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PHTLS EXAM STUDY GUIDE EXAM QUESTIONS

Class notes Feb 27, 2026
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PHTLS EXAM STUDY GUIDE EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -37 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Third phase of death occurs...?

Answer:

Occurs several days to several weeks after the incident.

Question 2: The steps in the field management of external hemorrhage include?

Answer:

-Hand held direct pressure -compression dressings -wound packing -elastic wrap -tourniquet -hemostatic agent -junctional tourniquet when indicated.

Question 3: Airway management

Answer:

Start with the basics then progress to advanced skills/ techniques.Assess Position Suction Adjunct Ventilate Oxygenate

Question 4: What are the advantages of TXA?

Answer:

Prevents the body from breaking down blood clots. It does NOT create new blood clots.

Question 5: Which organs have the LEAST tolerance to ischemia?

Answer:

Heart, brain, and lungs.(4-6 minutes)

Question 6: Post event phase

Answer:

Deals with the outcome of the traumatic event. The phase of prehospital care that includes response time, Golden period, and transport time.

Question 7: First phases of death occurs...?

Answer:

within the first few minutes and up to an hour after the incident.

Question 8: The PHTLS philosophy

Answer:

Research Interventions Patient care delivery Question 9: What is the most frequent cause of death and disability among children in the united states?

Answer:

Traumatic brain injury

Question 10: Second phase of death occurs...?

Answer:

First few hours after and incident.

Question 11: What are the advantages of blood products?

Answer:

Blood can form clots and carry o2 in red blood cells.

Question 12: Mass Casualty Incident (MCI)

Answer:

An incident where the number and severity of casualties exceeds the capability of the responder's initial resources.

Question 13: Principle vs preference

Answer:

Principle is based on patients needs.Preference is HOW the principle is accomplished. Preference may change depending on: -Scene safety -patient severity -Care providers knowledge and skills -resources

Question 14: Goals for PHTLS

Answer:

-Reduce mortality and injury from trauma -Provide pre hospital care providers with knowledge and skill -Provide appropriate care to trauma patients

Question 15: is pulse oximetry accurate?

Answer:

no Question 16: What is the leading cause of death in people between 1 yr to 45 yrs of age?

Answer:

Unintentional injury Question 17: What 3 things cause release of antidiuretic hormone (ADH) from pituitary gland and aldosterone from the adrenal glands?

Answer:

  • Decrease in the left atrial filling pressure
  • Fall in blood pressure
  • Changes in plasma osmolality.

Question 18: Incident Command System (ICS)

Answer:

Created to allow different types of agencies (fire, ems, police) and jurisdictions to work together using common language and organizational structure to manage and respond to a disaster or major incident.

Question 19: MARCH acronym

Answer:

Manage bleeding Airway Respirations Circulation Head/Hypothermia

Question 20: Beck's triad

Answer:

Hypotension, JVD, muffled heart sounds; cardiac tamponade

Question 21: PHTLS approach to trauma

Answer:

Team approach Assessment and treatment of trauma patients (XABCDE)

Question 22: Severe signs of hypovolemic shock is characterized by?

Answer:

profound hypertension Tachycardia 120-140 Tachypnea greater than 35 breaths/min profound confusion and lethargy skins signs clammy and pale

Question 23: Event phase

Answer:

The moment of actual trauma. Actions taken during the event phase are aimed at minimizing injury as the result of the trauma.

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