Page |1
PHTLS 10th Edition Exam Questions
and Answers 2024
When the application of kinetic energy to the body from either a blunt or
penetrating mechanism displaces tissue, this is known as - ans-CAVITATION
Which of the following is an example of the tertiary phase blast injury? - ans-
CRUSHING INJURY DUE TO STRUCTURAL COLLAPSE.
The most common threat to life among trauma patients is? - ans-INTERNAL
HEMORRHAGE
Your patient is an injured construction worker bleeding profusely from a large
laceration to the left thigh. He is confused and has pale, moist skin. Direct pressure
applied to the wound by a first responder has failed to control the bleeding. The
next step in controlling bleeding is to apply: - ans-A TOURNIQUET TO THE
LACERATION.
Hypotension due to spinal cord trauma occurs due to interruption of the
_______________nervous system pathway. - ans-SYMPATHETIC
The most common fractured ribs are ribs: - ans-4 THROUGH 8.
A hemothorax is differentiated from a tension pneumothorax by: - ans-DULL
PERCUSSION ON THE AFFECTED SIDE.
Which of the following mechanisms is most likely to result in cardiac tamponade? -
ans-A PATIENT IS STRUCK IN THE LEFT ANTERIOR CHEST BY A NAIL
EJECTED FROM A NAIL GUN.
Management of flail chest includes: - ans-PAIN MANAGEMENT
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VENTILATORY SUPPORT
100%O2
Which of the following types of traumatic brain injury is most likely to be associated
with hemorrhage from the middle meningeal artery? - ans-EPIDURAL
HEMATOMA
Which of the following groups of findings represents Cushing's phenomenon? - ans-
BRADYCARDIA
ABNORMAL RESPIRATORY PATTERN
ELEVATED BLOOD PRESSURE
Your patient is a 32 year old female who was thrown from a horse and struck her
head on the ground. She was not wearing a helmet. She does not respond verbally
or open her eyes to painful stimuli, but responds to painful stimuli with decerebrate
posturing. Her right pupil is dilated and does not react to light. Her respirations are
6 per minute and irregular, pulse 56, blood pressure 188/98. You should ventilate
the patient at a rate of? - ans-20 BPM.
A burn with reddened, glistening base that may have blisters is most characteristic
of a - ans-SECOND degree burn.
A chemical solution with a pH of 4.0 is considered an ACID and causes damage to
the tissues via - ans-COAGULATION NECROSIS.
An electrical burn caused by superheated air near the source of electricity is an -
ans-ARC burn.
Your patient is an 82 year old female who was an unrestrained front seat passenger
in a motor vehicle collision. Which of the following is the most reliable indication of
shock in this patient? - ans-LEVEL OF CONSCIOUSNESS.
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Which of the following findings is not expected in assessment of a pregnant patient?
- ans-A DECREASED BLOOD PRESSURE IN THE THIRD TRIMESTER.
Which of the following is contraindicated in the management of a pregnant trauma
patient in the third trimester? - ans-SUPINE POSITION.
During the assessment of the trauma patient, auscultation of the lung sounds is
first performed during: - ans-THE PRIMARY SURVEY.
Which of the following is indicated for the prehospital management of a
circumferential second degree burn extending from the wrist to the elbow in a 70 Kg
patient? - ans-A DRY STERILE DRESSING
ANALGESIA
The preferred fluid for resuscitation of the patient with significant burns is: - ans-
LACTATED RINGER'S SOLUTION.
Which of the following is the most common cause of spinal injuries? - ans-MOTOR
VEHICLE COLLISIONS.
Hypotension in hemothorax is associated with: - ans-THE ABILITY OF EACH
SIDE OF THE THORAX TO HOLD UP TO 3 LITERS OF BLOOD.
Cardiac tamponade is suspected with the findings of muffled heart
sounds___________, and___________ known as___________. - ans-JUGULAR VEIN
DISTENTION, and HYPOTENSION, known as BECK'S TRIAD.
When administering isotonic crystalloid solution, about ___________ will remain in
the vascular system after 1 hour. - ans-ONE-THIRD
PASG is contraindicated in patients with - ans-CHEST TRAUMA.
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The greatest threat to life from injury to hollow abdominal organ is - ans-
PERITONITIS.
IV fluids administered to patients in shock should be _______ in order to
______________ ______________. - ans-WARM, PREVENT HYPOTHERMIA.
During pregnancy, signs and symptoms of shock may appear _______ due to an
_________ in maternal blood volume. - ans-LATER, INCREASE
A fractured femur can result in___________________mL of hemorrhage. - ans-1000
TO 2000
A male patient suffered a stab wound to his left flank. He is found to be in stage III
shock. During the 25 minute transport to the trauma center, intravenous fluids
should be administered at a rate sufficient to maintain a: - ans-SYSTOLIC BP OF
80 TO 90.
The most common type of shock in trauma patients is - ans-HYPOVOLEMIC.
What percentage of blood volume loss in an adult patient is associated with findings
of tachycardia (>120/beats/minute), tachypnea (30-40 Breaths/min), and
hypotension (systolic BP <90mmHg)? - ans-30 TO 40
Minute volume of ventilation is best represented as - ans-TIDAL VOLUME x
ventilatory rate
Which injury is most likely to be sustained by the driver in a lateral impact collision
to the left side of the vehicle with no side impact airbags (assuming the driver sits
on the left)? - ans-FRACTURED LEFT CLAVICLE.
PHTLS 10th Edition Exam Questions
and Answers 2024
When the application of kinetic energy to the body from either a blunt or
penetrating mechanism displaces tissue, this is known as - ans-CAVITATION
Which of the following is an example of the tertiary phase blast injury? - ans-
CRUSHING INJURY DUE TO STRUCTURAL COLLAPSE.
The most common threat to life among trauma patients is? - ans-INTERNAL
HEMORRHAGE
Your patient is an injured construction worker bleeding profusely from a large
laceration to the left thigh. He is confused and has pale, moist skin. Direct pressure
applied to the wound by a first responder has failed to control the bleeding. The
next step in controlling bleeding is to apply: - ans-A TOURNIQUET TO THE
LACERATION.
Hypotension due to spinal cord trauma occurs due to interruption of the
_______________nervous system pathway. - ans-SYMPATHETIC
The most common fractured ribs are ribs: - ans-4 THROUGH 8.
A hemothorax is differentiated from a tension pneumothorax by: - ans-DULL
PERCUSSION ON THE AFFECTED SIDE.
Which of the following mechanisms is most likely to result in cardiac tamponade? -
ans-A PATIENT IS STRUCK IN THE LEFT ANTERIOR CHEST BY A NAIL
EJECTED FROM A NAIL GUN.
Management of flail chest includes: - ans-PAIN MANAGEMENT
, Page |2
VENTILATORY SUPPORT
100%O2
Which of the following types of traumatic brain injury is most likely to be associated
with hemorrhage from the middle meningeal artery? - ans-EPIDURAL
HEMATOMA
Which of the following groups of findings represents Cushing's phenomenon? - ans-
BRADYCARDIA
ABNORMAL RESPIRATORY PATTERN
ELEVATED BLOOD PRESSURE
Your patient is a 32 year old female who was thrown from a horse and struck her
head on the ground. She was not wearing a helmet. She does not respond verbally
or open her eyes to painful stimuli, but responds to painful stimuli with decerebrate
posturing. Her right pupil is dilated and does not react to light. Her respirations are
6 per minute and irregular, pulse 56, blood pressure 188/98. You should ventilate
the patient at a rate of? - ans-20 BPM.
A burn with reddened, glistening base that may have blisters is most characteristic
of a - ans-SECOND degree burn.
A chemical solution with a pH of 4.0 is considered an ACID and causes damage to
the tissues via - ans-COAGULATION NECROSIS.
An electrical burn caused by superheated air near the source of electricity is an -
ans-ARC burn.
Your patient is an 82 year old female who was an unrestrained front seat passenger
in a motor vehicle collision. Which of the following is the most reliable indication of
shock in this patient? - ans-LEVEL OF CONSCIOUSNESS.
, Page |3
Which of the following findings is not expected in assessment of a pregnant patient?
- ans-A DECREASED BLOOD PRESSURE IN THE THIRD TRIMESTER.
Which of the following is contraindicated in the management of a pregnant trauma
patient in the third trimester? - ans-SUPINE POSITION.
During the assessment of the trauma patient, auscultation of the lung sounds is
first performed during: - ans-THE PRIMARY SURVEY.
Which of the following is indicated for the prehospital management of a
circumferential second degree burn extending from the wrist to the elbow in a 70 Kg
patient? - ans-A DRY STERILE DRESSING
ANALGESIA
The preferred fluid for resuscitation of the patient with significant burns is: - ans-
LACTATED RINGER'S SOLUTION.
Which of the following is the most common cause of spinal injuries? - ans-MOTOR
VEHICLE COLLISIONS.
Hypotension in hemothorax is associated with: - ans-THE ABILITY OF EACH
SIDE OF THE THORAX TO HOLD UP TO 3 LITERS OF BLOOD.
Cardiac tamponade is suspected with the findings of muffled heart
sounds___________, and___________ known as___________. - ans-JUGULAR VEIN
DISTENTION, and HYPOTENSION, known as BECK'S TRIAD.
When administering isotonic crystalloid solution, about ___________ will remain in
the vascular system after 1 hour. - ans-ONE-THIRD
PASG is contraindicated in patients with - ans-CHEST TRAUMA.
, Page |4
The greatest threat to life from injury to hollow abdominal organ is - ans-
PERITONITIS.
IV fluids administered to patients in shock should be _______ in order to
______________ ______________. - ans-WARM, PREVENT HYPOTHERMIA.
During pregnancy, signs and symptoms of shock may appear _______ due to an
_________ in maternal blood volume. - ans-LATER, INCREASE
A fractured femur can result in___________________mL of hemorrhage. - ans-1000
TO 2000
A male patient suffered a stab wound to his left flank. He is found to be in stage III
shock. During the 25 minute transport to the trauma center, intravenous fluids
should be administered at a rate sufficient to maintain a: - ans-SYSTOLIC BP OF
80 TO 90.
The most common type of shock in trauma patients is - ans-HYPOVOLEMIC.
What percentage of blood volume loss in an adult patient is associated with findings
of tachycardia (>120/beats/minute), tachypnea (30-40 Breaths/min), and
hypotension (systolic BP <90mmHg)? - ans-30 TO 40
Minute volume of ventilation is best represented as - ans-TIDAL VOLUME x
ventilatory rate
Which injury is most likely to be sustained by the driver in a lateral impact collision
to the left side of the vehicle with no side impact airbags (assuming the driver sits
on the left)? - ans-FRACTURED LEFT CLAVICLE.
