PHTLS PRE TEST 8 STUDY GUIDE 2026 TESTED
QUESTIONS AND PRACTICE SOLUTION
GRADED A+
◉ A 24 year old construction worker amputated his thumb. How
should you manage the amputation?
Answer: 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?
Answer: 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 is the best option to secure his airway
and provide effective ventilations?
Answer: Pharmacologically assisted intubation
◉ A 3 y.o. Female was involved in a car crash with 2 ft 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?
Answer: Significant energy has been distributed to this patient
◉ A 27 y.o. F has multi system trauma. Which life threat is your first
priority?
Answer: Significant external hemorrhage
◉ Upon examining a 43 y.o. M you note unequal breath sounds.
What is a sign or symptom of a simple pneumothorax?
Answer: Shortness of breath, decreased lung sounds on affected side
◉ 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
QUESTIONS AND PRACTICE SOLUTION
GRADED A+
◉ A 24 year old construction worker amputated his thumb. How
should you manage the amputation?
Answer: 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?
Answer: 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 is the best option to secure his airway
and provide effective ventilations?
Answer: Pharmacologically assisted intubation
◉ A 3 y.o. Female was involved in a car crash with 2 ft 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?
Answer: Significant energy has been distributed to this patient
◉ A 27 y.o. F has multi system trauma. Which life threat is your first
priority?
Answer: Significant external hemorrhage
◉ Upon examining a 43 y.o. M you note unequal breath sounds.
What is a sign or symptom of a simple pneumothorax?
Answer: Shortness of breath, decreased lung sounds on affected side
◉ 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
