PHTLS Review Exam Questions and Answers |Fall 2025/2026
Update | 100% Correct Latest
Question 1
What happens in Tracheobronchial Detachment?
Correct Answer
1. Detachment usually occurs at the carina
2. Air leaks into the chest cavity
3. pneumothorax / tension
Question 2
What is paramount for scene assessment?
Correct Answer
Personal and Personnel safety.
Question 3
What are common complaints of rib fractures?
Correct Answer
Pain and SOB
Page 1 of 62
,Question 4
If you increase the stopping distance what happens to the potential for injury?
Correct Answer
potential for injury is decreased
Question 5
What is the frontal lobe responsible for?
Correct Answer
Foresight, personality, judgement
Question 6
What are the biggest vertebra?
Correct Answer
Lumbar, they carry the most weight
Question 7
Concerns with down & under injuries?
Correct Answer
Pelvic fx
Femur fx
Patellar fx
Page 2 of 62
,Question 8
What is primary damage?
Correct Answer
Damage that occurs at the moment of impact.
Question 9
Important facts of an epidural bleed are what?
Correct Answer
1. Fast bleeds arterial (medial meningeal artery)
2. Usually die in about 1 hr
3. Lucid intervals (knockd out, wake up & act normal, knock back out)
Question 10
How much blood must be lost before children show signs of hypotension?
Correct Answer
30.00%
Question 11
What is a typical ICP?
Correct Answer
10-15 mmHg
Page 3 of 62
, Question 12
What is secondary damage?
Correct Answer
Damage that occurs subsequent to the initial impact.
Question 13
When do you score the GCS?
Correct Answer
AFTER the correctable causes of ALOC have been addressed.
Question 14
When the patients breathing draws your attention you should...?
Correct Answer
Assume there is a problem until proven otherwise.
Question 15
What is the secondary brain injury?
Correct Answer
something we can prevent (ex. hypoxia post primary injury)
Page 4 of 62
Update | 100% Correct Latest
Question 1
What happens in Tracheobronchial Detachment?
Correct Answer
1. Detachment usually occurs at the carina
2. Air leaks into the chest cavity
3. pneumothorax / tension
Question 2
What is paramount for scene assessment?
Correct Answer
Personal and Personnel safety.
Question 3
What are common complaints of rib fractures?
Correct Answer
Pain and SOB
Page 1 of 62
,Question 4
If you increase the stopping distance what happens to the potential for injury?
Correct Answer
potential for injury is decreased
Question 5
What is the frontal lobe responsible for?
Correct Answer
Foresight, personality, judgement
Question 6
What are the biggest vertebra?
Correct Answer
Lumbar, they carry the most weight
Question 7
Concerns with down & under injuries?
Correct Answer
Pelvic fx
Femur fx
Patellar fx
Page 2 of 62
,Question 8
What is primary damage?
Correct Answer
Damage that occurs at the moment of impact.
Question 9
Important facts of an epidural bleed are what?
Correct Answer
1. Fast bleeds arterial (medial meningeal artery)
2. Usually die in about 1 hr
3. Lucid intervals (knockd out, wake up & act normal, knock back out)
Question 10
How much blood must be lost before children show signs of hypotension?
Correct Answer
30.00%
Question 11
What is a typical ICP?
Correct Answer
10-15 mmHg
Page 3 of 62
, Question 12
What is secondary damage?
Correct Answer
Damage that occurs subsequent to the initial impact.
Question 13
When do you score the GCS?
Correct Answer
AFTER the correctable causes of ALOC have been addressed.
Question 14
When the patients breathing draws your attention you should...?
Correct Answer
Assume there is a problem until proven otherwise.
Question 15
What is the secondary brain injury?
Correct Answer
something we can prevent (ex. hypoxia post primary injury)
Page 4 of 62
