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

Direct pressure with a sterile dressing is the initial recommended method for controlling external hemorrhage in ITLS Basic, as it is effective for most bleeding and immediately available.

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

Snoring respirations indicate airway obstruction from the tongue, which is an immediate life threat. The jaw thrust maneuver is the priority intervention to open the airway while protecting the cervical spine.

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

The golden hour emphasizes that critically injured patients have significantly better outcomes when they reach definitive surgical care (operating room) within approximately one hour of the time of injury.

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

Right upper quadrant guarding and rigidity after flank trauma suggests liver injury, which is the most commonly injured solid organ in blunt abdominal trauma and can cause life-threatening hemorrhage.

Question 5

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

Accepted Answer

Airway, Breathing, Circulation, Disability, Expose

Answer

The ITLS Basic primary survey follows ABCDE: Airway (with cervical spine protection), Breathing, Circulation, Disability (neurologic status), and Expose/Environment.

ITLS - International Trauma Life Support Practice Test

ITLS - International Trauma Life Support Practice Test

ITLS Adult Basic 3