ITLS WRITTEN FINAL REVIEW EXAM QUESTIONS

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ITLS WRITTEN FINAL REVIEW EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -40 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: If you have a trauma patient who presents with signs of shock but you CANNOT find any sign of significant trauma, what now?

Answer:

MUST consider a medical problem that turned into a trauma (*diabetic) Question 2: During primary assessment (ABC), what can a medic delegate a crew member to do?

Answer:

• oxygenate patient

• hold c-spine

Question 3: Windshield survey is done when?

Answer:

during scene size-up Question 4: A patient who does not have a head injury, and is intubated, manage CO2 levels where?

Answer:

CO2 at 35-45

Question 5: How to manage cerebral herniation?

Answer:

hyperventilate w/ BVM at 20 bpm Question 6: As per ITLS, NOT ALL patients need to be placed on backboards (example?)

Answer:

patient with a stab wound to axillary chest Question 7: If you're presented wit ha patient who comes out of a house fire with no obvious burns, who is complaining of being light-headed and dizzy, suspect what?

Answer:

toxic inhalation exposure

Question 8: Pleural decompression entails what?

Answer:

• mid-clavicular
• second intercostal space
• above the third rib (*do not go under the second rib to avoid damage to the blood vessels and nerves)

Question 9: Airway management will interrupt what?

Answer:

the only thing that would interrupt a primary assessment Question 10: Knee dislocations are most likely to be associated with what other damage?

Answer:

damage to nerves and arteries Question 11: Signs and symptoms of cardiac tamponade include:

Answer:

• hypotension
• JVD
• muffled heart tones
• pulses paradoxical

Question 12: What sort of assessment is done for an elderly patient involved in a moderate auto accident?

Answer:

a rapid trauma assessment

Question 13: A pregnant trauma patient with hypovolemia is treat how?

Answer:

place her on her left lateral side in order to get the fetus off the vena cava

Question 14: A patient with spinal precautions begins to vomit; how to treat?

Answer:

• tilt backboard

• suction

Question 15: Signs and symptoms of a tension pneumothorax include:

Answer:

• AMS
• signs of shock (P/C/D, hypotension)
• JVD
• diminished/absent lung sounds on affected side

Question 16: What is used to assist in visualizing the cords during intubation?

Answer:

"Sellick" maneuver: posterior pressure on the cricoid cartilage to prevent gastric inflation and vomiting

(Ex: external laryngeal manipulation is used to improve glottis visualization)

Question 17: All trauma patients EXCEPT which are fluid resuscitated until a systolic BP of

80-90:

Answer:

head injury patients

Question 18: Isolated sternum fractures should be delt with how?

Answer:

• by placing the patient on the cardiac monitor

Question 19: Difference(s) between a pneumothorax and a tension pneumothorax:

Answer:

signs of shock Question 20: How to know how much volume to give a trauma patient without a head injury?

Answer:

20ml/kg (*PT's wt. in lbs., add a zero. Example: Pt weighs 130lbs.; give 1300cc's of fluid, in (2) large bore IVs Question 21: If you are presented with a head injury patient who is showing signs and symptoms of cerebral herniation, how to treat?

Answer:

• maintain them at a CO2 level of 30-35 and,

• O2 sat of 95% or greater

Question 22: A tension pneumothorax is considered what kind of shock?

Answer:

mechanical Question 23: Signs and Symptoms of cerebral herniation:

Answer:

• hypertension

• bradycardia

• decr. LOC that rapidly progresses to coma

• decerebrate posturing

• dilated pupils
• paralysis on the side opposite to the injury

Question 24: Emergency rescue is done in which environments?

Answer:

toxic environments