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NEW PHTLS (PRE) EXAM QUESTIONS
Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -25 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: A shallow pool diving injury that is sustained at the T4 level will most likely
present as:
a) Extreme respiratory distress
b) Lack of sensation from the waist down
c) Lack of sensation from the nipple line down
d) Aphasia
Answer:
c) Lack of sensation from the nipple line down
Question 2: When treating a trauma patient, tools such as bag mask, IV fluids, and a back board
to achieve a goal are called:
a) Preferences
b) Tactical care
c) Principles
d) Action Intervention
Answer:
a) Preferences
Question 3: A 19 y.0. male was an unrestrained passenger in a 2 car collision. He is evaluated for selective spinal immobilization. Which of the following signs might point towards the need to immobilize?
a) Skin breakdown
b) Obvious presence of a Colles' fracture
c) Altered level of consciousness
d) Tenderness in bilateral hip areas
Answer:
c) Altered level of consciousness
Question 4: A roofer is found on the ground following a fall. He is alert, but complaining of acute shortness of breath. Breath sounds are absent on the left. Which of the following indicators is generally not a sign of tension pneumothorax?
a) Subcutaneous emphysema
b) Bradycardia
c) Distended neck veins
d) Tracheal deviation away from the site of injury
Answer:
- bradycardia
Question 5: The proper application of a hemostatic agent to control bleeding involves:
a) Irrigating the wound with saline prior to application
b) Applying the hemostatic agent directly into the wound followed by holding direct pressure to
the site.
c) Apply the hemostatic agent to the wound followed by tourniquet application.
d) Tourniquet and elevate the affected area, then apply the hemostatic agent.
Answer:
b) Applying the hemostatic agent directly into the wound followed by holding direct pressure to the site.
Question 6: The purpose of the primary survey is to address the initial status of the essential criteria necessary to sustain life (A, B, C's). After addressing critical issues, the following
should be done when time and situation allow:
- Secondary survey
- IV fluids
- Neuro exam
- Spinal mobilization
Answer:
- Secondary survey
Question 7: Patients with a TBI (traumatic brain injury) are challenging to treat and transport safely. Which of the following clinical markers is not considered to be an extracranial cause of secondary brain injury issues?
a) Anemia from blood loss
b) Hypotension
c) Hypoxia
d) Coup-countercoup injury
Answer:
- coup-countercoup injury
Question 8: A driver in a head on collision was not wearing a seatbelt upon impact. At the scene you find him in severe pain with a respiratory rate of 30 with tenderness and crepitus to the
affected site. You immediately suspect:
a) C4 level fracture
b) Flail chest
c) Pulmonary Contusion
d) Ruptured aorta
Answer:
a) C4 level fracture
Question 9: Excessive hyperventilation can cause:
a) Hypercapnia
b) A reduction in cerebral blood flow
c) Decreased intrathoracic pressure
d) Burping
Answer:
b) A reduction in cerebral blood flow
Question 10: When assisting a patient in severe respiratory distress, the overall principle is to:
- When assisting a patient in severe respiratory distress, the overall principle is to:
a) Have excellent intubation skillsb) Prevent aspirationc) Perform a surgical cricothyrotomy
d) Maintain an adequate exchange of oxygen and CO2
Answer:
d) Maintain an adequate exchange of oxygen and CO2
Question 11: An elderly man has been placed on a backboard following a fall down stairs. He is obviously not comfortable and his neck is rigid from arthritis. What next move is appropriate?
a) Provide comfort padding behind his head and neck area
b) Transfer him to a scoop stretcher
c) Place a rigid cervical collar on to attempt to straighten the neck
d) Provide IV pain medication to lessen the discomfort
Answer:
a) Provide comfort padding behind his head and neck area
Question 12: A riding lawnmower flipped down an embankment causing a traumatic amputation of a woman's arm from the elbow down. There is active bleeding. What is the first action you should take assuming the ABC's are stable on the rapid survey?
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