PHTLS Pre & Post 2

Question 1

On a PHTLS pre-test, which is the correct order for assessing a trauma patient?

Accepted Answer

Scene size-up, primary survey, secondary survey

Answer

Detailed physical exam, vital signs, history

Answer

Transport decision, treatment, documentation

Answer

Patient interview, blood pressure, pulse oximetry

Question 2

A PHTLS post-test question asks about the management of an open pneumothorax. What is the correct initial treatment?

Accepted Answer

Apply a three-sided occlusive dressing over the wound

Answer

Needle decompression of the affected side

Answer

Perform endotracheal intubation immediately

Answer

Place the patient in Trendelenburg position

Question 3

Which vital sign change is typically the earliest indicator of hemorrhagic shock in a young adult trauma patient?

Accepted Answer

Tachycardia

Answer

Hypotension

Answer

Decreased respiratory rate

Answer

Hypothermia

Question 4

On a PHTLS pre-test, what does the 'E' in the ABCDE primary survey stand for?

Accepted Answer

Exposure and Environment

Answer

Evaluation of all injuries

Answer

Emergency transport decision

Answer

Examination of extremities

Question 5

A PHTLS post-test asks: What is the most appropriate prehospital management for a suspected pelvic fracture with hemodynamic instability?

Accepted Answer

Apply a pelvic binder and initiate fluid resuscitation

Answer

Apply traction splint to both legs

Answer

Perform external compression of the iliac arteries

Answer

Log roll the patient to prone position

Question 6

According to PHTLS pre-test material, which of the following is a contraindication to performing needle decompression?

Accepted Answer

There is no clinical evidence of tension pneumothorax

Answer

The patient is unconscious

Answer

The patient has a history of COPD

Answer

The patient is over 65 years old