ITLS Assessment – Questions With Solutions
Mnemomic to remember "Scene size up" order... Right Ans - PENMAN
Personal protection
Environmental protection (scene safety)
Number of patients (switch this and below)
Mechanism of injury
Additional resources
Need for C-spine
First step in "scene size up" Right Ans - BSI - Body Substance Isolation
After BSI, Right Ans - scene safety
after scene safety... Right Ans - number of patients
after number of patients... Right Ans - additional resources
after additional resources... Right Ans - mechanism of injury
after mechanism of injury... Right Ans - need for c-spine
what mnemonic to use for primary assessment? Right Ans - GACAAT
General impression
AVPU - level of consciousness
Chief complaints
Apperant life threats
Airway, breathing, circulation
Transport
First step in "primary assessment" Right Ans - general impression
what 6 things to know about general impression? Right Ans - - age, sex,
weight
- general appearance
- body anatomical position
- position in environment
, - patient activity (what are they doing in the environment)
- obvious severe injury or major bleeding (apparent life threats)
after general impression Right Ans - AVPU - level of consciousness
What does AVPU stand for? Right Ans - - alert
- responsive to verbal
- responsive to painful
- unresponsive
after AVPU... Right Ans - ABC's
What do you want to know about their airway? Right Ans - is it patent?
Do they have snoring, gurgling, stridor or silence?
What does snoring respirations indicate? Right Ans -
What does gurgling respirations indicate? Right Ans -
What does stridor respirations sound like and indicate? Right Ans - high
pitched sound during inspiration or expiration; indicates obstruction or
narrowing of upper airway, outside of chest cavity
Difference between stridor and wheezes? Right Ans - less musical sounding
than a wheeze
What does crackles (rales) sound like and indicate? Right Ans - Lower
lobes; caused by fluid in alveoli and by the opening of a closed alveoli; heard
during inspirations
What does rhonchi sound like and indicate? Right Ans - Lower pitch sound,
resembling snoring or rattling; Seen in pneumonia or bronchitis; Caused by
secretions in larger airways or when breathed into the lungs;
Difference between crackles and rhonchi Right Ans - Rhochi are generally
louder than crackles. Not always obvious
Mnemomic to remember "Scene size up" order... Right Ans - PENMAN
Personal protection
Environmental protection (scene safety)
Number of patients (switch this and below)
Mechanism of injury
Additional resources
Need for C-spine
First step in "scene size up" Right Ans - BSI - Body Substance Isolation
After BSI, Right Ans - scene safety
after scene safety... Right Ans - number of patients
after number of patients... Right Ans - additional resources
after additional resources... Right Ans - mechanism of injury
after mechanism of injury... Right Ans - need for c-spine
what mnemonic to use for primary assessment? Right Ans - GACAAT
General impression
AVPU - level of consciousness
Chief complaints
Apperant life threats
Airway, breathing, circulation
Transport
First step in "primary assessment" Right Ans - general impression
what 6 things to know about general impression? Right Ans - - age, sex,
weight
- general appearance
- body anatomical position
- position in environment
, - patient activity (what are they doing in the environment)
- obvious severe injury or major bleeding (apparent life threats)
after general impression Right Ans - AVPU - level of consciousness
What does AVPU stand for? Right Ans - - alert
- responsive to verbal
- responsive to painful
- unresponsive
after AVPU... Right Ans - ABC's
What do you want to know about their airway? Right Ans - is it patent?
Do they have snoring, gurgling, stridor or silence?
What does snoring respirations indicate? Right Ans -
What does gurgling respirations indicate? Right Ans -
What does stridor respirations sound like and indicate? Right Ans - high
pitched sound during inspiration or expiration; indicates obstruction or
narrowing of upper airway, outside of chest cavity
Difference between stridor and wheezes? Right Ans - less musical sounding
than a wheeze
What does crackles (rales) sound like and indicate? Right Ans - Lower
lobes; caused by fluid in alveoli and by the opening of a closed alveoli; heard
during inspirations
What does rhonchi sound like and indicate? Right Ans - Lower pitch sound,
resembling snoring or rattling; Seen in pneumonia or bronchitis; Caused by
secretions in larger airways or when breathed into the lungs;
Difference between crackles and rhonchi Right Ans - Rhochi are generally
louder than crackles. Not always obvious
