PHTLS 10th Edition
1. 1. Which of the following requires you to Question 1: D
develop a plan of action, initiate the plan,
reassess the plan as care for the patient To help achieve the PHTLS goals, you will apply
moves forward, and adjust the plan as your critical thinking skills in the field. Critical
the patient's condition or circumstances thinking in medicine is a process in which the
change? healthcare practitioner assesses the situation,
A. Principles of PHTLS the patient, and the resources available and
B. The Golden Period uses the information to decide on and provide
C. The XABCDE assessment the best care for the patient.
D. Critical thinking process
2. 2. When using the XABCDE assessment, Question 2: A
which of the following takes precedence
over all other actions? The "X" placed before "ABCDE" in the prima-
A. Controlling severe bleeding from a ry survey refers to the need to address exsan-
limb or other compressible site guinating hemorrhage immediately after estab-
B. Airway stabilization and assessing cir- lishing scene safety and before addressing air-
culatory status way. Severe exsanguinating hemorrhage, par-
C. Exposing the body to allow a thorough ticularly arterial bleeding, has the potential to
evaluation lead to loss of total or near total blood volume
D. Ensuring adequate breathing in a relatively short period of time.
3. 3. Which of the following is the basis on Question 3: C
which a patient's chance of survival is
maximized? The science of medicine provides the principles
A. Preferences of medical care. Simply stated, principles de-
B. Phases fine the duties required of the prehospital care
C. Principles practitioner in optimizing patient survival and
D. Transport outcome.
4. 4. Which of the following is a goal of the Question 4: B
Golden Period?
, PHTLS 10th Edition
A. Provide written documentation from One of your most importantresponsibilities as a
field care to receiving hospital. prehospital carepractitioner is to spend as lit-
B. Expedite the field care and transport tle time onthe scene as possible and expedite
of the patient. yourfield care and transport of the patient.Stud-
C. Use a team approach for optimal pa- ies show that the time from injuryto arrival at
tient care. the appropriate site fordefinitive care is critical
D. Use the XABCDE approach to patient to survival.
assessment.
5. 1. You are called to the scene of a pos- Question 1: D
sible mass casualty motor vehicle colli- Ensure safety for responders, bystanders, and
sion on the highway. Once you arrive on patient(s). The first consideration when ap-
scene, what is your first priority? proaching any scene is the safety of all emer-
A. Immediately begin triaging patients. gency responders. When EMS personnel be-
B. Treat the patient with the most visible come victims, they not only can no longer assist
blood loss. others, but also add to the number of patients.
C. Determine the need for additional re-
sources.
D. Assess the scene and ensure it is safe.
6. 2. A trauma patient from the highway Question 2: B
incident is holding her right arm, and Venous bleeding typically results in a steady flow
you note a significant amount of blood of dark red blood.
steadily flowing from a long gash. This
is an example of what type of hemor-
rhage?
A. Capillary bleeding
B. Venous bleeding
C. Arterial bleeding
D. Road rash
7.
, PHTLS 10th Edition
3. What is the best way to control the Question 3: A
bleeding? With venous bleeds, direct pressure isusually
A. Direct pressure suflcient to stop the flow.
B. Elevation of the arm above the heart
C. Tourniquet
D. Occlusive dressing
8. 4. The patient is wearing long sleeves, Question 4: A
and you are having trouble visualizing Clothing can be quickly removed by cutting. You
the wound. What should you do? cannot treat what you cannot see.
A. Cut the cloth away from the site until
the entire wound site is visible.
B. Leave the clothing in place. Put gauze
over the wound.
C. Remove the patient's shirt.
D. Cut through the slash on the sleeve,
and use the material as a makeshift
tourniquet.
9. 1. You are called to the scene of an explo- Question 1: B
sion and fire at a chemical plant where Manual maneuvers like the trauma jaw thrust or
you find multiple casualties.Triage has chin lift are always the first airway maneuver you
begun. Your first patient is a 40-year-old should make when treating a trauma patient.
man who was near the source of the In patients with suspected head, neck, orfacial
explosion. He is unconscious and has ex- trauma, the cervical spine is maintained in a
tensive injuries. You note gurgling respi- neutral in-line position.The trauma jaw thrust
rations. Why should you use the trauma maneuver allows you to open the airway with
jaw thrust maneuver first when dealing little or no movement of the head and cervical
with a trauma patient? spine.
A. It's an easy technique that always
works to open the airway.
B. It allows you to open the airway with
1. 1. Which of the following requires you to Question 1: D
develop a plan of action, initiate the plan,
reassess the plan as care for the patient To help achieve the PHTLS goals, you will apply
moves forward, and adjust the plan as your critical thinking skills in the field. Critical
the patient's condition or circumstances thinking in medicine is a process in which the
change? healthcare practitioner assesses the situation,
A. Principles of PHTLS the patient, and the resources available and
B. The Golden Period uses the information to decide on and provide
C. The XABCDE assessment the best care for the patient.
D. Critical thinking process
2. 2. When using the XABCDE assessment, Question 2: A
which of the following takes precedence
over all other actions? The "X" placed before "ABCDE" in the prima-
A. Controlling severe bleeding from a ry survey refers to the need to address exsan-
limb or other compressible site guinating hemorrhage immediately after estab-
B. Airway stabilization and assessing cir- lishing scene safety and before addressing air-
culatory status way. Severe exsanguinating hemorrhage, par-
C. Exposing the body to allow a thorough ticularly arterial bleeding, has the potential to
evaluation lead to loss of total or near total blood volume
D. Ensuring adequate breathing in a relatively short period of time.
3. 3. Which of the following is the basis on Question 3: C
which a patient's chance of survival is
maximized? The science of medicine provides the principles
A. Preferences of medical care. Simply stated, principles de-
B. Phases fine the duties required of the prehospital care
C. Principles practitioner in optimizing patient survival and
D. Transport outcome.
4. 4. Which of the following is a goal of the Question 4: B
Golden Period?
, PHTLS 10th Edition
A. Provide written documentation from One of your most importantresponsibilities as a
field care to receiving hospital. prehospital carepractitioner is to spend as lit-
B. Expedite the field care and transport tle time onthe scene as possible and expedite
of the patient. yourfield care and transport of the patient.Stud-
C. Use a team approach for optimal pa- ies show that the time from injuryto arrival at
tient care. the appropriate site fordefinitive care is critical
D. Use the XABCDE approach to patient to survival.
assessment.
5. 1. You are called to the scene of a pos- Question 1: D
sible mass casualty motor vehicle colli- Ensure safety for responders, bystanders, and
sion on the highway. Once you arrive on patient(s). The first consideration when ap-
scene, what is your first priority? proaching any scene is the safety of all emer-
A. Immediately begin triaging patients. gency responders. When EMS personnel be-
B. Treat the patient with the most visible come victims, they not only can no longer assist
blood loss. others, but also add to the number of patients.
C. Determine the need for additional re-
sources.
D. Assess the scene and ensure it is safe.
6. 2. A trauma patient from the highway Question 2: B
incident is holding her right arm, and Venous bleeding typically results in a steady flow
you note a significant amount of blood of dark red blood.
steadily flowing from a long gash. This
is an example of what type of hemor-
rhage?
A. Capillary bleeding
B. Venous bleeding
C. Arterial bleeding
D. Road rash
7.
, PHTLS 10th Edition
3. What is the best way to control the Question 3: A
bleeding? With venous bleeds, direct pressure isusually
A. Direct pressure suflcient to stop the flow.
B. Elevation of the arm above the heart
C. Tourniquet
D. Occlusive dressing
8. 4. The patient is wearing long sleeves, Question 4: A
and you are having trouble visualizing Clothing can be quickly removed by cutting. You
the wound. What should you do? cannot treat what you cannot see.
A. Cut the cloth away from the site until
the entire wound site is visible.
B. Leave the clothing in place. Put gauze
over the wound.
C. Remove the patient's shirt.
D. Cut through the slash on the sleeve,
and use the material as a makeshift
tourniquet.
9. 1. You are called to the scene of an explo- Question 1: B
sion and fire at a chemical plant where Manual maneuvers like the trauma jaw thrust or
you find multiple casualties.Triage has chin lift are always the first airway maneuver you
begun. Your first patient is a 40-year-old should make when treating a trauma patient.
man who was near the source of the In patients with suspected head, neck, orfacial
explosion. He is unconscious and has ex- trauma, the cervical spine is maintained in a
tensive injuries. You note gurgling respi- neutral in-line position.The trauma jaw thrust
rations. Why should you use the trauma maneuver allows you to open the airway with
jaw thrust maneuver first when dealing little or no movement of the head and cervical
with a trauma patient? spine.
A. It's an easy technique that always
works to open the airway.
B. It allows you to open the airway with
