PHTLS UPDATED EXAMS TEST PAPER QUESTIONS
AND ANSWERS SURE A+
✔✔A patient who withdraws from painful stimuli, opens eyes on verbal command, and
cannot speak because of intubation has a Glasgow Coma Scale of which of the
following:
A. 8
B. 8T
C. 7
D. 7T - ✔✔B. 8T
(E-3, V-T, M-4)
✔✔The earliest site for intraosseous infusion is:
A. Anterior tibia, just above the tibial tuberosity
B. Anterior fibula
C. Anterior tibia, just below the tibial tuberosity
D. Posterior fibula - ✔✔C. Anterior tibia, just below the tibial tuberosity
✔✔Which of the following behaviors is the most reliable indication of confusion in the
elderly trauma patient?
, A. Inability to recall his/her name
B. Inability to recall the day of the week
C. Inability to identify his/her present location when out of his/her normal residence
D. Focus on repeated retelling of events that occurred years ago - ✔✔A. Inability to
recall his/her name
✔✔In the elderly trauma patient a high index of suspicion for shock should occur
beginning when the systolic blood pressure is less than:
A. 90 mmHg
B. 150 mmHg
C. 120 mmHg
D. 100 mmHg - ✔✔C. 120 mmHg
✔✔In an adult patient, blood loss into the tissue from a fractured femur may be as much
as which of the following?
A. 150 to 500 mL
B. 500 to 1000 mL
C. 1000 2000 mL
D. 2500 to 5000 mL - ✔✔C. 1000 2000 mL
✔✔Delayed death due to trauma is usually a result of:
A. Biochemical and pathophysiological effects of inadequate initial resuscitation
B. Acute circulatory failure
C. Brain injury
D. Acute hypoxia - ✔✔A. Biochemical and pathophysiological effects of inadequate
initial resuscitation
✔✔A regional resource center with a full spectrum of trauma services from prevention to
rehabilitation which serves as the leader in trauma care for a geographical region is a:
A. Level IV trauma center
B. Level III trauma center
C. Level II trauma center
D. Level I trauma center - ✔✔D. Level I trauma center
✔✔Which of the following patients is not indicated for spinal immobilization?
A. Intoxicated patient in a MVC
B. Patient who fell 8 feet and lost consciousness
C. Patient complaining of pain on palpation of the neck
D. Patient with a knife wound to the chest and a GCS of 15 - ✔✔D. Patient with a knife
wound to the chest and a GCS of 15
AND ANSWERS SURE A+
✔✔A patient who withdraws from painful stimuli, opens eyes on verbal command, and
cannot speak because of intubation has a Glasgow Coma Scale of which of the
following:
A. 8
B. 8T
C. 7
D. 7T - ✔✔B. 8T
(E-3, V-T, M-4)
✔✔The earliest site for intraosseous infusion is:
A. Anterior tibia, just above the tibial tuberosity
B. Anterior fibula
C. Anterior tibia, just below the tibial tuberosity
D. Posterior fibula - ✔✔C. Anterior tibia, just below the tibial tuberosity
✔✔Which of the following behaviors is the most reliable indication of confusion in the
elderly trauma patient?
, A. Inability to recall his/her name
B. Inability to recall the day of the week
C. Inability to identify his/her present location when out of his/her normal residence
D. Focus on repeated retelling of events that occurred years ago - ✔✔A. Inability to
recall his/her name
✔✔In the elderly trauma patient a high index of suspicion for shock should occur
beginning when the systolic blood pressure is less than:
A. 90 mmHg
B. 150 mmHg
C. 120 mmHg
D. 100 mmHg - ✔✔C. 120 mmHg
✔✔In an adult patient, blood loss into the tissue from a fractured femur may be as much
as which of the following?
A. 150 to 500 mL
B. 500 to 1000 mL
C. 1000 2000 mL
D. 2500 to 5000 mL - ✔✔C. 1000 2000 mL
✔✔Delayed death due to trauma is usually a result of:
A. Biochemical and pathophysiological effects of inadequate initial resuscitation
B. Acute circulatory failure
C. Brain injury
D. Acute hypoxia - ✔✔A. Biochemical and pathophysiological effects of inadequate
initial resuscitation
✔✔A regional resource center with a full spectrum of trauma services from prevention to
rehabilitation which serves as the leader in trauma care for a geographical region is a:
A. Level IV trauma center
B. Level III trauma center
C. Level II trauma center
D. Level I trauma center - ✔✔D. Level I trauma center
✔✔Which of the following patients is not indicated for spinal immobilization?
A. Intoxicated patient in a MVC
B. Patient who fell 8 feet and lost consciousness
C. Patient complaining of pain on palpation of the neck
D. Patient with a knife wound to the chest and a GCS of 15 - ✔✔D. Patient with a knife
wound to the chest and a GCS of 15