PHTLS PRE-TEST|VERIFIED QUESTIONS AND CORRECT DETAILED
ANSWERS|RATED AND GRADED A+ NEW UPDATE| 2026/2027
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? - ANSWER✔ Cardiac Tamponade
A 13 year old male was riding on an all-terrain vehicle when he drove into a wire fence. He is sitting on
the ground with a towel over his lower face. He has an open jaw fracture. What is your primary
concern? - ANSWER✔ Obstruction of the airway
A 24 year old construction worker amputated his thumb. How should you manage the amputation? -
ANSWER✔ Wrap in moistened gauze
A 78 year old female fell 12 hours ago. Now she complains of 10/10 hip and groin pain during
movement. Vital signs are BP 98/50, P 132, R 26. What should you administer? - ANSWER✔ Ketamine
A 26 year old female was the unrestrained driver of a head on collision. Her Glasgow 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? - ANSWER✔ Assist ventilations at a rate of 20 breaths per minute
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? - ANSWER✔ Consider spinal motion restriction
and assess his c-spine
Which type of shock includes neurogenic and anaphylactic shock? - ANSWER✔ Distributive
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? - ANSWER✔ Rapidly extricate the patient
, A 44 year old male was ejected from a truck traveling 36 mph (60 kph). He is lying supine on the ground
and has snoring respirations. What should you do first? - ANSWER✔ Manually stabilize the cervical
spine
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? -
ANSWER✔ Insert a supraglottic airway device
A 27 year old female has multisystem trauma. Which life threat is your first priority? - ANSWER✔
Significant external hemorrhage
A 42 year old female has been pulled from a smoke-filled apartment. Her mouth and nose are covered in
soot. She has a weak, hoarse cry with inspiratory stridor. What should you do? - ANSWER✔ Prepare
for a difficult intubation
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? - ANSWER✔ Full thickness
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? -
ANSWER✔ 28%
A 26 year old male is supine on the ground. He was assaulted and has obvious head and facial trauma.
He has snoring respirations at a rate of 8 per minute. What should you do? - ANSWER✔ Perform a
modified jaw thrust
A 4 year old female fell down approximately 8 carpeted stairs. Her parents said she initially complained
of neck pain and a tingling sensation in all four extremities, but the symptoms have since resolved. What
should you do? - ANSWER✔ Initiate spinal motion restriction and transport
What is a sign of brain stem herniation? - ANSWER✔ Decerebrate posturing
ANSWERS|RATED AND GRADED A+ NEW UPDATE| 2026/2027
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? - ANSWER✔ Cardiac Tamponade
A 13 year old male was riding on an all-terrain vehicle when he drove into a wire fence. He is sitting on
the ground with a towel over his lower face. He has an open jaw fracture. What is your primary
concern? - ANSWER✔ Obstruction of the airway
A 24 year old construction worker amputated his thumb. How should you manage the amputation? -
ANSWER✔ Wrap in moistened gauze
A 78 year old female fell 12 hours ago. Now she complains of 10/10 hip and groin pain during
movement. Vital signs are BP 98/50, P 132, R 26. What should you administer? - ANSWER✔ Ketamine
A 26 year old female was the unrestrained driver of a head on collision. Her Glasgow 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? - ANSWER✔ Assist ventilations at a rate of 20 breaths per minute
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? - ANSWER✔ Consider spinal motion restriction
and assess his c-spine
Which type of shock includes neurogenic and anaphylactic shock? - ANSWER✔ Distributive
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? - ANSWER✔ Rapidly extricate the patient
, A 44 year old male was ejected from a truck traveling 36 mph (60 kph). He is lying supine on the ground
and has snoring respirations. What should you do first? - ANSWER✔ Manually stabilize the cervical
spine
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? -
ANSWER✔ Insert a supraglottic airway device
A 27 year old female has multisystem trauma. Which life threat is your first priority? - ANSWER✔
Significant external hemorrhage
A 42 year old female has been pulled from a smoke-filled apartment. Her mouth and nose are covered in
soot. She has a weak, hoarse cry with inspiratory stridor. What should you do? - ANSWER✔ Prepare
for a difficult intubation
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? - ANSWER✔ Full thickness
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? -
ANSWER✔ 28%
A 26 year old male is supine on the ground. He was assaulted and has obvious head and facial trauma.
He has snoring respirations at a rate of 8 per minute. What should you do? - ANSWER✔ Perform a
modified jaw thrust
A 4 year old female fell down approximately 8 carpeted stairs. Her parents said she initially complained
of neck pain and a tingling sensation in all four extremities, but the symptoms have since resolved. What
should you do? - ANSWER✔ Initiate spinal motion restriction and transport
What is a sign of brain stem herniation? - ANSWER✔ Decerebrate posturing
