PHTLS – UPDATED Questions with 100% Verified Answers
PHTLS
Study Questions and Answers
Q1 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
A A. Restore blood flow
Q2 Which is an early finding in compartment syndrome?
A) Paralysis
B) Pallor
C) Pulselessness
D) Pain
A D. Pain
Q3 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%
A C. 28%
Q4 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
A D. Administer 100mcg Fentanyl
Q5 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
PHTLS 1
, A A. Ketamine
Q6 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
A D. Check if the patient has advanced directives or a MOLST form
Q7 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
A D. Motor vehicle collision either in an EMS unit or on-scene.
Q8 A 44 year old male was ejected from a truck traveling 36mph (60 kph). He is lying supine on the ground and
as snoring respirations. What should you do first?
A) Perform a head tilt chin-lift
B) Check his blood glucose level
C) Perform endotracheal intubation
D) Manually stabilize the cervical spine
A D. Manually stabilize the cervical spine
Q9 A 24 year old construction worker amputated his thumb. How should you manage the amputation?
A) Submerge in milk
B) Place directly on ice
C) Wrap in dry gauze
D) Wrap in moistened gauze
A D. Wrap in moistened gauze
Q10 A 3 year old female was involved in a car crash with 2 2feet (61 cm) 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 expect?
A) Utilization of traction splint will be necessary
B) Significant energy has been distributed to this patient
C) The biggest concern would be growth plate injury
D) Treatment will require rapid management of pain prior to assessment
A B. Significant energy has been distributed to this patient
PHTLS 2
PHTLS
Study Questions and Answers
Q1 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
A A. Restore blood flow
Q2 Which is an early finding in compartment syndrome?
A) Paralysis
B) Pallor
C) Pulselessness
D) Pain
A D. Pain
Q3 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%
A C. 28%
Q4 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
A D. Administer 100mcg Fentanyl
Q5 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
PHTLS 1
, A A. Ketamine
Q6 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
A D. Check if the patient has advanced directives or a MOLST form
Q7 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
A D. Motor vehicle collision either in an EMS unit or on-scene.
Q8 A 44 year old male was ejected from a truck traveling 36mph (60 kph). He is lying supine on the ground and
as snoring respirations. What should you do first?
A) Perform a head tilt chin-lift
B) Check his blood glucose level
C) Perform endotracheal intubation
D) Manually stabilize the cervical spine
A D. Manually stabilize the cervical spine
Q9 A 24 year old construction worker amputated his thumb. How should you manage the amputation?
A) Submerge in milk
B) Place directly on ice
C) Wrap in dry gauze
D) Wrap in moistened gauze
A D. Wrap in moistened gauze
Q10 A 3 year old female was involved in a car crash with 2 2feet (61 cm) 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 expect?
A) Utilization of traction splint will be necessary
B) Significant energy has been distributed to this patient
C) The biggest concern would be growth plate injury
D) Treatment will require rapid management of pain prior to assessment
A B. Significant energy has been distributed to this patient
PHTLS 2
