INSTRUCCIONES PARA LOS ALUMNOS

Este examen de 25 preguntas está diseñado para evaluar subase de conocimientos de la atención traumatológica.

Está escrito para todos los niveles de la EMT y los proveedores de atención prehospitalaria. hay

    algunas de las preguntas que la respuesta correcta puede ser un   procedimiento avanzado que el proveedor de nivel básico

no puede realizar debido a los protocolos del sistema o formación delNivel de entrenamiento . Se supone que cualquier proveedor que

está tomando el curso PHTLS, independientemente de su nivel de formación,  debería entiender y reconocer la necesidades y procedimientos

del ALS incluso si no están autorizados a hacerlo ..el proveedor básico debera seleccionar la repuesta según el

procedimiento ALS

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PHTLS th7 Edition      Pre-Test

Pre-Test

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Su unidad de EMS está en camino a la escena de un asalto. El despachador indica que la policia aún no ha llegado a la escena. El método más seguro paraesta situación es la siguiente:

A) La estadificación en el lugar para que pueda asesorar a la expedición de la naturaleza de la    paciente lesionesB) Al llegar a la escena, pero permanecer dentro del vehículo hasta que la policía aconseja a    la escena es seguraC) Etapas en un lugar seguro lejos de la escena hasta que la policía aconseja a    la escena es seguraD) Al llegar a la escena y el inicio de la atención, siempre y cuando los espectadores confirman la    agresor ya no está allí

2) ¿Qué es un signo de insuficiencia respiratoria en un paciente traumatizado?Igual suena la respiraciónFrecuencia respiratoria de 12Hablando en ráfagas cortasSp02 del 95% en aire ambiente

3) Durante la valoración primaria de un paciente con trauma, que tenga en cuenta que el paciente se agitay confusa, y parece tener lesiones múltiples de un altercado. de losdespués de elecciones, su prioridad debe ser el primer tratamiento:El control de la hemorragiaEl establecimiento de una línea intravenosaLa corrección de la hipoxia posibleInmovilización completa en un tablero

4) Which is the most common cause of upper airway obstruction in the traumapatient?

A)B)C)D)

TeethBloodTongueVomitus

5) Which is the most significant complication of prolonged suctioning of traumapatients?

A)B)C)D)

HypoxiaBradypneaBradycardiaHypercarbia

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6) Which is the most important reason to maintain an open airway in the traumapatient?

A)B)C)D)

To prevent snoring respirationsTo prevent aspiration and pneumoniaTo prevent hypoxemia and hypercarbiaTo prevent the tongue from blocking the pharynx

7) Your patient is a middle-aged male who crashed his motorcycle. He isunresponsive. After opening the airway using a modified jaw thrust, you note thepatient has snoring respirations at a rate of 6. Auscultation reveals breath soundsare absent on the left side. The next intervention should be to:

A)B)C)D)

Insert an endotracheal tubeApply a nonrebreather maskBegin ventilation with a BVMPerform a needle decompression

8) Hypotension of unknown etiology in a trauma patient should be assumed to resultfrom:

A)B)C)D)

Blood lossSpinal injuryCardiac tamponadeTension pneumothorax

9) Hypotension in the healthy adult initially occurs with what percent of blood loss?

A)B)C)D)

Less than 15%15% to 30%31% to 40%More than 40%

10) Medication used by trauma patients for preexisting conditions may cause whichof the following?

A)B)C)D)

Herbal preparations may enhance blood clotting.Anti-inflammatory agents may enhance blood clotting.Beta blockers may prevent tachycardia with blood loss.Calcium channel blockers may slow the onset of shock.

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11) Your patient is a 20-year-old male who struck his head on a teammate’s kneewhile diving to catch a football. He was not wearing a helmet. He demonstratesdecerebrate posturing and has a GCS score of 4. His heart rate is 58, bloodpressure is 180/102, and his left pupil is dilated. What is the best ventilation rateto use when managing this patient?

A)B)C)D)

10 breaths per minute20 breaths per minute30 breaths per minute35 breaths per minute

12) The most common cause of injury in pediatric patients less than 10 years of ageis:

A)B)C)D)

FallsBurnsPenetrating injuriesMotor vehicle collisions

13. An 18-year-old female was struck by a car and has sustained an apparent leftfemur fracture. Communication with her is hampered because she only speaks aforeign language. Which finding, by itself, does not mandate immobilization ofthe cervical spine?

A)B)C)D)

Mechanism of injuryFracture of the femurInability to communicateTenderness over the cervical spine

14) Referencing the Parkland formula, what percent of the calculated IV volumeshould be administered in the first 8 hours following the injury?

A)B)C)D)

10%25%33%50%

15) Specific signs of inhalation injury include:

A)B)C)D)

BurnsWheezingTachycardiaHypotension

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16) The preferred prehospital wound management for a patient with a 36% bodysurface area flame burn is:

A)B)C)D)

Elastic bandagesTopical ointmentsDry sterile dressingsCool moist dressings

17) The most immediate life-threatening condition resulting from injury to solidabdominal organs is:

A)B)C)D)

PeritonitisHemorrhageMultiple organ failureAcute respiratory failure

18) You arrive at the scene of a motor vehicle collision in which a vehicle struck atree. Which is the best indicator of potential injury?

A)B)C)D)

Height of the treeMass of the vehicleSpeed of the vehicleCircumference of the tree

19) Which is the most important indicator of a serious injury in a victim of a shotgunwound?

A)B)C)D)

The position of the victim when shot with the gunThe total weight of the projectile shot from the gunDistance between the victim and the gun when shotVelocity of the projectile leaving the gun when shot

20) Which best describes an injury caused by shearing forces?

A)B)C)D)

Liver damage due to a gunshot woundAortic tear due to sudden decelerationBilateral leg amputation due to pedestrian/train collisionPelvic fracture due to posterior displacement of the femur

21) Bilateral femur fractures are most often associated with which type of motorcyclecrash?

A)B)C)D)

Rear impactAngular impactHead-on impactBike-road impact

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22) Severe injuries should be suspected when a patient falls from a height of ______times his or her height or greater.

A)B)C)D)

twothreefourfive

23) Which is the preferred adjunct device for verifying placement of an endotrachealtube in a patient with a perfusing rhythm?

A)B)C)D)

StethoscopePulse oximeterEsophageal detector deviceEnd-tidal CO2 monitoring (capnography)

24) The target blood pressure for a trauma patient with suspected intraabdominalhemorrhage is:

A)B)C)D)

60 – 70 mm Hg80 – 90 mm Hg100 – 110 mm Hg120 – 130 mm Hg

25) Which best explains the mechanism by which gas exchange is impaired inpulmonary contusion?

A)B)C)D)

Blood in the alveoliCollapse of the alveoliCompression of the lung tissuePartial occlusion of the bronchi

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