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PHTLS: Test Questions with correct Answers 2024/2025( A+ GRADED 100% VERIFIED).
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PHTLS: Test Questions with correct Answers 2024/2025( A+ GRADED 100% VERIFIED).
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PHTLS: TestA 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 a daily anticoagulant. What should your initial
treatment be? - ANS Move patients to a warm environment.
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 breathes. You note accessory muscle
use, focal tenderness, bony crepitus, and absent breath sounds on his right side. What should
you suspect? - ANS 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? - ANS Full thickness
Which of the following physiological changes associated with aging may contribute to an
increased incidence of falls among the elderly? - ANS Declining visual acuity
Which type of shock includes neurogenic and anaphylactic shock? - ANS 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? - ANS Consider spinal motion
restriction and assess his c-spine.
A 24 year old construction worker amputated his thumb. How should you manage the
amputation? - ANS 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? - ANS Cardiac tamponade
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? - ANS Insert a supraglottic airway device
A 44 year old male was ejected from a truck traveling 36 mph (60 kph). He is lying supine on the
ground and has snoring respirations. What should you do first? - ANS 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 note blood pooling on his seat. Vital signs are P 130, R 8. How
should you remove this patient from the vehicle? - ANS Rapidly extricates the patient.
A 36 weeks pregnant female has sustained an injury that requires spinal motion restriction. -
ANS Elevates the right side of the backboard 4-6 inches.
Which is an early finding in compartment syndrome? - ANS 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 dilated and non-reactive. What type of hemorrhage
should you suspect? - ANS 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? - ANS
Warmed lactated Ringer's
Which of the following is true when logrolling a patient? - ANS 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 BP 70/40, P 120, R 22. What type of shock should you suspect? - ANS
Hemorrhagic
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? - ANS Significant energy has
been distributed to this patient.
A 20 year old male was hit in the chest with a baseball bat. He complains of severe pain and
tenderness on the left side. He is unable to take a deep breath. Vital signs are BP 112/76, P 98,
R 20, SpO2 98%, and ETCO2 38 mmHg. What should you do? - ANS Administer 100 mcg
Fentanyl.
What is a priority treatment for an internal hemorrhage due to pelvic fracture? - ANS Binder
application
What is a sign of brain stem herniation? - ANS Decerebrate posturing
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
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