PHTLS PRE-TEST LATEST QUESTIONS AND ANSWERS 130
QUESTIONS AND CORRECT ANSWERS
An adult pt has an open angulated injury to the left lower leg. Distal pulses are
absent. Why should you attempt to realign the extremity? - ANSWER: Restore blood
flow
A 42 year old female has been pulled from a smoke- filled apartment. Her mouth and
nose are covered in soot. She has a weak hoarse cry with inspiratory strider. What
should you do? - ANSWER: Prepare for a difficult intubation
A 29 year old male falls 17ft (5m) to the ground from a tree. He complains 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? - ANSWER: Simple pneumothorax
A 29 year old male was injured in a high speed motor vehicle collision with lateral
impact and intrusion into the side of a sedan. He has pale and diaphoretic skin,
appears anxious, and is coughing up blood- tinged sputum. He complains of chest
pain, has decreased breath sounds on the left lateral side, has crepitus on palpation
of his ribs, and his jugular veins are flat. Vital signs are; BP 88/56 P 120 RR24 SPO
92%. What should you suspect? - ANSWER: Hemothorax
Which is an early finding in compartment syndrome - ANSWER: Pain
A 20 year old male was hit in the chest with a baseball bat. He complains of severe
pain and tenderness on the left side. He is unable to take a deep breath. Vital signs
are BP 112/76 P 98 RR 20 SPO 98 ETCO2 38 mmHg. What should you do? - ANSWER:
Administer 100mcg Fentanyl
A 26 y.o. M is supine on the ground. He was assaulted and has obvious head and
facial trauma. He has snoring respirations at a rate of 8 per minute. What should you
do? - ANSWER: Perform a modified jaw thrust
A 28 year old female suffered a head injury after falling from a horse. Her Glasgow
coma scale is 6 (E1, V1, M4) and she has snoring respirations at 8 per minute. Which
should you do first? - ANSWER: Place an OPA
A 41 year old male was stabbed in the chest immediately below the sternum. He
complains of shortness of breath and has engorged jugular veins. Vital signs BP
108/84 P 130 RR 26. What should you suspect? - ANSWER: Cardiac tamponade
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
QUESTIONS AND CORRECT ANSWERS
An adult pt has an open angulated injury to the left lower leg. Distal pulses are
absent. Why should you attempt to realign the extremity? - ANSWER: Restore blood
flow
A 42 year old female has been pulled from a smoke- filled apartment. Her mouth and
nose are covered in soot. She has a weak hoarse cry with inspiratory strider. What
should you do? - ANSWER: Prepare for a difficult intubation
A 29 year old male falls 17ft (5m) to the ground from a tree. He complains 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? - ANSWER: Simple pneumothorax
A 29 year old male was injured in a high speed motor vehicle collision with lateral
impact and intrusion into the side of a sedan. He has pale and diaphoretic skin,
appears anxious, and is coughing up blood- tinged sputum. He complains of chest
pain, has decreased breath sounds on the left lateral side, has crepitus on palpation
of his ribs, and his jugular veins are flat. Vital signs are; BP 88/56 P 120 RR24 SPO
92%. What should you suspect? - ANSWER: Hemothorax
Which is an early finding in compartment syndrome - ANSWER: Pain
A 20 year old male was hit in the chest with a baseball bat. He complains of severe
pain and tenderness on the left side. He is unable to take a deep breath. Vital signs
are BP 112/76 P 98 RR 20 SPO 98 ETCO2 38 mmHg. What should you do? - ANSWER:
Administer 100mcg Fentanyl
A 26 y.o. M is supine on the ground. He was assaulted and has obvious head and
facial trauma. He has snoring respirations at a rate of 8 per minute. What should you
do? - ANSWER: Perform a modified jaw thrust
A 28 year old female suffered a head injury after falling from a horse. Her Glasgow
coma scale is 6 (E1, V1, M4) and she has snoring respirations at 8 per minute. Which
should you do first? - ANSWER: Place an OPA
A 41 year old male was stabbed in the chest immediately below the sternum. He
complains of shortness of breath and has engorged jugular veins. Vital signs BP
108/84 P 130 RR 26. What should you suspect? - ANSWER: Cardiac tamponade
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
