ITLS | Exam Questions with Solutions |
100% Correct - Verified
• Common injuries for frontal collisions? -✓✓Windshield, whiplash, steering
wheel, compression, dashboard
• Common injuries for lateral collisions? -✓✓Lateral displacement, side impact
• Common injuries for rear collisions? -✓✓Whiplash, spinal, deceleration
• Common injuries for rollover collisions? -✓✓Axial-loading, ejections, impact,
whiplash, etc.
• Common injuries for rotational collisions? -✓✓frontal impact, lateral impact
injuries
• Should you board someone with a penetrating injury if the injury is not near the
spine? -✓✓No
• What are the five different blast injuries? -✓✓Primary, secondary, tertiary,
quaternary, quinary
• Primary blast injuries? -✓✓initial air blast
• Secondary blast injuries? -✓✓shrapnel hits
• Tertiary blast injuries? -✓✓body being thrown into ground or other objects
• Quaternary blast injuries? -✓✓Thermal burns or respiratory injuries from
inhalation of fumes
• Quinary blast injuries? -✓✓contamination by chemical, biological, or
radiological material
• What is the highest cause of death in young people? -✓✓Trauma
,• What are the three things that you're allowed to interrupt the primary survey? -
✓✓Scene becomes unsafe, treatment of airway obstruction, treatment of cardiac
arrest
• What's the goal to complete primary survey? -✓✓less than two minutes and on
scene time of 5 minutes or less
• What is the "fix-it" process? -✓✓Delegating to team interventions and continuing
the assessment
• What's the first thing to be done in a trauma? -✓✓Control bleeding then airway
• If the chest is moving but you don't feel air, is the pt breathing adequately? -
✓✓No
• What is the general rule for all patients with multi-system trauma? -✓✓High-flow
supplemental oxygen, keeping the pulse oximeter reading around 95% rather than
100%
• What should be done with bleeding that is not controlled with pressure? -
✓✓Tourniquet, if a hemostatic agent and pressure fails.
• When should you obtain a SAMPLE history and why? -✓✓At the same time you
are performing the pt assessment (another EMT can be doing this) because you
may be obtaining info from bystanders who won't be transporting.
• What are the critical injuries and conditions in which you should transport
immediately? -✓✓AMS, abnormal breathing, abnormal circulation, injuries that
could lead to shock, significant mechanism of injury or general health
• What procedures should not be performed before rapid transport? -✓✓non-
lifesaving procedures such as splinting, bandaging, IV access, or elective
endotracheal intubation
• Per ITLS, when should reassessment in the ongoing exam occur? -✓✓critical
patients every 5 minutes, stable patients every 15 minutes.
, • During what occurrences, should the ongoing exam be performed? -✓✓each time
the pt is moved, each time an intervention is performed, any time the patient's
condition worsens.
• When should a secondary assessment be performed? -✓✓During transport rather
than on scene, unless primary survey does not reveal a critical condition
• What does TIC stand for? -✓✓Tenderness, instability, and crepitus
• When should a glucose check be obtained for AMS in a trauma? -✓✓Ongoing
exam
• What is serum lactate a good marker for? -✓✓Tissue hypoxia, predictor of shock
• What is a FAST exam and what is it good for? -✓✓Focused Assessment with
Sonography in Trauma, good for assessing trauma in the abdomen
• What is the chest wall comprised of? -✓✓skin, subcutaneous tissue, muscle, ribs,
and the neurovascular bundle (which runs around the lower border of the rib)
• How much blood can the adult thoracic cavity contain? -✓✓Up to 3 liters on each
side
• What does the mediastinum include? -✓✓heart, aorta, pulmonary artery, superior
and inferior vena cava, trachea, major bronchi, and esophagus
• Where is the diaphragm located? -✓✓lower six ribs and xyphoid process
• What nerve innervates the diaphragm and where does it originate in the cervical
spine? -✓✓Phrenic nerve, originating from C3-C5
• What injuries are responsible for most deaths on scene? -✓✓Chest injuries
• What life-threatening thoracic should be identified immediately during the ITLS
primary survey? -✓✓Airway obstruction, flail chest, open pnuemo, massive
hemothorax, tension pnuemo, cardiac tamponade
100% Correct - Verified
• Common injuries for frontal collisions? -✓✓Windshield, whiplash, steering
wheel, compression, dashboard
• Common injuries for lateral collisions? -✓✓Lateral displacement, side impact
• Common injuries for rear collisions? -✓✓Whiplash, spinal, deceleration
• Common injuries for rollover collisions? -✓✓Axial-loading, ejections, impact,
whiplash, etc.
• Common injuries for rotational collisions? -✓✓frontal impact, lateral impact
injuries
• Should you board someone with a penetrating injury if the injury is not near the
spine? -✓✓No
• What are the five different blast injuries? -✓✓Primary, secondary, tertiary,
quaternary, quinary
• Primary blast injuries? -✓✓initial air blast
• Secondary blast injuries? -✓✓shrapnel hits
• Tertiary blast injuries? -✓✓body being thrown into ground or other objects
• Quaternary blast injuries? -✓✓Thermal burns or respiratory injuries from
inhalation of fumes
• Quinary blast injuries? -✓✓contamination by chemical, biological, or
radiological material
• What is the highest cause of death in young people? -✓✓Trauma
,• What are the three things that you're allowed to interrupt the primary survey? -
✓✓Scene becomes unsafe, treatment of airway obstruction, treatment of cardiac
arrest
• What's the goal to complete primary survey? -✓✓less than two minutes and on
scene time of 5 minutes or less
• What is the "fix-it" process? -✓✓Delegating to team interventions and continuing
the assessment
• What's the first thing to be done in a trauma? -✓✓Control bleeding then airway
• If the chest is moving but you don't feel air, is the pt breathing adequately? -
✓✓No
• What is the general rule for all patients with multi-system trauma? -✓✓High-flow
supplemental oxygen, keeping the pulse oximeter reading around 95% rather than
100%
• What should be done with bleeding that is not controlled with pressure? -
✓✓Tourniquet, if a hemostatic agent and pressure fails.
• When should you obtain a SAMPLE history and why? -✓✓At the same time you
are performing the pt assessment (another EMT can be doing this) because you
may be obtaining info from bystanders who won't be transporting.
• What are the critical injuries and conditions in which you should transport
immediately? -✓✓AMS, abnormal breathing, abnormal circulation, injuries that
could lead to shock, significant mechanism of injury or general health
• What procedures should not be performed before rapid transport? -✓✓non-
lifesaving procedures such as splinting, bandaging, IV access, or elective
endotracheal intubation
• Per ITLS, when should reassessment in the ongoing exam occur? -✓✓critical
patients every 5 minutes, stable patients every 15 minutes.
, • During what occurrences, should the ongoing exam be performed? -✓✓each time
the pt is moved, each time an intervention is performed, any time the patient's
condition worsens.
• When should a secondary assessment be performed? -✓✓During transport rather
than on scene, unless primary survey does not reveal a critical condition
• What does TIC stand for? -✓✓Tenderness, instability, and crepitus
• When should a glucose check be obtained for AMS in a trauma? -✓✓Ongoing
exam
• What is serum lactate a good marker for? -✓✓Tissue hypoxia, predictor of shock
• What is a FAST exam and what is it good for? -✓✓Focused Assessment with
Sonography in Trauma, good for assessing trauma in the abdomen
• What is the chest wall comprised of? -✓✓skin, subcutaneous tissue, muscle, ribs,
and the neurovascular bundle (which runs around the lower border of the rib)
• How much blood can the adult thoracic cavity contain? -✓✓Up to 3 liters on each
side
• What does the mediastinum include? -✓✓heart, aorta, pulmonary artery, superior
and inferior vena cava, trachea, major bronchi, and esophagus
• Where is the diaphragm located? -✓✓lower six ribs and xyphoid process
• What nerve innervates the diaphragm and where does it originate in the cervical
spine? -✓✓Phrenic nerve, originating from C3-C5
• What injuries are responsible for most deaths on scene? -✓✓Chest injuries
• What life-threatening thoracic should be identified immediately during the ITLS
primary survey? -✓✓Airway obstruction, flail chest, open pnuemo, massive
hemothorax, tension pnuemo, cardiac tamponade
