PHTLS 10th edition JBLearning Exam
Questions and Answers
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? - ANS-Apply direct pressure to
the wound.
A 42-year-old female has been pulled from a smoke-filled apartment. Her mouth and
nose are covered in soot. She has a weak, hoarse cry with inspiratory stridor. What
should you do? - ANS-Prepare for a difficult intubation.
A 33-year-old female has a Glasgow Coma Scale score of 3 (E1, V1, M1) after being
ejected from a motor vehicle. How should you prepare to intubate? - ANS-Maintain
spinal precautions and use a video laryngoscope if available.
A 78-year-old female fell 12 hours ago. Now she complains of 10/10 hip and groin pain
during movement. Vital signs are BP 98/50, P 132, R 26. What should you administer? -
ANS-Ketamine
An adult patient has an open angulated injury to the left lower leg. Distal pulses are
absent. Why should you attempt to realign the extremity? - ANS-Restore blood flow.
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 area is
affected? - ANS-28%
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, P 62, BGL 150 mg/dL (8.3 mmol/L). What should you
suspect? - ANS-Subdural hematoma
A 44-year-old male was involved in a motorcycle crash. He sustained severe blunt
trauma to his chest and has a deformity of the right femur. Multiple IV attempts were
unsuccessful. Vital signs are BP 70/40, P 126, R 28. What should you do? - ANS-
Establish intraosseous access.
A 13-year-old male was a restrained passenger in a car crash at highway speed. He is
alert and oriented on-scene and walking around. What should you do? - ANS-Consider
spinal motion restriction and assess his c-spine.
, 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 apneic. What should you do? - ANS-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? - ANS-Circumferential
Which type of shock includes neurogenic and anaphylactic shock? - ANS-Distributive
An anxious 54-year-old female complains of chest pain. She hit the steering wheel after
a car crash at highway speeds. Her sternum is red and tender. Vital signs are BP
100/68, P 112, R 28 clear, SpO2 92%. What should you suspect? - ANS-Cardiac
contusion
An 82-year-old male fell in the shower 3 days ago and now only responds to painful
stimuli. The nurse's aide at the assisted living facility was unable to wake the patient for
breakfast. Vital signs are BP 170/72, R 26 and irregular, P 58, BGL 150 mg/dL (8.2
mmol/L), Glasgow Coma Scale score of 5 (E1, V1, M3). What should you do? - ANS-
Check if the patient has advance directives or a MOLST form.
Upon examining a 43-year-old male, you note unequal breath sounds. What is a sign or
symptom of a simple pneumothorax? - ANS-Shortness of breath, decreased lung
sounds on affected side
A 16-year-old male complains of chest pain and difficulty taking a deep breath. He was
assaulted with a metal pipe. He has unilateral chest rise and crepitus over the injured
area. What should you do? - ANS-Apply high-flow oxygen.
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? - ANS-Move patient to a warm environment.
An adult patient was involved in a motorcycle accident. Why should you remove his or
her helmet? - ANS-To manage the airway
A 13-year-old male was riding on an all-terrain vehicle when he drove into a wire fence.
He is sitting on the ground with a towel over his lower face. He has an open jaw
fracture. What is your primary concern? - ANS-Obstruction of the airway
A 25-year-old female has a gunshot wound to the abdomen. Vital signs are BP 80/40, P
122, R 18 with clear, equal lung sounds. What is the most appropriate IV fluid to
administer? - ANS-Warmed lactated Ringer's
Questions and Answers
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? - ANS-Apply direct pressure to
the wound.
A 42-year-old female has been pulled from a smoke-filled apartment. Her mouth and
nose are covered in soot. She has a weak, hoarse cry with inspiratory stridor. What
should you do? - ANS-Prepare for a difficult intubation.
A 33-year-old female has a Glasgow Coma Scale score of 3 (E1, V1, M1) after being
ejected from a motor vehicle. How should you prepare to intubate? - ANS-Maintain
spinal precautions and use a video laryngoscope if available.
A 78-year-old female fell 12 hours ago. Now she complains of 10/10 hip and groin pain
during movement. Vital signs are BP 98/50, P 132, R 26. What should you administer? -
ANS-Ketamine
An adult patient has an open angulated injury to the left lower leg. Distal pulses are
absent. Why should you attempt to realign the extremity? - ANS-Restore blood flow.
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 area is
affected? - ANS-28%
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, P 62, BGL 150 mg/dL (8.3 mmol/L). What should you
suspect? - ANS-Subdural hematoma
A 44-year-old male was involved in a motorcycle crash. He sustained severe blunt
trauma to his chest and has a deformity of the right femur. Multiple IV attempts were
unsuccessful. Vital signs are BP 70/40, P 126, R 28. What should you do? - ANS-
Establish intraosseous access.
A 13-year-old male was a restrained passenger in a car crash at highway speed. He is
alert and oriented on-scene and walking around. What should you do? - ANS-Consider
spinal motion restriction and assess his c-spine.
, 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 apneic. What should you do? - ANS-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? - ANS-Circumferential
Which type of shock includes neurogenic and anaphylactic shock? - ANS-Distributive
An anxious 54-year-old female complains of chest pain. She hit the steering wheel after
a car crash at highway speeds. Her sternum is red and tender. Vital signs are BP
100/68, P 112, R 28 clear, SpO2 92%. What should you suspect? - ANS-Cardiac
contusion
An 82-year-old male fell in the shower 3 days ago and now only responds to painful
stimuli. The nurse's aide at the assisted living facility was unable to wake the patient for
breakfast. Vital signs are BP 170/72, R 26 and irregular, P 58, BGL 150 mg/dL (8.2
mmol/L), Glasgow Coma Scale score of 5 (E1, V1, M3). What should you do? - ANS-
Check if the patient has advance directives or a MOLST form.
Upon examining a 43-year-old male, you note unequal breath sounds. What is a sign or
symptom of a simple pneumothorax? - ANS-Shortness of breath, decreased lung
sounds on affected side
A 16-year-old male complains of chest pain and difficulty taking a deep breath. He was
assaulted with a metal pipe. He has unilateral chest rise and crepitus over the injured
area. What should you do? - ANS-Apply high-flow oxygen.
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? - ANS-Move patient to a warm environment.
An adult patient was involved in a motorcycle accident. Why should you remove his or
her helmet? - ANS-To manage the airway
A 13-year-old male was riding on an all-terrain vehicle when he drove into a wire fence.
He is sitting on the ground with a towel over his lower face. He has an open jaw
fracture. What is your primary concern? - ANS-Obstruction of the airway
A 25-year-old female has a gunshot wound to the abdomen. Vital signs are BP 80/40, P
122, R 18 with clear, equal lung sounds. What is the most appropriate IV fluid to
administer? - ANS-Warmed lactated Ringer's
