PHTLS 10th Edition EXAMQUESTIONS AND ANSWERS EXAM 2024-2025
| ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EX4AM |
ACCURATE REAL EXAM QUESTIONS AND ANSWERS | GUARANTEED
PASS | LATEST UPDATE
A 27 year old female has multi system trauma. Which life threat
is your first priority? - CORRECT ANSWER Significant external
hemorrhage
Which type of skull fracture will cause leakage of cerebrospinal
fluid from the ears and nose? - CORRECT ANSWER Basilar
A 78 year old female was involved in a minor car crash. She is
shivering and exhibits repetitive questioning. She is a type II
diabetic and takes a daily anticoagulant. What should your initial
treatment be? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER Subdural hematoma
,An adult patient was involved in a motorcycle accident. Why
should you remove his or her helmet? - CORRECT ANSWER To
manage the airway
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? - CORRECT 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? - CORRECT 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? - CORRECT
ANSWER Administer 100 mcg of Fentanyl
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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT
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, M2). Vital
signs are BP 156/78, P 66, R 12 and irregular, and her pupils are
unequal. What should you do? - CORRECT ANSWER Assist
ventilations at a rate of 20 breaths per minute
Which of the following presents the greatest risk for EMS
provider fatalities? - CORRECT 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? - CORRECT ANSWER Insert a superglottic airway
device
A 22 year old male 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? - CORRECT ANSWER Apply a tourniquet
A 46 year old male is trapped in his vehicle after a high speed
front-end collision. He is slow to respond to questions. You note
blood pooling on his seat. Vital signs are P 130, R 8. How should
, you remove this patient from the vehicle? - CORRECT ANSWER
Rapidly extricate the patient
A 24 year old construction worker amputated his thumb. How
should you manage the amputation? - CORRECT ANSWER Wrap
in moistened gauze
A 36 weeks pregnant female has sustained an injury that
requires spinal motion restriction. What intervention should be
implemented to prevent hypotension during transport? -
CORRECT ANSWER Elevate the right side of the back board 4-6
inches
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 are BP 108/84, P 130, R 26.
What should you suspect? - CORRECT ANSWER Cardiac
tamponade
A 55 year old male has burns to both lower extremities from a
car crash. He is awake and in severe pain. Assessment reveals
dry, white, leathery appearance in both lower extremities. What
is the burn classification? - CORRECT ANSWER Full thickness
A 29 year old male falls 17 feet (5 m) to the ground from a tree.
He complains of pain with movement and pain on the right side
of his chest when he breaths. You not5e accessory muscle use,
focal, tenderness, bony crepitus, and absent breath sounds on
his right side. What should you suspect? - CORRECT ANSWER
Simple pneumothorax
A 47 year old female was stabbed with knife in her right upper
quadrant. Her Glasgow Coma Scale score is 9 (E2, V2, M5). Vital
| ACTUAL EXAM WITH A STUDY GUIDE AND PRACTICE EX4AM |
ACCURATE REAL EXAM QUESTIONS AND ANSWERS | GUARANTEED
PASS | LATEST UPDATE
A 27 year old female has multi system trauma. Which life threat
is your first priority? - CORRECT ANSWER Significant external
hemorrhage
Which type of skull fracture will cause leakage of cerebrospinal
fluid from the ears and nose? - CORRECT ANSWER Basilar
A 78 year old female was involved in a minor car crash. She is
shivering and exhibits repetitive questioning. She is a type II
diabetic and takes a daily anticoagulant. What should your initial
treatment be? - CORRECT 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? - CORRECT 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? - CORRECT ANSWER Subdural hematoma
,An adult patient was involved in a motorcycle accident. Why
should you remove his or her helmet? - CORRECT ANSWER To
manage the airway
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? - CORRECT 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? - CORRECT 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? - CORRECT
ANSWER Administer 100 mcg of Fentanyl
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? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT
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, M2). Vital
signs are BP 156/78, P 66, R 12 and irregular, and her pupils are
unequal. What should you do? - CORRECT ANSWER Assist
ventilations at a rate of 20 breaths per minute
Which of the following presents the greatest risk for EMS
provider fatalities? - CORRECT 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? - CORRECT ANSWER Insert a superglottic airway
device
A 22 year old male 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? - CORRECT ANSWER Apply a tourniquet
A 46 year old male is trapped in his vehicle after a high speed
front-end collision. He is slow to respond to questions. You note
blood pooling on his seat. Vital signs are P 130, R 8. How should
, you remove this patient from the vehicle? - CORRECT ANSWER
Rapidly extricate the patient
A 24 year old construction worker amputated his thumb. How
should you manage the amputation? - CORRECT ANSWER Wrap
in moistened gauze
A 36 weeks pregnant female has sustained an injury that
requires spinal motion restriction. What intervention should be
implemented to prevent hypotension during transport? -
CORRECT ANSWER Elevate the right side of the back board 4-6
inches
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 are BP 108/84, P 130, R 26.
What should you suspect? - CORRECT ANSWER Cardiac
tamponade
A 55 year old male has burns to both lower extremities from a
car crash. He is awake and in severe pain. Assessment reveals
dry, white, leathery appearance in both lower extremities. What
is the burn classification? - CORRECT ANSWER Full thickness
A 29 year old male falls 17 feet (5 m) to the ground from a tree.
He complains of pain with movement and pain on the right side
of his chest when he breaths. You not5e accessory muscle use,
focal, tenderness, bony crepitus, and absent breath sounds on
his right side. What should you suspect? - CORRECT ANSWER
Simple pneumothorax
A 47 year old female was stabbed with knife in her right upper
quadrant. Her Glasgow Coma Scale score is 9 (E2, V2, M5). Vital
