PHTLS ALL COMPREHENSIVE ANSWERS AND
QUESTIONS SET A+
✔✔2A 46 year old male is trapped in his vehicle after a high speed front-end collision.
He is slow to respond
to questions. You note blood pooling on his seat. Vital signs are P 130, R 8. How should
you remove
this patient from the vehicle?
A) Rapidly extricate the patient.
B) Extricate the patient onto a long backboard.
C) Ask the patient to climb out the vehicle window.
D) Immobilize using a vest-type device. - ✔✔A. Rapidly extricate the patient
✔✔A 26 year old male 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?
A) Suction the airway.
B) Assist ventilations via bag-valve mask.
C) Perform a head tilt chin-lift.
D) Perform a modified jaw thrust. - ✔✔D. Perform a modified jaw thrust
✔✔What type of burn should be treated as a life or limb threatening injury due to
constriction at the injured tissues?
A) Circumferential
B) Subdermal
C) Full thickness
D) Partial thickness - ✔✔A. Circumferential
✔✔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?
A) Attempt a surgical cricothyrotomy.
B) Administer albuterol via nebulizer.
C) Prepare for hypotensive shock.
D) Prepare for a difficult intubation. - ✔✔D. Prepare for a difficult intubation
✔✔A 27 year old female has multisystem trauma. Which life threat is your first priority?
A) Penetrating injury to the chest
B) Perceived tension pneumothorax
C) Significant external hemorrhage
D) Penetrating injury to the abdomen - ✔✔C. Significant external hemorrhage
✔✔Where is the preferred landmark for needle decompression?
A) Midclavicular line, 2nd intercostal space
B) Anterior axillary line, 3rd intercostal space
C) Midclavicular line, 4th intercostal space
D) Anterior axillary line, 5th intercostal space - ✔✔D. Anterior axillary line, 5th
intercostal space
✔✔Upon examining a 43 year old male, you note unequal breath sounds. What is a
sign or symptom of a si,ple pneumothorax?
A) Generalized chest pain due to increased intrathoracic pressure
B) Absent lung sounds on one side, jugular venous distention, and hypotension
C) Shortness of breath with low pulse oximeter reading and jugular venous distention
D) Shortness of breath, decreased lung sounds on affected side - ✔✔D. Shortness of
breath, decreased lung sounds on affected side
✔✔A 4 year old female fell down approximately 8 carpeted stairs. Her parents said she
initially complained
of neck pain and a tingling sensation in all four extremities, but the symptoms have
since resolved.
What should you do?
A) Allow the parents to transport the patient in their vehicle
B) Initiate spinal motion restriction and transport.
C) Place patient in a position of comfort on a stretcher.
D) Advise the parents to call their pediatrician if symptoms return - ✔✔B. Initiate spinal
motion restriction and transport
✔✔A 13 year old male was a restrained passenger in a car crash at highway speed. He
is alert and
QUESTIONS SET A+
✔✔2A 46 year old male is trapped in his vehicle after a high speed front-end collision.
He is slow to respond
to questions. You note blood pooling on his seat. Vital signs are P 130, R 8. How should
you remove
this patient from the vehicle?
A) Rapidly extricate the patient.
B) Extricate the patient onto a long backboard.
C) Ask the patient to climb out the vehicle window.
D) Immobilize using a vest-type device. - ✔✔A. Rapidly extricate the patient
✔✔A 26 year old male 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?
A) Suction the airway.
B) Assist ventilations via bag-valve mask.
C) Perform a head tilt chin-lift.
D) Perform a modified jaw thrust. - ✔✔D. Perform a modified jaw thrust
✔✔What type of burn should be treated as a life or limb threatening injury due to
constriction at the injured tissues?
A) Circumferential
B) Subdermal
C) Full thickness
D) Partial thickness - ✔✔A. Circumferential
✔✔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?
A) Attempt a surgical cricothyrotomy.
B) Administer albuterol via nebulizer.
C) Prepare for hypotensive shock.
D) Prepare for a difficult intubation. - ✔✔D. Prepare for a difficult intubation
✔✔A 27 year old female has multisystem trauma. Which life threat is your first priority?
A) Penetrating injury to the chest
B) Perceived tension pneumothorax
C) Significant external hemorrhage
D) Penetrating injury to the abdomen - ✔✔C. Significant external hemorrhage
✔✔Where is the preferred landmark for needle decompression?
A) Midclavicular line, 2nd intercostal space
B) Anterior axillary line, 3rd intercostal space
C) Midclavicular line, 4th intercostal space
D) Anterior axillary line, 5th intercostal space - ✔✔D. Anterior axillary line, 5th
intercostal space
✔✔Upon examining a 43 year old male, you note unequal breath sounds. What is a
sign or symptom of a si,ple pneumothorax?
A) Generalized chest pain due to increased intrathoracic pressure
B) Absent lung sounds on one side, jugular venous distention, and hypotension
C) Shortness of breath with low pulse oximeter reading and jugular venous distention
D) Shortness of breath, decreased lung sounds on affected side - ✔✔D. Shortness of
breath, decreased lung sounds on affected side
✔✔A 4 year old female fell down approximately 8 carpeted stairs. Her parents said she
initially complained
of neck pain and a tingling sensation in all four extremities, but the symptoms have
since resolved.
What should you do?
A) Allow the parents to transport the patient in their vehicle
B) Initiate spinal motion restriction and transport.
C) Place patient in a position of comfort on a stretcher.
D) Advise the parents to call their pediatrician if symptoms return - ✔✔B. Initiate spinal
motion restriction and transport
✔✔A 13 year old male was a restrained passenger in a car crash at highway speed. He
is alert and
