PHTLS ALL PAPER EXAM CORRECT ANSWERS AND
QUESTIONS SET A+
✔✔You arrive at the scene of a motor vehicle collision in which a vehicle struck a tree.
Which is the best indicator of potential injury?
A. Circumference of the vehicle
B. Diameter of the tree
C. Mass of the vehicle
D. Speed of the vehicle - ✔✔D. Speed of the vehicle
✔✔The potential for death or serious injury is greatest in which of the following motor
vehicle collisions?
A) Down and under
B) Ejection from vehicle
C) Lateral compression
D) Up and over - ✔✔B) Ejection from vehicle
✔✔Bilateral femur fractures are most often associated with which type of motorcycle
crash?
A) Angular impact
B) Bike-road impact
C) Head-on impact
D) Rear impact - ✔✔C) Head-on impact
✔✔Which is the preferred fluid for resuscitation of hemorrhagic shock in the prehospital
setting?
A) 5% dextrose in water
B) 7.5% hypertonic saline
C) Hetastarch
, D) Lactated Ringer's - ✔✔D) Lactated Ringer's
✔✔Which is the most common cause of upper airway obstruction in the trauma patient?
A) Blood
B) Teeth
C) Tongue
D) Vomitus - ✔✔C) Tongue
✔✔Which is the preferred adjunct device for verifying placement of an endotracheal
tube in a patient with a perfusing rhythm?
A) End-tidal CO2 monitoring (capnography)
B) Esophageal detector device
C) Pulse oximeter
D) Stethoscope - ✔✔A) End-tidal CO2 monitoring (capnography)
✔✔Which is the most important reason to maintain an open airway in the trauma
patient?
A) Prevents aspiration and pneumonia
B) Prevents hypoxemia and hypercarbia
C) Prevents snoring respirations
D) Prevents the tongue from blocking the pharynx - ✔✔B) Prevents hypoxemia and
hypercarbia
✔✔Essential airway skills include manual clearing of the airway, manual maneuvers,
suctioning and which of the following?
A) Dual lumen airway
B) Endotracheal intubation
C) Laryngeal mask airway
D) Oropharyngeal airway - ✔✔D) Oropharyngeal airway
✔✔Your patient is a middle aged male who crashed his motorcycle. He is unresponsive.
After opening the airway using a modified jaw thrust, you note the patient has
respirations at a rate of 6. Auscultation reveals breath sounds are absent on the left
side. Which of the following is the most appropriate next intervention?
A) Apply a non-rebreather mask
B) Begin ventilation with a BVM
C) Insert an endotracheal tube
D) Perform a needle decompression - ✔✔B) Begin ventilation with a BVM
✔✔Which best describes shock?
QUESTIONS SET A+
✔✔You arrive at the scene of a motor vehicle collision in which a vehicle struck a tree.
Which is the best indicator of potential injury?
A. Circumference of the vehicle
B. Diameter of the tree
C. Mass of the vehicle
D. Speed of the vehicle - ✔✔D. Speed of the vehicle
✔✔The potential for death or serious injury is greatest in which of the following motor
vehicle collisions?
A) Down and under
B) Ejection from vehicle
C) Lateral compression
D) Up and over - ✔✔B) Ejection from vehicle
✔✔Bilateral femur fractures are most often associated with which type of motorcycle
crash?
A) Angular impact
B) Bike-road impact
C) Head-on impact
D) Rear impact - ✔✔C) Head-on impact
✔✔Which is the preferred fluid for resuscitation of hemorrhagic shock in the prehospital
setting?
A) 5% dextrose in water
B) 7.5% hypertonic saline
C) Hetastarch
, D) Lactated Ringer's - ✔✔D) Lactated Ringer's
✔✔Which is the most common cause of upper airway obstruction in the trauma patient?
A) Blood
B) Teeth
C) Tongue
D) Vomitus - ✔✔C) Tongue
✔✔Which is the preferred adjunct device for verifying placement of an endotracheal
tube in a patient with a perfusing rhythm?
A) End-tidal CO2 monitoring (capnography)
B) Esophageal detector device
C) Pulse oximeter
D) Stethoscope - ✔✔A) End-tidal CO2 monitoring (capnography)
✔✔Which is the most important reason to maintain an open airway in the trauma
patient?
A) Prevents aspiration and pneumonia
B) Prevents hypoxemia and hypercarbia
C) Prevents snoring respirations
D) Prevents the tongue from blocking the pharynx - ✔✔B) Prevents hypoxemia and
hypercarbia
✔✔Essential airway skills include manual clearing of the airway, manual maneuvers,
suctioning and which of the following?
A) Dual lumen airway
B) Endotracheal intubation
C) Laryngeal mask airway
D) Oropharyngeal airway - ✔✔D) Oropharyngeal airway
✔✔Your patient is a middle aged male who crashed his motorcycle. He is unresponsive.
After opening the airway using a modified jaw thrust, you note the patient has
respirations at a rate of 6. Auscultation reveals breath sounds are absent on the left
side. Which of the following is the most appropriate next intervention?
A) Apply a non-rebreather mask
B) Begin ventilation with a BVM
C) Insert an endotracheal tube
D) Perform a needle decompression - ✔✔B) Begin ventilation with a BVM
✔✔Which best describes shock?
