PHTLS 10TH EDITION EXAM
Questions and Answers
1.1. Which of the following requires you to develop a plan of action, initiate
the plan, reassess the plan as care for the patient moves forward, and
adjust the plan as the patient's condition or circumstances change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process
Answer 1: D
To help achieve the PHTLS goals, you will apply your critical thinking
skills in the field. Critical thinking in medicine is a process in which the
healthcare practitioner assesses the situation, the patient, and the
resources available and uses the information to decide on and provide
the best care for the patient.
2.2. When using the XABCDE assessment, which of the following takes
prece- dence over all other actions?
A. Controlling severe bleeding from a limb or other compressible site
B. Airway stabilization and assessing circulatory status
C. Exposing the body to allow a thorough evaluation
D. Ensuring adequate breathing
, Answer 2: A
The "X" placed before "ABCDE" in the primary survey refers to the need
to address exsanguinating hemorrhage immediately after establishing
scene safety and before addressing airway. Severe exsanguinating
hemorrhage, particularly arterial bleed- ing, has the potential to lead to
loss of total or near total blood volume in a relatively short period of
time.
3.3. Which of the following is the basis on which a patient's chance of
survival is maximized?
A. Preferences
B. Phases
C. Principles
D. Transport
Answer 3: C
The science of medicine provides the principles of medical care. Simply
stated, principles define the duties required of the prehospital care
practitioner in optimizing patient survival and outcome.
4.4. Which of the following is a goal of the Golden Period?
A. Provide written documentation from field care to receiving hospital.
B. Expedite the field care and transport of the patient.
C. Use a team approach for optimal patient care.
, D. Use the XABCDE approach to patient assessment.
Answer 4: B
One of your most importantresponsibilities as a prehospital
carepractitioner is to spend as little time onthe scene as possible and
expedite yourfield care and trans- port of the patient.Studies show that
the time from injuryto arrival at the appropriate site fordefinitive care is
critical to survival.
5.1. You are called to the scene of a possible mass casualty motor vehicle
collision on the highway. Once you arrive on scene, what is your first
priority?
A. Immediately begin triaging patients.
B. Treat the patient with the most visible blood loss.
C. Determine the need for additional resources.
D. Assess the scene and ensure it is safe.
Answer 1: D
Ensure safety for responders, bystanders, and patient(s). The first
consideration when approaching any scene is the safety of all
emergency responders. When EMS personnel become victims, they not
only can no longer assist others, but also add to the number of patients.
6.2. A trauma patient from the highway incident is holding her right arm,
and you note a significant amount of blood steadily flowing from a long
gash. This is an example of what type of hemorrhage?
Questions and Answers
1.1. Which of the following requires you to develop a plan of action, initiate
the plan, reassess the plan as care for the patient moves forward, and
adjust the plan as the patient's condition or circumstances change?
A. Principles of PHTLS
B. The Golden Period
C. The XABCDE assessment
D. Critical thinking process
Answer 1: D
To help achieve the PHTLS goals, you will apply your critical thinking
skills in the field. Critical thinking in medicine is a process in which the
healthcare practitioner assesses the situation, the patient, and the
resources available and uses the information to decide on and provide
the best care for the patient.
2.2. When using the XABCDE assessment, which of the following takes
prece- dence over all other actions?
A. Controlling severe bleeding from a limb or other compressible site
B. Airway stabilization and assessing circulatory status
C. Exposing the body to allow a thorough evaluation
D. Ensuring adequate breathing
, Answer 2: A
The "X" placed before "ABCDE" in the primary survey refers to the need
to address exsanguinating hemorrhage immediately after establishing
scene safety and before addressing airway. Severe exsanguinating
hemorrhage, particularly arterial bleed- ing, has the potential to lead to
loss of total or near total blood volume in a relatively short period of
time.
3.3. Which of the following is the basis on which a patient's chance of
survival is maximized?
A. Preferences
B. Phases
C. Principles
D. Transport
Answer 3: C
The science of medicine provides the principles of medical care. Simply
stated, principles define the duties required of the prehospital care
practitioner in optimizing patient survival and outcome.
4.4. Which of the following is a goal of the Golden Period?
A. Provide written documentation from field care to receiving hospital.
B. Expedite the field care and transport of the patient.
C. Use a team approach for optimal patient care.
, D. Use the XABCDE approach to patient assessment.
Answer 4: B
One of your most importantresponsibilities as a prehospital
carepractitioner is to spend as little time onthe scene as possible and
expedite yourfield care and trans- port of the patient.Studies show that
the time from injuryto arrival at the appropriate site fordefinitive care is
critical to survival.
5.1. You are called to the scene of a possible mass casualty motor vehicle
collision on the highway. Once you arrive on scene, what is your first
priority?
A. Immediately begin triaging patients.
B. Treat the patient with the most visible blood loss.
C. Determine the need for additional resources.
D. Assess the scene and ensure it is safe.
Answer 1: D
Ensure safety for responders, bystanders, and patient(s). The first
consideration when approaching any scene is the safety of all
emergency responders. When EMS personnel become victims, they not
only can no longer assist others, but also add to the number of patients.
6.2. A trauma patient from the highway incident is holding her right arm,
and you note a significant amount of blood steadily flowing from a long
gash. This is an example of what type of hemorrhage?
