PHTLS Pre-Test Questions with 100%
Correct Answers Latest Version Top
Rated
An adult pt has an open angulated injury to the left lower leg.
Distal pulses are absent. Why should you attempt to realign
the extremity?
Restore blood flow
A 42 year old female has been pulled from a smoke- filled
apartment. Her mouth and nose are covered in soot. She has
a weak hoarse cry with inspiratory strider. What should you
do?
Prepare for a difficult intubation
A 29 year old male falls 17ft (5m) to the ground from a tree.
He complains of pain with movement and pain on the right
side of his chest when he breathes. You note accessory
muscle use, focal tenderness, bony crepitus and absent
breath sounds on his right side. What should you suspect?
Simple pneumothorax
A 29 year old male was injured in a high speed motor vehicle
collision with lateral impact and intrusion into the side of a
sedan. He has pale and diaphoretic skin, appears anxious,
and is coughing up blood- tinged sputum. He complains of
chest pain, has decreased breath sounds on the left lateral
side, has crepitus on palpation of his ribs, and his jugular
veins are flat. Vital signs are; BP 88/56 P 120 RR24 SPO 92%.
What should you suspect?
Hemothorax
Which is an early finding in compartment syndrome
Pain
, A 20 year old male was hit in the chest with a baseball bat.
He complains of severe pain and tenderness on the left side.
He is unable to take a deep breath. Vital signs are BP 112/76
P 98 RR 20 SPO 98 ETCO2 38 mmHg. What should you do?
Administer 100mcg Fentanyl
A 26 y.o. M is supine on the ground. He was assaulted and
has obvious head and facial trauma. He has snoring
respirations at a rate of 8 per minute. What should you do?
Perform a modified jaw thrust
A 28 year old female suffered a head injury after falling from
a horse. Her Glasgow coma scale is 6 (E1, V1, M4) and she
has snoring respirations at 8 per minute. Which should you
do first?
Place an OPA
A 41 year old male was stabbed in the chest immediately
below the sternum. He complains of shortness of breath and
has engorged jugular veins. Vital signs BP 108/84 P 130 RR
26. What should you suspect?
Cardiac tamponade
A 24 year old construction worker amputated his thumb. How
should you manage the amputation?
Wrap it in moistened gauze
An 80 y.o. F fell down a flight of stairs 3 days ago. Today the
family reports she has a headache and is " going in and out
of consciousness " Vital signs BP 170/72 RR 26 and irregular
P 62 BGL 150 mg/dL. What should you suspect?
Subdural hematoma
A 23-year-old male was skateboarding down a ramp when he
flipped over and landed on his head. He is clenching his jaw,
and you are unable to insert an oral airway. He thrashes his
head when you attempt to provide BVM. His oxygen
saturation is decreasing and his ET CO2 is increasing. What
Correct Answers Latest Version Top
Rated
An adult pt has an open angulated injury to the left lower leg.
Distal pulses are absent. Why should you attempt to realign
the extremity?
Restore blood flow
A 42 year old female has been pulled from a smoke- filled
apartment. Her mouth and nose are covered in soot. She has
a weak hoarse cry with inspiratory strider. What should you
do?
Prepare for a difficult intubation
A 29 year old male falls 17ft (5m) to the ground from a tree.
He complains of pain with movement and pain on the right
side of his chest when he breathes. You note accessory
muscle use, focal tenderness, bony crepitus and absent
breath sounds on his right side. What should you suspect?
Simple pneumothorax
A 29 year old male was injured in a high speed motor vehicle
collision with lateral impact and intrusion into the side of a
sedan. He has pale and diaphoretic skin, appears anxious,
and is coughing up blood- tinged sputum. He complains of
chest pain, has decreased breath sounds on the left lateral
side, has crepitus on palpation of his ribs, and his jugular
veins are flat. Vital signs are; BP 88/56 P 120 RR24 SPO 92%.
What should you suspect?
Hemothorax
Which is an early finding in compartment syndrome
Pain
, A 20 year old male was hit in the chest with a baseball bat.
He complains of severe pain and tenderness on the left side.
He is unable to take a deep breath. Vital signs are BP 112/76
P 98 RR 20 SPO 98 ETCO2 38 mmHg. What should you do?
Administer 100mcg Fentanyl
A 26 y.o. M is supine on the ground. He was assaulted and
has obvious head and facial trauma. He has snoring
respirations at a rate of 8 per minute. What should you do?
Perform a modified jaw thrust
A 28 year old female suffered a head injury after falling from
a horse. Her Glasgow coma scale is 6 (E1, V1, M4) and she
has snoring respirations at 8 per minute. Which should you
do first?
Place an OPA
A 41 year old male was stabbed in the chest immediately
below the sternum. He complains of shortness of breath and
has engorged jugular veins. Vital signs BP 108/84 P 130 RR
26. What should you suspect?
Cardiac tamponade
A 24 year old construction worker amputated his thumb. How
should you manage the amputation?
Wrap it in moistened gauze
An 80 y.o. F fell down a flight of stairs 3 days ago. Today the
family reports she has a headache and is " going in and out
of consciousness " Vital signs BP 170/72 RR 26 and irregular
P 62 BGL 150 mg/dL. What should you suspect?
Subdural hematoma
A 23-year-old male was skateboarding down a ramp when he
flipped over and landed on his head. He is clenching his jaw,
and you are unable to insert an oral airway. He thrashes his
head when you attempt to provide BVM. His oxygen
saturation is decreasing and his ET CO2 is increasing. What
