PHTLS 9TH AND 10TH
Edition 100% VERIFIED ANSWERS 2025/2026
CORRECT
,A 27 year old female has multi system trauma. Which life threat is your first priority?
Significant external hemorrhage
Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears and nose?
Basilar
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 a daily anticoagulant. What should your initial
treatment be?
Move patient to a warm environment
A 14 year old male suffered from helmet-to-helmet contact during a football game followed by a 30
second period of unconsciousness. Initial exam shows that he is awake but slow to respond. He is
nauseated and has a headache. He becomes unresponsive during transport. Examination of the pupils
reveals a left pupil that is dilated and not reactive. What type of hemorrhage should you suspect?
, Epidural
An 80 year old female fell down a flight of stairs 3 days ago. Today the family reports she has a
headache and is "going in and out of consciousness." Vital signs are BP 170/72, R 26 and irregular, HR
62, BGL 150 mg/dL (8.3 mol/L). What should you suspect?
Subdural hematoma
An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet?
To manage the airway
A 28 year old male fell from his motorcycle during a low speed accident. He removed his own helmet
after the accident. He has an open left femur fracture with severe external bleeding from the wound.
What should you do?
Apply direct pressure to the wound
An adult patient has an open angulated injury to the left lower leg. Distal pulses are absent. Why
would you attempt to realign the extremity?
Restore blood flow
A 20 year old male was hit in the chest with a baseball bat. He4 complains of severe pain and
tenderness to the left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 98, R 20
regular, and ETCO2 38mmHg. What should you do?
Administer 100 mcg of Fentanyl
A 13 year old male was riding on an all-terrain vehicle when he drove into a wire fence. He's sitting on
the ground with a towel over his lower face. He has an open jaw fracture. What is your primary
concern?
Edition 100% VERIFIED ANSWERS 2025/2026
CORRECT
,A 27 year old female has multi system trauma. Which life threat is your first priority?
Significant external hemorrhage
Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears and nose?
Basilar
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 a daily anticoagulant. What should your initial
treatment be?
Move patient to a warm environment
A 14 year old male suffered from helmet-to-helmet contact during a football game followed by a 30
second period of unconsciousness. Initial exam shows that he is awake but slow to respond. He is
nauseated and has a headache. He becomes unresponsive during transport. Examination of the pupils
reveals a left pupil that is dilated and not reactive. What type of hemorrhage should you suspect?
, Epidural
An 80 year old female fell down a flight of stairs 3 days ago. Today the family reports she has a
headache and is "going in and out of consciousness." Vital signs are BP 170/72, R 26 and irregular, HR
62, BGL 150 mg/dL (8.3 mol/L). What should you suspect?
Subdural hematoma
An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet?
To manage the airway
A 28 year old male fell from his motorcycle during a low speed accident. He removed his own helmet
after the accident. He has an open left femur fracture with severe external bleeding from the wound.
What should you do?
Apply direct pressure to the wound
An adult patient has an open angulated injury to the left lower leg. Distal pulses are absent. Why
would you attempt to realign the extremity?
Restore blood flow
A 20 year old male was hit in the chest with a baseball bat. He4 complains of severe pain and
tenderness to the left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 98, R 20
regular, and ETCO2 38mmHg. What should you do?
Administer 100 mcg of Fentanyl
A 13 year old male was riding on an all-terrain vehicle when he drove into a wire fence. He's sitting on
the ground with a towel over his lower face. He has an open jaw fracture. What is your primary
concern?
