PHTLS (Prehospital Trauma Life Support) Exam
Questions 100% Verified Answers Detailed &
Elaborated Top Rated
1. A child (age 3) involved in a low-speed MVC has a large head
laceration with minimal bleeding but is irritable and vomiting. What
should you suspect?
A. Hypovolemic shock from blood loss
B. Traumatic brain injury (possible intracranial bleed)
C. Spinal shock
D. Simple concussion
Answer>>B Traumatic brain injury (possible intracranial bleed)
(Pediatric heads are larger proportionally; irritability/vomiting are red
flags for head injury despite minor external signs.)
2. For a patient with a suspected flail chest and paradoxical breathing,
the initial treatment includes:
A. Immediate needle decompression
, B. Stabilize the flail segment with bulky dressing and monitor
ventilation
C. Apply positive pressure ventilation only
D. Perform chest tube insertion
Answer>>B Stabilize the flail segment with bulky dressing and monitor
ventilation
(Supports chest wall; assist ventilations if inadequate; transport
rapidly.)
3. The single most important factor in determining the potential for
injury due to energy exchange is:
A. Mass of the bodies involved
B. Velocity of the bodies involved
C. Density of the tissues involved
D. Surface area of the impact involved
Answer>>B Velocity of the bodies involved
(Kinetic energy is most influenced by velocity, as per the kinetic
energy formula: KE = ½mv².)
,4. The displacement of tissue away from the path of a projectile, both
temporarily and permanently, is known as:
A. Conization
B. Cavitation
C. Crepitation
D. Contusion
Answer>>B Cavitation
5. Which of the following requires you to develop a plan of action,
initiate the plan, reassess the plan as care for the patient moves
forward, and adjust the plan as the patient's condition or circumstances
change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process
Answer>>DCritical thinking process
, 6. The phase of an explosion, or blast, in which hollow organs are
squeezed and may rupture is called the __________ phase.
A. Tertiary phase
B. Quaternary phase
C. Secondary phase
D. Primary phase
Answer>>DPrimary phase (pressure wave)
7. In the absence of extenuating circumstances, the maximum amount
of time it should take to identify and manage immediate threats to life,
prepare the patient for transport, and begin transport is:
A. 5 minutes
B. 10 minutes
C. 15 minutes
D. 20 minutes
Answer>>B 10 minutes (the "platinum 10 minutes" concept in PHTLS)
Questions 100% Verified Answers Detailed &
Elaborated Top Rated
1. A child (age 3) involved in a low-speed MVC has a large head
laceration with minimal bleeding but is irritable and vomiting. What
should you suspect?
A. Hypovolemic shock from blood loss
B. Traumatic brain injury (possible intracranial bleed)
C. Spinal shock
D. Simple concussion
Answer>>B Traumatic brain injury (possible intracranial bleed)
(Pediatric heads are larger proportionally; irritability/vomiting are red
flags for head injury despite minor external signs.)
2. For a patient with a suspected flail chest and paradoxical breathing,
the initial treatment includes:
A. Immediate needle decompression
, B. Stabilize the flail segment with bulky dressing and monitor
ventilation
C. Apply positive pressure ventilation only
D. Perform chest tube insertion
Answer>>B Stabilize the flail segment with bulky dressing and monitor
ventilation
(Supports chest wall; assist ventilations if inadequate; transport
rapidly.)
3. The single most important factor in determining the potential for
injury due to energy exchange is:
A. Mass of the bodies involved
B. Velocity of the bodies involved
C. Density of the tissues involved
D. Surface area of the impact involved
Answer>>B Velocity of the bodies involved
(Kinetic energy is most influenced by velocity, as per the kinetic
energy formula: KE = ½mv².)
,4. The displacement of tissue away from the path of a projectile, both
temporarily and permanently, is known as:
A. Conization
B. Cavitation
C. Crepitation
D. Contusion
Answer>>B Cavitation
5. Which of the following requires you to develop a plan of action,
initiate the plan, reassess the plan as care for the patient moves
forward, and adjust the plan as the patient's condition or circumstances
change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process
Answer>>DCritical thinking process
, 6. The phase of an explosion, or blast, in which hollow organs are
squeezed and may rupture is called the __________ phase.
A. Tertiary phase
B. Quaternary phase
C. Secondary phase
D. Primary phase
Answer>>DPrimary phase (pressure wave)
7. In the absence of extenuating circumstances, the maximum amount
of time it should take to identify and manage immediate threats to life,
prepare the patient for transport, and begin transport is:
A. 5 minutes
B. 10 minutes
C. 15 minutes
D. 20 minutes
Answer>>B 10 minutes (the "platinum 10 minutes" concept in PHTLS)
