ITLS Exam – Correctly Answered Questions (Rated A+)
Which of the following will generally suffer the LEAST structural damage from
a gunshot wound from a rifle? Right Ans - Lung
Which is always the FIRST step in performing a Scene Size-Up? Right Ans -
Standard Precautions
What are the MOST important factors in determining injuries sustained in a
fall? Right Ans - Distance of fall; anatomical area impacted; surface struck
The MOST common trauma is caused by which of the following? Right Ans -
Motion
The primary factor of an explosion is due to which of the following? Right
Ans - Blasted air
Which equipment is essential when first approaching the trauma patient?
Right Ans - Rigid carnival extrication collar
Which area of the spine is MOST susceptible to injury in a rear-impact motor
vehicle collision? Right Ans - Cervical
Which of the following options BEST describes a windshield survey? Right
Ans - Performing a Scene Size-up through the windshield before exiting the
ambulance
Which of the following mechanisms is related to blunt trauma? Right Ans -
NOT:
Knives
Projectiles
The entry wound of a bullet from a weapon fired at close range is typically
characterized by which of the following? Right Ans - 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? Right Ans - 5 minutes or less
, Which of the following findings would be a reason to interrupt the ITLS
Primary Survey? Right Ans - 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? Right Ans -
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? Right Ans - Perform a focused exam
In a patient with a decreased level of consciousness, when is the Glasgow
Coma Scale FIRST performed Right Ans - 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? Right Ans -
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? Right Ans - 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? Right Ans -
Perform a Rapid Trauma Survey
Which of the following injuries would change an otherwise stable trauma
patient's category to "load-and-go"? Right Ans - Bilateral femur fractures
Which of the following trauma situations would be considered "load-and-go"?
Right Ans - Not:
-Awake and alert patient who has blood coming out of one ear
Which of the following will generally suffer the LEAST structural damage from
a gunshot wound from a rifle? Right Ans - Lung
Which is always the FIRST step in performing a Scene Size-Up? Right Ans -
Standard Precautions
What are the MOST important factors in determining injuries sustained in a
fall? Right Ans - Distance of fall; anatomical area impacted; surface struck
The MOST common trauma is caused by which of the following? Right Ans -
Motion
The primary factor of an explosion is due to which of the following? Right
Ans - Blasted air
Which equipment is essential when first approaching the trauma patient?
Right Ans - Rigid carnival extrication collar
Which area of the spine is MOST susceptible to injury in a rear-impact motor
vehicle collision? Right Ans - Cervical
Which of the following options BEST describes a windshield survey? Right
Ans - Performing a Scene Size-up through the windshield before exiting the
ambulance
Which of the following mechanisms is related to blunt trauma? Right Ans -
NOT:
Knives
Projectiles
The entry wound of a bullet from a weapon fired at close range is typically
characterized by which of the following? Right Ans - 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? Right Ans - 5 minutes or less
, Which of the following findings would be a reason to interrupt the ITLS
Primary Survey? Right Ans - 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? Right Ans -
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? Right Ans - Perform a focused exam
In a patient with a decreased level of consciousness, when is the Glasgow
Coma Scale FIRST performed Right Ans - 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? Right Ans -
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? Right Ans - 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? Right Ans -
Perform a Rapid Trauma Survey
Which of the following injuries would change an otherwise stable trauma
patient's category to "load-and-go"? Right Ans - Bilateral femur fractures
Which of the following trauma situations would be considered "load-and-go"?
Right Ans - Not:
-Awake and alert patient who has blood coming out of one ear
