PHTLS 10TH EDITION LATEST EXAM ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
|ALREADY GRADED A+
1. A 78-year-old female was involved in a minor car crash. She is shivering and
exhibits repetitive questioning. She is a type II diabetic and takes an
anticoagulant. What should your initial treatment be?: Move patient to a warm environment
2. A 29-year-old male falls 17 feet (5m) to the ground from a tree. He com- plains 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
3. A 55-year-old male has burns to both lower extremities from a car crash. He is awake and
in severe pain. Assessment reveals dry, white, leathery, appearance in both lower
extremities. What is the burn classification?: Full thickness
4. Which of the following physiological changes associated with aging may contribute to an
increased incidence of falls among the elderly?: Declining visual acuity
5. Which type of shock included neurogenic and anaphylactic shock?: Distributive
6. A 13-year-old male was a restrained passenger in a car crash at highway speed. He is
alert and oriented on-scene and walking around. What should you do?: Consider spinal motion
restriction and assess his c-spine
7. A 24-year-old construction worker amputated his thumb. How should you manage
the amputation?: Wrap in moistened gauze
8. A 41-year-old male was stabbed in the chest immediately below the sternum. He complains
1|Page
, of shortness of breath and has engorged jugular veins. Vital signs are BP 108/84, P 130 R 26.
What should you suspect?: Cardiac tamponade
9. A 50-year-old male fell from a 6th story balcony. Intubation attempts have been
unsuccessful. What should you do first?: Insert a supraglottic airway device
10. A 44-year-old male was ejected from a truck traveling 36mph (60kph). He is lying
supine on the ground and has snoring respirations. What should you do first?: Manually
stabilize the cervical spine
11. A 46-year-old male is trapped in his vehicle after a high speed front-end collision.
He is slow to respond to questions. You see blood pooling on his seat. Vital signs are
P 130 R 8. How should you remove this patient from the vehicle?: Rapidly extricate the patient
12. A 36 week pregnant female has sustained an injury that requires spinal motion
restriction. What intervention should be implemented to prevent hy- potension during
transport?: Elevate the right side of the backboard 4-6 inches
13. Which is an early finding in compartment syndrome?: Pain
14. A 14-year-old male suffered from helmet-to-helmet contact during a football game
followed by a 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 dilatated and
nonreactive. What type of hemorrhage should you suspect?: Epidural
15. A 25-year-old female has a gunshot wound to the abdomen. Vital signs
are BP 80/40, P 122. R 18 with clear, equal lung sounds. What is the most appropriate IV fluid
to administer?: Warm lactated ringer's
16. Which of the following is true when log rolling a patient?: The provider maintaining spinal
motion restriction is in charge
2|Page
QUESTIONS AND CORRECT DETAILED ANSWERS
|ALREADY GRADED A+
1. A 78-year-old female was involved in a minor car crash. She is shivering and
exhibits repetitive questioning. She is a type II diabetic and takes an
anticoagulant. What should your initial treatment be?: Move patient to a warm environment
2. A 29-year-old male falls 17 feet (5m) to the ground from a tree. He com- plains 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
3. A 55-year-old male has burns to both lower extremities from a car crash. He is awake and
in severe pain. Assessment reveals dry, white, leathery, appearance in both lower
extremities. What is the burn classification?: Full thickness
4. Which of the following physiological changes associated with aging may contribute to an
increased incidence of falls among the elderly?: Declining visual acuity
5. Which type of shock included neurogenic and anaphylactic shock?: Distributive
6. A 13-year-old male was a restrained passenger in a car crash at highway speed. He is
alert and oriented on-scene and walking around. What should you do?: Consider spinal motion
restriction and assess his c-spine
7. A 24-year-old construction worker amputated his thumb. How should you manage
the amputation?: Wrap in moistened gauze
8. A 41-year-old male was stabbed in the chest immediately below the sternum. He complains
1|Page
, of shortness of breath and has engorged jugular veins. Vital signs are BP 108/84, P 130 R 26.
What should you suspect?: Cardiac tamponade
9. A 50-year-old male fell from a 6th story balcony. Intubation attempts have been
unsuccessful. What should you do first?: Insert a supraglottic airway device
10. A 44-year-old male was ejected from a truck traveling 36mph (60kph). He is lying
supine on the ground and has snoring respirations. What should you do first?: Manually
stabilize the cervical spine
11. A 46-year-old male is trapped in his vehicle after a high speed front-end collision.
He is slow to respond to questions. You see blood pooling on his seat. Vital signs are
P 130 R 8. How should you remove this patient from the vehicle?: Rapidly extricate the patient
12. A 36 week pregnant female has sustained an injury that requires spinal motion
restriction. What intervention should be implemented to prevent hy- potension during
transport?: Elevate the right side of the backboard 4-6 inches
13. Which is an early finding in compartment syndrome?: Pain
14. A 14-year-old male suffered from helmet-to-helmet contact during a football game
followed by a 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 dilatated and
nonreactive. What type of hemorrhage should you suspect?: Epidural
15. A 25-year-old female has a gunshot wound to the abdomen. Vital signs
are BP 80/40, P 122. R 18 with clear, equal lung sounds. What is the most appropriate IV fluid
to administer?: Warm lactated ringer's
16. Which of the following is true when log rolling a patient?: The provider maintaining spinal
motion restriction is in charge
2|Page
