PHTLS 10th Ed
A 78-year-old female was involved in a minor car crash. She is shivering and exhibits repetitive
questioning. She is a type II diabetic and takes an anticoagulant. What should your initial
treatment be?
Move patient to a warm environment [ANSWER]
A) Administer oral glucose
B) Perform a rapid trauma exam
C) Move patient to a warm environment
A 29-year-old male falls 17 feet (5m) to the ground from a tree. He complains of pain with
movement and pain on the right side of his chest when he breathes. You note accessory muscle
use, focal tenderness, bony crepitus, and absent breath sounds on his right side. What should you
suspect?
Simple pneumothorax [ANSWER]
A) Hemothorax
B) Tension pneumothorax
C) Simple pneumothorax
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?
Full thickness [ANSWER]
A) Superficial
B) Partial thickness
C) Full thickness
Which of the following physiological changes associated with aging may contribute to an
increased incidence of falls among the elderly?
Declining visual acuity [ANSWER]
A) Increased bone density
B) Increased reflex speed
C) Declining visual acuity
, Which type of shock included neurogenic and anaphylactic shock?
Distributive [ANSWER]
A) Cardiogenic
B) Obstructive
C) Distributive
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?
Consider spinal motion restriction and assess his c-spine [ANSWER]
A) Allow him to refuse care
B) Have him sit in the ambulance for reassessment
C) Consider spinal motion restriction and assess his c-spine
A 24-year-old construction worker amputated his thumb. How should you manage the
amputation?
Wrap in moistened gauze [ANSWER]
A) Place directly on ice
B) Apply a tourniquet to the shoulder
C) Wrap in moistened gauze
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?
Cardiac tamponade [ANSWER]
A) Simple pneumothorax
B) Hemothorax
C) Cardiac tamponade
A 50-year-old male fell from a 6th story balcony. Intubation attempts have been unsuccessful.
What should you do first?
Insert a supraglottic airway device [ANSWER]
A) Attempt another intubation
B) Perform needle cricothyrotomy
C) Insert a supraglottic airway device
A 78-year-old female was involved in a minor car crash. She is shivering and exhibits repetitive
questioning. She is a type II diabetic and takes an anticoagulant. What should your initial
treatment be?
Move patient to a warm environment [ANSWER]
A) Administer oral glucose
B) Perform a rapid trauma exam
C) Move patient to a warm environment
A 29-year-old male falls 17 feet (5m) to the ground from a tree. He complains of pain with
movement and pain on the right side of his chest when he breathes. You note accessory muscle
use, focal tenderness, bony crepitus, and absent breath sounds on his right side. What should you
suspect?
Simple pneumothorax [ANSWER]
A) Hemothorax
B) Tension pneumothorax
C) Simple pneumothorax
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?
Full thickness [ANSWER]
A) Superficial
B) Partial thickness
C) Full thickness
Which of the following physiological changes associated with aging may contribute to an
increased incidence of falls among the elderly?
Declining visual acuity [ANSWER]
A) Increased bone density
B) Increased reflex speed
C) Declining visual acuity
, Which type of shock included neurogenic and anaphylactic shock?
Distributive [ANSWER]
A) Cardiogenic
B) Obstructive
C) Distributive
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?
Consider spinal motion restriction and assess his c-spine [ANSWER]
A) Allow him to refuse care
B) Have him sit in the ambulance for reassessment
C) Consider spinal motion restriction and assess his c-spine
A 24-year-old construction worker amputated his thumb. How should you manage the
amputation?
Wrap in moistened gauze [ANSWER]
A) Place directly on ice
B) Apply a tourniquet to the shoulder
C) Wrap in moistened gauze
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?
Cardiac tamponade [ANSWER]
A) Simple pneumothorax
B) Hemothorax
C) Cardiac tamponade
A 50-year-old male fell from a 6th story balcony. Intubation attempts have been unsuccessful.
What should you do first?
Insert a supraglottic airway device [ANSWER]
A) Attempt another intubation
B) Perform needle cricothyrotomy
C) Insert a supraglottic airway device
