PHTLS PRE AND POST TEST 2025

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PHTLS PRE AND POST TEST 2025

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -26 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: A 14 year old male suffered helmet to helmet contact during a football game followed by a 30 second period of unconsciousness. Initial exam showed that he is awake but slow to respond. He is nauseated and has a headache. He became unresponsive during transport. Examination of the pupils reveals a left pupil that is dilated and non reactive. What type of hemorrhage should you suspect?

Answer:

Epidural Question 2: An 82 year old male fell in the shower 3 days ago and now only responds to painful stimuli. The nurse aide at the assisted living facility was unable to wake the patient for breakfast. Vital signs are BP 170/72, HR 58, R 26 and irregular, BGL 150 mg/dL. GCS score is 6 (E1,V1,M4). What should you do?

Answer:

Check if the patient has an advanced directive or a MOLST form

Question 3: Which type of shock includes neurogenic and anaphylactic shock?

Answer:

Distributive Question 4: Which of the following presents the greatest risk of EMS provider fatalities?

Answer:

Motor vehicle collision either in an EMS unit or on-scene

Question 5: An anxious 54 year old female complains of chest pain. She hit the steering wheel after a car crash at highway speeds. Her sternum is red and tender. Vital signs are BP 100/68, P 112, R 28 and clear, SpO2 92%. What should you suspect?

Answer:

Cardiac contusion Question 6: A 47 year old female was stabbed with a knife in her upper right quadrant. Her GCS score is 9 (E2,V2,M5). Vital signs are BP 78/58, HR 130, R 26. What should you do?

Answer:

Immediately transport to a trauma center and establish IV access en route Question 7: 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, HR 130, R 26. What should you suspect?

Answer:

Cardiac tamponade Question 8: 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 on both lower extremities. What is this burn classification?

Answer:

Full thickness Question 9: A 29 year old male falls 17 ft (5 cm) to the ground from a tree. He complains of pain on the right side of his chest when he breaths. You note accessory muscle use, focal tenderness, bony crepitus and absent breath sounds on his right side. What should you suspect?

Answer:

Simple pnuemothorax Question 10: An adult patient was involved in a motorcycle accident. Why should you remove their helmet?

Answer:

To manage the airway

Question 11: A 78 year old female fell 12 hours ago. She complains of 10/10 hip and groin pain during movement. Vital signs are BP 98/50, HR 132, R 26. What should you administer?

Answer:

Ketamine

Question 12: Which is an early sign of compartment syndrome?

Answer:

Pain Question 13: A 29 year old male was injured at 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 the left lateral side, has crepitus on palpation of his ribs and his jugular veins are flat. Vital signs re BP 88/156, HR 120, R 24 SpO2 92%. What should you suspect?

Answer:

Hemothorax Question 14: A 4 year old female fell down approximately 8 carpeted stairs. Her parents said she initially complained of neck pain and a tingling sensation in all 4 extremities but the symptoms have since resolved. What should you do?

Answer:

Initiate spinal motion restrictions and transport Question 15: A 42 year old female has been pulled from a smoke-filled apartment. Her mouth and nose are covered in soot. She has a weak,hoarse cry with inspiratory stridor. What should you do?

Answer:

Prepare for a difficult intubation Question 16: An adult patient has partial thickness burns to their anterior abdomen,entire right arm and the palm of the left hand. What percent of the total body surface area is affected?

Answer:

28%

Question 17: A 24 year old construction worker amputated his thumb. How should you manage the amputation?

Answer:

Wrap in moistened gauze Question 18: An 8 year old female is being treated in the red zone 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?

Answer:

Insert an OPA and assist ventilations Question 19: A 26 year old female was the unrestrained driver of a head on collision. Her GCS score is 4(E1,V1,M2). Vital signs are BP 156/78, HR 66, R 12 and irregular and pupils are unequal. What should you do?

Answer:

Assist ventilations at a rate of 20 breaths/minute Question 20: A 26 year old male is supine on the ground. He was assaulted and has obvious head and facial trauma. He has snoring respirations at a rate of 8 per minute. What should you do?

Answer:

Perform a modified jaw-thrust Question 21: A 50 year old male fell from a 6th story balcony. Intubation attempts have been unsuccessful. His GCS score is 6 (E1, V1, M4). You note agonal respirations. What should you do first?

Answer:

Insert a supraglottic airway device Question 22: A 25 year old female has a gunshot wound to the abdomen. Vital signs are BP 80/40, HR 122, R18 with clear, equal lung sounds. What is the most appropriate IV fluids to administer?

Answer:

Warmed lactated ringer