PHTLS Pre-Test Questions with 100%
Correct Answers Latest Version
A 24 year old construction worker amputated his thumb. How
should you manage the amputation?
Wrap it in moistened gauze
An 80 y.o. F 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 BP 170/72 RR 26 and irregular
P 62 BGL 150 mg/dL. What should you suspect?
Subdural hematoma
A 23-year-old male was skateboarding down a ramp when he
flipped over and landed on his head. He is clenching his jaw,
and you are unable to insert an oral airway. He thrashes his
head when you attempt to provide BVM. His oxygen
saturation is decreasing and his ET CO2 is increasing. What
is the best option to secure his airway and provide effective
ventilations?
Pharmacologically assisted intubation
A 3 y.o. Female was involved in a car crash with 2 ft of
intrusion into the passenger compartment. She is crying and
has an obvious deformed right humerus. Her car seat has a
crack on the side of impact. What should you suspect?
Significant energy has been distributed to this patient
A 27 y.o. F has multi system trauma. Which life threat is your
first priority?
Significant external hemorrhage
Upon examining a 43 y.o. M you note unequal breath sounds.
What is a sign or symptom of a simple pneumothorax?
Shortness of breath, decreased lung sounds on affected side
, A 22 y.o. M 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?
Apply a tourniquet
Which type of shock includes neurogenic and anaphylactic
shock?
Distributive
An anxious 54 y.o. F complains of chest pain. She hit the
steering wheel after a car crash at high speeds. Her sternum
is red and tender. Vital signs are BP 100/68, P 112 RR 28
clear, SPO2 92%. What should you suspect?
Cardiac contusion
A 32 year old male was ejected from a motor vehicle. He is
unconscious with agonal respirations upon assessment you
note a dilated right pupil. What is the best device to secure
the airway.
Endotracheal tube
A 44 year-old male was involved in a motorcycle crash. He
sustained severe blunt trauma to the chest and has a
deformity of the right femur. Multiple IV attempts were
unsuccessful. Vitals are BP 70/40 HR 126 RR 28. What should
you do?
Establish IO access
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?
Apply high flow oxygen
A 14-year-old male suffered from helmet to helmet contact
during a football game followed by 30 second period of
unconsciousness. Initial exam shows that he is awake but
Correct Answers Latest Version
A 24 year old construction worker amputated his thumb. How
should you manage the amputation?
Wrap it in moistened gauze
An 80 y.o. F 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 BP 170/72 RR 26 and irregular
P 62 BGL 150 mg/dL. What should you suspect?
Subdural hematoma
A 23-year-old male was skateboarding down a ramp when he
flipped over and landed on his head. He is clenching his jaw,
and you are unable to insert an oral airway. He thrashes his
head when you attempt to provide BVM. His oxygen
saturation is decreasing and his ET CO2 is increasing. What
is the best option to secure his airway and provide effective
ventilations?
Pharmacologically assisted intubation
A 3 y.o. Female was involved in a car crash with 2 ft of
intrusion into the passenger compartment. She is crying and
has an obvious deformed right humerus. Her car seat has a
crack on the side of impact. What should you suspect?
Significant energy has been distributed to this patient
A 27 y.o. F has multi system trauma. Which life threat is your
first priority?
Significant external hemorrhage
Upon examining a 43 y.o. M you note unequal breath sounds.
What is a sign or symptom of a simple pneumothorax?
Shortness of breath, decreased lung sounds on affected side
, A 22 y.o. M 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?
Apply a tourniquet
Which type of shock includes neurogenic and anaphylactic
shock?
Distributive
An anxious 54 y.o. F complains of chest pain. She hit the
steering wheel after a car crash at high speeds. Her sternum
is red and tender. Vital signs are BP 100/68, P 112 RR 28
clear, SPO2 92%. What should you suspect?
Cardiac contusion
A 32 year old male was ejected from a motor vehicle. He is
unconscious with agonal respirations upon assessment you
note a dilated right pupil. What is the best device to secure
the airway.
Endotracheal tube
A 44 year-old male was involved in a motorcycle crash. He
sustained severe blunt trauma to the chest and has a
deformity of the right femur. Multiple IV attempts were
unsuccessful. Vitals are BP 70/40 HR 126 RR 28. What should
you do?
Establish IO access
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?
Apply high flow oxygen
A 14-year-old male suffered from helmet to helmet contact
during a football game followed by 30 second period of
unconsciousness. Initial exam shows that he is awake but
