ITLS Adult Basic 2

Question 1

During an ITLS Basic primary survey, you find a patient responsive only to painful stimuli. What is the most appropriate airway maneuver for this patient with a suspected cervical spine injury?

Accepted Answer

Jaw thrust without head extension

Answer

Head-tilt chin-lift

Answer

Nasopharyngeal airway insertion only

Answer

Immediate oral intubation

Question 2

What is the primary purpose of the ITLS initial assessment performed from the doorway or upon approach?

Accepted Answer

To form a general impression of the patient's condition

Answer

To determine the exact mechanism of injury

Answer

To calculate the Glasgow Coma Scale score

Answer

To identify all injuries present

Question 3

In ITLS Basic, which of the following patients meets criteria for rapid transport to a trauma center?

Accepted Answer

A patient with a penetrating wound to the abdomen

Answer

A patient with an isolated wrist fracture and stable vitals

Answer

A patient with a superficial laceration to the forearm

Answer

A patient with a sprained ankle from a ground-level fall

Question 4

When performing a primary survey on a trauma patient, you notice paradoxical chest wall movement. What condition does this indicate?

Accepted Answer

Flail chest

Answer

Simple pneumothorax

Answer

Cardiac tamponade

Answer

Pulmonary embolism

Question 5

A basic-level EMT is assessing a responsive trauma patient who complains of difficulty breathing. Oxygen saturation reads 88%. What is the most appropriate immediate intervention?

Accepted Answer

Apply a non-rebreather mask at 15 L/min

Answer

Apply a nasal cannula at 2 L/min

Answer

Begin bag-valve-mask ventilation

Answer

Perform needle decompression

Question 6

During patient packaging for transport, which action is essential when securing a patient with a suspected spinal injury to a long backboard?

Accepted Answer

Secure the torso first, then the head

Answer

Secure the head first, then the torso

Answer

Only secure the extremities

Answer

Place the patient in a lateral recumbent position