PHTLS – UPDATED Questions with 100% Verified Answers
PHTLS
Study Questions and Answers
Q1 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 an anticoagulant. What should your initial treatment be?
A Move patient to a warm environment
Q2 A 29-year-old male falls 17 feet (5m) 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 Simple pneumothorax
Q3 A 55-year-old male has burns to both lower extremities from a car crash. He is awake and in severe pain.
Assessment reveals dry, white, leathery, appearance in both lower extremities. What is the burn
classification?
A Full thickness
Q4 Which of the following physiological changes associated with aging may contribute to an increased
incidence of falls among the elderly?
A Declining visual acuity
Q5 Which type of shock included neurogenic and anaphylactic shock?
A Distributive
Q6 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 Consider spinal motion restriction and assess his c-spine
Q7 A 24-year-old construction worker amputated his thumb. How should you manage the amputation?
A Wrap in moistened gauze
Q8 A 41-year-old male was stabbed in the chest immediately below the sternum. He complains of shortness of
breath and has engorged jugular veins. Vital signs are BP 108/84, P 130 R 26. What should you suspect?
A Cardiac tamponade
PHTLS 1
, Q9 A 50-year-old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. What should
you do first?
A Insert a supraglottic airway device
Q10 A 44-year-old male was ejected from a truck traveling 36mph (60kph). He is lying supine on the ground and
has snoring respirations. What should you do first?
A Manually stabilize the cervical spine
Q11 A 46-year-old male is trapped in his vehicle after a high speed front-end collision. He is slow to respond to
questions. You see blood pooling on his seat. Vital signs are P 130 R
8) How should you remove this patient from the vehicle?
A Rapidly extricate the patient
Q12 A 36 week pregnant female has sustained an injury that requires spinal motion restriction. What
intervention should be implemented to prevent hypotension during transport?
A Elevate the right side of the backboard 4-6 inches
Q13 Which is an early finding in compartment syndrome?
A Pain
Q14 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 dilatated and nonreactive. What type of hemorrhage should you suspect?
A Epidural
Q15 A 25-year-old female 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 Warm lactated ringer's
Q16 Which of the following is true when log rolling a patient?
A The provider maintaining spinal motion restriction is in charge
Q17 A 28-year-old male was ejected during a car crash. He is unconscious and has no obvious bleeding. Vital
signs are 70/40, P 120, R 22. What type of shock should you suspect?
A Hemorrhagic
PHTLS 2
PHTLS
Study Questions and Answers
Q1 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 an anticoagulant. What should your initial treatment be?
A Move patient to a warm environment
Q2 A 29-year-old male falls 17 feet (5m) 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 Simple pneumothorax
Q3 A 55-year-old male has burns to both lower extremities from a car crash. He is awake and in severe pain.
Assessment reveals dry, white, leathery, appearance in both lower extremities. What is the burn
classification?
A Full thickness
Q4 Which of the following physiological changes associated with aging may contribute to an increased
incidence of falls among the elderly?
A Declining visual acuity
Q5 Which type of shock included neurogenic and anaphylactic shock?
A Distributive
Q6 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 Consider spinal motion restriction and assess his c-spine
Q7 A 24-year-old construction worker amputated his thumb. How should you manage the amputation?
A Wrap in moistened gauze
Q8 A 41-year-old male was stabbed in the chest immediately below the sternum. He complains of shortness of
breath and has engorged jugular veins. Vital signs are BP 108/84, P 130 R 26. What should you suspect?
A Cardiac tamponade
PHTLS 1
, Q9 A 50-year-old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. What should
you do first?
A Insert a supraglottic airway device
Q10 A 44-year-old male was ejected from a truck traveling 36mph (60kph). He is lying supine on the ground and
has snoring respirations. What should you do first?
A Manually stabilize the cervical spine
Q11 A 46-year-old male is trapped in his vehicle after a high speed front-end collision. He is slow to respond to
questions. You see blood pooling on his seat. Vital signs are P 130 R
8) How should you remove this patient from the vehicle?
A Rapidly extricate the patient
Q12 A 36 week pregnant female has sustained an injury that requires spinal motion restriction. What
intervention should be implemented to prevent hypotension during transport?
A Elevate the right side of the backboard 4-6 inches
Q13 Which is an early finding in compartment syndrome?
A Pain
Q14 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 dilatated and nonreactive. What type of hemorrhage should you suspect?
A Epidural
Q15 A 25-year-old female 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 Warm lactated ringer's
Q16 Which of the following is true when log rolling a patient?
A The provider maintaining spinal motion restriction is in charge
Q17 A 28-year-old male was ejected during a car crash. He is unconscious and has no obvious bleeding. Vital
signs are 70/40, P 120, R 22. What type of shock should you suspect?
A Hemorrhagic
PHTLS 2
