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PHTLS- PRETEST EXAM QUESTIONS

Class notes Feb 27, 2026
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PHTLS- PRETEST EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -25 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Which assessment is most beneficial in differentiating hemorrhagic shock from neurogenic shock in the prehospital setting?

  • Abdomen
  • Blood pressure
  • Neurologic status
  • Skin

Answer:

D)skin pg 63 Question 2: Hypotension of unknown etiology in a trauma patient should be assumed to result from which of the following?

  • Blood loss
  • Cardiac tamponade
  • Spinal injury
  • Tension pneumothorax

Answer:

A)Blood Loss

pg)62 class 3 hemorrhage Question 3: During the primary survey of a trauma patient, you note that the patient is agitated and confused, and has multiple injuries from an altercation. Which of the following choices is the most appropriate first treatment priority?

  • Blood glucose determination
  • Correction of possible hypoxia
  • Full immobilization to a backboard
  • Obtain intravenous access

Answer:

  • Correction of possible hypoxia
  • pg.17-18 pg.56 Question 4: The potential for death or serious injury is greatest in which of the following motor vehicle collisions?

  • Down and under
  • Ejection from vehicle
  • Lateral compression
  • Up and over

Answer:

  • Ejection from vehicle
  • pg 85-86 Question 5: Bilateral femur fractures are most often associated with which type of motorcycle crash?

  • Angular impact
  • Bike-road impact
  • Head-on impact
  • Rear impact

Answer:

  • Head-on impact
  • pg 88-89 Question 6: Your patient has a deep laceration to his antecubital fossa with significant bleeding.What is the most appropriate initial action?

  • Apply a tourniquet
  • Apply direct pressure
  • Initiate rapid transport
  • Restore blood volume

Answer:

pg.142

  • Initiate rapid transport
  • Question 7: Which is the most common cause of upper airway obstruction in the trauma patient?

  • Blood
  • Teeth
  • Tongue
  • Vomitus

Answer:

  • Tongue
  • pg 175 Question 8: Which of the following is a key finding that differentiates cardiac tamponade from tension pneumothorax?

  • Distended jugular veins
  • Equal breath sounds
  • Hypotension
  • Tachycardia

Answer:

B)Equal breath sounds

PG.225

151 157 223 Question 9: Which best explains the mechanism by which gas exchange is impaired in pulmonary contusion?

  • Blood in the alveoli
  • Collapse of the alveoli
  • Compression of the lung tissue
  • Partial occlusion of the bronchi

Answer:

A)Blood in alveoli Pg.340,342 Question 10: Which is the preferred fluid for resuscitation of hemorrhagic shock in the prehospital setting?

  • 5% dextrose in water
  • 7.5% hypertonic saline
  • Hetastarch
  • Lactated Ringer's

Answer:

  • Lactated Ringer's
  • pg 62-63 Question 11: You arrive at the scene of a motor vehicle collision in which a vehicle struck a tree.Which is the best indicator of potential injury?

  • Circumference of the vehicle
  • Diameter of the tree

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