Livingston County Michigan EMS -Transportation Complex, 3950 W. Grand River, Howell, MI 48855 Phone 517.546.6220 Fax 517.546.6788

 
Pre-Hospital Trauma Life Support Quiz
By John Waters

What would you do?

Question 1.
The most common cause of airway obstruction in unconscious patients is:		 1. flaccid tongue blocking the hypopharynx
 2. crush injury to the trachea
 3. foreign body obstruction
 4. edema of the vocal cords
Question 2.
Which of the following manual airway maneuvers is NOT recommended for use on trauma patients?		 1. trauma mandible lift
 2. trauma jaw thrust
 3. head tilt, chin lift
 4. trauma chin lift
Question 3.
The first priority of trauma management and resuscitation is:		 1. assuring scene safety
 2. rapid completion of primary patient survey
 3. ensuring a patent airway
 4. control of external hemorrhage
Question 4.
________ is the most desirable method of achieving maximum control of the airway for trauma patients who are apneic or require assisted ventilation.		 1. The pharyngeal lumen (PTL) airway
 2. Endotracheal intubation
 3. An oral airway
 4. Percutaneous transtracheal catheter ventilation (PTLV)
Question 5.
Potential complications of endotracheal intubation include:		 1. esophageal intubation
 2. hypoxemia from prolonged intubation attempts
 3. conversion of cervical injury without neurological deficit to a cervical spine injury with neurologic deficits
 4. all of the above
Question 6.
In a normal adult, the control of respiration by chemoreceptors in the brain is determined by sensing which of the following chemicals?		 1. carbon monoxide (CO)
 2. carbon dioxide (CO2)
 3. oxygen (O2)
 4. Nitrogen (N)
Question 7.
The most important early observation that reveals developing respiratory compromise after trauma is:		 1. intercostal nedecreased blood pressure
 2. increased pulse rate
 3. increased respiratory rate
 4. decreased respiratory rate
Question 8.
The most important concern about a rib fracture is:		 1. intercostal nerve or vessel injury
 2. pain with inspiration
 3. underlying organ injury
 4. associated thoracic spine injury
Question 9.
A patient with a suspected flail chest develops increasing respirations and difficulty breathing. Which of the following interventions would be most likely to help the patient?		 1. needle decompression
 2. pericardiocentesis
 3. administration of an analgesic
 4. endotracheal intubation
Question 10.
Patients with pulmonary contusion should not be given too much intravenous fluid because fluid will:		 1. increase blood pressure and intra-abdominal bleeding
 2. increase intracerebral edema
 3. increase interstitial and intra-alveolar fluid and bleeding
 4. cause thoracic compartment syndrome
Question 11.
A patient with a suspected simple pneumothorax will benefit from which of the following interventions?		 1. rapid transport
 2. needle decompression
 3. administration of an analgesic
 4. positive pressure ventilation
Question 12.
Which of the following is a sign and symptom of shock?		 1. warm, dry skin temperature in spinal shock
 2. falling blood pressure during compensated shock
 3. normal pulse during septic shock
 4. pink skin color in hypovolemic shock
Question 13.
The organs most commonly injured in the abdomen by blunt trauma are the:		 1. stomach and duodenum
 2. small intestines and kidneys
 3. colon and pancreas
 4. liver and spleen
Question 14.
Injuries to hollow organs in the abdomen cause peritonitis secondary to hemorrhage into the peritoneal cavity		 1. True
 2. False
Question 15.
A 35 year old man falls off a 10-foot ladder. Based on this information, which injuries would you attend to first?		 1. fractured femur
 2. angulated wrist
 3. C-spine precautions
 4. hip fracture
Question 16.
What condition would you assess for when dealing with a crushing injury?		 1. infection
 2. degloving
 3. compartment syndrome
 4. absence of mobility
Question 17.
The proper way to dress most burn injuries in the pre-hospital setting is to use:		 1. moist dressings
 2. dry sterile dressings
 3. water soluble gels
 4. Silvadene
Question 18.
The biggest concern with electrical burns is:		 1. the wick effect
 2. tissue loss
 3. entry and exit wounds
 4. cardiac arrest

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Last updated:  Thursday, September 24, 2009  Updated by:  L. Lalewicz