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Prehospital Trauma Life Support (PHTLS) Exam Questions and Correct Answers

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Practice questions for the Prehospital Trauma Life Support (PHTLS) Exam covering fundamental trauma-care principles, including scene safety, trauma assessment, primary and secondary surveys, airway and breathing management, hemorrhage control, shock recognition and management, head and spinal injuries, chest and abdominal trauma, musculoskeletal injuries, burns, pediatric and geriatric trauma, patient stabilization, transport decisions, and evidence-based prehospital trauma care.

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PREHOSPITAL TRAUMA LIFE SUPPORT (PHTLS)
PROVIDER EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ASWERS) Q&A 2027|INSTANT
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1. What is the primary priority when approaching a trauma
scene?
A. Obtain a complete medical history
B. Begin IV access
C. Ensure scene safety
D. Apply a cervical collar
Answer: C. Ensure scene safety
Rationale: Rescuers must first ensure the scene is safe for
themselves, the patient, and others before initiating patient
care.


2. Which principle is most important during the initial trauma
assessment?
A. Treat the most obvious injury first
B. Identify and treat immediate life threats
C. Obtain insurance information
D. Complete a detailed secondary survey

,Answer: B. Identify and treat immediate life threats
Rationale: The primary assessment focuses on rapidly
identifying conditions that can cause death within minutes.


3. In the PHTLS approach, which assessment is performed
first?
A. Secondary survey
B. SAMPLE history
C. Primary survey
D. Detailed neurological examination
Answer: C. Primary survey
Rationale: The primary survey rapidly evaluates and manages
immediate threats to life.


4. Which finding most strongly suggests airway obstruction?
A. Clear speech
B. Snoring respirations
C. Normal respiratory rate
D. Warm skin
Answer: B. Snoring respirations
Rationale: Snoring commonly indicates partial upper-airway
obstruction, often caused by the tongue or soft tissues.

,5. What is the preferred initial airway maneuver for a trauma
patient when cervical spine injury is suspected?
A. Head-tilt/chin-lift
B. Jaw-thrust maneuver
C. Blind finger sweep
D. Abdominal thrusts
Answer: B. Jaw-thrust maneuver
Rationale: The jaw-thrust can help open the airway while
minimizing cervical spine movement.


6. What is the most immediate treatment for severe external
hemorrhage?
A. Obtain a detailed history
B. Apply direct pressure
C. Give oral fluids
D. Perform a secondary survey
Answer: B. Apply direct pressure
Rationale: Rapid hemorrhage control is essential because
uncontrolled bleeding can cause preventable death.


7. When should a tourniquet generally be considered for life-
threatening extremity bleeding?
A. Only after transport begins
B. When direct pressure is ineffective or impractical

, C. Only for minor bleeding
D. Only after an X-ray
Answer: B. When direct pressure is ineffective or impractical
Rationale: A properly applied commercial tourniquet can
rapidly control life-threatening extremity hemorrhage.


8. Which finding is most consistent with shock?
A. Improved mental status
B. Strong peripheral pulses
C. Altered mental status
D. Increased urine output
Answer: C. Altered mental status
Rationale: Altered mental status can indicate inadequate
cerebral perfusion and developing shock.


9. Which type of shock is most commonly associated with
major traumatic blood loss?
A. Hypovolemic shock
B. Neurogenic shock
C. Cardiogenic shock
D. Anaphylactic shock
Answer: A. Hypovolemic shock
Rationale: Significant blood loss reduces circulating volume and
can produce hemorrhagic hypovolemic shock.

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