2025 PHTLS 10th Edition: Assessment-Based
Approach, Questions And Correct Answers
With Verified Solutions Grade A+.
## **1. The primary goal of PHTLS is to:**
A. Reduce hospital length of stay
B. Improve the quality of trauma care and reduce morbidity/mortality
C. Ensure EMS follows national protocols
D. Replace ATLS standards
**Answer: B**
## **2. The MOST reliable indicator of adequate ventilation is:**
A. Equal chest rise
B. Decreased pulse rate
C. ETCO₂ of 35–45 mmHg
D. Patient’s subjective comfort
**Answer: C**
## **3. The first step in the PHTLS assessment sequence is:**
A. Rapid trauma exam
B. Scene size-up
C. ABCs
D. Airway assessment
**Answer: B**
## **4. The most important factor predicting trauma severity is:**
A. Heart rate
B. Kinematics of injury
C. Pain level
D. Mechanism of dispatch
**Answer: B**
## **5. In trauma, the MOST common cause of preventable death is:**
1
,A. Hemorrhage
B. Hypothermia
C. TBI
D. Airway obstruction
**Answer: A**
## **6. A systolic BP below 90 mmHg in trauma is considered:**
A. Mild shock
B. Compensated shock
C. Decompensated shock
D. Late shock only
**Answer: C**
## **7. The preferred airway maneuver in suspected spinal trauma is:**
A. Jaw thrust
B. Head tilt–chin lift
C. Tongue sweep
D. Chin pinch
**Answer: A**
## **8. Needle decompression is indicated for:**
A. Open pneumothorax
B. Tension pneumothorax
C. Simple pneumothorax
D. Pulmonary contusion
**Answer: B**
## **9. The most reliable sign of tension pneumothorax is:**
A. Tracheal deviation
B. Hypotension with respiratory distress
C. Subcutaneous emphysema
D. JVD
**Answer: B**
2
, ## **10. The “Golden Hour” concept emphasizes:**
A. Rapid BLS care
B. Surgery within one hour
C. Rapid assessment and transport
D. Taking time for thorough on-scene care
**Answer: C**
---
## **11. Hypovolemic shock is primarily caused by:**
A. Spinal cord injury
B. Blood loss
C. Heart failure
D. Severe infection
**Answer: B**
## **12. Which intervention has the highest priority in a patient with major external
hemorrhage?**
A. Rapid transport
B. Pressure bandage
C. Airway assessment
D. Direct pressure and tourniquet as needed
**Answer: D**
## **13. Permissive hypotension applies mainly to:**
A. TBI patients
B. Pregnant patients
C. Penetrating torso trauma
D. Elderly trauma
**Answer: C**
## **14. In TBI, the recommended systolic BP is at least:**
A. 80 mmHg
B. 90 mmHg
3
Approach, Questions And Correct Answers
With Verified Solutions Grade A+.
## **1. The primary goal of PHTLS is to:**
A. Reduce hospital length of stay
B. Improve the quality of trauma care and reduce morbidity/mortality
C. Ensure EMS follows national protocols
D. Replace ATLS standards
**Answer: B**
## **2. The MOST reliable indicator of adequate ventilation is:**
A. Equal chest rise
B. Decreased pulse rate
C. ETCO₂ of 35–45 mmHg
D. Patient’s subjective comfort
**Answer: C**
## **3. The first step in the PHTLS assessment sequence is:**
A. Rapid trauma exam
B. Scene size-up
C. ABCs
D. Airway assessment
**Answer: B**
## **4. The most important factor predicting trauma severity is:**
A. Heart rate
B. Kinematics of injury
C. Pain level
D. Mechanism of dispatch
**Answer: B**
## **5. In trauma, the MOST common cause of preventable death is:**
1
,A. Hemorrhage
B. Hypothermia
C. TBI
D. Airway obstruction
**Answer: A**
## **6. A systolic BP below 90 mmHg in trauma is considered:**
A. Mild shock
B. Compensated shock
C. Decompensated shock
D. Late shock only
**Answer: C**
## **7. The preferred airway maneuver in suspected spinal trauma is:**
A. Jaw thrust
B. Head tilt–chin lift
C. Tongue sweep
D. Chin pinch
**Answer: A**
## **8. Needle decompression is indicated for:**
A. Open pneumothorax
B. Tension pneumothorax
C. Simple pneumothorax
D. Pulmonary contusion
**Answer: B**
## **9. The most reliable sign of tension pneumothorax is:**
A. Tracheal deviation
B. Hypotension with respiratory distress
C. Subcutaneous emphysema
D. JVD
**Answer: B**
2
, ## **10. The “Golden Hour” concept emphasizes:**
A. Rapid BLS care
B. Surgery within one hour
C. Rapid assessment and transport
D. Taking time for thorough on-scene care
**Answer: C**
---
## **11. Hypovolemic shock is primarily caused by:**
A. Spinal cord injury
B. Blood loss
C. Heart failure
D. Severe infection
**Answer: B**
## **12. Which intervention has the highest priority in a patient with major external
hemorrhage?**
A. Rapid transport
B. Pressure bandage
C. Airway assessment
D. Direct pressure and tourniquet as needed
**Answer: D**
## **13. Permissive hypotension applies mainly to:**
A. TBI patients
B. Pregnant patients
C. Penetrating torso trauma
D. Elderly trauma
**Answer: C**
## **14. In TBI, the recommended systolic BP is at least:**
A. 80 mmHg
B. 90 mmHg
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