PHTLS | Pre-Hospital Trauma Life
Support (PHTLS)
1. In general what is the leading cause of death in the United States?
A. Intentional injury
B. Unintentional injury
C. Heart disease
D. Cancer: B. Unintentional injury
2. Action taken during the event phase of trauma care are designed to:
A. Educate the public on safety strategies.
B. Minimize the injury.
C. Prevent the injury.
D. Deal with injury resulting from the trauma.: B. Minimize injury
3. Which of the following does PHTLS-FR not provide?
A. Understanding of anatomy and physiology of trauma.
B. The assessment of a trauma patient using the XABCDE approach.
C. The skills needed to provide care to a trauma patient.
D. Specific care protocols for different classes of trauma patients.: D. Specific care protocols for different classes of
trauma patients.
4. Which of the following is three key change in the PHTLS-FR recommenda- tions for the assessment and
treatment of trauma patients?
A. AHA revised CPR guidelines
B. Pediatric intubation
C. XABCDE
D. ACC blood pressure guidlines: C. XABCDE
5. Which of the following requires you to develop a plan of action, initiate the plan, reassess the plan as carefully
as possible 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: D. Critical thinking process
, PHTLS | Pre-Hospital Trauma Life
Support (PHTLS)
6. When using the XABDCE 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.
, PHTLS | Pre-Hospital Trauma Life
Support (PHTLS)
C. Exposing the body to allow a thorough evaluation.
D. Ensuring adequate breathing.: A. Control severe bleeding from a limb or other compressible site
7. Which of the following is the basis on which a patient's survival is maxi- mized?
A. Preference.
B. Phase.
C. Principles.
D. Transport.: C. Principles
8. You arrive first at the scene of possible domestic violence. As you approach, you hear a man and woman
arguing loudly and a child crying in the back- ground. You hear a loud crash, and the woman cries out. What is
your first priority?
A. Separate the fighting couple to prevent further injury.
B. Remove the child from the environment.
C. Assess the scene, noting any potential weapons or other dangers.
D. Call law enforcement.: D. Call law enforcement
9. You arrive after police at the scene of possible domestic violence. Upon entering the house, you note that the
female has obvious multiple bruises on her face and a laceration over her cheek. She is holding her right arm, and
you note a significant amount of blood 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: B. Venous bleeding
10.What is the best way to control venous bleeding?
A. Direct pressure
C. Elevation of the arm above the heart
C. Tourniquet
D. Occlusive dressing: A. Direct pressure
11.You arrive after police at the scene of possible domestic violence. Upon entering the house, you note that the
female has obvious multiple bruises on her face and a laceration over her cheek. She is holding her right arm, and
you note a significant amount of blood. The patient is wearing long sleeves, you
, PHTLS | Pre-Hospital Trauma Life
Support (PHTLS)
are having trouble visualizing the wound. What should you do?
A. Cut the cloth away from the site, avoiding cutting through the slashed area.
B. Leave the clothing in place. Put gauze over the wound.
C. Remove the patient's shirt and place it in a plastic evidence bag.
D. Cut through the slash on the sleeve, and use the material as a makeshift tourniquet.: A. Cut the cloth away from
the site, avoiding cutting through the slashed area.
12.You arrive after police at the scene of possible domestic violence. Upon entering the house, you note that the
female has obvious multiple bruises on her face and a laceration over her cheek. She is holding her right arm, and
you note a significant amount of blood flowing from a large gash. You also note a child crying in the corner who
appears unharmed and the suspected abuser with police. As your partner begins to control the woman's bleeding,
what should you do?
A. Check the patient's airway and breathing.
B. Remove the crying child from the scene.
C. Observe the scene for more potential danger.
D. Remove the abuser from the scene.: C. Observe the scene for more potential danger.
13.You are responding to a convenience store where a 36-year-old male was stabbed. You find the patient
sitting upright and leaning forward. He tries to tell you what happened but has to stop after every five to six
words to catch his breath. You notice a gapping laceration approximately 2 inches (5 cm) long in the upper right
side of his chest with a small amount of blood tinged "bubbling" fluid. The patient is diaphoretic and has a rapid
radial pulse. No other abnormal physical findings are noted. What is your general impression?
A. Simple pneumothorax
B. Open pneumothorax
C. Hemothorax
D. Hemopneumothorax: B. Open pneumothorax
14.What is the first intervention you should take to treat an open pneumoth- orax?
A. Stop the bleeding.
B. Administer supplemental oxygen.
Support (PHTLS)
1. In general what is the leading cause of death in the United States?
A. Intentional injury
B. Unintentional injury
C. Heart disease
D. Cancer: B. Unintentional injury
2. Action taken during the event phase of trauma care are designed to:
A. Educate the public on safety strategies.
B. Minimize the injury.
C. Prevent the injury.
D. Deal with injury resulting from the trauma.: B. Minimize injury
3. Which of the following does PHTLS-FR not provide?
A. Understanding of anatomy and physiology of trauma.
B. The assessment of a trauma patient using the XABCDE approach.
C. The skills needed to provide care to a trauma patient.
D. Specific care protocols for different classes of trauma patients.: D. Specific care protocols for different classes of
trauma patients.
4. Which of the following is three key change in the PHTLS-FR recommenda- tions for the assessment and
treatment of trauma patients?
A. AHA revised CPR guidelines
B. Pediatric intubation
C. XABCDE
D. ACC blood pressure guidlines: C. XABCDE
5. Which of the following requires you to develop a plan of action, initiate the plan, reassess the plan as carefully
as possible 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: D. Critical thinking process
, PHTLS | Pre-Hospital Trauma Life
Support (PHTLS)
6. When using the XABDCE 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.
, PHTLS | Pre-Hospital Trauma Life
Support (PHTLS)
C. Exposing the body to allow a thorough evaluation.
D. Ensuring adequate breathing.: A. Control severe bleeding from a limb or other compressible site
7. Which of the following is the basis on which a patient's survival is maxi- mized?
A. Preference.
B. Phase.
C. Principles.
D. Transport.: C. Principles
8. You arrive first at the scene of possible domestic violence. As you approach, you hear a man and woman
arguing loudly and a child crying in the back- ground. You hear a loud crash, and the woman cries out. What is
your first priority?
A. Separate the fighting couple to prevent further injury.
B. Remove the child from the environment.
C. Assess the scene, noting any potential weapons or other dangers.
D. Call law enforcement.: D. Call law enforcement
9. You arrive after police at the scene of possible domestic violence. Upon entering the house, you note that the
female has obvious multiple bruises on her face and a laceration over her cheek. She is holding her right arm, and
you note a significant amount of blood 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: B. Venous bleeding
10.What is the best way to control venous bleeding?
A. Direct pressure
C. Elevation of the arm above the heart
C. Tourniquet
D. Occlusive dressing: A. Direct pressure
11.You arrive after police at the scene of possible domestic violence. Upon entering the house, you note that the
female has obvious multiple bruises on her face and a laceration over her cheek. She is holding her right arm, and
you note a significant amount of blood. The patient is wearing long sleeves, you
, PHTLS | Pre-Hospital Trauma Life
Support (PHTLS)
are having trouble visualizing the wound. What should you do?
A. Cut the cloth away from the site, avoiding cutting through the slashed area.
B. Leave the clothing in place. Put gauze over the wound.
C. Remove the patient's shirt and place it in a plastic evidence bag.
D. Cut through the slash on the sleeve, and use the material as a makeshift tourniquet.: A. Cut the cloth away from
the site, avoiding cutting through the slashed area.
12.You arrive after police at the scene of possible domestic violence. Upon entering the house, you note that the
female has obvious multiple bruises on her face and a laceration over her cheek. She is holding her right arm, and
you note a significant amount of blood flowing from a large gash. You also note a child crying in the corner who
appears unharmed and the suspected abuser with police. As your partner begins to control the woman's bleeding,
what should you do?
A. Check the patient's airway and breathing.
B. Remove the crying child from the scene.
C. Observe the scene for more potential danger.
D. Remove the abuser from the scene.: C. Observe the scene for more potential danger.
13.You are responding to a convenience store where a 36-year-old male was stabbed. You find the patient
sitting upright and leaning forward. He tries to tell you what happened but has to stop after every five to six
words to catch his breath. You notice a gapping laceration approximately 2 inches (5 cm) long in the upper right
side of his chest with a small amount of blood tinged "bubbling" fluid. The patient is diaphoretic and has a rapid
radial pulse. No other abnormal physical findings are noted. What is your general impression?
A. Simple pneumothorax
B. Open pneumothorax
C. Hemothorax
D. Hemopneumothorax: B. Open pneumothorax
14.What is the first intervention you should take to treat an open pneumoth- orax?
A. Stop the bleeding.
B. Administer supplemental oxygen.
