PHTLS 10th Edition 100% VERIFIED ANSWERS
2025/2026 DESIGNED TO REFLECT THE CURRENT
EXAM AND SUPPORT YOUR SUCCESS
A 29 year old male falls 17 feet (5 m) to the ground from a tree. He complains of pain with movement
and pain on the right side of his chest when he breaths. You not5e accessory muscle use, focal,
tenderness, bony crepitus, and absent breath sounds on his right side. What should you suspect? -
correct answer✔✔ Simple pneumothorax
A 47 year old female was stabbed with knife in her right upper quadrant. Her Glasgow Coma Scale score
is 9 (E2, V2, M5). Vital signs are BP 78/50, P 130, R 26. What should you do? - correct answer✔✔
Immediately transport to a trauma center and establish an IV en route.
A 44 year old male was ejected from a truck traveling at 44 mph (60 kph). He is lying supine on the
ground with snoring respirations. What should you do first? - correct answer✔✔ Manually stabilize
the cervical spine
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? - correct answer✔✔ Consider spinal motion
restriction and assess his c-spine
A 44 year old male was involved in a motorcycle crash. He sustained severe blunt trauma to his chest
and has deformity of the right femur. Multiple IV attempts were unsuccessful. Vital signs are BP 70/40, P
126, R 28. What should you do? - correct answer✔✔ Establish intaosseous access
Where is the preferred landmark for needle decompression? - correct answer✔✔ Anterior axillary
line, 5th intercostal space
A 25 year old female has a gunshot wound to the abdomen. Vital signs are BP 80/40, P 122, R 18 clear,
equal lung sounds. What is the most appropriate IV fluid to administer? - correct answer✔✔ Warmed
Lactated Ringer's
, A 16 year old male complains of chest pain and difficulty taking a deep breath. He was assaulted with
metal pipe. He has unilateral chest rise and crepitus over the injured area. What should you do? -
correct answer✔✔ Apply high flow oxygen
A 23 year old male was skateboarding down a ramp when he flipped over and landed on his head. He is
clenching his jaw and you are unable to insert and oral airway. He thrashes his head when yo9u attempt
to provide bag-mask ventilations. His oxygen saturation is decreasing, and his ETCO2 is increasing. What
is the best option to secure his airway and provide effective ventilations? - correct answer✔✔
Pharmacologically assisted intubation
A 29 year old male was injured in a high speed motor vehicle collision with lateral impact and intrusion
into the side of a sedan. He has pale and diaphoretic skin, appears anxious, and is coughing up blood-
tinged sputum. He complains of chest pain, has decreased breath sounds on the left lateral side, has
crepitus on palpation of his ribs, and his jugular veins are flat. Vital signs are BP 88/56, P 120, R 24, SpO2
92%. What should you suspect? - correct answer✔✔ Hemothorax
Which of the following is true when log rolling a patient? - correct answer✔✔ The provider
maintaining spinal motion restriction is in charge
A 10 year old male fell from his bicycle and sustained abrasions to his left leg and left arm. He is alert
and oriented. What should you do first? - correct answer✔✔ Complete a primary and secondary
assessment
What is a sign oof brain stem herniation? - correct answer✔✔ Decerebrate posturing
Which type of shock includes neurogenic and anaphylactic shock? - correct answer✔✔ Distributive
A 3 year old female was involved in a car crash with 2 feet (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 suspect? - correct answer✔✔ Significant energy has been
distributed to this patient
2025/2026 DESIGNED TO REFLECT THE CURRENT
EXAM AND SUPPORT YOUR SUCCESS
A 29 year old male falls 17 feet (5 m) to the ground from a tree. He complains of pain with movement
and pain on the right side of his chest when he breaths. You not5e accessory muscle use, focal,
tenderness, bony crepitus, and absent breath sounds on his right side. What should you suspect? -
correct answer✔✔ Simple pneumothorax
A 47 year old female was stabbed with knife in her right upper quadrant. Her Glasgow Coma Scale score
is 9 (E2, V2, M5). Vital signs are BP 78/50, P 130, R 26. What should you do? - correct answer✔✔
Immediately transport to a trauma center and establish an IV en route.
A 44 year old male was ejected from a truck traveling at 44 mph (60 kph). He is lying supine on the
ground with snoring respirations. What should you do first? - correct answer✔✔ Manually stabilize
the cervical spine
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? - correct answer✔✔ Consider spinal motion
restriction and assess his c-spine
A 44 year old male was involved in a motorcycle crash. He sustained severe blunt trauma to his chest
and has deformity of the right femur. Multiple IV attempts were unsuccessful. Vital signs are BP 70/40, P
126, R 28. What should you do? - correct answer✔✔ Establish intaosseous access
Where is the preferred landmark for needle decompression? - correct answer✔✔ Anterior axillary
line, 5th intercostal space
A 25 year old female has a gunshot wound to the abdomen. Vital signs are BP 80/40, P 122, R 18 clear,
equal lung sounds. What is the most appropriate IV fluid to administer? - correct answer✔✔ Warmed
Lactated Ringer's
, A 16 year old male complains of chest pain and difficulty taking a deep breath. He was assaulted with
metal pipe. He has unilateral chest rise and crepitus over the injured area. What should you do? -
correct answer✔✔ Apply high flow oxygen
A 23 year old male was skateboarding down a ramp when he flipped over and landed on his head. He is
clenching his jaw and you are unable to insert and oral airway. He thrashes his head when yo9u attempt
to provide bag-mask ventilations. His oxygen saturation is decreasing, and his ETCO2 is increasing. What
is the best option to secure his airway and provide effective ventilations? - correct answer✔✔
Pharmacologically assisted intubation
A 29 year old male was injured in a high speed motor vehicle collision with lateral impact and intrusion
into the side of a sedan. He has pale and diaphoretic skin, appears anxious, and is coughing up blood-
tinged sputum. He complains of chest pain, has decreased breath sounds on the left lateral side, has
crepitus on palpation of his ribs, and his jugular veins are flat. Vital signs are BP 88/56, P 120, R 24, SpO2
92%. What should you suspect? - correct answer✔✔ Hemothorax
Which of the following is true when log rolling a patient? - correct answer✔✔ The provider
maintaining spinal motion restriction is in charge
A 10 year old male fell from his bicycle and sustained abrasions to his left leg and left arm. He is alert
and oriented. What should you do first? - correct answer✔✔ Complete a primary and secondary
assessment
What is a sign oof brain stem herniation? - correct answer✔✔ Decerebrate posturing
Which type of shock includes neurogenic and anaphylactic shock? - correct answer✔✔ Distributive
A 3 year old female was involved in a car crash with 2 feet (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 suspect? - correct answer✔✔ Significant energy has been
distributed to this patient
