EVIDENCE-BASED TRAUMA ASSESSMENT
AND MANAGEMENT: A COMPREHENSIVE
REVIEW OF THE ITLS 9TH EDITION
WRITTEN EXAMINATION
a 23 YO F fell from a second floor balcony. Upon arrival, you find
her lying in the grass. She responds to verbal commands and
your assessment reveals flat neck veins, normal chest, ABD, and
pelvic examinations. Her skin is cool, clammy, and ashen: respers
are rapid and shallow: radial pulses are too rapid to count and
thready. You place her on the heart monitor and it shows a wide-
complex tachycardia of about 280 BPM. You should suspect
A.) hypovolemic shock
B.) relative hypovolemic(high space) shock
C.) mechanical(obstructive) shock
D.) cardiogenic shock Correct Answer D
Which of the following is the correct orientation for inserting an IO
needle to the proximal tibia?
A.) medial to the midline, avoiding the growth plate
B.) medial to the midline, pointing toward the growth plate
,C.) lateral to the midline, avoiding the growth plate
D.) lateral to the midline, pointing towards the growth plate
Correct Answer A
Barbiturates as a sedative for the head-injured pt should be
administered carefully because they
A.) increase cerebral 02 demands
B.) increase ICP
C.) increase the likelihood of seizures
D.) decrease BP Correct Answer D
In which situation should an emergency rescue be performed?
A.) leaking antifreeze from a vehicle radiator
B.) amputated upper extremity
C.) sudden release of toxic fumes
D.) third trimester pregnant pt Correct Answer C
Which of the following is the most common cause of ABD trauma?
A.) aggressive bag-mask ventilations
B.) caustic ingestion
, C.) blunt force trauma
D.) penetrating trauma Correct Answer C
Proper immobilization of a forearm (radius and ulna) fx includes
splinting the
A.) elbow and fx site
B.) fx site only
C.) wrist and fx site
D.) wrist, elbow, and fx site Correct Answer D
a 33 YO M receives 15% partial thickness thermal burns. You
should
A.) clean and cover the burns with an antimicrobial sheet
B.) clean and apply ice packs to the burned area
C.) cover the burn w/ a clean, dry dressing
D.) apply burn cream Correct Answer C
a 3 YO M fell 9 feet. He has a decrease LOC and is making
persistent "grunting" sounds with respirations. Your initial tx is to:
A.) provide ventilatory support w/02
AND MANAGEMENT: A COMPREHENSIVE
REVIEW OF THE ITLS 9TH EDITION
WRITTEN EXAMINATION
a 23 YO F fell from a second floor balcony. Upon arrival, you find
her lying in the grass. She responds to verbal commands and
your assessment reveals flat neck veins, normal chest, ABD, and
pelvic examinations. Her skin is cool, clammy, and ashen: respers
are rapid and shallow: radial pulses are too rapid to count and
thready. You place her on the heart monitor and it shows a wide-
complex tachycardia of about 280 BPM. You should suspect
A.) hypovolemic shock
B.) relative hypovolemic(high space) shock
C.) mechanical(obstructive) shock
D.) cardiogenic shock Correct Answer D
Which of the following is the correct orientation for inserting an IO
needle to the proximal tibia?
A.) medial to the midline, avoiding the growth plate
B.) medial to the midline, pointing toward the growth plate
,C.) lateral to the midline, avoiding the growth plate
D.) lateral to the midline, pointing towards the growth plate
Correct Answer A
Barbiturates as a sedative for the head-injured pt should be
administered carefully because they
A.) increase cerebral 02 demands
B.) increase ICP
C.) increase the likelihood of seizures
D.) decrease BP Correct Answer D
In which situation should an emergency rescue be performed?
A.) leaking antifreeze from a vehicle radiator
B.) amputated upper extremity
C.) sudden release of toxic fumes
D.) third trimester pregnant pt Correct Answer C
Which of the following is the most common cause of ABD trauma?
A.) aggressive bag-mask ventilations
B.) caustic ingestion
, C.) blunt force trauma
D.) penetrating trauma Correct Answer C
Proper immobilization of a forearm (radius and ulna) fx includes
splinting the
A.) elbow and fx site
B.) fx site only
C.) wrist and fx site
D.) wrist, elbow, and fx site Correct Answer D
a 33 YO M receives 15% partial thickness thermal burns. You
should
A.) clean and cover the burns with an antimicrobial sheet
B.) clean and apply ice packs to the burned area
C.) cover the burn w/ a clean, dry dressing
D.) apply burn cream Correct Answer C
a 3 YO M fell 9 feet. He has a decrease LOC and is making
persistent "grunting" sounds with respirations. Your initial tx is to:
A.) provide ventilatory support w/02
