PHTLS EXAM ms
Exam Solution
ms
PHTLS Pre test 2026 A+ GRADE ASSURED COMPLETE S
ms ms ms ms ms ms ms ms
OLUTIONS AND VERIFIED ANSWERS (39A08) ms ms ms ms
QUESTION 1 ms
A 13 year old male was riding on an all-
ms ms ms ms ms ms ms ms ms
terrain vehicle when he drove into a wire fence. He is sitting on the ground with a to
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
wel over his lower face. He has an open jaw fracture. What is your primary concern?
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Obstruction of the airway ms ms ms
QUESTION 2 ms
A 78 year old female fell 12 hours ago. Now she complains of 10/10 hip and groin pai
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n during movement. Vital signs are BP 98/50, P 132, R 26. What should you administe
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
r?
ANSWER
Ketamine
QUESTION 3 ms
A 13 year old male was a restrained passenger in a car crash at highway speed. He is
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
alert and oriented on-scene and walking around. What should you do?
ms ms ms ms ms ms ms ms ms ms
ANSWER
Consider spinal motion restriction and assess his c-spine
ms ms ms ms ms ms ms
QUESTION 4 ms
A 46 year old male is trapped in his vehicle after a high speed front-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
end collision. He is slow to respond to questions. You note blood pooling on his seat.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Vital signs are P 130, R 8. How should you remove this patient from the vehicle?
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
, ANSWER
Rapidly extricate the patient
ms ms ms
QUESTION 5 ms
A 44 year old male was ejected from a truck traveling 36 mph (60 kph). He is lying s
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
upine on the ground and has snoring respirations. What should you do first?
ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Manually stabilize the cervical spine
ms ms ms ms
QUESTION 6 ms
A 27 year old female has multisystem trauma. Which life threat is your first priority?
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Significant external hemorrhage ms ms
QUESTION 7 ms
An adult patient has partial thickness burns to his or her anterior chest and abdomen
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
, the entire right arm, and the palm of the left hand. What percent of the total body s
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
urface area is affected? ms ms ms
ANSWER
28%
QUESTION 8 ms
What is a sign of brain stem herniation?
ms ms ms ms ms ms ms
ANSWER
Decerebrate posturing ms
QUESTION 9 ms
A 33 year old female has a Glasgow Coma Scale score of 3 (E1, V1, M1) after being eje
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cted from a motor vehicle. How should you prepare to intubate?
ms ms ms ms ms ms ms ms ms ms
ANSWER
Maintain spinal precautions and use a video laryngoscope if available
ms ms ms ms ms ms ms ms ms
Exam Solution
ms
PHTLS Pre test 2026 A+ GRADE ASSURED COMPLETE S
ms ms ms ms ms ms ms ms
OLUTIONS AND VERIFIED ANSWERS (39A08) ms ms ms ms
QUESTION 1 ms
A 13 year old male was riding on an all-
ms ms ms ms ms ms ms ms ms
terrain vehicle when he drove into a wire fence. He is sitting on the ground with a to
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
wel over his lower face. He has an open jaw fracture. What is your primary concern?
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Obstruction of the airway ms ms ms
QUESTION 2 ms
A 78 year old female fell 12 hours ago. Now she complains of 10/10 hip and groin pai
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
n during movement. Vital signs are BP 98/50, P 132, R 26. What should you administe
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
r?
ANSWER
Ketamine
QUESTION 3 ms
A 13 year old male was a restrained passenger in a car crash at highway speed. He is
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
alert and oriented on-scene and walking around. What should you do?
ms ms ms ms ms ms ms ms ms ms
ANSWER
Consider spinal motion restriction and assess his c-spine
ms ms ms ms ms ms ms
QUESTION 4 ms
A 46 year old male is trapped in his vehicle after a high speed front-
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
end collision. He is slow to respond to questions. You note blood pooling on his seat.
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
Vital signs are P 130, R 8. How should you remove this patient from the vehicle?
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
, ANSWER
Rapidly extricate the patient
ms ms ms
QUESTION 5 ms
A 44 year old male was ejected from a truck traveling 36 mph (60 kph). He is lying s
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
upine on the ground and has snoring respirations. What should you do first?
ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Manually stabilize the cervical spine
ms ms ms ms
QUESTION 6 ms
A 27 year old female has multisystem trauma. Which life threat is your first priority?
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
ANSWER
Significant external hemorrhage ms ms
QUESTION 7 ms
An adult patient has partial thickness burns to his or her anterior chest and abdomen
ms ms ms ms ms ms ms ms ms ms ms ms ms ms
, the entire right arm, and the palm of the left hand. What percent of the total body s
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
urface area is affected? ms ms ms
ANSWER
28%
QUESTION 8 ms
What is a sign of brain stem herniation?
ms ms ms ms ms ms ms
ANSWER
Decerebrate posturing ms
QUESTION 9 ms
A 33 year old female has a Glasgow Coma Scale score of 3 (E1, V1, M1) after being eje
ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms ms
cted from a motor vehicle. How should you prepare to intubate?
ms ms ms ms ms ms ms ms ms ms
ANSWER
Maintain spinal precautions and use a video laryngoscope if available
ms ms ms ms ms ms ms ms ms