PHTLS 10TH EDITION EXAM
QUESTIONS AND ANSWERS 100%
ACCURATE
, A 27 year old female has multi system trauma. Which life threat is your first priority? -
ANSWERSSignificant external hemorrhage
Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears and
nose? - ANSWERSBasilar
A 78 year old female was involved in a minor car crash. She is shivering and exhibits
repetitive questioning. She is a type II diabetic and takes a daily anticoagulant. What
should your initial treatment be? - ANSWERSMove patient to a warm environment
A 14 year old male suffered from helmet-to-helmet 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? -
ANSWERSEpidural
An 80 year old female fell down a flight of stairs 3 days 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? - ANSWERSSubdural hematoma
An adult patient was involved in a motorcycle accident. Why should you remove his or
her helmet? - ANSWERSTo manage the airway
A 28 year old male fell from his motorcycle during a 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? - ANSWERSApply direct
pressure to the wound
An adult patient has an open angulated injury to the left lower leg. Distal pulses are
absent. Why would you attempt to realign the extremity? - ANSWERSRestore blood
flow
A 20 year old male was hit in the chest with a baseball 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? -
ANSWERSAdminister 100 mcg of Fentanyl
A 13 year old male was riding on an all-terrain vehicle 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? - ANSWERSObstruction of the airway
QUESTIONS AND ANSWERS 100%
ACCURATE
, A 27 year old female has multi system trauma. Which life threat is your first priority? -
ANSWERSSignificant external hemorrhage
Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears and
nose? - ANSWERSBasilar
A 78 year old female was involved in a minor car crash. She is shivering and exhibits
repetitive questioning. She is a type II diabetic and takes a daily anticoagulant. What
should your initial treatment be? - ANSWERSMove patient to a warm environment
A 14 year old male suffered from helmet-to-helmet 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? -
ANSWERSEpidural
An 80 year old female fell down a flight of stairs 3 days 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? - ANSWERSSubdural hematoma
An adult patient was involved in a motorcycle accident. Why should you remove his or
her helmet? - ANSWERSTo manage the airway
A 28 year old male fell from his motorcycle during a 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? - ANSWERSApply direct
pressure to the wound
An adult patient has an open angulated injury to the left lower leg. Distal pulses are
absent. Why would you attempt to realign the extremity? - ANSWERSRestore blood
flow
A 20 year old male was hit in the chest with a baseball 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? -
ANSWERSAdminister 100 mcg of Fentanyl
A 13 year old male was riding on an all-terrain vehicle 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? - ANSWERSObstruction of the airway
