PHTLS 10th edition JBLearning –
Actual Questions & Answers 100%
Guarantee Pass
1. A 29-year-old male falls 17 feet 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?
A. Tension pneumothorax
B. Simple pneumothorax
C. Hemothorax
D. Flail chest
ANSWER: B. Simple pneumothorax
2. A 3-year-old female was involved in a car crash with 2 feet of intrusion into the
passenger compartment. She is crying and has an obvious deformed right humerus.
Her car seat has a crack on the side of impact. What should you suspect?
A. Minor injuries only
B. Isolated arm injury
C. Significant energy has been distributed to this patient
D. No serious injuries
ANSWER: C. Significant energy has been distributed to this patient
3. A 4-year-old female fell down approximately 8 carpeted stairs. Her parents said
she initially complained of neck pain and a tingling sensation in all four extremities,
but the symptoms have since resolved. What should you do?
A. Reassure parents and discharge
B. Initiate spinal motion restriction and transport
C. Only transport if symptoms return
D. Perform no interventions
ANSWER: B. Initiate spinal motion restriction and transport
4. A 10-year-old male fell from his bicycle and sustained abrasions to his left leg and
left arm. He is alert and oriented. What should you do first?
A. Apply bandages to all abrasions
B. Complete a primary and secondary assessment
C. Transport immediately
D. Administer pain medication
ANSWER: B. Complete a primary and secondary assessment
, 5. 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?
A. Allow him to refuse transport
B. Consider spinal motion restriction and assess his c-spine
C. Only transport if he complains of pain
D. Let him drive himself to the hospital
ANSWER: B. Consider spinal motion restriction and assess his c-spine
6. A 13-year-old male was riding on an all-terrain vehicle when he drove into a wire
fence. He is sitting on the ground with a towel over his lower face. He has an open
jaw fracture. What is your primary concern?
A. Hemorrhage control
B. Pain management
C. Obstruction of the airway
D. Fracture stabilization
ANSWER: C. Obstruction of the airway
7. 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 non-reactive. What type of hemorrhage should you suspect?
A. Subdural hematoma
B. Subarachnoid hemorrhage
C. Epidural
D. Intracerebral hemorrhage
ANSWER: C. Epidural
8. A 16-year-old male complains of chest pain and difficulty taking a deep breath. He
was assaulted with a metal pipe. He has unilateral chest rise and crepitus over the
injured area. What should you do?
A. Apply a chest seal only
B. Apply high-flow oxygen
C. Perform immediate chest decompression
D. Delay treatment until hospital arrival
ANSWER: B. Apply high-flow oxygen
9. A 20-year-old male was hit in the chest with a baseball bat. He complains of
severe pain and tenderness on the left side. He is unable to take a deep breath. Vital
signs are BP 112/76, P 98, R 20, SpO2 98%, and ETCO2 38 mmHg. What should
you do?
A. Apply cold compress only
B. Administer 100 mcg Fentanyl
C. Delay pain management
Actual Questions & Answers 100%
Guarantee Pass
1. A 29-year-old male falls 17 feet 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?
A. Tension pneumothorax
B. Simple pneumothorax
C. Hemothorax
D. Flail chest
ANSWER: B. Simple pneumothorax
2. A 3-year-old female was involved in a car crash with 2 feet of intrusion into the
passenger compartment. She is crying and has an obvious deformed right humerus.
Her car seat has a crack on the side of impact. What should you suspect?
A. Minor injuries only
B. Isolated arm injury
C. Significant energy has been distributed to this patient
D. No serious injuries
ANSWER: C. Significant energy has been distributed to this patient
3. A 4-year-old female fell down approximately 8 carpeted stairs. Her parents said
she initially complained of neck pain and a tingling sensation in all four extremities,
but the symptoms have since resolved. What should you do?
A. Reassure parents and discharge
B. Initiate spinal motion restriction and transport
C. Only transport if symptoms return
D. Perform no interventions
ANSWER: B. Initiate spinal motion restriction and transport
4. A 10-year-old male fell from his bicycle and sustained abrasions to his left leg and
left arm. He is alert and oriented. What should you do first?
A. Apply bandages to all abrasions
B. Complete a primary and secondary assessment
C. Transport immediately
D. Administer pain medication
ANSWER: B. Complete a primary and secondary assessment
, 5. 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?
A. Allow him to refuse transport
B. Consider spinal motion restriction and assess his c-spine
C. Only transport if he complains of pain
D. Let him drive himself to the hospital
ANSWER: B. Consider spinal motion restriction and assess his c-spine
6. A 13-year-old male was riding on an all-terrain vehicle when he drove into a wire
fence. He is sitting on the ground with a towel over his lower face. He has an open
jaw fracture. What is your primary concern?
A. Hemorrhage control
B. Pain management
C. Obstruction of the airway
D. Fracture stabilization
ANSWER: C. Obstruction of the airway
7. 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 non-reactive. What type of hemorrhage should you suspect?
A. Subdural hematoma
B. Subarachnoid hemorrhage
C. Epidural
D. Intracerebral hemorrhage
ANSWER: C. Epidural
8. A 16-year-old male complains of chest pain and difficulty taking a deep breath. He
was assaulted with a metal pipe. He has unilateral chest rise and crepitus over the
injured area. What should you do?
A. Apply a chest seal only
B. Apply high-flow oxygen
C. Perform immediate chest decompression
D. Delay treatment until hospital arrival
ANSWER: B. Apply high-flow oxygen
9. A 20-year-old male was hit in the chest with a baseball bat. He complains of
severe pain and tenderness on the left side. He is unable to take a deep breath. Vital
signs are BP 112/76, P 98, R 20, SpO2 98%, and ETCO2 38 mmHg. What should
you do?
A. Apply cold compress only
B. Administer 100 mcg Fentanyl
C. Delay pain management
