ITLS FINAL EXAM Questions and Answers Updated
2024/2025|| verified answer graded A+
Which injuries are by and large responsible for the majority of mortality
from trauma in the world? - CORRECT ANSWER: Motion
What are the three separate events in an MVC? - CORRECT
ANSWER: Machine collision, body collision, organ collision
Five forms of MVCs? - CORRECT ANSWER: Frontal, lateral, rear,
rollover, rotational
Common injuries for frontal collisions? - CORRECT ANSWER:
Windshield, whiplash, steering wheel, compression, dashboard
Common injuries for lateral collisions? - CORRECT ANSWER:
Lateral displacement, side impact
Common injuries for rear collisions? - CORRECT ANSWER:
Whiplash, spinal, deceleration
Common injuries for rollover collisions? - CORRECT ANSWER:
Axial-loading, ejections, impact, whiplash, etc.
,Common injuries for rotational collisions? - CORRECT ANSWER:
frontal impact, lateral impact injuries
Should you board someone with a penetrating injury if the injury is not
near the spine? - CORRECT ANSWER: No
What are the five different blast injuries? - CORRECT ANSWER:
Primary, secondary, tertiary, quaternary, quinary
Primary blast injuries? - CORRECT ANSWER: initial air blast
Secondary blast injuries? - CORRECT ANSWER: shrapnel hits
Tertiary blast injuries? - CORRECT ANSWER: body being thrown
into ground or other objects
Quaternary blast injuries? - CORRECT ANSWER: Thermal burns or
respiratory injuries from inhalation of fumes
Quinary blast injuries? - CORRECT ANSWER: contamination by
chemical, biological, or radiological material
What is the highest cause of death in young people? - CORRECT
ANSWER: Trauma
,What are the three things that you're allowed to interrupt the primary
survey? - CORRECT ANSWER: Scene becomes unsafe, treatment of
airway obstruction, treatment of cardiac arrest
What's the goal to complete primary survey? - CORRECT ANSWER:
less than two minutes and on scene time of 5 minutes or less
What is the "fix-it" process? - CORRECT ANSWER: Delegating to
team interventions and continuing the assessment
What's the first thing to be done in a trauma? - CORRECT ANSWER:
Control bleeding then airway
If the chest is moving but you don't feel air, is the pt breathing
adequately? - CORRECT ANSWER: No
What is the general rule for all patients with multi-system trauma? -
CORRECT ANSWER: High-flow supplemental oxygen, keeping the
pulse oximeter reading around 95% rather than 100%
What should be done with bleeding that is not controlled with pressure?
- CORRECT ANSWER: Tourniquet, if a hemostatic agent and pressure
fails.
When should you obtain a SAMPLE history and why? - CORRECT
ANSWER: At the same time you are performing the pt assessment
, (another EMT can be doing this) because you may be obtaining info
from bystanders who won't be transporting.
What are the critical injuries and conditions in which you should
transport immediately? - CORRECT ANSWER: AMS, abnormal
breathing, abnormal circulation, injuries that could lead to shock,
significant mechanism of injury or general health
What procedures should not be performed before rapid transport? -
CORRECT ANSWER: non-lifesaving procedures such as splinting,
bandaging, IV access, or elective endotracheal intubation
Per ITLS, when should reassessment in the ongoing exam occur? -
CORRECT ANSWER: critical patients every 5 minutes, stable patients
every 15 minutes.
During what occurrences, should the ongoing exam be performed? -
CORRECT ANSWER: each time the pt is moved, each time an
intervention is performed, any time the patient's condition worsens.
When should a secondary assessment be performed? - CORRECT
ANSWER: During transport rather than on scene, unless primary survey
does not reveal a critical condition
What does TIC stand for? - CORRECT ANSWER: Tenderness,
instability, and crepitus