PHTLS|VERIFIED QUESTIONS AND CORRECT DETAILED ANSWERS|RATED AND
GRADED A+ NEW UPDATE| 2026/2027
An adult patient has an open angulated injury to the left lower leg. Distal pulses are absent. Why should
you attempt to realign the extremity?
A. Restore blood flow
B. Reduce the open fracture
C. Restore function to the leg
D. Manage the patient's pain - ANSWER✔ A. Restore blood flow
Which is an early finding in compartment syndrome?
A. Paralysis
B. Pallor
C. Pulselessness
D. Pain - ANSWER✔ D. Pain
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>
A. 30%
B. 29%
C. 28%
D. 25% - ANSWER✔ C. 28%
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 38mmHg. What should you do?
, A. Administer oxygen via nonrebreather mask
B. Apply continuous positive airway pressure
C. Administer 100mg Ketamine
D. Administer 100mcg Fentanyl - ANSWER✔ D. Administer 100mcg Fentanyl
A 78 year old female fell 12 hours ago. Now she complains of 10/10 hip and groin pain during
movement. Vital signs are BP 98/50, P 132, R 26. What should you administer?
A. Ketamine
B. Versed
C. Normal Saline
D. NSAID - ANSWER✔ A. Ketamine
An 82 year old male fell in the shower 3 days ago and now only responds to painful stimuli. The nurse's
aide at the assisted living facility was unable to wake the patient for breakfast. Vital signs are BP 170/72,
R 26 and irregular, P 58, BGL 150 mg/dL (8.2 mmol/L), Glasgow Coma Scalw score of 5 (E1, V1, M3).
What should you do?
A. Administer mannitol via intravenous infusion
B. Start transcutaneous pacing
C. Initiate an IV and administer labetalol
D. Check if the patient has advanced directives or a MOLST form - ANSWER✔ D. Check if the patient
has advanced directives or a MOLST form
Which of the following presents the greatest risk for EMS provider fatalities?
A. Freshwater drowning
B. Active shooter incidents
C. Falling from height on-scene
D. Motor vehicle collision either in an EMS unit or on-scene - ANSWER✔ D. Motor vehicle collision
either in an EMS unit or on-scene.
GRADED A+ NEW UPDATE| 2026/2027
An adult patient has an open angulated injury to the left lower leg. Distal pulses are absent. Why should
you attempt to realign the extremity?
A. Restore blood flow
B. Reduce the open fracture
C. Restore function to the leg
D. Manage the patient's pain - ANSWER✔ A. Restore blood flow
Which is an early finding in compartment syndrome?
A. Paralysis
B. Pallor
C. Pulselessness
D. Pain - ANSWER✔ D. Pain
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>
A. 30%
B. 29%
C. 28%
D. 25% - ANSWER✔ C. 28%
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 38mmHg. What should you do?
, A. Administer oxygen via nonrebreather mask
B. Apply continuous positive airway pressure
C. Administer 100mg Ketamine
D. Administer 100mcg Fentanyl - ANSWER✔ D. Administer 100mcg Fentanyl
A 78 year old female fell 12 hours ago. Now she complains of 10/10 hip and groin pain during
movement. Vital signs are BP 98/50, P 132, R 26. What should you administer?
A. Ketamine
B. Versed
C. Normal Saline
D. NSAID - ANSWER✔ A. Ketamine
An 82 year old male fell in the shower 3 days ago and now only responds to painful stimuli. The nurse's
aide at the assisted living facility was unable to wake the patient for breakfast. Vital signs are BP 170/72,
R 26 and irregular, P 58, BGL 150 mg/dL (8.2 mmol/L), Glasgow Coma Scalw score of 5 (E1, V1, M3).
What should you do?
A. Administer mannitol via intravenous infusion
B. Start transcutaneous pacing
C. Initiate an IV and administer labetalol
D. Check if the patient has advanced directives or a MOLST form - ANSWER✔ D. Check if the patient
has advanced directives or a MOLST form
Which of the following presents the greatest risk for EMS provider fatalities?
A. Freshwater drowning
B. Active shooter incidents
C. Falling from height on-scene
D. Motor vehicle collision either in an EMS unit or on-scene - ANSWER✔ D. Motor vehicle collision
either in an EMS unit or on-scene.
