PHTLS Pre and Post Test – Actual
Questions & Answers 100% Guarantee
Pass
1. 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 4 extremities, but
the symptoms have since resolved. What should you do?
A. Reassure parents and allow discharge
B. Initiate spinal motion restrictions and transport
C. Observe for a few more minutes
D. Only transport if symptoms return
ANSWER: B. Initiate spinal motion restrictions and transport
2. A 14-year-old male suffered helmet-to-helmet contact during a football game
followed by a 30-second period of unconsciousness. Initial exam showed that he is
awake but slow to respond. He is nauseated and has a headache. He became
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
3. 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. Immobilize the chest with tight bandaging
B. Apply high-flow oxygen
C. Delay treatment until hospital
D. Use ice therapy only
ANSWER: B. Apply high-flow oxygen
4. A 24-year-old construction worker amputated his thumb. How should you manage
the amputation?
A. Place directly on ice
B. Wrap in moistened gauze
C. Leave exposed to air
D. Soak in saline solution
ANSWER: B. Wrap in moistened gauze
, 5. A 25-year-old female has a gunshot wound to the abdomen. Vital signs are BP
80/40, HR 122, R 18 with clear, equal lung sounds. What is the most appropriate IV
fluid to administer?
A. Normal saline only
B. Hypertonic saline
C. Warmed lactated Ringer's
D. Dextrose solution
ANSWER: C. Warmed lactated Ringer's
6. A 26-year-old female was the unrestrained driver of a head-on collision. Her GCS
score is 4 (E1, V1, M2). Vital signs are BP 156/78, HR 66, R 12 and irregular, and
pupils are unequal. What should you do?
A. Wait for spontaneous breathing
B. Assist ventilations at a rate of 20 breaths per minute
C. Administer supplemental oxygen only
D. Delay airway intervention
ANSWER: B. Assist ventilations at a rate of 20 breaths per minute
7. A 26-year-old male is supine on the ground. He was assaulted and has obvious
head and facial trauma. He has snoring respirations at a rate of 8 per minute. What
should you do?
A. Insert an oropharyngeal airway immediately
B. Perform a modified jaw-thrust
C. Use head-tilt chin-lift maneuver
D. Delay airway management
ANSWER: B. Perform a modified jaw-thrust
8. A 29-year-old male falls 17 feet to the ground from a tree. He complains of 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
9. A 29-year-old male was injured in a high-speed motor vehicle collision with lateral
impact and intrusion into the side of a sedan. He has pale and diaphoretic skin,
appears anxious, and is coughing up blood-tinged sputum. He complains of chest
pain, has decreased breath sounds on the left lateral side, has crepitus on palpation
of his ribs, and his jugular veins are flat. Vital signs are BP 88/56, HR 120, R 24,
SpO2 92%. What should you suspect?
Questions & Answers 100% Guarantee
Pass
1. 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 4 extremities, but
the symptoms have since resolved. What should you do?
A. Reassure parents and allow discharge
B. Initiate spinal motion restrictions and transport
C. Observe for a few more minutes
D. Only transport if symptoms return
ANSWER: B. Initiate spinal motion restrictions and transport
2. A 14-year-old male suffered helmet-to-helmet contact during a football game
followed by a 30-second period of unconsciousness. Initial exam showed that he is
awake but slow to respond. He is nauseated and has a headache. He became
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
3. 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. Immobilize the chest with tight bandaging
B. Apply high-flow oxygen
C. Delay treatment until hospital
D. Use ice therapy only
ANSWER: B. Apply high-flow oxygen
4. A 24-year-old construction worker amputated his thumb. How should you manage
the amputation?
A. Place directly on ice
B. Wrap in moistened gauze
C. Leave exposed to air
D. Soak in saline solution
ANSWER: B. Wrap in moistened gauze
, 5. A 25-year-old female has a gunshot wound to the abdomen. Vital signs are BP
80/40, HR 122, R 18 with clear, equal lung sounds. What is the most appropriate IV
fluid to administer?
A. Normal saline only
B. Hypertonic saline
C. Warmed lactated Ringer's
D. Dextrose solution
ANSWER: C. Warmed lactated Ringer's
6. A 26-year-old female was the unrestrained driver of a head-on collision. Her GCS
score is 4 (E1, V1, M2). Vital signs are BP 156/78, HR 66, R 12 and irregular, and
pupils are unequal. What should you do?
A. Wait for spontaneous breathing
B. Assist ventilations at a rate of 20 breaths per minute
C. Administer supplemental oxygen only
D. Delay airway intervention
ANSWER: B. Assist ventilations at a rate of 20 breaths per minute
7. A 26-year-old male is supine on the ground. He was assaulted and has obvious
head and facial trauma. He has snoring respirations at a rate of 8 per minute. What
should you do?
A. Insert an oropharyngeal airway immediately
B. Perform a modified jaw-thrust
C. Use head-tilt chin-lift maneuver
D. Delay airway management
ANSWER: B. Perform a modified jaw-thrust
8. A 29-year-old male falls 17 feet to the ground from a tree. He complains of 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
9. A 29-year-old male was injured in a high-speed motor vehicle collision with lateral
impact and intrusion into the side of a sedan. He has pale and diaphoretic skin,
appears anxious, and is coughing up blood-tinged sputum. He complains of chest
pain, has decreased breath sounds on the left lateral side, has crepitus on palpation
of his ribs, and his jugular veins are flat. Vital signs are BP 88/56, HR 120, R 24,
SpO2 92%. What should you suspect?
