PHTLS PRE-TEST LATEST 2024-2025 QUESTIONS
WITH VERIFIED ANSWERS GRADED A+
What is the most common cause of airway obstruction in the unresponsive traumapatient?
a. Blood
b. Teeth
c. Tongue
d. Vomitus - ANSWER- c. Tongue
Which of the following is a Golden Principle of trauma care?
a. Ensure adequate airway and ventilation
b. Complete a thorough head-to-toe survey before initiating treatment
c. Rescuer safety is secondary to caring for the patient
d. Use chilled intravenous fluids to promote hypothermia - ANSWER- a. Ensureadequate airway
and ventilation
Hypoperfusion will affect which of the following organs first?
a. Kidney
b. GI tract
c. Brain
d. Liver - ANSWER- c. Brain
The most common type of shock resulting from trauma is?
a. Neurogenic
b. Septic
c. Spinal
d. Hemorrhagic - ANSWER- d. Hemorrhagic
EMS arrives on a scene and finds that emergency medical responders have attempted to
immobilize a pediatric patient onto a long backboard. They note that the patient's head is in a
flexed position. Which of the following actions is the mostappropriate?
a. Adjust the cervical collar
b. Logroll patient into a left lateral recumbent position
c. Place padding under the patient's head and neck
d. Place padding under the patient's torso - ANSWER- d. Place padding under thepatient's torso
,Hemostatic agents should be used for excessive bleeding when direct pressure alone does not
work. The proper way to use most hemostatic agents is which of thefollowing?
a. Placing the agent around the edges of the wound
b. Placing the agent properly into the wound and holding direct pressure
c. Only using it after a tourniquet has been applied for 10 minutes
d. Hemostatic agents should never be used unless you have a fall in blood pressure
- ANSWER- b. Placing the agent properly into the wound and holding directpressure
You respond to a local bar for an unconscious person. On arrival, you are met by apolice officer
who reports that one of their "regular alcoholics" was found in the alley behind the bar. On
exam, you note the smell of an alcoholic beverage as wellas the following: Patient flexes his
arms to painful stimuli, has bilateral fixed and dilated pupils, irregular respirations at 12 breaths
per minute and a BP of 210/100.What condition do you suspect?
a. Subarachnoid hemorrhage
b. Alcohol poisoning
c. Ruptured abdominal aortic aneurysm
d. Subdural hematoma - ANSWER- d. Subdural hematoma
The most appropriate airway maneuver in the initial management of a traumapatient is which of
the following?
a. Head tilt, chin lift
b. Supraglottic airway
c. Trauma jaw thrust
d. Oropharyngeal airway - ANSWER- c. Trauma jaw thrust
When verifying ET tube placement on a perfusing patient, the "gold standard" ofmonitoring is
considered to be?
a. Colorimetric carbon dioxide detector
b. Pulse oximetry
c. Listening to lung sounds
d. Waveform capnography - ANSWER- d. Waveform capnography
Of the following, which is a preventable cause of secondary brain injuryaddressable during the
transport phase?
a. Intraparenchymal hemorrhage
b. Systemic hypoxia
c. Intracranial hematomas
d. Herniation syndromes - ANSWER- b. Systemic hypoxia
When approaching a trauma patient, what is the first assessment that must bemade?
a. Exsanguinating hemorrhage
, b. Scene safety
c. Airway
d. Breathing - ANSWER- b. Scene safety
In a patient with a suspected traumatic brain injury, what is the most concerningphysical
finding?
a. BP 140/90
b. Heart rate of 58
c. Respiratory rate of 30
d. Altered level of consciousness
Which best describes the goal of airway management in a trauma patient?
a. Perform complex airway maneuvers
b. Perform a surgical cricothyrotomy
c. Provide for adequate exchange of oxygen and CO2
d. Perform RSI - ANSWER- c. Provide for adequate exchange of oxygen and CO2
The secondary survey should be accomplished:
a. Never on a critical patient
b. Before transport
c. When time and situation allow
c. Before moving the patient - ANSWER- c. When time and situation allow
EMS is treating a 24-year-old soccer player who was kicked in the chest. Prehospital providers
note paradoxical movement of a portion of the patient's chestwall. The patient's respiratory rate
is 16 and oxygen saturation is 94%. What is themost appropriate action?
a. Endotracheal intubation
b. Provide supplemental oxygen and transport to a trauma center
c. Place bulky dressing over the wound and tightly wrap the chest
d. Stabilize the segment with sandbags on the chest - ANSWER- b. Providesupplemental oxygen
and transport to a trauma center
Which of the following information is assessed during the secondary survey?
a. Skin temperature
b. Hemorrhage
c. Breathing
d. Vital signs - ANSWER- d. Vital signs
When energy produced by the cells occurs during a state of adequate oxygenation,it is referred to
as which of the following conditions?
WITH VERIFIED ANSWERS GRADED A+
What is the most common cause of airway obstruction in the unresponsive traumapatient?
a. Blood
b. Teeth
c. Tongue
d. Vomitus - ANSWER- c. Tongue
Which of the following is a Golden Principle of trauma care?
a. Ensure adequate airway and ventilation
b. Complete a thorough head-to-toe survey before initiating treatment
c. Rescuer safety is secondary to caring for the patient
d. Use chilled intravenous fluids to promote hypothermia - ANSWER- a. Ensureadequate airway
and ventilation
Hypoperfusion will affect which of the following organs first?
a. Kidney
b. GI tract
c. Brain
d. Liver - ANSWER- c. Brain
The most common type of shock resulting from trauma is?
a. Neurogenic
b. Septic
c. Spinal
d. Hemorrhagic - ANSWER- d. Hemorrhagic
EMS arrives on a scene and finds that emergency medical responders have attempted to
immobilize a pediatric patient onto a long backboard. They note that the patient's head is in a
flexed position. Which of the following actions is the mostappropriate?
a. Adjust the cervical collar
b. Logroll patient into a left lateral recumbent position
c. Place padding under the patient's head and neck
d. Place padding under the patient's torso - ANSWER- d. Place padding under thepatient's torso
,Hemostatic agents should be used for excessive bleeding when direct pressure alone does not
work. The proper way to use most hemostatic agents is which of thefollowing?
a. Placing the agent around the edges of the wound
b. Placing the agent properly into the wound and holding direct pressure
c. Only using it after a tourniquet has been applied for 10 minutes
d. Hemostatic agents should never be used unless you have a fall in blood pressure
- ANSWER- b. Placing the agent properly into the wound and holding directpressure
You respond to a local bar for an unconscious person. On arrival, you are met by apolice officer
who reports that one of their "regular alcoholics" was found in the alley behind the bar. On
exam, you note the smell of an alcoholic beverage as wellas the following: Patient flexes his
arms to painful stimuli, has bilateral fixed and dilated pupils, irregular respirations at 12 breaths
per minute and a BP of 210/100.What condition do you suspect?
a. Subarachnoid hemorrhage
b. Alcohol poisoning
c. Ruptured abdominal aortic aneurysm
d. Subdural hematoma - ANSWER- d. Subdural hematoma
The most appropriate airway maneuver in the initial management of a traumapatient is which of
the following?
a. Head tilt, chin lift
b. Supraglottic airway
c. Trauma jaw thrust
d. Oropharyngeal airway - ANSWER- c. Trauma jaw thrust
When verifying ET tube placement on a perfusing patient, the "gold standard" ofmonitoring is
considered to be?
a. Colorimetric carbon dioxide detector
b. Pulse oximetry
c. Listening to lung sounds
d. Waveform capnography - ANSWER- d. Waveform capnography
Of the following, which is a preventable cause of secondary brain injuryaddressable during the
transport phase?
a. Intraparenchymal hemorrhage
b. Systemic hypoxia
c. Intracranial hematomas
d. Herniation syndromes - ANSWER- b. Systemic hypoxia
When approaching a trauma patient, what is the first assessment that must bemade?
a. Exsanguinating hemorrhage
, b. Scene safety
c. Airway
d. Breathing - ANSWER- b. Scene safety
In a patient with a suspected traumatic brain injury, what is the most concerningphysical
finding?
a. BP 140/90
b. Heart rate of 58
c. Respiratory rate of 30
d. Altered level of consciousness
Which best describes the goal of airway management in a trauma patient?
a. Perform complex airway maneuvers
b. Perform a surgical cricothyrotomy
c. Provide for adequate exchange of oxygen and CO2
d. Perform RSI - ANSWER- c. Provide for adequate exchange of oxygen and CO2
The secondary survey should be accomplished:
a. Never on a critical patient
b. Before transport
c. When time and situation allow
c. Before moving the patient - ANSWER- c. When time and situation allow
EMS is treating a 24-year-old soccer player who was kicked in the chest. Prehospital providers
note paradoxical movement of a portion of the patient's chestwall. The patient's respiratory rate
is 16 and oxygen saturation is 94%. What is themost appropriate action?
a. Endotracheal intubation
b. Provide supplemental oxygen and transport to a trauma center
c. Place bulky dressing over the wound and tightly wrap the chest
d. Stabilize the segment with sandbags on the chest - ANSWER- b. Providesupplemental oxygen
and transport to a trauma center
Which of the following information is assessed during the secondary survey?
a. Skin temperature
b. Hemorrhage
c. Breathing
d. Vital signs - ANSWER- d. Vital signs
When energy produced by the cells occurs during a state of adequate oxygenation,it is referred to
as which of the following conditions?
