PHTLS PRE TEST PRACTICE TEST 2026
QUESTIONS WITH CORRECT ANSWERS
◉ A 22 y.o. M was involved in a car crash and hit a tree head - on.
The patient is on the ground outside the vehicle and is unconscious.
His forearm is avulsed and you note a large pool of blood with active
bleeding. His breathing is deep and labored. What should you do?
Answer: Apply a tourniquet
◉ Which type of shock includes neurogenic and anaphylactic shock?
Answer: Distributive
◉ An anxious 54 y.o. F complains of chest pain. She hit the steering
wheel after a car crash at high speeds. Her sternum is red and
tender. Vital signs are BP 100/68, P 112 RR 28 clear, SPO2 92%.
What should you suspect? Answer: Cardiac contusion
◉ A 32 year old male was ejected from a motor vehicle. He is
unconscious with agonal respirations upon assessment you note a
dilated right pupil. What is the best device to secure the airway.
Answer: Endotracheal tube
◉ A 44 year-old male was involved in a motorcycle crash. He
sustained severe blunt trauma to the chest and has a deformity of
the right femur. Multiple IV attempts were unsuccessful. Vitals are
,BP 70/40 HR 126 RR 28. What should you do? Answer: Establish IO
access
◉ A 16-year-old male complains of chest pain and difficulty taking a
deep breath. He was assaulted with a metal pipe. He has unilateral
chest rise and crepitus over the injured area. What should you do?
Answer: Apply high flow oxygen
◉ A 14-year-old male suffered from helmet to helmet contact during
a football game followed by 30 second period of unconsciousness.
Initial exam shows that he is awake but slow to respond. He is
nauseated and has a headache. He becomes unresponsive during
transport. Examination of the pupils reveals a left pupil that is
dilated and non-reactive. What type of hemorrhage should you
suspect? Answer: Epidural
◉ An 8 y.o. female is being treated in the red treatment area after a
housing complex fire. Vital signs are P 140 RR 12 with noted stridor.
Her eyebrows and hair are burnt. Suddenly, she became apneic.
What should you do? Answer: Insert an OPA and assist ventilations
◉ A 13-year-old male was a restrained passenger in a car crash at
high speed. He is alert and oriented on scene and walking around.
What should you do? Answer: Consider spinal motion restriction
and assess his c-spine
, ◉ Where is the preferred landmark for needle decompression?
Answer: Anterior axiliary line, 5th intercostal
◉ What is a sign of brain stem herniation? Answer: Decerebrate
posturing
◉ A 13-year-old male was riding on an all-terrain vehicle when he
drove into a wire fence. He is sitting on the ground with a towel over
his lower face. He has an open jaw fracture. What is your primary
concern? Answer: obstruction of the airway
◉ A 2 Two 5-year-old female has a gunshot wound to the abdomen.
Vital signs are BP 80/40 HR 122 RR 18 with clear, equal lung sounds.
What is the most appropriate IV fluid to administer? Answer:
Warmed LR
◉ What type of burn should be treated as a life or limb, threatening
injury due to constriction of the injured tissue? Answer:
circumferential
◉ An adult patient was involved in a motorcycle accident. Why
should you remove his or her helmet? Answer: Manage the airway
◉ A 28 -year-old male was ejected during a car crash. He is
unconscious and has no obvious bleeding. Vital signs are BP 70/40
QUESTIONS WITH CORRECT ANSWERS
◉ A 22 y.o. M was involved in a car crash and hit a tree head - on.
The patient is on the ground outside the vehicle and is unconscious.
His forearm is avulsed and you note a large pool of blood with active
bleeding. His breathing is deep and labored. What should you do?
Answer: Apply a tourniquet
◉ Which type of shock includes neurogenic and anaphylactic shock?
Answer: Distributive
◉ An anxious 54 y.o. F complains of chest pain. She hit the steering
wheel after a car crash at high speeds. Her sternum is red and
tender. Vital signs are BP 100/68, P 112 RR 28 clear, SPO2 92%.
What should you suspect? Answer: Cardiac contusion
◉ A 32 year old male was ejected from a motor vehicle. He is
unconscious with agonal respirations upon assessment you note a
dilated right pupil. What is the best device to secure the airway.
Answer: Endotracheal tube
◉ A 44 year-old male was involved in a motorcycle crash. He
sustained severe blunt trauma to the chest and has a deformity of
the right femur. Multiple IV attempts were unsuccessful. Vitals are
,BP 70/40 HR 126 RR 28. What should you do? Answer: Establish IO
access
◉ A 16-year-old male complains of chest pain and difficulty taking a
deep breath. He was assaulted with a metal pipe. He has unilateral
chest rise and crepitus over the injured area. What should you do?
Answer: Apply high flow oxygen
◉ A 14-year-old male suffered from helmet to helmet contact during
a football game followed by 30 second period of unconsciousness.
Initial exam shows that he is awake but slow to respond. He is
nauseated and has a headache. He becomes unresponsive during
transport. Examination of the pupils reveals a left pupil that is
dilated and non-reactive. What type of hemorrhage should you
suspect? Answer: Epidural
◉ An 8 y.o. female is being treated in the red treatment area after a
housing complex fire. Vital signs are P 140 RR 12 with noted stridor.
Her eyebrows and hair are burnt. Suddenly, she became apneic.
What should you do? Answer: Insert an OPA and assist ventilations
◉ A 13-year-old male was a restrained passenger in a car crash at
high speed. He is alert and oriented on scene and walking around.
What should you do? Answer: Consider spinal motion restriction
and assess his c-spine
, ◉ Where is the preferred landmark for needle decompression?
Answer: Anterior axiliary line, 5th intercostal
◉ What is a sign of brain stem herniation? Answer: Decerebrate
posturing
◉ A 13-year-old male was riding on an all-terrain vehicle when he
drove into a wire fence. He is sitting on the ground with a towel over
his lower face. He has an open jaw fracture. What is your primary
concern? Answer: obstruction of the airway
◉ A 2 Two 5-year-old female has a gunshot wound to the abdomen.
Vital signs are BP 80/40 HR 122 RR 18 with clear, equal lung sounds.
What is the most appropriate IV fluid to administer? Answer:
Warmed LR
◉ What type of burn should be treated as a life or limb, threatening
injury due to constriction of the injured tissue? Answer:
circumferential
◉ An adult patient was involved in a motorcycle accident. Why
should you remove his or her helmet? Answer: Manage the airway
◉ A 28 -year-old male was ejected during a car crash. He is
unconscious and has no obvious bleeding. Vital signs are BP 70/40
