PHTLS PRE AND POST TEST 2024/25 EXAM UPDATE
MULTIPLE CHOICE QUESTIONS WITH CORRECT
ANSWERS ALREADY GRADED A+
A 20 year old female was ejected from her vehicle during a high
speed roll-over motor vehicle collision. She has significant
bleeding from a large laceration. Your initial assessment reveals
a GCS score of 7, systolic blood pressure of 70 mm Hg and
pupils that are equal but respond sluggishly to light. After
establishing two large bore IV lines, you should titrate the
infusion rate to achieve a target blood pressure of at least
A) 60 mm Hg.
B) 70 mm Hg.
C) 80 mm Hg.
D) 90 mm Hg. ANS: D) 90 mm Hg.
A patient struck in the back of the head with a baseball bat may
sustain a cerebral contusion to which area of the brain?
A. Frontal and occipital
B. Occipital
C. Parietal
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,D. Frontal ANS: B. Occipital
(probably too low velocity for Coup & Contre Coup)
A patient who withdraws from painful stimuli, opens eyes on
verbal command, and cannot speak because of intubation has a
Glasgow Coma Scale of which of the following:
A. 8
B. 8T
C. 7
D. 7T ANS: B. 8T
(E-3, V-T, M-4)
A regional resource center with a full spectrum of trauma
services from prevention to rehabilitation which serves as the
leader in trauma care for a geographical region is a:
A. Level IV trauma center
B. Level III trauma center
C. Level II trauma center
D. Level I trauma center ANS: D. Level I trauma center
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,A traction splint may be used for which of the following
injuries?
A. Knee dislocation
B. Pelvic fractures
C. Femur fractures
D. All of the above ANS: C. Femur fractures
A trauma patient who has fallen 20 feet from an apartment
balcony is alert with warm, dry, pink skin, with normal capillary
refilling time to the lower extremities, and is hypotensive. The
upper extremities are cool, pale and diaphoretic. Which of the
following injuries should be suspected?
A. Aortic dissection
B. Liver laceration
C. Fractured pelvis
D. Spinal cord injury ANS: D. Spinal cord injury
An 18-year-old female was struck by a car and has sustained an
apparent left femur fracture. Communication with her is
hampered because she only speaks a foreign language. Which
finding, by itself, does not mandate immobilization of the
cervical spine?
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, A) Fracture of the femur
B) Inability to communicate
C) Mechanism of injury
D) Tenderness over the cervical spine ANS: C) Mechanism of
injury
An adult male sustained a deep laceration to his distal thigh.
Bright red blood is spurting from the wound. Direct pressure is
not controlling the bleeding. What is the most appropriate next
step?
A) Apply a topical hemostatic agent and transport
B) Apply a tourniquet and tighten it until bleeding stops
C) Elevate the leg and apply pressure to the femoral artery
D) Maintain direct pressure and transport immediately ANS:
B) Apply a tourniquet and tighten it until bleeding stops
Bilateral femur fractures are most often associated with which
type of motorcycle crash?
A) Angular impact
B) Bike-road impact
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