PHTLS 10th Edition exam
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? -
CORRECT ANSWER-Administer 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? - CORRECT ANSWER-Obstruction of the airway
An adult patient has partial thickness burns to his or. her 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? - CORRECT ANSWER-28%
An 8 year old female is being treated in the red 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? - CORRECT ANSWER-Insert an
oropharyngeal airway and assist ventilations
What type of burn should be treated as a life or limb threatening injury due to
constriction of the injured tissues? - CORRECT ANSWER-Circumferential
A 26 year old female was the unrestrained driver of a 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? - CORRECT ANSWER-
Assist ventilations at a rate of 20 breaths per minute
Which of the following presents the greatest risk for EMS provider fatalities? -
CORRECT ANSWER-Motor vehicle collision either in an EMS unit or on-scene
A 50 year old male fell from a 6th story balcony. Intubation attempts have been
unsuccessful. His Glasgow Coma Scale score is 6 (E1, V1, M4). You note agonal
respirations. What should you do first? - CORRECT ANSWER-Insert a superglottic
airway device
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 avulsed and you note
a large pool of blood with active bleeding. His breathing is deep and labored. What
should you do? - CORRECT ANSWER-Apply a tourniquet
A 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? - CORRECT ANSWER-
Rapidly extricate the patient
A 24 year old construction worker amputated his thumb. How should you manage the
amputation? - CORRECT ANSWER-Wrap in moistened gauze
A 36 weeks pregnant female has sustained an injury that requires spinal motion
restriction. What intervention should be implemented to prevent hypotension during
transport? - CORRECT ANSWER-Elevate the right side of the back board 4-6 inches
A 41 year old male was stabbed in the chest 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? - CORRECT ANSWER-Cardiac
tamponade
A 55 year old male has burns to both lower extremities 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? - CORRECT ANSWER-Full thickness
A 29 year old male falls 17 feet (5 m) to the ground 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? - CORRECT ANSWER-Simple pneumothorax
A 47 year old female was stabbed with knife in her right 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? - CORRECT ANSWER-Immediately transport to a trauma center and
establish an IV en route.
A 44 year old male was ejected from a truck traveling at 44 mph (60 kph). He is lying
supine on the ground with snoring respirations. What should you do first? - CORRECT
ANSWER-Manually stabilize the cervical spine
A 13 year old male was a restrained passenger in a car crash at highway speed. He is
alert and oriented on-scene and walking around. What should you do? - CORRECT
ANSWER-Consider spinal motion restriction and assess his c-spine
A 44 year old male was involved in a motorcycle crash. He sustained severe blunt
trauma to his chest and has deformity of the right femur. Multiple IV attempts were
unsuccessful. Vital signs are BP 70/40, P 126, R 28. What should you do? - CORRECT
ANSWER-Establish intaosseous access
Where is the preferred landmark for needle decompression? - CORRECT ANSWER-
Anterior axillary line, 5th intercostal space
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? -
CORRECT ANSWER-Administer 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? - CORRECT ANSWER-Obstruction of the airway
An adult patient has partial thickness burns to his or. her 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? - CORRECT ANSWER-28%
An 8 year old female is being treated in the red 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? - CORRECT ANSWER-Insert an
oropharyngeal airway and assist ventilations
What type of burn should be treated as a life or limb threatening injury due to
constriction of the injured tissues? - CORRECT ANSWER-Circumferential
A 26 year old female was the unrestrained driver of a 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? - CORRECT ANSWER-
Assist ventilations at a rate of 20 breaths per minute
Which of the following presents the greatest risk for EMS provider fatalities? -
CORRECT ANSWER-Motor vehicle collision either in an EMS unit or on-scene
A 50 year old male fell from a 6th story balcony. Intubation attempts have been
unsuccessful. His Glasgow Coma Scale score is 6 (E1, V1, M4). You note agonal
respirations. What should you do first? - CORRECT ANSWER-Insert a superglottic
airway device
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 avulsed and you note
a large pool of blood with active bleeding. His breathing is deep and labored. What
should you do? - CORRECT ANSWER-Apply a tourniquet
A 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? - CORRECT ANSWER-
Rapidly extricate the patient
A 24 year old construction worker amputated his thumb. How should you manage the
amputation? - CORRECT ANSWER-Wrap in moistened gauze
A 36 weeks pregnant female has sustained an injury that requires spinal motion
restriction. What intervention should be implemented to prevent hypotension during
transport? - CORRECT ANSWER-Elevate the right side of the back board 4-6 inches
A 41 year old male was stabbed in the chest 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? - CORRECT ANSWER-Cardiac
tamponade
A 55 year old male has burns to both lower extremities 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? - CORRECT ANSWER-Full thickness
A 29 year old male falls 17 feet (5 m) to the ground 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? - CORRECT ANSWER-Simple pneumothorax
A 47 year old female was stabbed with knife in her right 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? - CORRECT ANSWER-Immediately transport to a trauma center and
establish an IV en route.
A 44 year old male was ejected from a truck traveling at 44 mph (60 kph). He is lying
supine on the ground with snoring respirations. What should you do first? - CORRECT
ANSWER-Manually stabilize the cervical spine
A 13 year old male was a restrained passenger in a car crash at highway speed. He is
alert and oriented on-scene and walking around. What should you do? - CORRECT
ANSWER-Consider spinal motion restriction and assess his c-spine
A 44 year old male was involved in a motorcycle crash. He sustained severe blunt
trauma to his chest and has deformity of the right femur. Multiple IV attempts were
unsuccessful. Vital signs are BP 70/40, P 126, R 28. What should you do? - CORRECT
ANSWER-Establish intaosseous access
Where is the preferred landmark for needle decompression? - CORRECT ANSWER-
Anterior axillary line, 5th intercostal space
