PHTLS ALL CORRECT EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔42) A 36 weeks pregnant female has sustained an injury that requires spinal motion
restriction. What
intervention should be implemented to prevent hypotension during transport?
A) Elevate the head of the backboard 30 degrees.
B) Elevate the left leg to displace the uterus.
C) Elevate the right side of the backboard 4-6 inches.
D) Manually displace the uterus to the right - ✔✔C. Elevate the right side of the
backboard 4-6 inches
✔✔43) A 28 year old male was ejected during a car crash. He is unconscious and has
no obvious bleeding.
Vital signs are BP 70/40, P 120, R 22. What type of shock should you suspect?
A) Cardiogenic
B) Anaphylactic
C) Hemorrhagic
D) Neurogenic - ✔✔C. Hemorrhagic
✔✔A 26 year old female was the unrestrained driver of a head on collision. Her
Glasgow Coma Scale is 4 (E1, V1, M2). Vital signs are BP 156/78, P 66, R 12 and
irregular, and her pupils are unequal. What should you do?
A) Place in Trendelenburg position
B) Assist ventilations at a rate of 20 breaths per minute
C) Maintain a blood pressure at 140/90
D) Establish IV and administer 2 L normal saline - ✔✔B. Assist ventilations at a rate of
20 breaths per minute
, ✔✔45) A 13 year old male was riding on an all-terrain vehicle when he drove into a wire
fence. He is sitting on
the ground with a towel over his lower face. He has an open jaw fracture. What is your
primary concern?
A) Internal hemorrhage
B) Obtaining parental consent
C) Cervical spine injury
D) Obstruction of the airway - ✔✔D. Obstruction of the airway
✔✔46) A 33 year old female has a Glasgow Coma Scale score of 3 (E1, V1, M1) after
being ejected from a
motor vehicle. How should you prepare to intubate
A) Maintain spinal precautions and use a video laryngoscope if available.
B) Keep the patient in the c-collar and place in the sniffing position.
C) Hyperflex the patient in the c-collar and attempt direct laryngoscopy.
D) Place patient in the sniffing position and attempt direct visual intubation. - ✔✔A.
Maintain spinal precautions and use a video laryngoscope if available
✔✔47) Which type of skull fracture will cause leakage of cerebrospinal fluid from the
ears or nose?
A) Diastatic
B) Depressed
C) Linear
D) Basilar - ✔✔D. Basilar
✔✔A 16 year old male complains of chest pain and difficulty taking a deep breath He
was assaulted with
a metal pipe. He has unilateral chest rise and crepitus over the injured area. What
should you do?
A) Obtain IV access.
B) Perform a needle decompression.
C) Place the patient in full spinal precautions.
D) Apply high-flow oxygen. - ✔✔D. Apply high-flow oxygen
✔✔A 22 year old male 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 avulged and you note a large
pool of blood with
active bleeding. His breathing is deep and labored. What should you do?
A) Perform a primary survey.
QUESTIONS SET A+
✔✔42) A 36 weeks pregnant female has sustained an injury that requires spinal motion
restriction. What
intervention should be implemented to prevent hypotension during transport?
A) Elevate the head of the backboard 30 degrees.
B) Elevate the left leg to displace the uterus.
C) Elevate the right side of the backboard 4-6 inches.
D) Manually displace the uterus to the right - ✔✔C. Elevate the right side of the
backboard 4-6 inches
✔✔43) A 28 year old male was ejected during a car crash. He is unconscious and has
no obvious bleeding.
Vital signs are BP 70/40, P 120, R 22. What type of shock should you suspect?
A) Cardiogenic
B) Anaphylactic
C) Hemorrhagic
D) Neurogenic - ✔✔C. Hemorrhagic
✔✔A 26 year old female was the unrestrained driver of a head on collision. Her
Glasgow Coma Scale is 4 (E1, V1, M2). Vital signs are BP 156/78, P 66, R 12 and
irregular, and her pupils are unequal. What should you do?
A) Place in Trendelenburg position
B) Assist ventilations at a rate of 20 breaths per minute
C) Maintain a blood pressure at 140/90
D) Establish IV and administer 2 L normal saline - ✔✔B. Assist ventilations at a rate of
20 breaths per minute
, ✔✔45) A 13 year old male was riding on an all-terrain vehicle when he drove into a wire
fence. He is sitting on
the ground with a towel over his lower face. He has an open jaw fracture. What is your
primary concern?
A) Internal hemorrhage
B) Obtaining parental consent
C) Cervical spine injury
D) Obstruction of the airway - ✔✔D. Obstruction of the airway
✔✔46) A 33 year old female has a Glasgow Coma Scale score of 3 (E1, V1, M1) after
being ejected from a
motor vehicle. How should you prepare to intubate
A) Maintain spinal precautions and use a video laryngoscope if available.
B) Keep the patient in the c-collar and place in the sniffing position.
C) Hyperflex the patient in the c-collar and attempt direct laryngoscopy.
D) Place patient in the sniffing position and attempt direct visual intubation. - ✔✔A.
Maintain spinal precautions and use a video laryngoscope if available
✔✔47) Which type of skull fracture will cause leakage of cerebrospinal fluid from the
ears or nose?
A) Diastatic
B) Depressed
C) Linear
D) Basilar - ✔✔D. Basilar
✔✔A 16 year old male complains of chest pain and difficulty taking a deep breath He
was assaulted with
a metal pipe. He has unilateral chest rise and crepitus over the injured area. What
should you do?
A) Obtain IV access.
B) Perform a needle decompression.
C) Place the patient in full spinal precautions.
D) Apply high-flow oxygen. - ✔✔D. Apply high-flow oxygen
✔✔A 22 year old male 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 avulged and you note a large
pool of blood with
active bleeding. His breathing is deep and labored. What should you do?
A) Perform a primary survey.
