1
PHTLS 10TH EDITION EXAM LATEST VERSION -2025/2026- 100+
QUESTIONS AND VERIFIED ANSWERS ALL THE BEST
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?
Subdural hematoma
An adult patient was involved in a motorcycle accident. Why should you remove
his or her helmet?
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?
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?
Restore blood flow
A 27 year old female has multi system trauma. Which life threat is your first
priority?
Significant external hemorrhage
Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears
and nose?
Basilar
, 2
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?
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?
Epidural
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?
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?
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?
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?
PHTLS 10TH EDITION EXAM LATEST VERSION -2025/2026- 100+
QUESTIONS AND VERIFIED ANSWERS ALL THE BEST
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?
Subdural hematoma
An adult patient was involved in a motorcycle accident. Why should you remove
his or her helmet?
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?
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?
Restore blood flow
A 27 year old female has multi system trauma. Which life threat is your first
priority?
Significant external hemorrhage
Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears
and nose?
Basilar
, 2
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?
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?
Epidural
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?
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?
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?
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?
