PHTLS 10th Edition EXAM QUESTIONS AND
ANSWERS.
An adult patient was involved in a motorcycle accident. Why should you remove his or her
helmet? - answers To manage the airway
A 28 year old male fell from his motorcycle during a low speed accident. He removed his own
helmet ...
An adult patient was involved in a motorcycle accident. Why should you remove his or her
helmet? - answers To manage the airway
A 28 year old male fell from his motorcycle during a low speed accident. He removed his own
helmet after the accident. He has an open left femur fracture with severe external bleeding from
the wound. What should you do? - answers Apply direct pressure to the wound
An adult patient has an open angulated injury to the left lower leg. Distal pulses are absent. Why
would you attempt to realign the extremity? - answers Restore blood flow
A 20 year old male was hit in the chest with a baseball bat. He4 complains of severe pain and
tenderness to the left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 98, R
20 regular, and ETCO2 38mmHg. What should you do? - answers Administer 100 mcg of
Fentanyl
A 13 year old male was riding on an all-terrain vehicle when he drove into a wire fence. He's
sitting on the ground with a towel over his lower face. He has an open jaw fracture. What is your
primary concern? - answers Obstruction of the airway
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? -
answers 28%
An 8 year old female is being treated in the red treatment area after a housing complex fire.
Vital signs are P 140, R 12 with noted stridor. Her eyebrows and hair are burnt. Suddenly, she
becomes apenic. What should you do? - answers Insert an oropharyngeal airway and assist
ventilations
What type of burn should be treated as a life or limb threatening injury due to constriction of the
injured tissues? - answers Circumferential
A 26 year old female was the unrestrained driver of a head on collision. Her Glascow Coma
Scale score is 4 (E1, V1, M2). Vital signs are BP 156/78, P 66, R 12 and irregular, and her pupils
, are unequal. What should you do? - answers Assist ventilations at a rate of 20 breaths per
minute
Which of the following presents the greatest risk for EMS provider fatalities? - answers Motor
vehicle collision either in an EMS unit or on-scene
A 50 year old male fell from a 6th story balcony. Intubation attempts have been unsuccessful.
His Glasgow Coma Scale score is 6 (E1, V1, M4). You note agonal respirations. What should
you do first? - answers Insert a superglottic airway device
A 22 year old male was involved in a car crash and hit a tree head-on. The patient is on the
ground outside the vehicle and is unconscious. His forearm is avulsed and you note a large pool
of blood with active bleeding. His breathing is deep and labored. What should you do? - answers
Apply a tourniquet
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 note blood pooling on his seat. Vital signs are P 130, R 8. How should
you remove this patient from the vehicle? - answers Rapidly extricate the patient
A 24 year old construction worker amputated his thumb. How should you manage the
amputation? - answers Wrap in moistened gauze
A 36 weeks pregnant female has sustained an injury that requires spinal motion restriction. What
intervention should be implemented to prevent hypotension during transport? - answers Elevate
the right side of the back board 4-6 inches
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? - answers Cardiac tamponade
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? - answers Full thickness
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? - answers Simple pneumothorax
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