ITLS Extremity Trauma Management 2

Question 1

A patient has a closed femur fracture with significant thigh swelling. How much blood can be lost into the thigh from this injury alone?

Accepted Answer

1000-1500 mL

Answer

250-500 mL

Answer

500-750 mL

Answer

2500-3000 mL

Question 2

What is the correct application technique for a traction splint on a midshaft femur fracture?

Accepted Answer

Secure the ischial pad at the groin, apply manual traction to realign, then apply mechanical traction at the ankle

Answer

Apply traction at the hip and secure at the knee

Answer

Apply the splint without any traction to avoid further injury

Answer

Wrap the splint around both legs for bilateral stabilization

Question 3

During assessment of a forearm injury, you find the patient cannot extend their wrist or fingers and has numbness over the dorsal first web space. Which nerve is likely injured?

Accepted Answer

Radial nerve

Answer

Median nerve

Answer

Ulnar nerve

Answer

Musculocutaneous nerve

Question 4

A patient has an open fracture of the tibia with bone visible through the wound. What is the correct prehospital management sequence?

Accepted Answer

Control bleeding, cover the wound with a sterile moist dressing, splint in position found, and transport

Answer

Push the bone back in, then splint and wrap

Answer

Irrigate the wound with saline, reduce the fracture, then apply a rigid splint

Answer

Apply a tourniquet above the knee regardless of bleeding status

Question 5

What are the five P's of neurovascular compromise that ITLS providers must assess in extremity injuries?

Accepted Answer

Pain, Pallor, Pulselessness, Paresthesia, Paralysis

Answer

Pressure, Pulse, Position, Perfusion, Protection

Answer

Pulse, Pupils, Pain, Posture, Perspiration

Answer

Perfusion, pH, Pressure, Pulse oximetry, Pain scale

Question 6

A patient has sustained a posterior hip dislocation in a head-on MVC. In what position will the affected leg typically be found?

Accepted Answer

Flexed, internally rotated, and adducted

Answer

Extended, externally rotated, and abducted

Answer

Extended, neutral rotation

Answer

Flexed, externally rotated, and abducted