PHTLS 10TH EDITION EXAM QUESTIONS AND
ANSWERS 2025/2026 DESIGNED TO REFLECT THE CURRENT
EXAM AND SUPPORT YOUR SUCCESS
A 27 year old female has multi system trauma. Which life threat is your first priority? - correct
answer✨✔✔ Significant external hemorrhage
Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears and nose? -
correct answer✨✔✔ 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? - correct answer✨✔✔ 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? -
correct answer✨✔✔ 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? - correct answer✨✔✔ Subdural hematoma
An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet? -
correct answer✨✔✔ 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? - correct answer✨✔✔ 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? - correct answer✨✔✔ 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? - correct answer✨✔✔ 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? - correct answer✨✔✔ Obstruction of the airway
An adult patient has partial thickness burns to his or. her anterior chest and abdomen, the entire right
arm, and the palm of the left hand. What percent of the total body surface area is affected? - correct
answer✨✔✔ 28%
An 8 year old female is being treated in the red treatment area after a housing complex fire. Vital signs
are P 140, R 12 with noted stridor. Her eyebrows and hair are burnt. Suddenly, she becomes apenic.
What should you do? - correct answer✨✔✔ Insert an oropharyngeal airway and assist
ventilations
What type of burn should be treated as a life or limb threatening injury due to constriction of the injured
tissues? - correct answer✨✔✔ Circumferential
A 26 year old female was the unrestrained driver of a head on collision. Her Glascow Coma Scale score is
4 (E1, V1, M2). Vital signs are BP 156/78, P 66, R 12 and irregular, and her pupils are unequal. What
should you do? - correct answer✨✔✔ Assist ventilations at a rate of 20 breaths per minute
Which of the following presents the greatest risk for EMS provider fatalities? - correct
answer✨✔✔ Motor vehicle collision either in an EMS unit or on-scene
A 50 year old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. His
Glasgow Coma Scale score is 6 (E1, V1, M4). You note agonal respirations. What should you do first? -
correct answer✨✔✔ Insert a superglottic airway device
ANSWERS 2025/2026 DESIGNED TO REFLECT THE CURRENT
EXAM AND SUPPORT YOUR SUCCESS
A 27 year old female has multi system trauma. Which life threat is your first priority? - correct
answer✨✔✔ Significant external hemorrhage
Which type of skull fracture will cause leakage of cerebrospinal fluid from the ears and nose? -
correct answer✨✔✔ 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? - correct answer✨✔✔ 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? -
correct answer✨✔✔ 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? - correct answer✨✔✔ Subdural hematoma
An adult patient was involved in a motorcycle accident. Why should you remove his or her helmet? -
correct answer✨✔✔ 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? - correct answer✨✔✔ 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? - correct answer✨✔✔ 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? - correct answer✨✔✔ 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? - correct answer✨✔✔ Obstruction of the airway
An adult patient has partial thickness burns to his or. her anterior chest and abdomen, the entire right
arm, and the palm of the left hand. What percent of the total body surface area is affected? - correct
answer✨✔✔ 28%
An 8 year old female is being treated in the red treatment area after a housing complex fire. Vital signs
are P 140, R 12 with noted stridor. Her eyebrows and hair are burnt. Suddenly, she becomes apenic.
What should you do? - correct answer✨✔✔ Insert an oropharyngeal airway and assist
ventilations
What type of burn should be treated as a life or limb threatening injury due to constriction of the injured
tissues? - correct answer✨✔✔ Circumferential
A 26 year old female was the unrestrained driver of a head on collision. Her Glascow Coma Scale score is
4 (E1, V1, M2). Vital signs are BP 156/78, P 66, R 12 and irregular, and her pupils are unequal. What
should you do? - correct answer✨✔✔ Assist ventilations at a rate of 20 breaths per minute
Which of the following presents the greatest risk for EMS provider fatalities? - correct
answer✨✔✔ Motor vehicle collision either in an EMS unit or on-scene
A 50 year old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. His
Glasgow Coma Scale score is 6 (E1, V1, M4). You note agonal respirations. What should you do first? -
correct answer✨✔✔ Insert a superglottic airway device
