PHTLS post – UPDATED Questions with 100% Verified Answers
PHTLS post
Study Questions and Answers
Q1 when approaching a trauma patient, what is the first assessment that must be made?
A scene safety
Q2 EMS arrives on a scene and finds that emergency medical responders have attempted to immobilize a
pediatric patient onto a long backboard. They note that the patient's head is in a flexed position. Which of
the following actions is the most appropriate?
A place padding under the patient's torso
Q3 the pre-hospital assessment of the trauma patient begins with which of the following?
A infromation provided by the dispatcher
Q4 which of the following is a Golden Principle of trauma care?
A ensure adequate airway and ventilation
Q5 When energy produced by cells occurs during the state of inadequate oxygenation, it is referred to as which
of the following conditions?
A anaerobic metabolism
Q6 in a blast related multiple patient situation, which of the following patients should be treated first?
A a 33 year old female with altered level of consciousness and decreased capillary refill
Q7 a 30 year old male is thrown from his horse, landing on the top rail of a pipe fence and now has a loss of
sensation from the nipples down. what level of the spine do you suspect he injured?
A T4
Q8 a 30 year old male is injured in a terror bombing. he experiences traumatic amputation of his left leg at knee
level. an improvised tourniquet was put in place by bystanders. the victim is conscious and in severe pain.
your first action should be to do which of the following?
A confirm the tourniquet was properly applied
Q9 ________ is the earliest sign of deterioration in a patient with a flail chest
PHTLS post 1
, A respiratory rate increase
Q10 of the following, which is a preventable cause of secondary brain injury addressable during the transport
phase
A systemic hypoxia
Q11 in a patient with a suspected traumatic brain injury, what is the most concerning physical finding?
A altered level of consciousness
Q12 a 23 year old male construction worker fell approximately 30 feet from a roof. the patient is unresponsive to
all stimuli; his R pupil is 7mm and non-reactive and his L pupil is 3mm. he has irregular respirations at 8
breaths per minute. You do not have waveform capnography, so what is the most appropriate rate of
ventilations
A 20 BPM
Q13 while caring for a patient who was involved in an altercation, the patient vomits, causing his airway to
become totally obsturcted with vomitus and blood. what is the most important action?
A suctioning the airway
Q14 when caring for a trauma patient, a principle is what is necessary for patient improvement or survival. a
preference is how the principle is achieved and depends upon four factors. the factors used to establish the
preference in treating the patient include all except
A research information
Q15 which of the following is the best indicator of shock in a trauma patient?
A depressed level of cognition
Q16 approximately 20% of all child abuse is the result of intentional burning. the majority of the children
intentionally burned are of what age?
A 1 to 2 years of age
Q17 when managing a pediatric patient, pre hospital providers should do all of the following EXCEPT
A use half the adult dose or medication administration
PHTLS post 2
PHTLS post
Study Questions and Answers
Q1 when approaching a trauma patient, what is the first assessment that must be made?
A scene safety
Q2 EMS arrives on a scene and finds that emergency medical responders have attempted to immobilize a
pediatric patient onto a long backboard. They note that the patient's head is in a flexed position. Which of
the following actions is the most appropriate?
A place padding under the patient's torso
Q3 the pre-hospital assessment of the trauma patient begins with which of the following?
A infromation provided by the dispatcher
Q4 which of the following is a Golden Principle of trauma care?
A ensure adequate airway and ventilation
Q5 When energy produced by cells occurs during the state of inadequate oxygenation, it is referred to as which
of the following conditions?
A anaerobic metabolism
Q6 in a blast related multiple patient situation, which of the following patients should be treated first?
A a 33 year old female with altered level of consciousness and decreased capillary refill
Q7 a 30 year old male is thrown from his horse, landing on the top rail of a pipe fence and now has a loss of
sensation from the nipples down. what level of the spine do you suspect he injured?
A T4
Q8 a 30 year old male is injured in a terror bombing. he experiences traumatic amputation of his left leg at knee
level. an improvised tourniquet was put in place by bystanders. the victim is conscious and in severe pain.
your first action should be to do which of the following?
A confirm the tourniquet was properly applied
Q9 ________ is the earliest sign of deterioration in a patient with a flail chest
PHTLS post 1
, A respiratory rate increase
Q10 of the following, which is a preventable cause of secondary brain injury addressable during the transport
phase
A systemic hypoxia
Q11 in a patient with a suspected traumatic brain injury, what is the most concerning physical finding?
A altered level of consciousness
Q12 a 23 year old male construction worker fell approximately 30 feet from a roof. the patient is unresponsive to
all stimuli; his R pupil is 7mm and non-reactive and his L pupil is 3mm. he has irregular respirations at 8
breaths per minute. You do not have waveform capnography, so what is the most appropriate rate of
ventilations
A 20 BPM
Q13 while caring for a patient who was involved in an altercation, the patient vomits, causing his airway to
become totally obsturcted with vomitus and blood. what is the most important action?
A suctioning the airway
Q14 when caring for a trauma patient, a principle is what is necessary for patient improvement or survival. a
preference is how the principle is achieved and depends upon four factors. the factors used to establish the
preference in treating the patient include all except
A research information
Q15 which of the following is the best indicator of shock in a trauma patient?
A depressed level of cognition
Q16 approximately 20% of all child abuse is the result of intentional burning. the majority of the children
intentionally burned are of what age?
A 1 to 2 years of age
Q17 when managing a pediatric patient, pre hospital providers should do all of the following EXCEPT
A use half the adult dose or medication administration
PHTLS post 2
