PHTLS 10TH EDITION LATEST EXAMS SCRIPT
QUESTIONS AND ANSWERS SURE A+
1
✔✔1. You are responding to a call for 25-year-old, fit and healthy female who fell off a
mountain bike. Upon arrival, you find the patient walking around. She is alert but
complaining of pain in her clavicle and on her right side when she inhales. You notice
that her helmet is split in two. What is the first thing you need to do?
A. Complete a review of the ABCs.
B. Check motor and sensory function.
C. Perform manual in-line stabilization.
D. Place her on a backboard. - ✔✔Question 1: C
Because there's a possibility of spinal injury, you should bring the patient's head into a
neutral in-line position.
✔✔2. During primary survey, you find the following:
. LOC: alert and oriented; speaking in full sentences
. GCS: 15
. Airway: good air entry to bases
. Breathing: bilateral
. Circulation: skin warm, flushed, dry
. Pulse rate: 112 bpm, strong andregular
. BP: 90/42 mm Hg
, . Pain: Patient complains of severe pain at clavicle site and pain on inspiration at site of
possible fractured ribs. No other injuries detected. What is your next step?
A. Apply a cervical collar and in-line immobilization device.
B. Treat for hypovolemic shock.
C. Apply an arm sling for the clavicle injury.
D. Administer pain medication. - ✔✔Question 2: A
Although the patient's GCS is normal, she does have a distracting injury, and the state
of her helmet indicates possible spinal compression/flexion, so you should immobilize
the patient.
✔✔3. When securing a patient to a backboard, which body part should you secure first?
A. Head
B. Torso
C. Legs
D. Pelvis - ✔✔Question 3: B
When immobilizing a patient, you should secure the torso first, then the head, the legs,
and the pelvis.
✔✔4. What type of padding should you provide for this patient?
A. Use compressible padding under the shoulders and torso to prevent hyperflexion.
B. Use firm padding between the back of the head and the backboard to prevent
hyperextension.
C. Do not use any padding. It can cause extension or flexion in the neck.
D. No padding needed, but to avoid decreased venous return you should tip the
backboard to a left lateral position. - ✔✔Question 4: B
Because the patient is an adult, you should use firm padding between the back of the
head and the backboard to prevent hyperextension. You would pad a child's shoulder
and torso to prevent hyperflexion, and you would tip the backboard for a pregnant
patient to prevent decreased venous return.
✔✔5. While attempting to lay the patient supine for spinal motion restriction she
becomes increasingly distressed and complains of shortness of breath and difficulty
breathing. The fractured clavicle appears to move distally and increases the difficulty of
breathing as the patient lies back. What should you do?
A. Tip the backboard to a left lateral position.
B. Raise the back of the stretcher.
C. Let her sit up in a position of comfort.
D. Administer morphine. - ✔✔Question 5: B
Because laying the patient supine increases the risk of airway/ventilation problems,
raising the back of the stretchers slightly fundamentally maintains spinal alignment while
reducing the ventilation issues.
✔✔1. You and your partner are responding to a call for a 2-year-old patient with a burn
injury to the hand. He has a visible burn to the left hand, ending at the level above the
QUESTIONS AND ANSWERS SURE A+
1
✔✔1. You are responding to a call for 25-year-old, fit and healthy female who fell off a
mountain bike. Upon arrival, you find the patient walking around. She is alert but
complaining of pain in her clavicle and on her right side when she inhales. You notice
that her helmet is split in two. What is the first thing you need to do?
A. Complete a review of the ABCs.
B. Check motor and sensory function.
C. Perform manual in-line stabilization.
D. Place her on a backboard. - ✔✔Question 1: C
Because there's a possibility of spinal injury, you should bring the patient's head into a
neutral in-line position.
✔✔2. During primary survey, you find the following:
. LOC: alert and oriented; speaking in full sentences
. GCS: 15
. Airway: good air entry to bases
. Breathing: bilateral
. Circulation: skin warm, flushed, dry
. Pulse rate: 112 bpm, strong andregular
. BP: 90/42 mm Hg
, . Pain: Patient complains of severe pain at clavicle site and pain on inspiration at site of
possible fractured ribs. No other injuries detected. What is your next step?
A. Apply a cervical collar and in-line immobilization device.
B. Treat for hypovolemic shock.
C. Apply an arm sling for the clavicle injury.
D. Administer pain medication. - ✔✔Question 2: A
Although the patient's GCS is normal, she does have a distracting injury, and the state
of her helmet indicates possible spinal compression/flexion, so you should immobilize
the patient.
✔✔3. When securing a patient to a backboard, which body part should you secure first?
A. Head
B. Torso
C. Legs
D. Pelvis - ✔✔Question 3: B
When immobilizing a patient, you should secure the torso first, then the head, the legs,
and the pelvis.
✔✔4. What type of padding should you provide for this patient?
A. Use compressible padding under the shoulders and torso to prevent hyperflexion.
B. Use firm padding between the back of the head and the backboard to prevent
hyperextension.
C. Do not use any padding. It can cause extension or flexion in the neck.
D. No padding needed, but to avoid decreased venous return you should tip the
backboard to a left lateral position. - ✔✔Question 4: B
Because the patient is an adult, you should use firm padding between the back of the
head and the backboard to prevent hyperextension. You would pad a child's shoulder
and torso to prevent hyperflexion, and you would tip the backboard for a pregnant
patient to prevent decreased venous return.
✔✔5. While attempting to lay the patient supine for spinal motion restriction she
becomes increasingly distressed and complains of shortness of breath and difficulty
breathing. The fractured clavicle appears to move distally and increases the difficulty of
breathing as the patient lies back. What should you do?
A. Tip the backboard to a left lateral position.
B. Raise the back of the stretcher.
C. Let her sit up in a position of comfort.
D. Administer morphine. - ✔✔Question 5: B
Because laying the patient supine increases the risk of airway/ventilation problems,
raising the back of the stretchers slightly fundamentally maintains spinal alignment while
reducing the ventilation issues.
✔✔1. You and your partner are responding to a call for a 2-year-old patient with a burn
injury to the hand. He has a visible burn to the left hand, ending at the level above the
