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PHTLS 9th Edition Exam Questions & Answers

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This document contains verified exam-style questions and answers for Prehospital Trauma Life Support (PHTLS) and trauma care scenarios. Topics include the management of traumatic amputation and tourniquet use, secondary survey assessments, principles vs. preferences in trauma care, and pediatric abuse statistics such as intentional burn injuries. The material is structured to help EMS professionals, paramedic students, and prehospital providers prepare for trauma certification exams with accurate and scenario-based content.

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PHTLS 9th Edition Exam Questions & Answers



A 30 year old male is injured in a terror bombing. He experiences traumatic amputation of his left leg at
knee level. An improvised tourniquet was put in place by bystanders. The victim is conscious and in
severe pain. You first action should be to do which of the following? ✔️✔️Confirm the tourniquet was
properly applied.

Which of the following information is assessed during the secondary survey? ✔️✔️vitals

When caring for a trauma patient a principle is what is necessary for patient improvement or survival. A
preference is how the principle is achieved and depends upon four factors. The factors used to
accomplish the preference in treating the patient include all except:

a. Condition of the patient

b. Equipment available

c. Situation that exists

d. Research information ✔️✔️When caring for a trauma patient a principle is what is necessary for patient
improvement or survival. A preference is how the principle is achieved and depends upon four factors.
The factors used to accomplish the preference in treating the patient include all except:

a. Condition of the patient

b. Equipment available

c. Situation that exists

*d. Research information*

Approximately 20% of all child abuse is the result of intentional burning. The majority of the children
intentionally burned are of what age?

a. 0 to 12 years of age

b. 5 to 6 years of age

c. 1 to 2 years of age

d. Less than 1 year of age ✔️✔️Approximately 20% of all child abuse is the result of intentional burning.
The majority of the children intentionally burned are of what age?

a. 0 to 12 years of age

b. 5 to 6 years of age

*c. 1 to 2 years of age*

d. Less than 1 year of age

,In addition to glucose, what is required to maintain the metabolic processes of life and energy
production?

a. Carbon monoxide

b. Krebs cells

c. Lymphocytes

d. Oxygen ✔️✔️In addition to glucose, what is required to maintain the metabolic processes of life and
energy production?

a. Carbon monoxide

b. Krebs cells

c. Lymphocytes

*d. Oxygen*

You respond to a patient who has sustained a stab wound to the left upper thorax. She is barely
responsive, pale and diaphoretic. Which of the following is the most appropriate for transport?

a. Stair chair

b. Long board with full spine immobilization

c. Scoop stretcher

d. Short immobilization device ✔️✔️You respond to a patient who has sustained a stab wound to the left
upper thorax. She is barely responsive, pale and diaphoretic. Which of the following is the most
appropriate for transport?

a. Stair chair

b. Long board with full spine immobilization

*c. Scoop stretcher*

d. Short immobilization device

Units responding to a motor vehicle accident on the highway should consider which of the following as
part of their pre-arrival assessment?

a. Calling for more units to respond

b. Weather conditions

c. The need for immediate transport

d. Post-exposure prophylaxis ✔️✔️Units responding to a motor vehicle accident on the highway should
consider which of the following as part of their pre-arrival assessment?

a. Calling for more units to respond

, *b. Weather conditions*

c. The need for immediate transport

d. Post-exposure prophylaxis

The most appropriate airway maneuver in the initial management of a trauma patient is which of the
following?

a. Head tilt, chin lift

b. Supraglottic airway

c. Trauma jaw thrust

d. Oropharyngeal airway ✔️✔️The most appropriate airway maneuver in the initial management of a
trauma patient is which of the following?

a. Head tilt, chin lift

b. Supraglottic airway

*c. Trauma jaw thrust*

d. Oropharyngeal airway

When verifying ET tube placement on a perfusing patient, the "gold standard" of monitoring is
considered to be?

a. Colorimetric carbon dioxide detector

b. Pulse oximetry

c. Listening to lung sounds

d. EtCO2 ✔️✔️When verifying ET tube placement on a perfusing patient, the "gold standard" of
monitoring is considered to be?

a. Colorimetric carbon dioxide detector

b. Pulse oximetry

c. Listening to lung sounds

*d. EtCO2*

A patient presents with a blunt trauma injury to the chest. On exam, he has absent breath sounds on
one side of his chest and respiratory distress. Which additional sign would indicate that the patient has a
tension pneumothorax?

a. Distended neck veins

b. Muffled heart sounds

c. Narrowed pulse pressure

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