PHTLS 10th Edition Questions and
Complete Detailed Answers
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? - Answer: Move patient to a warm environment
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? - Answer: Simple pneumothorax
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? - Answer: Full thickness
Which of the following physiological changes associated with aging may contribute to an increased
incidence of falls among the elderly? - Answer: Declining visual acuity
Which type of shock included neurogenic and anaphylactic shock? - Answer: Distributive
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? - Answer: Consider spinal motion
restriction and assess his c-spine
A 24-year-old construction worker amputated his thumb. How should you manage the amputation?
- Answer: Wrap in moistened gauze
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? - Answer: Cardiac tamponade
A 50-year-old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. What
should you do first? - Answer: Insert a supraglottic airway device
, 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? - Answer: Manually stabilize the
cervical spine
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? - Answer: Rapidly extricate the patient
A 36 week pregnant female has sustained an injury that requires spinal motion restriction. What
intervention should be implemented to prevent hypotension during transport? - Answer: Elevate
the right side of the backboard 4-6 inches
Which is an early finding in compartment syndrome? - Answer: Pain
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? - Answer: Epidural
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? - Answer: Warm
lactated ringer's
Which of the following is true when log rolling a patient? - Answer: The provider maintaining spinal
motion restriction is in charge
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? - Answer: Hemorrhagic
A 3-year-old was involved in a crash with 2ft (61cm) 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 suspect? - Answer: Significant energy has been distributed to this patient
A 20-year-old male was hit in the chest with a baseball bat. He complain of severe pain and
tenderness on the left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 9, R 20,
SpO2 98%, and ETCO2 38 mmHg. What should you do - Answer: Administer 100mcg Fentanyl
Complete Detailed Answers
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? - Answer: Move patient to a warm environment
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? - Answer: Simple pneumothorax
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? - Answer: Full thickness
Which of the following physiological changes associated with aging may contribute to an increased
incidence of falls among the elderly? - Answer: Declining visual acuity
Which type of shock included neurogenic and anaphylactic shock? - Answer: Distributive
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? - Answer: Consider spinal motion
restriction and assess his c-spine
A 24-year-old construction worker amputated his thumb. How should you manage the amputation?
- Answer: Wrap in moistened gauze
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? - Answer: Cardiac tamponade
A 50-year-old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. What
should you do first? - Answer: Insert a supraglottic airway device
, 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? - Answer: Manually stabilize the
cervical spine
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? - Answer: Rapidly extricate the patient
A 36 week pregnant female has sustained an injury that requires spinal motion restriction. What
intervention should be implemented to prevent hypotension during transport? - Answer: Elevate
the right side of the backboard 4-6 inches
Which is an early finding in compartment syndrome? - Answer: Pain
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? - Answer: Epidural
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? - Answer: Warm
lactated ringer's
Which of the following is true when log rolling a patient? - Answer: The provider maintaining spinal
motion restriction is in charge
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? - Answer: Hemorrhagic
A 3-year-old was involved in a crash with 2ft (61cm) 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 suspect? - Answer: Significant energy has been distributed to this patient
A 20-year-old male was hit in the chest with a baseball bat. He complain of severe pain and
tenderness on the left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 9, R 20,
SpO2 98%, and ETCO2 38 mmHg. What should you do - Answer: Administer 100mcg Fentanyl
