PHTLS Pre-Test & Map (pdf) - UCLA Center for Prehospital Care
PHTLS Pre-Test & Map (pdf) - UCLA Center for Prehospital Care
PHTLS Pre-Test & Map (pdf) - UCLA Center for Prehospital Care
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CENTER FOR PREHOSPITAL CARE<br />
at the David Geffen School of Medicine at <strong>UCLA</strong><br />
10990 Wilshire Blvd., Suite 1450, Los Angeles, CA 90024<br />
(310) 267-5959 Fax (310) 312-9322<br />
www.cpc.mednet.ucla.edu<br />
Dear <strong>PHTLS</strong> Student:<br />
Welcome to the <strong>Pre</strong>hospital Trauma Life Support Program sponsored by the National<br />
Association of EMT’s and hosted by the <strong>UCLA</strong> <strong>Center</strong> <strong>for</strong> <strong>Pre</strong>hospital <strong>Care</strong>! The <strong>PHTLS</strong><br />
program was created in recognition of the real need in EMS education <strong>for</strong> additional training in<br />
the handling of trauma patients.<br />
This 2-day course contains the latest standards in prehospital trauma care using didactic<br />
lectures and hands-on skill sessions. After successful completion, the student will be certified<br />
<strong>for</strong> 4 years. The program will be held at the <strong>UCLA</strong> Paramedic Education Program facility,<br />
located at 333 N. Prairie Avenue in Inglewood. Parking is free and available in the lot<br />
immediately adjacent to the school. Please do not park on the streets.<br />
While it is not a requirement, it is strongly recommended that course participants have sufficient<br />
field experience in their discipline, whether it is EMT, paramedic, nurse or physician. You must<br />
have a provider license number to take the course.<br />
Full comprehension of the lectures will require that participants have read the required text:<br />
Basic & Advanced <strong>PHTLS</strong> (7 th Edition) PRIOR to the start of program. You can purchase<br />
this textbook online at www.<strong>UCLA</strong>CPCBooks.org. Please plan ahead and purchase the book<br />
online in advance.<br />
Breakfast and lunch will not be provided during the course. However, there are several<br />
places to eat within a few minutes from the school. You will have an hour break <strong>for</strong> lunch.<br />
Please wear weather-appropriate com<strong>for</strong>table clothing and closed-toed shoes as you will do<br />
hands-on skills practice outside rain or shine.<br />
You must complete the mandatory pre-test be<strong>for</strong>e attending the course. Please bring the<br />
completed answer sheet to the first day of class.<br />
There will be a baseline skills assessment soon after the class is started on Saturday morning.<br />
Please be aware that you will NOT be permitted to participate in the class if you are late<br />
and miss the baseline assessment. The class will be from 8am-6pm on both days.<br />
Please plan your weekend and travel needs accordingly.<br />
If you have any questions regarding this in<strong>for</strong>mation or the course in general, please feel free to<br />
contact our office at (310) 267-5959. I look <strong>for</strong>ward to your participation in our program!<br />
Sincerely,<br />
Mark Malonzo<br />
Mark Malonzo, BA, NREMT-P, NCEE<br />
<strong>PHTLS</strong> Program Coordinator<br />
<strong>UCLA</strong> <strong>Center</strong> <strong>for</strong> <strong>Pre</strong>hospital <strong>Care</strong>
<strong>PHTLS</strong><br />
7 th Edition<br />
<strong>Pre</strong>-<strong>Test</strong><br />
<strong>Pre</strong>-<strong>Test</strong><br />
Version 1.3
Instructions to Candidates<br />
This 25-question exam is designed to assess your<br />
base knowledge of trauma care. It is written <strong>for</strong> all<br />
levels of EMTs and prehospital providers. There are<br />
some questions that the correct answer may be an<br />
advanced procedure that the basic-level provider is<br />
unable to per<strong>for</strong>m due to system protocols or training<br />
levels. It is assumed that any provider who is taking<br />
the <strong>PHTLS</strong> course, regardless of level of training,<br />
will understand and recognize the need <strong>for</strong> an ALS<br />
procedure, even if they are not authorized to do so..<br />
To this end, the basic provider should select the ALS<br />
answer if appropriate and not deem it incorrect<br />
because the procedure cannot be per<strong>for</strong>med by a<br />
basic provider.<br />
Version 1.3 1
1) Your EMS unit is en route to the scene of an assault. Dispatch in<strong>for</strong>mation<br />
indicates law en<strong>for</strong>cement has not yet arrived on the scene. The safest approach to<br />
this situation is:<br />
A) Staging at the scene so that you can advise dispatch of the nature of the<br />
patient’s injuries<br />
B) Arriving on scene but staying inside the vehicle until law en<strong>for</strong>cement advises<br />
the scene is safe<br />
C) Staging at a safe location away from the scene until law en<strong>for</strong>cement advises<br />
the scene is safe<br />
D) Arriving on scene and initiating care, as long as bystanders confirm the<br />
assailant is no longer there<br />
2) Which is a sign of ventilatory inadequacy in a trauma patient?<br />
A) Equal breath sounds<br />
B) Ventilatory rate of 12<br />
C) Speaking in short bursts<br />
D) Sp0 2 of 95% on room air<br />
3) During the primary survey of a trauma patient, you note that the patient is agitated<br />
and confused and appears to have multiple injuries from an altercation. Of the<br />
following choices, your first treatment priority should be:<br />
A) Controlling all bleeding<br />
B) Establishing an intravenous line<br />
C) Correction of possible hypoxia<br />
D) Full immobilization to a backboard<br />
4) Which is the most common cause of upper airway obstruction in the trauma<br />
patient?<br />
A) Teeth<br />
B) Blood<br />
C) Tongue<br />
D) Vomitus<br />
5) Which is the most significant complication of prolonged suctioning of trauma<br />
patients?<br />
A) Hypoxia<br />
B) Bradypnea<br />
C) Bradycardia<br />
D) Hypercarbia<br />
Version 1.3 2
6) Which is the most important reason to maintain an open airway in the trauma<br />
patient?<br />
A) To prevent snoring respirations<br />
B) To prevent aspiration and pneumonia<br />
C) To prevent hypoxemia and hypercarbia<br />
D) To prevent the tongue from blocking the pharynx<br />
7) Your patient is a middle-aged male who crashed his motorcycle. He is<br />
unresponsive. After opening the airway using a modified jaw thrust, you note the<br />
patient has snoring respirations at a rate of 6. Auscultation reveals breath sounds<br />
are absent on the left side. The next intervention should be to:<br />
A) Insert an endotracheal tube<br />
B) Apply a nonrebreather mask<br />
C) Begin ventilation with a BVM<br />
D) Per<strong>for</strong>m a needle decompression<br />
8) Hypotension of unknown etiology in a trauma patient should be assumed to result<br />
from:<br />
A) Blood loss<br />
B) Spinal injury<br />
C) Cardiac tamponade<br />
D) Tension pneumothorax<br />
9) Hypotension in the healthy adult initially occurs with what percent of blood loss?<br />
A) Less than 15%<br />
B) 15% to 30%<br />
C) 31% to 40%<br />
D) More than 40%<br />
10) Medication used by trauma patients <strong>for</strong> preexisting conditions may cause which<br />
of the following?<br />
A) Herbal preparations may enhance blood clotting.<br />
B) Anti-inflammatory agents may enhance blood clotting.<br />
C) Beta blockers may prevent tachycardia with blood loss.<br />
D) Calcium channel blockers may slow the onset of shock.<br />
Version 1.3 3
11) Your patient is a 20-year-old male who struck his head on a teammate’s knee<br />
while diving to catch a football. He was not wearing a helmet. He demonstrates<br />
decerebrate posturing and has a GCS score of 4. His heart rate is 58, blood<br />
pressure is 180/102, and his left pupil is dilated. What is the best ventilation rate<br />
to use when managing this patient?<br />
A) 10 breaths per minute<br />
B) 20 breaths per minute<br />
C) 30 breaths per minute<br />
D) 35 breaths per minute<br />
12) The most common cause of injury in pediatric patients less than 10 years of age<br />
is:<br />
A) Falls<br />
B) Burns<br />
C) Penetrating injuries<br />
D) Motor vehicle collisions<br />
13. An 18-year-old female was struck by a car and has sustained an apparent left<br />
femur fracture. Communication with her is hampered because she only speaks a<br />
<strong>for</strong>eign language. Which finding, by itself, does not mandate immobilization of<br />
the cervical spine?<br />
A) Mechanism of injury<br />
B) Fracture of the femur<br />
C) Inability to communicate<br />
D) Tenderness over the cervical spine<br />
14) Referencing the Parkland <strong>for</strong>mula, what percent of the calculated IV volume<br />
should be administered in the first 8 hours following the injury?<br />
A) 10%<br />
B) 25%<br />
C) 33%<br />
D) 50%<br />
15) Specific signs of inhalation injury include:<br />
A) Burns<br />
B) Wheezing<br />
C) Tachycardia<br />
D) Hypotension<br />
Version 1.3 4
16) The preferred prehospital wound management <strong>for</strong> a patient with a 36% body<br />
surface area flame burn is:<br />
A) Elastic bandages<br />
B) Topical ointments<br />
C) Dry sterile dressings<br />
D) Cool moist dressings<br />
17) The most immediate life-threatening condition resulting from injury to solid<br />
abdominal organs is:<br />
A) Peritonitis<br />
B) Hemorrhage<br />
C) Multiple organ failure<br />
D) Acute respiratory failure<br />
18) You arrive at the scene of a motor vehicle collision in which a vehicle struck a<br />
tree. Which is the best indicator of potential injury?<br />
A) Height of the tree<br />
B) Mass of the vehicle<br />
C) Speed of the vehicle<br />
D) Circumference of the tree<br />
19) Which is the most important indicator of a serious injury in a victim of a shotgun<br />
wound?<br />
A) The position of the victim when shot with the gun<br />
B) The total weight of the projectile shot from the gun<br />
C) Distance between the victim and the gun when shot<br />
D) Velocity of the projectile leaving the gun when shot<br />
20) Which best describes an injury caused by shearing <strong>for</strong>ces?<br />
A) Liver damage due to a gunshot wound<br />
B) Aortic tear due to sudden deceleration<br />
C) Bilateral leg amputation due to pedestrian/train collision<br />
D) Pelvic fracture due to posterior displacement of the femur<br />
21) Bilateral femur fractures are most often associated with which type of motorcycle<br />
crash?<br />
A) Rear impact<br />
B) Angular impact<br />
C) Head-on impact<br />
D) Bike-road impact<br />
Version 1.3 5
22) Severe injuries should be suspected when a patient falls from a height of ______<br />
times his or her height or greater.<br />
A) two<br />
B) three<br />
C) four<br />
D) five<br />
23) Which is the preferred adjunct device <strong>for</strong> verifying placement of an endotracheal<br />
tube in a patient with a perfusing rhythm?<br />
A) Stethoscope<br />
B) Pulse oximeter<br />
C) Esophageal detector device<br />
D) End-tidal CO 2 monitoring (capnography)<br />
24) The target blood pressure <strong>for</strong> a trauma patient with suspected intraabdominal<br />
hemorrhage is:<br />
A) 60 – 70 mm Hg<br />
B) 80 – 90 mm Hg<br />
C) 100 – 110 mm Hg<br />
D) 120 – 130 mm Hg<br />
25) Which best explains the mechanism by which gas exchange is impaired in<br />
pulmonary contusion?<br />
A) Blood in the alveoli<br />
B) Collapse of the alveoli<br />
C) Compression of the lung tissue<br />
D) Partial occlusion of the bronchi<br />
Version 1.3 6
<strong>Pre</strong>-Hospital Trauma Life Support Provider Program<br />
Written Evaluation Answer Sheet<br />
Name:<br />
Date:<br />
Social Security Number: <strong>Pre</strong>-<strong>Test</strong> Post-<strong>Test</strong> <br />
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5 th Edition December 2002
<strong>UCLA</strong> <strong>Center</strong> <strong>for</strong> <strong>Pre</strong>hospital <strong>Care</strong><br />
Directions to <strong>UCLA</strong>-Daniel Freeman<br />
<strong>UCLA</strong> - Daniel Freeman – 333 N. Prairie Avenue, Inglewood, CA 90301<br />
From the 405 North & 405 South<br />
Southbound – Take the San Diego Freeway SOUTH- exit Florence/ Manchester Ave. exit. Turn<br />
left onto Florence Ave. Turn right on Prairie Ave. (1.5 Miles). Turn right on Grace Ave.<br />
Northbound – Take the San Diego Freeway NORTH – exit Manchester Blvd. Exit. Turn right<br />
onto Manchester Blvd. Turn left onto Prairie Ave. (1.5 Miles) continue straight on Prairie Ave. to<br />
Grace Ave. turn left onto Grace Ave.<br />
Parking <strong>for</strong> <strong>UCLA</strong> Daniel Freeman's Paramedic School is located in the Physician parking area<br />
directly next to the school. The Physician parking area is the 3 rd drive way entrance to your left on<br />
Grace Street which can be access from Prairie Ave. There is no fee <strong>for</strong> parking in the Physicians<br />
parking lot.