ITLS Adult Basic 3

Question 1

What is the ITLS Basic recommended method for controlling severe external hemorrhage as the first intervention?

Accepted Answer

Direct pressure with a sterile dressing

Answer

Elevation of the extremity

Answer

Application of a tourniquet

Answer

Pressure point proximal to the wound

Question 2

An EMT arrives at a scene where a patient has been ejected from a vehicle. The patient is unresponsive with snoring respirations. What should be done first?

Accepted Answer

Perform a jaw thrust maneuver

Answer

Apply a cervical collar

Answer

Check for a pulse

Answer

Begin chest compressions

Question 3

According to ITLS Basic, what is the significance of the 'golden hour' concept in trauma care?

Accepted Answer

Critically injured patients have the best survival outcomes when they receive definitive surgical care within approximately one hour of injury

Answer

All trauma patients must be treated within one hour of EMS arrival

Answer

It refers to the first hour of hospital admission

Answer

It means prehospital care should last exactly one hour

Question 4

During a focused assessment of a stable trauma patient who was struck in the right flank, which finding would most concern you for internal organ injury?

Accepted Answer

Guarding and rigidity in the right upper quadrant

Answer

Tenderness over the right iliac crest

Answer

A small abrasion over the right hip

Answer

Mild swelling over the right lower ribs

Question 5

What is the correct order of assessment in the ITLS Basic primary survey?

Accepted Answer

Airway, Breathing, Circulation, Disability, Expose

Answer

Circulation, Airway, Breathing, Disability, Expose

Answer

Disability, Airway, Breathing, Circulation, Expose

Answer

Breathing, Airway, Circulation, Expose, Disability

Question 6

A patient involved in a rollover MVC is ambulatory at the scene and states he feels fine. His vitals are: HR 110, BP 100/70, RR 22. What should the EMT suspect?

Accepted Answer

The patient may be in compensated shock despite appearing well

Answer

The patient is simply anxious from the accident

Answer

The patient does not need further assessment

Answer

These vital signs are normal for someone involved in an MVC