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

The jaw thrust without head extension is the preferred airway maneuver for trauma patients with suspected cervical spine injury, as it opens the airway without moving the neck.

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

The initial assessment (general impression) helps providers quickly categorize the patient as stable, potentially unstable, or unstable, guiding the urgency and approach of subsequent assessment.

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

Penetrating wounds to the torso are a physiologic and mechanism-based indicator for rapid transport to a trauma center per ITLS guidelines.

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

Paradoxical chest wall movement—a segment of the chest wall moving inward during inspiration and outward during expiration—indicates flail chest caused by multiple adjacent rib fractures.

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

For a responsive trauma patient with hypoxia, a non-rebreather mask at 15 L/min providing approximately 90% FiO2 is the most appropriate initial oxygen delivery method at the basic level.

ITLS - International Trauma Life Support Practice Test

ITLS - International Trauma Life Support Practice Test

ITLS Adult Basic 2