PHTLS Pre-Test with 100% Correct
Answers
An adult pt has an open angulated injury to the left lower leg. Distal pulses are absent.
Why should you attempt to realign the extremity? - ANSWER-Restore blood flow
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 strider. What
should you do? - ANSWER-Prepare for a difficult intubation
A 29 year old male falls 17ft (5m) to the ground from a tree. He complains of pain with
movement and pain on the right side of his chest when he breathes. You note
accessory muscle use, focal tenderness, bony crepitus and absent breath sounds on
his right side. What should you suspect? - ANSWER-Simple pneumothorax
A 29 year old male was injured in a high speed motor vehicle collision with lateral
impact and intrusion into the side of a sedan. He has pale and diaphoretic skin, appears
anxious, and is coughing up blood- tinged sputum. He complains of chest pain, has
decreased breath sounds on the left lateral side, has crepitus on palpation of his ribs,
and his jugular veins are flat. Vital signs are; BP 88/56 P 120 RR24 SPO 92%. What
should you suspect? - ANSWER-Hemothorax
Which is an early finding in compartment syndrome - ANSWER-Pain
A 20 year old male was hit in the chest with a baseball bat. He complains of severe pain
and tenderness on the left side. He is unable to take a deep breath. Vital signs are BP
112/76 P 98 RR 20 SPO 98 ETCO2 38 mmHg. What should you do? - ANSWER-
Administer 100mcg Fentanyl
A 26 y.o. M is supine on the ground. He was assaulted and has obvious head and facial
trauma. He has snoring respirations at a rate of 8 per minute. What should you do? -
ANSWER-Perform a modified jaw thrust
A 28 year old female suffered a head injury after falling from a horse. Her Glasgow
coma scale is 6 (E1, V1, M4) and she has snoring respirations at 8 per minute. Which
should you do first? - ANSWER-Place an OPA
A 41 year old male was stabbed in the chest immediately below the sternum. He
complains of shortness of breath and has engorged jugular veins. Vital signs BP 108/84
P 130 RR 26. What should you suspect? - ANSWER-Cardiac tamponade
, A 24 year old construction worker amputated his thumb. How should you manage the
amputation? - ANSWER-Wrap it in moistened gauze
An 80 y.o. F 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 BP 170/72 RR 26 and
irregular P 62 BGL 150 mg/dL. What should you suspect? - ANSWER-Subdural
hematoma
A 23-year-old male was skateboarding down a ramp when he flipped over and landed
on his head. He is clenching his jaw, and you are unable to insert an oral airway. He
thrashes his head when you attempt to provide BVM. His oxygen saturation is
decreasing and his ET CO2 is increasing. What is the best option to secure his airway
and provide effective ventilations? - ANSWER-Pharmacologically assisted intubation
A 3 y.o. Female was involved in a car crash with 2 ft of intrusion into the passenger
compartment. She is crying and has an obvious deformed right humerus. Her car seat
has a crack on the side of impact. What should you suspect? - ANSWER-Significant
energy has been distributed to this patient
A 27 y.o. F has multi system trauma. Which life threat is your first priority? - ANSWER-
Significant external hemorrhage
Upon examining a 43 y.o. M you note unequal breath sounds. What is a sign or
symptom of a simple pneumothorax? - ANSWER-Shortness of breath, decreased lung
sounds on affected side
A 22 y.o. M 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 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
Which type of shock includes neurogenic and anaphylactic shock? - ANSWER-
Distributive
You respond to a patient who has sustained a stab wound to the left upper thorax. She
is barely
responsive, pale and diaphoretic. Which of the following is the most appropriate for
transport? - ANSWER-Scoop stretcher
Units responding to a motor vehicle accident on the highway should consider which of
the
following as part of their pre-arrival assessment? - ANSWER-Weather conditions
The most appropriate airway maneuver in the initial management of a trauma patient is
which of
Answers
An adult pt has an open angulated injury to the left lower leg. Distal pulses are absent.
Why should you attempt to realign the extremity? - ANSWER-Restore blood flow
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 strider. What
should you do? - ANSWER-Prepare for a difficult intubation
A 29 year old male falls 17ft (5m) to the ground from a tree. He complains of pain with
movement and pain on the right side of his chest when he breathes. You note
accessory muscle use, focal tenderness, bony crepitus and absent breath sounds on
his right side. What should you suspect? - ANSWER-Simple pneumothorax
A 29 year old male was injured in a high speed motor vehicle collision with lateral
impact and intrusion into the side of a sedan. He has pale and diaphoretic skin, appears
anxious, and is coughing up blood- tinged sputum. He complains of chest pain, has
decreased breath sounds on the left lateral side, has crepitus on palpation of his ribs,
and his jugular veins are flat. Vital signs are; BP 88/56 P 120 RR24 SPO 92%. What
should you suspect? - ANSWER-Hemothorax
Which is an early finding in compartment syndrome - ANSWER-Pain
A 20 year old male was hit in the chest with a baseball bat. He complains of severe pain
and tenderness on the left side. He is unable to take a deep breath. Vital signs are BP
112/76 P 98 RR 20 SPO 98 ETCO2 38 mmHg. What should you do? - ANSWER-
Administer 100mcg Fentanyl
A 26 y.o. M is supine on the ground. He was assaulted and has obvious head and facial
trauma. He has snoring respirations at a rate of 8 per minute. What should you do? -
ANSWER-Perform a modified jaw thrust
A 28 year old female suffered a head injury after falling from a horse. Her Glasgow
coma scale is 6 (E1, V1, M4) and she has snoring respirations at 8 per minute. Which
should you do first? - ANSWER-Place an OPA
A 41 year old male was stabbed in the chest immediately below the sternum. He
complains of shortness of breath and has engorged jugular veins. Vital signs BP 108/84
P 130 RR 26. What should you suspect? - ANSWER-Cardiac tamponade
, A 24 year old construction worker amputated his thumb. How should you manage the
amputation? - ANSWER-Wrap it in moistened gauze
An 80 y.o. F 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 BP 170/72 RR 26 and
irregular P 62 BGL 150 mg/dL. What should you suspect? - ANSWER-Subdural
hematoma
A 23-year-old male was skateboarding down a ramp when he flipped over and landed
on his head. He is clenching his jaw, and you are unable to insert an oral airway. He
thrashes his head when you attempt to provide BVM. His oxygen saturation is
decreasing and his ET CO2 is increasing. What is the best option to secure his airway
and provide effective ventilations? - ANSWER-Pharmacologically assisted intubation
A 3 y.o. Female was involved in a car crash with 2 ft of intrusion into the passenger
compartment. She is crying and has an obvious deformed right humerus. Her car seat
has a crack on the side of impact. What should you suspect? - ANSWER-Significant
energy has been distributed to this patient
A 27 y.o. F has multi system trauma. Which life threat is your first priority? - ANSWER-
Significant external hemorrhage
Upon examining a 43 y.o. M you note unequal breath sounds. What is a sign or
symptom of a simple pneumothorax? - ANSWER-Shortness of breath, decreased lung
sounds on affected side
A 22 y.o. M 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 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
Which type of shock includes neurogenic and anaphylactic shock? - ANSWER-
Distributive
You respond to a patient who has sustained a stab wound to the left upper thorax. She
is barely
responsive, pale and diaphoretic. Which of the following is the most appropriate for
transport? - ANSWER-Scoop stretcher
Units responding to a motor vehicle accident on the highway should consider which of
the
following as part of their pre-arrival assessment? - ANSWER-Weather conditions
The most appropriate airway maneuver in the initial management of a trauma patient is
which of
