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ITLS TEST QUESTIONS AND
ANSWERS
Question :a 34 year old man is injured in an MVC.
Physical exam is normal except of diffuse abdominal tenderness. He is conscious and vitals signs obtained en route to the hospital are rr of 20, P120, bp 100/60. how should this patient be managed in the field?
Correct answer:iv fluids TKO rate. Pt is not in shock
Question :What is Sellicks maneuver
Correct answer:Posteriorly directed pressure applied to
the cricoid cartilage. usually done by a third person and done to occlude the esophagus; not get better view
Question :16 yr old girl rescued from a burning house.
She has 25% partial thickness burns, and the burned areas are hot to the touch. What is the appropriate treatment?
Correct answer:Apply iced water
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Question :Proper immobilization of a forearm fracture
(raise and ulna) involve splinting which of the following?*
Correct answer:wrist, elbow, and fx site
Question :what treatment is NOT indicated in the routine
management of the patient with a head injury
Correct answer:hyperventilating to obtain an etCo2 of 30.
Only done in circumstances like cushings, unequal pupils, posturing, signs of imminent herniation
Question :Which of the following sets of vitals is most
compatible with a dx of isolated head injury with increasing intracranial pressure?
Correct answer:bp 170/ 100, P50, (cushings)
Question :which of the following trauma situations is
considered load and go? (know who is a load and go and when to load and go)*
Correct answer:pt with abdominal tenderness, clammy
skin, bp 100/70, and pulse of 130
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Question :which one of the following is a reason to
interrupt an initial assssment
Correct answer:cardiac arrest
Question :which of the following should be performed on
scene of a load and go prior to moving the trauma patient to the ambulance?
Correct answer:decompression of a tension pneumothorax
Question :a 24 year old woman is found laying on the
sidewalk after jumping from a fourth story window. she is hypotensive, diaphoretic, tachycardia, and unconscious.Injuries include open skull fx, pelvic fx, and flail chest.What should your goal time be?
Correct answer:5 minutes or less
Question :which of the following injuries would change
an otherwise stable trauma pt's category from stable to load and go?
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Correct answer:bilateral femur fx
Question :what is most commonly injured during a fall
from height in infants?
Correct answer:head
Question :First choice for an IO site
Correct answer:proximal tibia
Question :which of the following will generally suffer
least structural damage from a gunshot wound from a rifle? (know the difference between hollow and solid organ penetration)
Correct answer:(know the difference between hollow and
solid organ penetration)
Question :a 34 year old man has a gunshot wound to the
right groin area. arterial bleeding, which cannot be controlled with direct pressure, is coming from the wound. The patient appears confused, diaphoretic, and