PHTLS ALL EVALUATION TEST ANSWERS AND
QUESTIONS SET A+
✔✔A 44 year old male was involved in a motorcycle crash. He sustained severe blunt
trauma to his chest
and has a deformity of the right femur. Multiple IV attempts were unsuccessful. Vital
signs are BP 70/40,
P 126, R 28. What should you do?
A) Apply a pulse oximeter.
B) Apply a traction splint.
C) Establish intraosseous access.
D) Place patient in reverse Trendelenburg. - ✔✔C. Establish intraosseous access
✔✔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?
A) Immediately apply a traction splint.
B) Perform a head tilt chin-lift.
C) Apply direct pressure to the wound
D) Assess the airway by auscultation. - ✔✔C. Apply direct pressure to the wound
✔✔A 28 year old female has suffered a head iniury after falling from a horse. Her
Glasgow Coma Scale
score is 6 (E1, V1, M4) and she has snoring respirations at 8 per minute. Which should
you do first?
A) Perform drug-assisted intubation.
B) Place an oropharyngeal airway.
C) Perform a head tilt chin-lift maneuver.
, D) Administer oxygen by nasal cannula. - ✔✔B. Place an oropharyngeal airway
✔✔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, P
62, BGL 150 mg/dL (8.3 mmol/L). What should you suspect?
A) Concussion
B) Subdural hematoma
C) Subarachnoid bleed
D) Epidural hematoma - ✔✔B. Subdural hematoma
✔✔A 78 year old female was involved in a minor car crash. She is shivering and
exhibits repetitive
questioning. She is a type Il diabetic and takes a daily anticoagulant. What should your
initial treatment
be?
A) Move patient to a warm environment.
B) Administer hot packs to the axilla.
C) Obtain a blood alcohol analysis.
D) Establish intravenous access and administer dextrose. - ✔✔A. Move patient to a
warm environment
✔✔A 25 year old femaie has a gunshot wound to the abdomen. Vital signs are BP
80/40, P 122., R 18 with
clear, equal lung sounds. What is the most appropriate IV fluid to administer?
A) Normal saline (0.9% NaCi)
B) Lactated Ringer's
C) Hypertonic crystalloid solution (7.5% NaCI)
D) Warmed lactated Ringer's - ✔✔D. Warmed lactated Ringer's
✔✔An anxious 54 year old fernale complains of chest pain. She hit the steering wheel
aft a car crash, at
highway speeds. Her sternum is red and tender. Vital signs are BP 100/68, P 112. R 28
clear, SpO2 92%. What should you suspect?
A) Transected aorta
B) Cardiac contusion
C) Cardiac rupture
D) Pneumothorax - ✔✔B. Cardiac contusion
✔✔Which of the following is true when log rolling a patient?
QUESTIONS SET A+
✔✔A 44 year old male was involved in a motorcycle crash. He sustained severe blunt
trauma to his chest
and has a deformity of the right femur. Multiple IV attempts were unsuccessful. Vital
signs are BP 70/40,
P 126, R 28. What should you do?
A) Apply a pulse oximeter.
B) Apply a traction splint.
C) Establish intraosseous access.
D) Place patient in reverse Trendelenburg. - ✔✔C. Establish intraosseous access
✔✔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?
A) Immediately apply a traction splint.
B) Perform a head tilt chin-lift.
C) Apply direct pressure to the wound
D) Assess the airway by auscultation. - ✔✔C. Apply direct pressure to the wound
✔✔A 28 year old female has suffered a head iniury after falling from a horse. Her
Glasgow Coma Scale
score is 6 (E1, V1, M4) and she has snoring respirations at 8 per minute. Which should
you do first?
A) Perform drug-assisted intubation.
B) Place an oropharyngeal airway.
C) Perform a head tilt chin-lift maneuver.
, D) Administer oxygen by nasal cannula. - ✔✔B. Place an oropharyngeal airway
✔✔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, P
62, BGL 150 mg/dL (8.3 mmol/L). What should you suspect?
A) Concussion
B) Subdural hematoma
C) Subarachnoid bleed
D) Epidural hematoma - ✔✔B. Subdural hematoma
✔✔A 78 year old female was involved in a minor car crash. She is shivering and
exhibits repetitive
questioning. She is a type Il diabetic and takes a daily anticoagulant. What should your
initial treatment
be?
A) Move patient to a warm environment.
B) Administer hot packs to the axilla.
C) Obtain a blood alcohol analysis.
D) Establish intravenous access and administer dextrose. - ✔✔A. Move patient to a
warm environment
✔✔A 25 year old femaie has a gunshot wound to the abdomen. Vital signs are BP
80/40, P 122., R 18 with
clear, equal lung sounds. What is the most appropriate IV fluid to administer?
A) Normal saline (0.9% NaCi)
B) Lactated Ringer's
C) Hypertonic crystalloid solution (7.5% NaCI)
D) Warmed lactated Ringer's - ✔✔D. Warmed lactated Ringer's
✔✔An anxious 54 year old fernale complains of chest pain. She hit the steering wheel
aft a car crash, at
highway speeds. Her sternum is red and tender. Vital signs are BP 100/68, P 112. R 28
clear, SpO2 92%. What should you suspect?
A) Transected aorta
B) Cardiac contusion
C) Cardiac rupture
D) Pneumothorax - ✔✔B. Cardiac contusion
✔✔Which of the following is true when log rolling a patient?
