ITLS | Complete Questions and Answers |
100% Correct - A+
‣ Which is always the FIRST step in performing a Scene Size-Up? -✓✓Standard
Precautions
‣ What are the MOST important factors in determining injuries sustained in a fall? -
✓✓Distance of fall; anatomical area impacted; surface struck
‣ The MOST common trauma is caused by which of the following? -✓✓Motion
‣ The primary factor of an explosion is due to which of the following? -✓✓Blasted air
‣ Which equipment is essential when first approaching the trauma patient? -✓✓Rigid
carnival extrication collar
‣ Which area of the spine is MOST susceptible to injury in a rear-impact motor vehicle
collision? -✓✓Cervical
‣ Which of the following options BEST describes a windshield survey? -✓✓Performing a
Scene Size-up through the windshield before exiting the ambulance
‣ Which of the following mechanisms is related to blunt trauma? -✓✓NOT:
Knives
Projectiles
‣ The entry wound of a bullet from a weapon fired at close range is typically
characterized by which of the following? -✓✓Dark burned edges
‣ A 24-year-old woman is found lying on the sidewalk after jumping from a 4th story
window. She is hypotensive, diaphoretic, tachycardic, and unconscious. Injuries include
an open skull fracture, pelvis fractures, and flail chest. What should be your goal for
your on-scene time? -✓✓5 minutes or less
‣ Which of the following findings would be a reason to interrupt the ITLS Primary
Survey? -✓✓Airway obstruction
‣ Which one of the following should be performed at the scene of a "load-and-go"
trauma, prior to moving the patient to the ambulance? -✓✓Decompress tension
pneumothorax
, ‣ A 12-year-old softball player slid into second base and jammed his foot/ankle. When
he was unable to continue playing, his coach called EMS. Upon arrival, you find a now-
shoeless male on the bench with an ice pack on his ankle. His breathing and pulses are
noted to be just fine, and there is no external bleeding. What should be done next? -
✓✓Perform a focused exam
‣ In a patient with a decreased level of consciousness, when is the Glasgow Coma
Scale FIRST performed -✓✓At the end of the Rapid Trauma Survey and while in the
ambulance
‣ A 20-year-old female is found after falling about 13 feet (4 meters) from a second-
story balcony. She has a radial pulse of about 100 bpm, respiration of 16 bpm, and no
external bleeding. What should be done next? -✓✓Perform a Rapid Trauma Survey
‣ En route to the hospital, your patient suddenly develops rapid respirations, a very
rapid and thready radial pulse, and a decreased LOC. What should be done next? -
✓✓Perform the ITLS Ongoing Exam
‣ A 2-year-old girl has been thrown from a motor vehicle during a high-speed chase. On
arrival, the scene is safe. The child is noted to have ineffective respirations and a
carotid pulse. There is no external bleeding. While your partner prepares to assist
ventilation, what should you do next? -✓✓Perform a Rapid Trauma Survey
‣ Which of the following injuries would change an otherwise stable trauma patient's
category to "load-and-go"? -✓✓Bilateral femur fractures
‣ Which of the following trauma situations would be considered "load-and-go"? -✓✓Not:
-Awake and alert patient who has blood coming out of one ear
-Patient who had a brief loss of consciousness but is now awake
‣ Which one of the following mnemonics can be used to help predict patients to whom
providing bag-valve-mask ventilation might be difficult? -✓✓BOOTS
‣ The terminal end of the airway where gas exchange takes place is the: -
✓✓Alveolocapillary membrane
‣ Normal EtCO2 is: -✓✓35-45 mmHg
‣ Which of the following is considered a blind insertion airway device (BIAD)? -✓✓King
airway
‣ Hyperventilating a patient is recommended in which of the following? -✓✓NOT:
-Before and after suctioning
-2-3 minutes before intubation attempts
100% Correct - A+
‣ Which is always the FIRST step in performing a Scene Size-Up? -✓✓Standard
Precautions
‣ What are the MOST important factors in determining injuries sustained in a fall? -
✓✓Distance of fall; anatomical area impacted; surface struck
‣ The MOST common trauma is caused by which of the following? -✓✓Motion
‣ The primary factor of an explosion is due to which of the following? -✓✓Blasted air
‣ Which equipment is essential when first approaching the trauma patient? -✓✓Rigid
carnival extrication collar
‣ Which area of the spine is MOST susceptible to injury in a rear-impact motor vehicle
collision? -✓✓Cervical
‣ Which of the following options BEST describes a windshield survey? -✓✓Performing a
Scene Size-up through the windshield before exiting the ambulance
‣ Which of the following mechanisms is related to blunt trauma? -✓✓NOT:
Knives
Projectiles
‣ The entry wound of a bullet from a weapon fired at close range is typically
characterized by which of the following? -✓✓Dark burned edges
‣ A 24-year-old woman is found lying on the sidewalk after jumping from a 4th story
window. She is hypotensive, diaphoretic, tachycardic, and unconscious. Injuries include
an open skull fracture, pelvis fractures, and flail chest. What should be your goal for
your on-scene time? -✓✓5 minutes or less
‣ Which of the following findings would be a reason to interrupt the ITLS Primary
Survey? -✓✓Airway obstruction
‣ Which one of the following should be performed at the scene of a "load-and-go"
trauma, prior to moving the patient to the ambulance? -✓✓Decompress tension
pneumothorax
, ‣ A 12-year-old softball player slid into second base and jammed his foot/ankle. When
he was unable to continue playing, his coach called EMS. Upon arrival, you find a now-
shoeless male on the bench with an ice pack on his ankle. His breathing and pulses are
noted to be just fine, and there is no external bleeding. What should be done next? -
✓✓Perform a focused exam
‣ In a patient with a decreased level of consciousness, when is the Glasgow Coma
Scale FIRST performed -✓✓At the end of the Rapid Trauma Survey and while in the
ambulance
‣ A 20-year-old female is found after falling about 13 feet (4 meters) from a second-
story balcony. She has a radial pulse of about 100 bpm, respiration of 16 bpm, and no
external bleeding. What should be done next? -✓✓Perform a Rapid Trauma Survey
‣ En route to the hospital, your patient suddenly develops rapid respirations, a very
rapid and thready radial pulse, and a decreased LOC. What should be done next? -
✓✓Perform the ITLS Ongoing Exam
‣ A 2-year-old girl has been thrown from a motor vehicle during a high-speed chase. On
arrival, the scene is safe. The child is noted to have ineffective respirations and a
carotid pulse. There is no external bleeding. While your partner prepares to assist
ventilation, what should you do next? -✓✓Perform a Rapid Trauma Survey
‣ Which of the following injuries would change an otherwise stable trauma patient's
category to "load-and-go"? -✓✓Bilateral femur fractures
‣ Which of the following trauma situations would be considered "load-and-go"? -✓✓Not:
-Awake and alert patient who has blood coming out of one ear
-Patient who had a brief loss of consciousness but is now awake
‣ Which one of the following mnemonics can be used to help predict patients to whom
providing bag-valve-mask ventilation might be difficult? -✓✓BOOTS
‣ The terminal end of the airway where gas exchange takes place is the: -
✓✓Alveolocapillary membrane
‣ Normal EtCO2 is: -✓✓35-45 mmHg
‣ Which of the following is considered a blind insertion airway device (BIAD)? -✓✓King
airway
‣ Hyperventilating a patient is recommended in which of the following? -✓✓NOT:
-Before and after suctioning
-2-3 minutes before intubation attempts
