PHTLS 10th Edition Post Test ()
Updated Questions and Verified Answers, 100%
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Prehospital Trauma Care Practice Exam
An original study exam covering core trauma care domains (not reproduced from any
copyrighted test bank)
This exam is written from scratch to help you study the concepts tested in prehospital trauma
courses — it is not a copy of any publisher's proprietary question bank. Use it to check your
understanding of trauma assessment and management principles, then cross-reference the official
course material for anything you miss.
Table of Contents
1. Scene Size-Up & Kinematics of Trauma
2. Primary Assessment / MARCH-XABCDE
3. Hemorrhage Control & Shock
4. Airway & Ventilation Management
5. Thoracic Trauma
6. Traumatic Brain Injury & Spinal Motion Restriction
7. Musculoskeletal & Burn Trauma
8. Pediatric, Geriatric & Special Populations
9. Mass Casualty Incidents & Triage
10. Answer Key Summary Table
Section 1: Scene Size-Up & Kinematics of Trauma
Q1. What is the primary purpose of evaluating kinematics (mechanism of injury) before patient
contact? A) To determine the patient's insurance status B) To predict likely injury patterns and
, guide the index of suspicion C) To decide who will drive to the hospital D) To satisfy
documentation requirements only
Correct Answer: B
Rationale: Kinematics analysis lets responders anticipate injuries that may not yet be obvious
(e.g., internal hemorrhage after a high-speed collision). This raises the index of suspicion for
occult injuries and directs a more focused assessment, even before physical findings appear.
Q2. A patient was ejected from a vehicle during a rollover crash. Which statement best reflects
appropriate clinical reasoning? A) Ejection has little bearing on injury severity B) Ejection is a
significant mechanism associated with a much higher risk of severe multi-system trauma C)
Ejection only matters if the patient is unconscious D) Ejection is relevant only for pediatric
patients
Correct Answer: B
Rationale: Ejection removes the protective effects of vehicle structure and restraints,
dramatically increasing the risk of severe injury and mortality. It's considered a "load-and-go"
red flag mechanism regardless of the patient's initial presentation.
Q3. During scene size-up, when should personal safety be assessed relative to patient care? A)
After the primary assessment B) Simultaneously with, but conceptually before, patient contact C)
Only if the patient appears critically injured D) Safety assessment is unnecessary if dispatch
cleared the scene
Correct Answer: B
Rationale: Scene safety is continuously assessed and must be confirmed before approaching the
patient. A provider who becomes a casualty cannot help anyone; ongoing hazards (traffic, fire,
unstable structures, violence) are addressed before hands-on care begins.
Section 2: Primary Assessment / MARCH-XABCDE
Q4. In the MARCH algorithm used for trauma patients, what does the "M" represent, and why is
it prioritized first? A) Mobility — because ambulation status must be documented B) Massive
hemorrhage — because uncontrolled bleeding is the leading cause of preventable prehospital
death C) Medications — because allergies must be identified early D) Mental status — because it
determines transport destination
Correct Answer: B
Updated Questions and Verified Answers, 100%
Guarantee Pass
Prehospital Trauma Care Practice Exam
An original study exam covering core trauma care domains (not reproduced from any
copyrighted test bank)
This exam is written from scratch to help you study the concepts tested in prehospital trauma
courses — it is not a copy of any publisher's proprietary question bank. Use it to check your
understanding of trauma assessment and management principles, then cross-reference the official
course material for anything you miss.
Table of Contents
1. Scene Size-Up & Kinematics of Trauma
2. Primary Assessment / MARCH-XABCDE
3. Hemorrhage Control & Shock
4. Airway & Ventilation Management
5. Thoracic Trauma
6. Traumatic Brain Injury & Spinal Motion Restriction
7. Musculoskeletal & Burn Trauma
8. Pediatric, Geriatric & Special Populations
9. Mass Casualty Incidents & Triage
10. Answer Key Summary Table
Section 1: Scene Size-Up & Kinematics of Trauma
Q1. What is the primary purpose of evaluating kinematics (mechanism of injury) before patient
contact? A) To determine the patient's insurance status B) To predict likely injury patterns and
, guide the index of suspicion C) To decide who will drive to the hospital D) To satisfy
documentation requirements only
Correct Answer: B
Rationale: Kinematics analysis lets responders anticipate injuries that may not yet be obvious
(e.g., internal hemorrhage after a high-speed collision). This raises the index of suspicion for
occult injuries and directs a more focused assessment, even before physical findings appear.
Q2. A patient was ejected from a vehicle during a rollover crash. Which statement best reflects
appropriate clinical reasoning? A) Ejection has little bearing on injury severity B) Ejection is a
significant mechanism associated with a much higher risk of severe multi-system trauma C)
Ejection only matters if the patient is unconscious D) Ejection is relevant only for pediatric
patients
Correct Answer: B
Rationale: Ejection removes the protective effects of vehicle structure and restraints,
dramatically increasing the risk of severe injury and mortality. It's considered a "load-and-go"
red flag mechanism regardless of the patient's initial presentation.
Q3. During scene size-up, when should personal safety be assessed relative to patient care? A)
After the primary assessment B) Simultaneously with, but conceptually before, patient contact C)
Only if the patient appears critically injured D) Safety assessment is unnecessary if dispatch
cleared the scene
Correct Answer: B
Rationale: Scene safety is continuously assessed and must be confirmed before approaching the
patient. A provider who becomes a casualty cannot help anyone; ongoing hazards (traffic, fire,
unstable structures, violence) are addressed before hands-on care begins.
Section 2: Primary Assessment / MARCH-XABCDE
Q4. In the MARCH algorithm used for trauma patients, what does the "M" represent, and why is
it prioritized first? A) Mobility — because ambulation status must be documented B) Massive
hemorrhage — because uncontrolled bleeding is the leading cause of preventable prehospital
death C) Medications — because allergies must be identified early D) Mental status — because it
determines transport destination
Correct Answer: B
