1|Page
PHTLS 10th Edition Final Examination, National
Association of Emergency Medical
Technicians||Verified Exam!!||, 2026/2027 –
Comprehensive Prehospital Trauma Care Competency
Assessment||Newest Exam!!!
A 28 year old male fell from his motorcycle during a low
speed accident. He removed his own helmet after the
accident. He has an open left femur fracture with severe
external bleeding from the wound. What should you do? -
Answer-Apply direct pressure to the wound
An adult patient has an open angulated injury to the left
lower leg. Distal pulses are absent. Why would you
attempt to realign the extremity? - Answer-Restore blood
flow
A 20 year old male was hit in the chest with a baseball bat.
He4 complains of severe pain and tenderness to the left
side. He is unable to take a deep breath. Vital signs are
BP 112/76, P 98, R 20 regular, and ETCO2 38mmHg.
What should you do? - Answer-Administer 100 mcg of
Fentanyl
,2|Page
A 13 year old male was riding on an all-terrain vehicle
when he drove into a wire fence. He's 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
An adult patient has partial thickness burns to his or. her
anterior chest and abdomen, the entire right arm, and the
palm of the left hand. What percent of the total body
surface area is affected? - Answer-28%
An 8 year old female is being treated in the red treatment
area after a housing complex fire. Vital signs are P 140, R
12 with noted stridor. Her eyebrows and hair are burnt.
Suddenly, she becomes apenic. What should you do? -
Answer-Insert an oropharyngeal airway and assist
ventilations
What type of burn should be treated as a life or limb
threatening injury due to constriction of the injured
tissues? - Answer-Circumferential
A 26 year old female was the unrestrained driver of a head
on collision. Her Glascow Coma Scale score is 4 (E1, V1,
,3|Page
M2). Vital signs are BP 156/78, P 66, R 12 and irregular,
and her pupils are unequal. What should you do? -
Answer-Assist ventilations at a rate of 20 breaths per
minute
Which of the following presents the greatest risk for EMS
provider fatalities? - Answer-Motor vehicle collision either
in an EMS unit or on-scene
A 50 year old male fell from a 6th story balcony. Intubation
attempts have been unsuccessful. His Glasgow Coma
Scale score is 6 (E1, V1, M4). You note agonal
respirations. What should you do first? - Answer-Insert a
superglottic airway device
A 27 year old female has multi system trauma. Which life
threat is your first priority? - Answer-Significant external
hemorrhage
Which type of skull fracture will cause leakage of
cerebrospinal fluid from the ears and nose? - Answer-
Basilar
A 78 year old female was involved in a minor car crash.
She is shivering and exhibits repetitive questioning. She is
, 4|Page
a type II diabetic and takes a daily anticoagulant. What
should your initial treatment be? - Answer-Move patient to
a warm environment
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 dilated and not
reactive. What type of hemorrhage should you suspect? -
Answer-Epidural
An 80 year old female 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 are BP
170/72, R 26 and irregular, HR 62, BGL 150 mg/dL (8.3
mol/L). What should you suspect? - Answer-Subdural
hematoma
An adult patient was involved in a motorcycle accident.
Why should you remove his or her helmet? - Answer-To
manage the airway
PHTLS 10th Edition Final Examination, National
Association of Emergency Medical
Technicians||Verified Exam!!||, 2026/2027 –
Comprehensive Prehospital Trauma Care Competency
Assessment||Newest Exam!!!
A 28 year old male fell from his motorcycle during a low
speed accident. He removed his own helmet after the
accident. He has an open left femur fracture with severe
external bleeding from the wound. What should you do? -
Answer-Apply direct pressure to the wound
An adult patient has an open angulated injury to the left
lower leg. Distal pulses are absent. Why would you
attempt to realign the extremity? - Answer-Restore blood
flow
A 20 year old male was hit in the chest with a baseball bat.
He4 complains of severe pain and tenderness to the left
side. He is unable to take a deep breath. Vital signs are
BP 112/76, P 98, R 20 regular, and ETCO2 38mmHg.
What should you do? - Answer-Administer 100 mcg of
Fentanyl
,2|Page
A 13 year old male was riding on an all-terrain vehicle
when he drove into a wire fence. He's 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
An adult patient has partial thickness burns to his or. her
anterior chest and abdomen, the entire right arm, and the
palm of the left hand. What percent of the total body
surface area is affected? - Answer-28%
An 8 year old female is being treated in the red treatment
area after a housing complex fire. Vital signs are P 140, R
12 with noted stridor. Her eyebrows and hair are burnt.
Suddenly, she becomes apenic. What should you do? -
Answer-Insert an oropharyngeal airway and assist
ventilations
What type of burn should be treated as a life or limb
threatening injury due to constriction of the injured
tissues? - Answer-Circumferential
A 26 year old female was the unrestrained driver of a head
on collision. Her Glascow Coma Scale score is 4 (E1, V1,
,3|Page
M2). Vital signs are BP 156/78, P 66, R 12 and irregular,
and her pupils are unequal. What should you do? -
Answer-Assist ventilations at a rate of 20 breaths per
minute
Which of the following presents the greatest risk for EMS
provider fatalities? - Answer-Motor vehicle collision either
in an EMS unit or on-scene
A 50 year old male fell from a 6th story balcony. Intubation
attempts have been unsuccessful. His Glasgow Coma
Scale score is 6 (E1, V1, M4). You note agonal
respirations. What should you do first? - Answer-Insert a
superglottic airway device
A 27 year old female has multi system trauma. Which life
threat is your first priority? - Answer-Significant external
hemorrhage
Which type of skull fracture will cause leakage of
cerebrospinal fluid from the ears and nose? - Answer-
Basilar
A 78 year old female was involved in a minor car crash.
She is shivering and exhibits repetitive questioning. She is
, 4|Page
a type II diabetic and takes a daily anticoagulant. What
should your initial treatment be? - Answer-Move patient to
a warm environment
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 dilated and not
reactive. What type of hemorrhage should you suspect? -
Answer-Epidural
An 80 year old female 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 are BP
170/72, R 26 and irregular, HR 62, BGL 150 mg/dL (8.3
mol/L). What should you suspect? - Answer-Subdural
hematoma
An adult patient was involved in a motorcycle accident.
Why should you remove his or her helmet? - Answer-To
manage the airway
