ITLS Pretest: Questions With Correct Answers (Rated
A+)
A 34 year old man is injured in a motor vehicle collision. Physical examination
is normal except for diffuse abdominal tenderness. He is conscious and vital
signs obtained enroute to the hospital are respirations 20 per ,minute, pulse
rate is 120 per minute blood pressure 100/60; How should this patient be
managed in the field? Right Ans - Intravenous fluid at a "keep open" rate
What is Sellick's maneuver? Right Ans - Posteriorly directed pressure
applied to the cricoid cartilage
For which one of the following viruses is there currently an effective vaccine?
Right Ans - Hepatitis B
A 16 year old girl is rescued from a burning house. She has 25% partial
thickness burns, and the burned areas are hot to the touch. What is the
appropriate treatment? Right Ans - Apply clean water to burned areas for
up to 1-2 minutes
Proper immobilization of a forearm (radius and ulna) fracture involves
splinting which of the following? Right Ans - Wrist, elbow, and fracture site
What treatment is NOT indicated in the routine management of the patient
with a head injury? Right Ans - Hyperventilating to obtain an EtCO2 of less
than 30
Which of the following sets of vital signs is most compatible with a diagnosis
of isolated head injury with increasing intracranial pressure? Right Ans -
BP 170/100, pulse 50/min
Which of the following trauma situations would be considered "load and go"?
Right Ans - Patient with abdominal tenderness, clammy skin, blood pressure
100/70, and pulse 130/min
Which one of the following should be performed, at the scene of a "load and
go", prior to moving the trauma patient to the ambulance? Right Ans -
Decompress tension pneumothorax
, Which one of the following is a reason to interrupt the initial assessment?
Right Ans - Cardiac arrest
A 24 year old woman is found lying on the sidewalk after jumping from a
fourth story window. She is hypotensive, diaphoretic, tachycardic, and
unconscious. Injuries include open skull fracture, pelvis fractures, and flail
chest. What should be your goal for your time? Right Ans - 5 minutes or
less
Which of the following injuries would change an otherwise stable trauma
patient's category from "stable" to "load and go"? Right Ans - Bilateral
femur fractures
What is most commonly injured, during a fall from a height, of an infant?
Right Ans - Head
What site is the first choice for intraosseous infusion? Right Ans - Proximal
tibia
Which of the following will generally suffer the LEAST structural damage from
a gunshot wound from a rifle? Right Ans - Lung
A 34 year old man has a gunshot wound to the right groin area. Arterial
bleeding, which cannot be controlled with direct pressure, is coming from the
wound. The patient appears confused, diaphoretic, and has weak peripheral
pulses. What is the appropriate fluid resuscitation for this patient? Right
Ans - Apply a hemostatic agent and gain intravenous access given enough fluid
to maintain
peripheral pulses
Which one of the following is typically associated with, post-traumatic
hemorrhage, EARLY shock? Right Ans - Narrowed pulse pressure
Among the following, what is the most common cause of preventable trauma
death in the injured adult patient? Right Ans - Hemorrhagic shock
In which of the following situations should an emergency rescue be used?
Right Ans - Presence of toxic fumes
A+)
A 34 year old man is injured in a motor vehicle collision. Physical examination
is normal except for diffuse abdominal tenderness. He is conscious and vital
signs obtained enroute to the hospital are respirations 20 per ,minute, pulse
rate is 120 per minute blood pressure 100/60; How should this patient be
managed in the field? Right Ans - Intravenous fluid at a "keep open" rate
What is Sellick's maneuver? Right Ans - Posteriorly directed pressure
applied to the cricoid cartilage
For which one of the following viruses is there currently an effective vaccine?
Right Ans - Hepatitis B
A 16 year old girl is rescued from a burning house. She has 25% partial
thickness burns, and the burned areas are hot to the touch. What is the
appropriate treatment? Right Ans - Apply clean water to burned areas for
up to 1-2 minutes
Proper immobilization of a forearm (radius and ulna) fracture involves
splinting which of the following? Right Ans - Wrist, elbow, and fracture site
What treatment is NOT indicated in the routine management of the patient
with a head injury? Right Ans - Hyperventilating to obtain an EtCO2 of less
than 30
Which of the following sets of vital signs is most compatible with a diagnosis
of isolated head injury with increasing intracranial pressure? Right Ans -
BP 170/100, pulse 50/min
Which of the following trauma situations would be considered "load and go"?
Right Ans - Patient with abdominal tenderness, clammy skin, blood pressure
100/70, and pulse 130/min
Which one of the following should be performed, at the scene of a "load and
go", prior to moving the trauma patient to the ambulance? Right Ans -
Decompress tension pneumothorax
, Which one of the following is a reason to interrupt the initial assessment?
Right Ans - Cardiac arrest
A 24 year old woman is found lying on the sidewalk after jumping from a
fourth story window. She is hypotensive, diaphoretic, tachycardic, and
unconscious. Injuries include open skull fracture, pelvis fractures, and flail
chest. What should be your goal for your time? Right Ans - 5 minutes or
less
Which of the following injuries would change an otherwise stable trauma
patient's category from "stable" to "load and go"? Right Ans - Bilateral
femur fractures
What is most commonly injured, during a fall from a height, of an infant?
Right Ans - Head
What site is the first choice for intraosseous infusion? Right Ans - Proximal
tibia
Which of the following will generally suffer the LEAST structural damage from
a gunshot wound from a rifle? Right Ans - Lung
A 34 year old man has a gunshot wound to the right groin area. Arterial
bleeding, which cannot be controlled with direct pressure, is coming from the
wound. The patient appears confused, diaphoretic, and has weak peripheral
pulses. What is the appropriate fluid resuscitation for this patient? Right
Ans - Apply a hemostatic agent and gain intravenous access given enough fluid
to maintain
peripheral pulses
Which one of the following is typically associated with, post-traumatic
hemorrhage, EARLY shock? Right Ans - Narrowed pulse pressure
Among the following, what is the most common cause of preventable trauma
death in the injured adult patient? Right Ans - Hemorrhagic shock
In which of the following situations should an emergency rescue be used?
Right Ans - Presence of toxic fumes
