PHTLS 10th Edition Exam 2026/2027 Actual Complete
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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-Question 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. 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.
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D. Use the XABCDE approach to patient assessment. -
Answer-Question 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
transport of the patient.Studies show that the time from
injuryto arrival at the appropriate site fordefinitive care is
critical to survival.
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-
Question 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.
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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-Question 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. When using the XABCDE assessment, which of the
following takes precedence 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-Question 2: A
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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 bleeding, has the potential to lead to
loss of total or near total blood volume in a relatively short
period of time.
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?
A. Capillary bleeding
B. Venous bleeding
C. Arterial bleeding
D. Road rash - Answer-Question 2: B
Venous bleeding typically results in a steady flow of dark
red blood.
3. What is the best way to control the bleeding?
A. Direct pressure