PHTLS 10TH EDITION POST TEST QUESTIONS WITH
CORRECT ANSWERS REVISED IN 2025-2026
DECEMBER
A 44 y/o male was ejected from a truck traveling 36 mph. He is lying
supine on the ground and has snoring respirations. What should you do
first?
A. Manually stabilize the cervical spine
B. Check his BGL
C. Perform head tilt chin lift
D. Perform ET - ANSWER->A. Manually stabilize the cervical spine
A 46 y/o male is trapped in his vehicle after a high speed front-end
collision. He is slow to respond to questions. You note blood pooling on
his seat. Vital signs are P 130, R 8. How should you remove the patient
from the vehicle>
A. Extricate the patient onto a long backboard
B. Rapidly extricate the patient
C. Immobilize using a vest-type device
D. Ask the patient to climb out the vehicle window - ANSWER->B.
Rapidly extricate the patient
A 36 weeks pregnant female has sustained an injury that requires spinal
motion restriction. What intervention should be implemented to
,prevent hypotension during transport? A. Elevate the head of the
backboard 30 degrees
B. Elevate the right side of the backboard 4-6 inches
C. Manually displace the uterus to the right
D.Elevate the left leg to displace the uterus - ANSWER->B. Elevate the
right side of the backboard 4-6 inches
Which is an early finding in compartment syndrome?
A. Pallor
B. Pulselessness
C. Paralysis
D. Pain - ANSWER->D. Pain
A 14 y/o 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 dilated and non-reactive. What
type of hemorrhage should you suspect?
A. Subdural
B. Subarachnoid
C. Intraparenchymal
D. Epidural - ANSWER->D. Epidural
/A 25 y/o female has a GSW 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?
, A. Warmed lactated Ringer's
B. Normal saline
C. Hypertonic crystalloid solution
D. Lactated Ringer's - ANSWER->A. Warmed lactated Ringer's
Which of the following is true when log rolling a patient?
A. The provider controlling the patient's hips is in charge
B. The provider maintaining SMR is in charge
C. The patient should assist you in rolling to his/her side
D. Only two providers are recommended - ANSWER->B. The provider
maintaining SMR is in charge
A 28 y/o male was ejected during a car crash. He is unconscious and has
no obvious bleeding. Vital signs are BP 70/40, P 120, R 22. What type of
shock should you suspect?
A. Neurogenic
B. Anaphylactic
C. Cardiogenic
D. Hemorrhagic - ANSWER->D. Hemorrhagic
A 3 y/o female was involved in a car crash with 2 feet of intrusion into
the passenger compartment. She is crying and has an obvious
deformed right humerus. Her car seat has a crack on the side of impact.
What should you suspect?
A. Utilization of traction splint will be necessary
CORRECT ANSWERS REVISED IN 2025-2026
DECEMBER
A 44 y/o male was ejected from a truck traveling 36 mph. He is lying
supine on the ground and has snoring respirations. What should you do
first?
A. Manually stabilize the cervical spine
B. Check his BGL
C. Perform head tilt chin lift
D. Perform ET - ANSWER->A. Manually stabilize the cervical spine
A 46 y/o male is trapped in his vehicle after a high speed front-end
collision. He is slow to respond to questions. You note blood pooling on
his seat. Vital signs are P 130, R 8. How should you remove the patient
from the vehicle>
A. Extricate the patient onto a long backboard
B. Rapidly extricate the patient
C. Immobilize using a vest-type device
D. Ask the patient to climb out the vehicle window - ANSWER->B.
Rapidly extricate the patient
A 36 weeks pregnant female has sustained an injury that requires spinal
motion restriction. What intervention should be implemented to
,prevent hypotension during transport? A. Elevate the head of the
backboard 30 degrees
B. Elevate the right side of the backboard 4-6 inches
C. Manually displace the uterus to the right
D.Elevate the left leg to displace the uterus - ANSWER->B. Elevate the
right side of the backboard 4-6 inches
Which is an early finding in compartment syndrome?
A. Pallor
B. Pulselessness
C. Paralysis
D. Pain - ANSWER->D. Pain
A 14 y/o 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 dilated and non-reactive. What
type of hemorrhage should you suspect?
A. Subdural
B. Subarachnoid
C. Intraparenchymal
D. Epidural - ANSWER->D. Epidural
/A 25 y/o female has a GSW 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?
, A. Warmed lactated Ringer's
B. Normal saline
C. Hypertonic crystalloid solution
D. Lactated Ringer's - ANSWER->A. Warmed lactated Ringer's
Which of the following is true when log rolling a patient?
A. The provider controlling the patient's hips is in charge
B. The provider maintaining SMR is in charge
C. The patient should assist you in rolling to his/her side
D. Only two providers are recommended - ANSWER->B. The provider
maintaining SMR is in charge
A 28 y/o male was ejected during a car crash. He is unconscious and has
no obvious bleeding. Vital signs are BP 70/40, P 120, R 22. What type of
shock should you suspect?
A. Neurogenic
B. Anaphylactic
C. Cardiogenic
D. Hemorrhagic - ANSWER->D. Hemorrhagic
A 3 y/o female was involved in a car crash with 2 feet of intrusion into
the passenger compartment. She is crying and has an obvious
deformed right humerus. Her car seat has a crack on the side of impact.
What should you suspect?
A. Utilization of traction splint will be necessary
