1
NEW PHTLS 10TH EDITION PRACTICE EXAM
WITH Q&A TESTED AND APPROVED NEWLY
MODIFIED
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
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%
, 2
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, 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 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
, 3
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
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? -- ANSWER--Rapidly extricate the patient
A 24-year-old construction worker amputated his thumb. How should you
manage the amputation? -- 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? -- ANSWER--Elevate the right side of the back board 4-6
inches
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 a type II diabetic and takes a daily
NEW PHTLS 10TH EDITION PRACTICE EXAM
WITH Q&A TESTED AND APPROVED NEWLY
MODIFIED
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
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%
, 2
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, 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 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
, 3
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
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? -- ANSWER--Rapidly extricate the patient
A 24-year-old construction worker amputated his thumb. How should you
manage the amputation? -- 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? -- ANSWER--Elevate the right side of the back board 4-6
inches
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 a type II diabetic and takes a daily
