ITLS Advanced Test: Questions With Accurate Answers
What are the three separate events of a MVC? Right Ans - machine collision,
body collision and organ collision
What are the five common forms of MVC's? Right Ans - frontal
impact,lateral impact, rear impact, rollover, rotational
Occupants ejected from the vehicle are how many times more likely to have
serious injury? Right Ans - 3x more likely
What three factors need to be taken into account for fall injuries? Right Ans
- height, anatomic area impacted and the surface struck
Knife wound severity depends on what? Right Ans - anatomic area
penetrated, length of the blade, and angle of penetration
stab wounds below what intercostal space may have abdominal trauma?
Right Ans - the 4th intercostal space
what info is good to have about firearm injuries? Right Ans - type of gun,
caliber and distance from which it was fired
what is a low velocity weapon? Right Ans - anything slower than 2000fps
what factors contribute to tissue damage from a bullet? Right Ans -
size,missle deformity, semijacket,tumbling and yaw
what are the three wound from a bullet? Right Ans - entry,exit and internal
mechanism of injury by blast is due to what 5 factors? Right Ans - Primary (
pressure),Secondary (shrapnel) , tertiary (body is thrown), Quaternary
( burns, toxic dust ,fumes), Quniary ( chemical,biological and radiological
material )
what three things stop the primary survey? Right Ans - scene is unsafe,
FBAO,Cardiac arrest
, critical patients how long should on scene time be? Right Ans - less than 5
min
what is normal resp rate for adult ,children and infant? Right Ans - 10-
20,15-30 and 25-30
when should the ongoing exam be preformed? Right Ans - when the pt is
moved, when intervention is preformed and any time pts condition worsens
the adult thoracic cavity can contain how much blood on each side? Right
Ans - up to 3 litres
blunt or penetrating trauma below T4 / fourth intercostal may cause what?
Right Ans - intrathoracic and intrabdominal injuries
what is the deadly dozen? Right Ans - obstruction,flail chest,open
pneumothorax, massive hemothorax, tension pneumo, cardiac
tamponade,myocardial contusion , aortic rupture, tracheal or bronchial tree
injury, diaphragmatic tears, pulmonary contusion, blast injuries
what will a pt have with a flail chest? Right Ans - pulmonary contusion
what is gold care for flail segment? Right Ans - intubation with PEEP, or
CPAP if small segment
what is criteria for open pneumothorax? Right Ans - >3cm in diameter
( wound 2/3rds size of the trachea )
what is a massive hemothorax? Right Ans - the presence of at least 1500ml
of blood loss into the pleural space of the thoracic cavity
what is the difference between hemo and tension pneumothorax? Right
Ans - tension neck veins are distended with possible tracheal deviation, hyper
resonance on affected side as opposed to dull
what is criteria for needle decompression? Right Ans - respiratory distress
and cyanosis, loss of radial pulse , altered loc
What are the three separate events of a MVC? Right Ans - machine collision,
body collision and organ collision
What are the five common forms of MVC's? Right Ans - frontal
impact,lateral impact, rear impact, rollover, rotational
Occupants ejected from the vehicle are how many times more likely to have
serious injury? Right Ans - 3x more likely
What three factors need to be taken into account for fall injuries? Right Ans
- height, anatomic area impacted and the surface struck
Knife wound severity depends on what? Right Ans - anatomic area
penetrated, length of the blade, and angle of penetration
stab wounds below what intercostal space may have abdominal trauma?
Right Ans - the 4th intercostal space
what info is good to have about firearm injuries? Right Ans - type of gun,
caliber and distance from which it was fired
what is a low velocity weapon? Right Ans - anything slower than 2000fps
what factors contribute to tissue damage from a bullet? Right Ans -
size,missle deformity, semijacket,tumbling and yaw
what are the three wound from a bullet? Right Ans - entry,exit and internal
mechanism of injury by blast is due to what 5 factors? Right Ans - Primary (
pressure),Secondary (shrapnel) , tertiary (body is thrown), Quaternary
( burns, toxic dust ,fumes), Quniary ( chemical,biological and radiological
material )
what three things stop the primary survey? Right Ans - scene is unsafe,
FBAO,Cardiac arrest
, critical patients how long should on scene time be? Right Ans - less than 5
min
what is normal resp rate for adult ,children and infant? Right Ans - 10-
20,15-30 and 25-30
when should the ongoing exam be preformed? Right Ans - when the pt is
moved, when intervention is preformed and any time pts condition worsens
the adult thoracic cavity can contain how much blood on each side? Right
Ans - up to 3 litres
blunt or penetrating trauma below T4 / fourth intercostal may cause what?
Right Ans - intrathoracic and intrabdominal injuries
what is the deadly dozen? Right Ans - obstruction,flail chest,open
pneumothorax, massive hemothorax, tension pneumo, cardiac
tamponade,myocardial contusion , aortic rupture, tracheal or bronchial tree
injury, diaphragmatic tears, pulmonary contusion, blast injuries
what will a pt have with a flail chest? Right Ans - pulmonary contusion
what is gold care for flail segment? Right Ans - intubation with PEEP, or
CPAP if small segment
what is criteria for open pneumothorax? Right Ans - >3cm in diameter
( wound 2/3rds size of the trachea )
what is a massive hemothorax? Right Ans - the presence of at least 1500ml
of blood loss into the pleural space of the thoracic cavity
what is the difference between hemo and tension pneumothorax? Right
Ans - tension neck veins are distended with possible tracheal deviation, hyper
resonance on affected side as opposed to dull
what is criteria for needle decompression? Right Ans - respiratory distress
and cyanosis, loss of radial pulse , altered loc
