ITLS Complete Study Guide – Questions And Answers
When performing ITLS primary survey, team leader can minimize errors by?
Right Ans - Delegating interventions
Rear Impact MVC affects what part of the spine? Right Ans - Cervical
Prolonged scene time may reflect? Right Ans - Ineffective team
collaboration
Which of the following indicates a state of Hyperventilation? Right Ans - An
end tidal carbon dioxide level less than 30 mmHG
54-yr old male involved in MVC, steering wheel bent. You note pale skin, radial
pulses are present, and clear breath sounds. Tender over sternum and
complains of chest pains? Right Ans - Cardiac Contusion
One of the four essential components to maintain normal perfusion? Right
Ans - Fluid levels
As ICP rises after head injury (isolated), what does systolic BP do? Right
Ans - Increases
Which of the following MOIs does not commonly cause damage to the spinal
cord? Right Ans - Lateral Stress
4-year old falls off bike and goes unconscious, what is the best method to open
airway? Right Ans - Modified Jaw Thrust
You have placed an NPA in your patient and now observe mild hemorrhaging
from nares, you should? Right Ans - Lave NPA in place so as to not disturb
the clot or reactivate bleeding
A 27 year old with blunt chest trauma from MVC was successfully intubate at
scene. While ventilating you notice resistance + absence if right chest fall
movement? Right Ans - Tension Pneumothorax
Which of the following assessment findings is associated with neurogenic
shock? Right Ans - Decreased pulse, normal skin color and temperature
, Which of the following set of vitals is most compatible with a diagnosis of
isolated TBI with increasing ICP? Right Ans - Cushing's triad
high BP
low HR
irregular RR
Not common MOI for pediatrics? Right Ans - Animal bites
(Common: Falls/MVC/Burns)
Which of the following injuries would change a trauma patient's transport
classification from "stable" to "load and go"? Right Ans - Pelvic Fracture
Which of the following findings would not make a patient difficult to ventilate
with a bag-valve mask? Right Ans - Multiple nose piercings
(Not okay MOANS/ beard, obesity, elderly patients)
*remember to leave dentures in
Unconscious 18 year old involved in an MVC. Find him unrestrained behind a
bent steering wheel. He is unconscious with cool, pale and clammy skin. Vitals
are BP 90/40, Pulse 120 and thready, and RR 30 and shallow. Blue around
lips, JVD and Tracheal Deviation to the right. Asymmetrical chest with absent
breath sounds on the left? Right Ans - Tension Pneumothorax
Hemostatic agents applied directly to the source of bleeding must be used in
conjunction with? Right Ans - Direct pressure to the wound
Routine use of hyperventilation in TBI patient will Right Ans - Cause
vasoconstriction and increased cerebral ischemia
Which finding requires interruption of the ITLS primary survey? Right Ans
- Complete airway obstruction
Bag valve mask (BVM) ventilation Right Ans - May exceed 60 cm H2O
pressure in the airway
Which of the following is true regarding pulmonary contusion? Right Ans -
Caused by hemorrhage into the lung parenchyma
When performing ITLS primary survey, team leader can minimize errors by?
Right Ans - Delegating interventions
Rear Impact MVC affects what part of the spine? Right Ans - Cervical
Prolonged scene time may reflect? Right Ans - Ineffective team
collaboration
Which of the following indicates a state of Hyperventilation? Right Ans - An
end tidal carbon dioxide level less than 30 mmHG
54-yr old male involved in MVC, steering wheel bent. You note pale skin, radial
pulses are present, and clear breath sounds. Tender over sternum and
complains of chest pains? Right Ans - Cardiac Contusion
One of the four essential components to maintain normal perfusion? Right
Ans - Fluid levels
As ICP rises after head injury (isolated), what does systolic BP do? Right
Ans - Increases
Which of the following MOIs does not commonly cause damage to the spinal
cord? Right Ans - Lateral Stress
4-year old falls off bike and goes unconscious, what is the best method to open
airway? Right Ans - Modified Jaw Thrust
You have placed an NPA in your patient and now observe mild hemorrhaging
from nares, you should? Right Ans - Lave NPA in place so as to not disturb
the clot or reactivate bleeding
A 27 year old with blunt chest trauma from MVC was successfully intubate at
scene. While ventilating you notice resistance + absence if right chest fall
movement? Right Ans - Tension Pneumothorax
Which of the following assessment findings is associated with neurogenic
shock? Right Ans - Decreased pulse, normal skin color and temperature
, Which of the following set of vitals is most compatible with a diagnosis of
isolated TBI with increasing ICP? Right Ans - Cushing's triad
high BP
low HR
irregular RR
Not common MOI for pediatrics? Right Ans - Animal bites
(Common: Falls/MVC/Burns)
Which of the following injuries would change a trauma patient's transport
classification from "stable" to "load and go"? Right Ans - Pelvic Fracture
Which of the following findings would not make a patient difficult to ventilate
with a bag-valve mask? Right Ans - Multiple nose piercings
(Not okay MOANS/ beard, obesity, elderly patients)
*remember to leave dentures in
Unconscious 18 year old involved in an MVC. Find him unrestrained behind a
bent steering wheel. He is unconscious with cool, pale and clammy skin. Vitals
are BP 90/40, Pulse 120 and thready, and RR 30 and shallow. Blue around
lips, JVD and Tracheal Deviation to the right. Asymmetrical chest with absent
breath sounds on the left? Right Ans - Tension Pneumothorax
Hemostatic agents applied directly to the source of bleeding must be used in
conjunction with? Right Ans - Direct pressure to the wound
Routine use of hyperventilation in TBI patient will Right Ans - Cause
vasoconstriction and increased cerebral ischemia
Which finding requires interruption of the ITLS primary survey? Right Ans
- Complete airway obstruction
Bag valve mask (BVM) ventilation Right Ans - May exceed 60 cm H2O
pressure in the airway
Which of the following is true regarding pulmonary contusion? Right Ans -
Caused by hemorrhage into the lung parenchyma
