ITLS - International Trauma Life Support Extremity Trauma Management Questions and Answers

Question 1

A construction worker has a partial amputation of the lower leg with massive, pulsatile bleeding that is not controlled by direct pressure.
According to ITLS guidelines, what is the most appropriate immediate action?

Accepted Answer

Apply a tourniquet high and tight on the thigh.

Answer

Apply a hemostatic dressing deep into the wound.

Answer

Elevate the limb above the heart and apply pressure to the femoral artery.

Answer

Immediately package the patient for transport without further intervention.

Question 2

What is the most critical assessment that must be performed both before and after applying a splint to a fractured extremity?

Accepted Answer

Assessing for pulses, motor function, and sensation distal to the injury.

Answer

Measuring the length of the extremity.

Answer

Asking the patient to rate their pain on a scale of 1-10.

Answer

Photographing the injury for hospital documentation.

Question 3

A patient has a traumatic amputation of their hand at the wrist. The patient is stable and bleeding is controlled. Which of the following describes the correct management of the amputated part?

Accepted Answer

Wrap the hand in saline-moistened gauze, seal it in a plastic bag, and place the bag in a container of ice and water.

Answer

Place the hand directly in a container of ice to ensure maximum cooling.

Answer

Submerge the hand in a container of sterile saline to prevent dehydration.

Answer

Give the hand to a family member to transport to the hospital separately.

Question 4

A patient involved in a high-impact collision is hemodynamically unstable with a suspected pelvic fracture. What is the primary purpose of applying a pelvic binder?

Accepted Answer

To reduce the volume of the pelvic cavity and provide tamponade for venous bleeding.

Answer

To provide definitive anatomical reduction of the pelvic bones.

Answer

To splint associated femur fractures.

Answer

To completely eliminate the need for fluid resuscitation.

Question 5

A patient with a severe crush injury to the forearm complains of pain that is out of proportion to the visible injury. The forearm is tense, swollen, and the patient reports 'pins and needles' in their hand. These findings are most suggestive of which limb-threatening condition?

Accepted Answer

Acute compartment syndrome.

Answer

A simple contusion with expected swelling.

Answer

Complete transection of the radial nerve.

Answer

Arterial occlusion from a brachial artery laceration.

Question 6

Which of the following is a key contraindication for the application of a traction splint?

Accepted Answer

A suspected pelvic fracture.

Answer

A painful, swollen, and deformed mid-shaft femur.

Answer

An open fracture of the mid-shaft femur.

Answer

A patient who is tachycardic from blood loss.

A construction worker has a partial amputation of the lower leg with massive, pulsatile bleeding that is not controlled by direct pressure.According to ITLS guidelines, what is the most appropriate immediate action?

A construction worker has a partial amputation of the lower leg with massive, pulsatile bleeding that is not controlled by direct pressure.
According to ITLS guidelines, what is the most appropriate immediate action?