ITLS Exam: Questions With Solutions – Expert Verified
Trauma with a single system injury that presents with a stable patient, what
should you do? Right Ans - focused exam
If unsure or multiple system trauma, what should you do Right Ans - rapid
kill zone exam and transport
What are trauma injuries involved with hitting chest on a steering wheel
Right Ans - pulmonary contusion, pneumothorax, pericardial fusion
Rapid trauma survey Right Ans - head and neck
chest
breath sounds
abdomen
pelvis
lower and upper extremities
obvious swelling and deforming
posterior
vital signs
pupils
GCS
What is the scoring for GCS Right Ans - eyes is 4
verbal 5
motor 6
What is an ongoing exam Right Ans - reassessment critical and non-critical
Secondary ITLS assessment Right Ans - DCAP BTLS of everything
Team collaboration will lead to lower scene times Right Ans - yes
aloc assessment includes GCS, blood glucose, and pupillary assessment
Right Ans - yes
The primary survey intended to identify immediate life threatening injuries
within 2 minutes Right Ans - yes
, Higher scene times maybe from poor collaboration Right Ans - yes
Find the cause of abnormal findings to determine load and go situations
Right Ans - yes
Only four things stop the primary survey- safety, bleeding, airway obstruction,
cardiac arrest Right Ans - safety, bleeding, airway obstruction, cardiac
arrest
First priority in trauma management- stop bleeding. delegate it or do it
yourself Right Ans - stop bleeding, delegate it or do it yourself
Thoracic region injury Right Ans - life threatening hemorrhage: liver,
spleen
True abdomen injury Right Ans - -infection, peritonitis, shock, intestines
-severe hemorrhage with signs
Retroperitoneal abdomen trauma Right Ans - -severe hemorrhage hidden,
major vessels
Penetrating abdominal injury Right Ans - -abdominal injury is chest; chest
is abdominal
-gluteal area in 50 percent of significant injuries
When palpating, where do you want to start Right Ans - start away from
the injury and palpate towards injury
Splenic injury Right Ans - referred left posterior shoulder pain (KEHRS
SIGN)
Liver injury Right Ans - Referred right posterior shoulder pain
Severe hemorrhage Right Ans - -distension in the abdomen
Serum lactate levels Right Ans - -looks at metabolites in the blood. looks for
early signs of shock
Trauma with a single system injury that presents with a stable patient, what
should you do? Right Ans - focused exam
If unsure or multiple system trauma, what should you do Right Ans - rapid
kill zone exam and transport
What are trauma injuries involved with hitting chest on a steering wheel
Right Ans - pulmonary contusion, pneumothorax, pericardial fusion
Rapid trauma survey Right Ans - head and neck
chest
breath sounds
abdomen
pelvis
lower and upper extremities
obvious swelling and deforming
posterior
vital signs
pupils
GCS
What is the scoring for GCS Right Ans - eyes is 4
verbal 5
motor 6
What is an ongoing exam Right Ans - reassessment critical and non-critical
Secondary ITLS assessment Right Ans - DCAP BTLS of everything
Team collaboration will lead to lower scene times Right Ans - yes
aloc assessment includes GCS, blood glucose, and pupillary assessment
Right Ans - yes
The primary survey intended to identify immediate life threatening injuries
within 2 minutes Right Ans - yes
, Higher scene times maybe from poor collaboration Right Ans - yes
Find the cause of abnormal findings to determine load and go situations
Right Ans - yes
Only four things stop the primary survey- safety, bleeding, airway obstruction,
cardiac arrest Right Ans - safety, bleeding, airway obstruction, cardiac
arrest
First priority in trauma management- stop bleeding. delegate it or do it
yourself Right Ans - stop bleeding, delegate it or do it yourself
Thoracic region injury Right Ans - life threatening hemorrhage: liver,
spleen
True abdomen injury Right Ans - -infection, peritonitis, shock, intestines
-severe hemorrhage with signs
Retroperitoneal abdomen trauma Right Ans - -severe hemorrhage hidden,
major vessels
Penetrating abdominal injury Right Ans - -abdominal injury is chest; chest
is abdominal
-gluteal area in 50 percent of significant injuries
When palpating, where do you want to start Right Ans - start away from
the injury and palpate towards injury
Splenic injury Right Ans - referred left posterior shoulder pain (KEHRS
SIGN)
Liver injury Right Ans - Referred right posterior shoulder pain
Severe hemorrhage Right Ans - -distension in the abdomen
Serum lactate levels Right Ans - -looks at metabolites in the blood. looks for
early signs of shock
