3

When using the Broselow tape for a pediatric trauma patient, what does the color zone primarily determine?

Accepted Answer

Weight-based drug doses and equipment sizes

Answer

The Broselow tape uses the child's length to estimate weight, then correlates that to color-coded weight-based medication doses and equipment sizes.

Question 4

A 7-year-old with blunt abdominal trauma has a rigid abdomen and signs of hemorrhagic shock. What is the most appropriate prehospital intervention?

Accepted Answer

Permissive hypotension with rapid transport to trauma center

Answer

Permissive hypotension (targeting MAP ~50 mmHg or systolic ~80–90 mmHg) limits hemodilution and coagulopathy while minimizing time to definitive surgical care.

Question 5

During pediatric trauma assessment, which anatomical feature makes children more prone to airway obstruction compared to adults?

Accepted Answer

More anterior and superior larynx

Answer

The pediatric larynx is positioned more anteriorly and superiorly, making visualization during intubation more difficult and increasing obstruction risk.

PHTLS - Prehospital Trauma Life Support Practice Test

PHTLS - Prehospital Trauma Life Support Practice Test

PHTLS PHTLS - Prehospital Trauma Life Support Pediatric Trauma 4