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ITLS EXAM QUESTIONS
Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -50 Questions and Answers
-Format: Multiple-choice / Flashcard
Question 1: A disoriented 23 YO M is injured in a motorcycle collision. The pt appears to be intoxicated and does not want medical attention despite a large lac on his scalp, which is actively bleeding. You should A.) have the pt call a friend or family member and have them drive him home and sleep it off B.) discuss the impact of alcohol abuse with him C.) treat him as a head injured pt D.) wait until the pt loses consciousness and then transport
Answer:
C Question 2: A brief neuro exam of an AMS pt includes:
A.) GCS, BGL, PEERLA
B.) BGL, SP02, PEERLA
C.) GCS, corneal reflex, capno D.) corneal reflex, PEERLA, MSPs
Answer:
A
Question 3: 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
Answer:
C Question 4: Which of the following findings would indicate the airway needs to be suctioned?A.) gurgling sounds w/ respiration B.) poor respiratory effort C.) shock D.) presence of dried blood in the nares
Answer:
A Question 5: Which of the following has a greater chance of surviving traumatic cardiac arrest?A.) pts who suffer blunt force trauma to the torso B.) pts w/ non dilated pupils C.) pts with dilated unresponsive pupils D.) pts with penetrating chest trauma who are hypothermic
Answer:
B Question 6: 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, and normal chest, ABD, and pelvis examinations. Vitals are BP: 74/40, P: 54 and weak, and respers:
- You should suspect
A.) hypovolemic shock B.) relative hypovolemic(high space) shock C.) mechanical(obstructive) shock D.) cardiogenic shock
Answer:
B Question 7: 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
Answer:
D
Question 8: the purpose of the ITLS primary survey is to
A.) identify all immediate life threats within the first 2 minutes B.) establish measured baseline vitals C.) obtain a detailed medical hx D.) determine if the pt has any medical allergies
Answer:
A Question 9: Which of the following changes is most useful to monitor in the child with head injury?A.) frequency of vomiting
B.) LOC
C.) reflexes D.) sensory exam
Answer:
B Question 10: Which of the following organs is contained in the retroperitoneal region of the ABD?A.) stomach B.) liver C.) kidney D.) uterus
Answer:
C
Question 11: a 24 YO M is involved in a head on collision. IF you suspect
A.) lower leg injuries: administer fluid resuscitation at 20 ml/kg
B.) a spinal injury: administer sedation
C.) a head injury: administer an anti-seizure med
D.) a chest injury: obtain an EKG
Answer:
D Question 12: A 31 YO F was the restrained driver of a vehicle that hit a utility pole at moderate speed. The driver's side airbag deployed. She is AO and anxious. She reports that she is 8 months pregnant and complains of ABD, chest,. and lower extremity pain., Her vital: BP: 100/60, P:90, Respers: 20. Your impressions and interventions are: A.) compensated shock treated w/ 02, fluid administration at 20ml/kg B.) anxiety treated w/ emotional support and transport C.) normal vital signs, no intervention required except transport
D.) early signs of shock treated w/02 and fluid admin
Answer:
D
Question 13: Prolonged scene times may reflect
A.) a decrease in death rates B.) delivery of better care C.) accomplishment of interventions D.) ineffective team collaboration
Answer:
D
Question 14: What site is generally the easiest to landmark for IO infusion?
A.) proximal femur B.) distal humerus C.) proximal tibia D.) distal fibula
Answer:
C
Question 15: an unresponsive 34 YO F was struck by a motor vehicle. You observe
asymmetrical chest wall movement with a flail segment on the right. Following delegation of c-spine control and opening the airway you should A.) consider BVM B.) place a c collar C.) low-flo 02 D.) establish pain management meds
Answer:
A Question 16: a 33 YO F's leg was trapped in a piece of industrial equipment and has been extricated. She is now complaining of severe lower leg pain. Pt is AO w/ no signs of external hemorrhage. Vitals: BP:132/78, P:96, respers:20. which of the following is indicated?A.) apply a TQ proximal to the injury site B.) administer sodium bicarb C.) administer a pain med D.) apply a traction splint
Answer:
c
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