PHTLS 10th Edition Exam Questions & Answers | 100% Verified | Latest 2026/2027 | Guaranteed Pass
A 27 year old female has multi system trauma. Which Significant external hemorrhage
life threat is your first priority?
Which type of skull fracture will cause leakage of Basilar
cerebrospinal fluid from the ears and nose?
A 78 year old female was involved in a minor car crash. Move patient to a warm environment
She is shivering and exhibits repetitive questioning. She
is a type II diabetic and takes a daily anticoagulant.
What should your initial treatment be?
A 14 year old male suffered from helmet-to-helmet Epidural
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
dilated and not reactive. What type of hemorrhage
should you suspect?
Page 1
, PHTLS 10th Edition Exam Questions & Answers | 100% Verified | Latest 2026/2027 | Guaranteed Pass
An 80 year old female fell down a flight of stairs 3 days Subdural hematoma
ago. Today the family reports she has a headache and is
"going in and out of consciousness." Vital signs are BP
170/72, R 26 and irregular, HR 62, BGL 150 mg/dL (8.3
mol/L). What should you suspect?
An adult patient was involved in a motorcycle accident. To manage the airway
Why should you remove his or her helmet?
A 28 year old male fell from his motorcycle during a Apply direct pressure to the wound
low speed accident. He removed his own helmet after
the accident. He has an open left femur fracture with
severe external bleeding from the wound. What should
you do?
An adult patient has an open angulated injury to the left Restore blood flow
lower leg. Distal pulses are absent. Why would you
attempt to realign the extremity?
Page 2
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A 20 year old male was hit in the chest with a baseball Administer 100 mcg of Fentanyl
bat. He4 complains of severe pain and tenderness to the
left side. He is unable to take a deep breath. Vital signs
are BP 112/76, P 98, R 20 regular, and ETCO2
38mmHg. What should you do?
A 13 year old male was riding on an all-terrain vehicle Obstruction of the airway
when he drove into a wire fence. He's sitting on the
ground with a towel over his lower face. He has an open
jaw fracture. What is your primary concern?
An adult patient has partial thickness burns to his or. her 28%
anterior chest and abdomen, the entire right arm, and the
palm of the left hand. What percent of the total body
surface area is affected?
An 8 year old female is being treated in the red Insert an oropharyngeal airway and assist ventilations
treatment area after a housing complex fire. Vital signs
are P 140, R 12 with noted stridor. Her eyebrows and
hair are burnt. Suddenly, she becomes apenic. What
should you do?
What type of burn should be treated as a life or limb Circumferential
threatening injury due to constriction of the injured
tissues?
Page 3
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A 26 year old female was the unrestrained driver of a Assist ventilations at a rate of 20 breaths per minute
head on collision. Her Glascow Coma Scale score 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?
Which of the following presents the greatest risk for Motor vehicle collision either in an EMS unit or on-scene
EMS provider fatalities?
A 50 year old male fell from a 6th story balcony. Insert a superglottic airway device
Intubation attempts have been unsuccessful. His
Glasgow Coma Scale score is 6 (E1, V1, M4). You note
agonal respirations. What should you do first?
A 22 year old male was involved in a car crash and hit a Apply a tourniquet
tree head-on. The patient is on the ground outside the
vehicle and is unconscious. His forearm is avulsed and
you note a large pool of blood with active bleeding. His
breathing is deep and labored. What should you do?
Page 4
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A 46 year old male is trapped in his vehicle after a high Rapidly extricate the patient
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 24 year old construction worker amputated his thumb. Wrap in moistened gauze
How should you manage the amputation?
A 36 weeks pregnant female has sustained an injury that Elevate the right side of the back board 4-6 inches
requires spinal motion restriction. What intervention
should be implemented to prevent hypotension during
transport?
A 41 year old male was stabbed in the chest Cardiac tamponade
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?
A 55 year old male has burns to both lower extremities Full thickness
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?
Page 5
, PHTLS 10th Edition Exam Questions & Answers | 100% Verified | Latest 2026/2027 | Guaranteed Pass
A 29 year old male falls 17 feet (5 m) to the ground Simple pneumothorax
from a tree. He complains of pain with movement and
pain on the right side of his chest when he breaths. You
not5e accessory muscle use, focal, tenderness, bony
crepitus, and absent breath sounds on his right side.
What should you suspect?
A 47 year old female was stabbed with knife in her right Immediately transport to a trauma center and establish an IV en route.
upper quadrant. Her Glasgow Coma Scale score is 9
(E2, V2, M5). Vital signs are BP 78/50, P 130, R 26.
What should you do?
A 44 year old male was ejected from a truck traveling at Manually stabilize the cervical spine
44 mph (60 kph). He is lying supine on the ground with
snoring respirations. What should you do first?
A 13 year old male was a restrained passenger in a car Consider spinal motion restriction and assess his c-spine
crash at highway speed. He is alert and oriented on-
scene and walking around. What should you do?
Page 6
A 27 year old female has multi system trauma. Which Significant external hemorrhage
life threat is your first priority?
Which type of skull fracture will cause leakage of Basilar
cerebrospinal fluid from the ears and nose?
A 78 year old female was involved in a minor car crash. Move patient to a warm environment
She is shivering and exhibits repetitive questioning. She
is a type II diabetic and takes a daily anticoagulant.
What should your initial treatment be?
A 14 year old male suffered from helmet-to-helmet Epidural
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
dilated and not reactive. What type of hemorrhage
should you suspect?
Page 1
, PHTLS 10th Edition Exam Questions & Answers | 100% Verified | Latest 2026/2027 | Guaranteed Pass
An 80 year old female fell down a flight of stairs 3 days Subdural hematoma
ago. Today the family reports she has a headache and is
"going in and out of consciousness." Vital signs are BP
170/72, R 26 and irregular, HR 62, BGL 150 mg/dL (8.3
mol/L). What should you suspect?
An adult patient was involved in a motorcycle accident. To manage the airway
Why should you remove his or her helmet?
A 28 year old male fell from his motorcycle during a Apply direct pressure to the wound
low speed accident. He removed his own helmet after
the accident. He has an open left femur fracture with
severe external bleeding from the wound. What should
you do?
An adult patient has an open angulated injury to the left Restore blood flow
lower leg. Distal pulses are absent. Why would you
attempt to realign the extremity?
Page 2
, PHTLS 10th Edition Exam Questions & Answers | 100% Verified | Latest 2026/2027 | Guaranteed Pass
A 20 year old male was hit in the chest with a baseball Administer 100 mcg of Fentanyl
bat. He4 complains of severe pain and tenderness to the
left side. He is unable to take a deep breath. Vital signs
are BP 112/76, P 98, R 20 regular, and ETCO2
38mmHg. What should you do?
A 13 year old male was riding on an all-terrain vehicle Obstruction of the airway
when he drove into a wire fence. He's sitting on the
ground with a towel over his lower face. He has an open
jaw fracture. What is your primary concern?
An adult patient has partial thickness burns to his or. her 28%
anterior chest and abdomen, the entire right arm, and the
palm of the left hand. What percent of the total body
surface area is affected?
An 8 year old female is being treated in the red Insert an oropharyngeal airway and assist ventilations
treatment area after a housing complex fire. Vital signs
are P 140, R 12 with noted stridor. Her eyebrows and
hair are burnt. Suddenly, she becomes apenic. What
should you do?
What type of burn should be treated as a life or limb Circumferential
threatening injury due to constriction of the injured
tissues?
Page 3
, PHTLS 10th Edition Exam Questions & Answers | 100% Verified | Latest 2026/2027 | Guaranteed Pass
A 26 year old female was the unrestrained driver of a Assist ventilations at a rate of 20 breaths per minute
head on collision. Her Glascow Coma Scale score 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?
Which of the following presents the greatest risk for Motor vehicle collision either in an EMS unit or on-scene
EMS provider fatalities?
A 50 year old male fell from a 6th story balcony. Insert a superglottic airway device
Intubation attempts have been unsuccessful. His
Glasgow Coma Scale score is 6 (E1, V1, M4). You note
agonal respirations. What should you do first?
A 22 year old male was involved in a car crash and hit a Apply a tourniquet
tree head-on. The patient is on the ground outside the
vehicle and is unconscious. His forearm is avulsed and
you note a large pool of blood with active bleeding. His
breathing is deep and labored. What should you do?
Page 4
, PHTLS 10th Edition Exam Questions & Answers | 100% Verified | Latest 2026/2027 | Guaranteed Pass
A 46 year old male is trapped in his vehicle after a high Rapidly extricate the patient
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 24 year old construction worker amputated his thumb. Wrap in moistened gauze
How should you manage the amputation?
A 36 weeks pregnant female has sustained an injury that Elevate the right side of the back board 4-6 inches
requires spinal motion restriction. What intervention
should be implemented to prevent hypotension during
transport?
A 41 year old male was stabbed in the chest Cardiac tamponade
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?
A 55 year old male has burns to both lower extremities Full thickness
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?
Page 5
, PHTLS 10th Edition Exam Questions & Answers | 100% Verified | Latest 2026/2027 | Guaranteed Pass
A 29 year old male falls 17 feet (5 m) to the ground Simple pneumothorax
from a tree. He complains of pain with movement and
pain on the right side of his chest when he breaths. You
not5e accessory muscle use, focal, tenderness, bony
crepitus, and absent breath sounds on his right side.
What should you suspect?
A 47 year old female was stabbed with knife in her right Immediately transport to a trauma center and establish an IV en route.
upper quadrant. Her Glasgow Coma Scale score is 9
(E2, V2, M5). Vital signs are BP 78/50, P 130, R 26.
What should you do?
A 44 year old male was ejected from a truck traveling at Manually stabilize the cervical spine
44 mph (60 kph). He is lying supine on the ground with
snoring respirations. What should you do first?
A 13 year old male was a restrained passenger in a car Consider spinal motion restriction and assess his c-spine
crash at highway speed. He is alert and oriented on-
scene and walking around. What should you do?
Page 6
