PHTLS PRE TEST|VERIFIED QUESTIONS AND CORRECT DETAILED
ANSWERS|RATED AND GRADED A+ NEW UPDATE| 2026/2027
What is the earliest sign of deterioration in a patient with a flail chest - ANSWER✔ Respiratory rate
increase.
What is the most common cause of airway obstruction in the unresponsive trauma patient -
ANSWER✔ Tongue
Which of the following is a Gold Principle of trauma care - ANSWER✔ Ensure adequate airway and
ventilation
Hypoperfusion will affect which of the following organs first - ANSWER✔ Brain
The most common type of shock resulting from trauma is - ANSWER✔ Hemorrhage
EMS arrives on a scene and finds that emergency medical responders have attempted to immobilize a
pediatric patient onto a long backboard. They note that the patient's head is in a flexed position. Which
of the following actions is the most appropriate - ANSWER✔ Place padding under the patient's torso
Hemostatic agents should be used for excessive bleeding when direct pressure alone does not work. The
proper way to use most hemostatic agents is which of the following - ANSWER✔ Placing the agent
properly into the wound and holding direct pressure
You respond to a local bar for an unconscious person. on arrival, you are met by a police officer who
reports that one of their "regular alcoholics" was found in the alley behind the bar. On exam, you note
the smell of an alcoholic beverage as well as the following: Patient flexes his arms to painful stimuli, has
bilateral fixed and dilated pupils, irregular respirations at 12 breaths per minute and a BP of 210/100.
What condition do you suspect - ANSWER✔ Subdural hematoma
The most appropriate airway maneuver in the initial management of a trauma patient is which of the
following - ANSWER✔ Trauma jaw thrust
, When verifying ET tube placement on a perfusion patient, the "gold standard" of monitoring is
considered to be - ANSWER✔ Waveform Capnography
Of the following, which is a preventable cause of secondary brain injury addressable during the
transport phase - ANSWER✔ Systemic hypoxia
Which best describes the goal of airway management in a trauma patient - ANSWER✔ Provide for
adequate exchange of oxygen and CO2
The secondary survey should be accomplished - ANSWER✔ When time and situation allow
EMS is treating a 24-year-old soccer player who was kicked in the chest. Prehospital providers note
paradoxical movement of a portion of the patient's chest wall. The patient's respiratory rate is 16 and
oxygen saturation is 94%. What is the most appropriate action - ANSWER✔ Provide supplemental
oxygen and transport to a trauma center
Which of the following information is assessed during the secondary survey - ANSWER✔ Vital signs
Which of the following patients will compensate for blood loss the longest - ANSWER✔ 6-year-old
male
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
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
EMS responds to an adult barista with partial-thickness burns to the abdomen and right leg, sustained
from a cooking accident. Initial treatment of this injury would include - ANSWER✔ Cover burned area
with dry sterile dressings
ANSWERS|RATED AND GRADED A+ NEW UPDATE| 2026/2027
What is the earliest sign of deterioration in a patient with a flail chest - ANSWER✔ Respiratory rate
increase.
What is the most common cause of airway obstruction in the unresponsive trauma patient -
ANSWER✔ Tongue
Which of the following is a Gold Principle of trauma care - ANSWER✔ Ensure adequate airway and
ventilation
Hypoperfusion will affect which of the following organs first - ANSWER✔ Brain
The most common type of shock resulting from trauma is - ANSWER✔ Hemorrhage
EMS arrives on a scene and finds that emergency medical responders have attempted to immobilize a
pediatric patient onto a long backboard. They note that the patient's head is in a flexed position. Which
of the following actions is the most appropriate - ANSWER✔ Place padding under the patient's torso
Hemostatic agents should be used for excessive bleeding when direct pressure alone does not work. The
proper way to use most hemostatic agents is which of the following - ANSWER✔ Placing the agent
properly into the wound and holding direct pressure
You respond to a local bar for an unconscious person. on arrival, you are met by a police officer who
reports that one of their "regular alcoholics" was found in the alley behind the bar. On exam, you note
the smell of an alcoholic beverage as well as the following: Patient flexes his arms to painful stimuli, has
bilateral fixed and dilated pupils, irregular respirations at 12 breaths per minute and a BP of 210/100.
What condition do you suspect - ANSWER✔ Subdural hematoma
The most appropriate airway maneuver in the initial management of a trauma patient is which of the
following - ANSWER✔ Trauma jaw thrust
, When verifying ET tube placement on a perfusion patient, the "gold standard" of monitoring is
considered to be - ANSWER✔ Waveform Capnography
Of the following, which is a preventable cause of secondary brain injury addressable during the
transport phase - ANSWER✔ Systemic hypoxia
Which best describes the goal of airway management in a trauma patient - ANSWER✔ Provide for
adequate exchange of oxygen and CO2
The secondary survey should be accomplished - ANSWER✔ When time and situation allow
EMS is treating a 24-year-old soccer player who was kicked in the chest. Prehospital providers note
paradoxical movement of a portion of the patient's chest wall. The patient's respiratory rate is 16 and
oxygen saturation is 94%. What is the most appropriate action - ANSWER✔ Provide supplemental
oxygen and transport to a trauma center
Which of the following information is assessed during the secondary survey - ANSWER✔ Vital signs
Which of the following patients will compensate for blood loss the longest - ANSWER✔ 6-year-old
male
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
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
EMS responds to an adult barista with partial-thickness burns to the abdomen and right leg, sustained
from a cooking accident. Initial treatment of this injury would include - ANSWER✔ Cover burned area
with dry sterile dressings
