PHTLS 10TH EDITION|VERIFIED QUESTIONS AND CORRECT DETAILED
ANSWERS|RATED AND GRADED A+ NEW UPDATE| 2026/2027
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 an anticoagulant. What should your initial treatment be? -
ANSWER✔ Move patient to a warm environment
A 29-year-old male falls 17 feet (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 55-year-old male has burns to both lower extremities from a car crash. He is awake and in severe pain.
Assessment reveals dry, white, leathery, appearance in both lower extremities. What is the burn
classification? - ANSWER✔ Full thickness
Which of the following physiological changes associated with aging may contribute to an increased
incidence of falls among the elderly? - ANSWER✔ Declining visual acuity
Which type of shock included neurogenic and anaphylactic shock? - ANSWER✔ Distributive
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? - ANSWER✔ Consider spinal motion restriction
and assess his c-spine
A 24-year-old construction worker amputated his thumb. How should you manage the amputation? -
ANSWER✔ Wrap in moistened gauze
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 are BP 108/84, P 130 R 26. What should you
suspect? - ANSWER✔ Cardiac tamponade
, A 50-year-old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. What
should you do first? - ANSWER✔ Insert a supraglottic airway device
A 44-year-old male was ejected from a truck traveling 36mph (60kph). He is lying supine on the ground
and has snoring respirations. What should you do first? - ANSWER✔ Manually stabilize the cervical
spine
A 46-year-old male is trapped in his vehicle after a high speed front-end collision. He is slow to respond
to questions. You see blood pooling on his seat. Vital signs are P 130 R 8. How should you remove this
patient from the vehicle? - ANSWER✔ Rapidly extricate the patient
A 36 week pregnant female has sustained an injury that requires spinal motion restriction. What
intervention should be implemented to prevent hypotension during transport? - ANSWER✔ Elevate
the right side of the backboard 4-6 inches
Which is an early finding in compartment syndrome? - ANSWER✔ Pain
A 14-year-old male suffered from helmet-to-helmet contact during a football game followed by a 30
second period of unconsciousness. Initial exam shows that he is awake but slow to respond. He is
nauseated and has a headache. He becomes unresponsive during transport. Examination of the pupils
reveals a left pupil that is dilatated and nonreactive. What type of hemorrhage should you suspect? -
ANSWER✔ Epidural
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? - ANSWER✔ Warm
lactated ringer's
Which of the following is true when log rolling a patient? - ANSWER✔ The provider maintaining spinal
motion restriction is in charge
A 28-year-old male was ejected during a car crash. He is unconscious and has no obvious bleeding. Vital
signs are 70/40, P 120, R 22. What type of shock should you suspect? - ANSWER✔ Hemorrhagic
ANSWERS|RATED AND GRADED A+ NEW UPDATE| 2026/2027
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 an anticoagulant. What should your initial treatment be? -
ANSWER✔ Move patient to a warm environment
A 29-year-old male falls 17 feet (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 55-year-old male has burns to both lower extremities from a car crash. He is awake and in severe pain.
Assessment reveals dry, white, leathery, appearance in both lower extremities. What is the burn
classification? - ANSWER✔ Full thickness
Which of the following physiological changes associated with aging may contribute to an increased
incidence of falls among the elderly? - ANSWER✔ Declining visual acuity
Which type of shock included neurogenic and anaphylactic shock? - ANSWER✔ Distributive
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? - ANSWER✔ Consider spinal motion restriction
and assess his c-spine
A 24-year-old construction worker amputated his thumb. How should you manage the amputation? -
ANSWER✔ Wrap in moistened gauze
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 are BP 108/84, P 130 R 26. What should you
suspect? - ANSWER✔ Cardiac tamponade
, A 50-year-old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. What
should you do first? - ANSWER✔ Insert a supraglottic airway device
A 44-year-old male was ejected from a truck traveling 36mph (60kph). He is lying supine on the ground
and has snoring respirations. What should you do first? - ANSWER✔ Manually stabilize the cervical
spine
A 46-year-old male is trapped in his vehicle after a high speed front-end collision. He is slow to respond
to questions. You see blood pooling on his seat. Vital signs are P 130 R 8. How should you remove this
patient from the vehicle? - ANSWER✔ Rapidly extricate the patient
A 36 week pregnant female has sustained an injury that requires spinal motion restriction. What
intervention should be implemented to prevent hypotension during transport? - ANSWER✔ Elevate
the right side of the backboard 4-6 inches
Which is an early finding in compartment syndrome? - ANSWER✔ Pain
A 14-year-old male suffered from helmet-to-helmet contact during a football game followed by a 30
second period of unconsciousness. Initial exam shows that he is awake but slow to respond. He is
nauseated and has a headache. He becomes unresponsive during transport. Examination of the pupils
reveals a left pupil that is dilatated and nonreactive. What type of hemorrhage should you suspect? -
ANSWER✔ Epidural
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? - ANSWER✔ Warm
lactated ringer's
Which of the following is true when log rolling a patient? - ANSWER✔ The provider maintaining spinal
motion restriction is in charge
A 28-year-old male was ejected during a car crash. He is unconscious and has no obvious bleeding. Vital
signs are 70/40, P 120, R 22. What type of shock should you suspect? - ANSWER✔ Hemorrhagic
