ITLS Basic Pre-Test Exam/50 Q’s and A’s
In a rear-impact motor vehicle crash, which area of the spine is most
susceptible to injury?
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal - -A. Cervical
-Prolonged scene times may reflect:
A. A decrease in death rates
B. Better care being delivered
C. Accomplishment of interventions
D. Ineffective team collaboration - -D. Ineffective team collaboration
-Which of the following indicates a state of hyperventilation?
A. An adult respiratory rate greater than 20 per minute
B. A tidal volume of less than 400 ml
C. An oxygen saturation greater than 94%
D. An end tidal carbon dioxide level less than 30 mmHg - -D. End tidal
carbon dioxide level less than 30mmHg
-A 54-year-old male is involved in a motor vehicle collision. The steering
wheel is bent. During your initial assessment, you note his skin is pale, radial
pulses are present and breath sounds are clear. Which one of the following is
most consistent with these findings?
A. Cardiac contusion
B. Traumatic aortic rupture
C. Flail chest
D. Tension pneumothorax - -A. Cadiac contusion
-Which of the following is considered one of the four essential components
to maintain normal perfusion?
A. Serum lactate levels
B. ETCO2 levels
C. SaO2 levels
D. Fluid levels - -D.Fluid levels
-As intracerebral pressure rises after an isolated head injury, what does the
systolic blood pressure do?
, A. Stays the same
B. Decreases
C. Increases
D. Changes randomly - -C. Increases
-Which of the following mechanisms of injury does not commonly cause
damage to the spinal cord?
A. Hyperextension
B. Hyperflexion
C. Lateral stress
D. Compression - -C. Lateral stress
-A 4-year-old female is unconscious after falling off a bicycle. Which of the
following is the best method to open the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift - -A. Modified jaw-thrust
-When performing the ITLS Primary Survey, the team leader may minimize
errors by:
A. Performing all interventions
B. Limiting crew roles
C. Permitting crew to continue the assessment
D. Delegating interventions - -D. Delegating interventions
-You have placed an NPA in your patient and now observe mild hemorrhage
from the nares. You should:
A. Immediately remove the NPA and pack the nose with gauze
B. Immediately remove the NPA and reinsert on the opposite nare
C. Leave the NPA in place so as not to disturb the clot or reactivate bleeding
D. Contact medical control as NPAs will not cause hemorrhage - -C. Leave
the NPA in place so as not to disturb the clot or reactivate bleeding
-A 27-year-old male with blunt chest trauma from a motor vehicle collision
was successfully intubated at the scene. While ventilating the patient, you
note resistance with an absence of right chest wall movement. You should
suspect a:
A. Flail chest
B. Gastric distention
In a rear-impact motor vehicle crash, which area of the spine is most
susceptible to injury?
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal - -A. Cervical
-Prolonged scene times may reflect:
A. A decrease in death rates
B. Better care being delivered
C. Accomplishment of interventions
D. Ineffective team collaboration - -D. Ineffective team collaboration
-Which of the following indicates a state of hyperventilation?
A. An adult respiratory rate greater than 20 per minute
B. A tidal volume of less than 400 ml
C. An oxygen saturation greater than 94%
D. An end tidal carbon dioxide level less than 30 mmHg - -D. End tidal
carbon dioxide level less than 30mmHg
-A 54-year-old male is involved in a motor vehicle collision. The steering
wheel is bent. During your initial assessment, you note his skin is pale, radial
pulses are present and breath sounds are clear. Which one of the following is
most consistent with these findings?
A. Cardiac contusion
B. Traumatic aortic rupture
C. Flail chest
D. Tension pneumothorax - -A. Cadiac contusion
-Which of the following is considered one of the four essential components
to maintain normal perfusion?
A. Serum lactate levels
B. ETCO2 levels
C. SaO2 levels
D. Fluid levels - -D.Fluid levels
-As intracerebral pressure rises after an isolated head injury, what does the
systolic blood pressure do?
, A. Stays the same
B. Decreases
C. Increases
D. Changes randomly - -C. Increases
-Which of the following mechanisms of injury does not commonly cause
damage to the spinal cord?
A. Hyperextension
B. Hyperflexion
C. Lateral stress
D. Compression - -C. Lateral stress
-A 4-year-old female is unconscious after falling off a bicycle. Which of the
following is the best method to open the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift - -A. Modified jaw-thrust
-When performing the ITLS Primary Survey, the team leader may minimize
errors by:
A. Performing all interventions
B. Limiting crew roles
C. Permitting crew to continue the assessment
D. Delegating interventions - -D. Delegating interventions
-You have placed an NPA in your patient and now observe mild hemorrhage
from the nares. You should:
A. Immediately remove the NPA and pack the nose with gauze
B. Immediately remove the NPA and reinsert on the opposite nare
C. Leave the NPA in place so as not to disturb the clot or reactivate bleeding
D. Contact medical control as NPAs will not cause hemorrhage - -C. Leave
the NPA in place so as not to disturb the clot or reactivate bleeding
-A 27-year-old male with blunt chest trauma from a motor vehicle collision
was successfully intubated at the scene. While ventilating the patient, you
note resistance with an absence of right chest wall movement. You should
suspect a:
A. Flail chest
B. Gastric distention
