ITLS Pre - Test
In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury? - ✔✔Cervical
Prolonged scene times may reflect: - ✔✔Ineffective team collaboration.
Which of the following indicates a state of hyperventilation? - ✔✔An end tidal carbon dioxide level less
than 30 mmHg.
A 54 year old male is involved in a MVC. The steering wheel is bent. During your initial assessment, you
note his skin is pale, radial pulses are present, and breath sounds are clear. The patient is tender over his
sternum and complains of chest pain. Which intrathoracic injury should you suspect given the above
findings? - ✔✔Cardiac Contusion
Which of the following is considered one of the four essential components to maintain normal perfusion
? - ✔✔Fluid levels.
As intracerebral pressure rises after an isolated head injury, what does the systolic blood pressure do? -
✔✔Increases
Which of the following mechanisms of injury does not commonly cause damage to the spinal cord? -
✔✔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? - ✔✔Modified jaw-thrust
When performing the ITLS primary survey, the team leader may minimize errors by: - ✔✔Delegating
interventions
You have placed an NPA in your patient and now observe mild hemorrhage from the nares. You should: -
✔✔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 MVC 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: - ✔✔Tension Pneumothorax
Which of the following is associated with neurogenic shock? - ✔✔Decreased pulse, normal skin color
and temperature.
Which of the following sets of vital signs is most compatible with a diagnosis of isolated traumatic brain
injury with increasing intracranial pressure? - ✔✔BP 170/100; P 50
Common mechanisms of injury for the paediatric patient include - ✔✔Falls
Which of the following injuries would change the trauma patients classification from stable to load and
go? - ✔✔Pelvic Fracture
Which of the following findings would make a Pt difficult to ventilate with a BVM? - ✔✔Nose Piercing
An unconscious 18 year old male is involved in an MVC you find him unrestrained behind a bent steering
wheel, He is unconscious with cool, pale, clammy skin, vitals are BP:90/40, Pulse: 120, thready, rests 30
and shallow. your assessment reveals he is blue around the lips and has distended neck veins and
tracheal deviation to the right, absent breath sounds to the left you should suspect: - ✔✔Tension
Pneumothorax
Hemostatic agents applied directly to the source of bleeding must be used in conjunction with? -
✔✔Direct pressure to the wound.
Routine use of hyperventilation in a TBI patient will? - ✔✔Cause vasoconstriction and increase cerbral
ischemia
Which finding requires interruption of the ITLS primary survey? - ✔✔Complete airway obstruction.
BVM ventilation may: - ✔✔May exceed 60 cams H20 pressure in the airway.
In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury? - ✔✔Cervical
Prolonged scene times may reflect: - ✔✔Ineffective team collaboration.
Which of the following indicates a state of hyperventilation? - ✔✔An end tidal carbon dioxide level less
than 30 mmHg.
A 54 year old male is involved in a MVC. The steering wheel is bent. During your initial assessment, you
note his skin is pale, radial pulses are present, and breath sounds are clear. The patient is tender over his
sternum and complains of chest pain. Which intrathoracic injury should you suspect given the above
findings? - ✔✔Cardiac Contusion
Which of the following is considered one of the four essential components to maintain normal perfusion
? - ✔✔Fluid levels.
As intracerebral pressure rises after an isolated head injury, what does the systolic blood pressure do? -
✔✔Increases
Which of the following mechanisms of injury does not commonly cause damage to the spinal cord? -
✔✔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? - ✔✔Modified jaw-thrust
When performing the ITLS primary survey, the team leader may minimize errors by: - ✔✔Delegating
interventions
You have placed an NPA in your patient and now observe mild hemorrhage from the nares. You should: -
✔✔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 MVC 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: - ✔✔Tension Pneumothorax
Which of the following is associated with neurogenic shock? - ✔✔Decreased pulse, normal skin color
and temperature.
Which of the following sets of vital signs is most compatible with a diagnosis of isolated traumatic brain
injury with increasing intracranial pressure? - ✔✔BP 170/100; P 50
Common mechanisms of injury for the paediatric patient include - ✔✔Falls
Which of the following injuries would change the trauma patients classification from stable to load and
go? - ✔✔Pelvic Fracture
Which of the following findings would make a Pt difficult to ventilate with a BVM? - ✔✔Nose Piercing
An unconscious 18 year old male is involved in an MVC you find him unrestrained behind a bent steering
wheel, He is unconscious with cool, pale, clammy skin, vitals are BP:90/40, Pulse: 120, thready, rests 30
and shallow. your assessment reveals he is blue around the lips and has distended neck veins and
tracheal deviation to the right, absent breath sounds to the left you should suspect: - ✔✔Tension
Pneumothorax
Hemostatic agents applied directly to the source of bleeding must be used in conjunction with? -
✔✔Direct pressure to the wound.
Routine use of hyperventilation in a TBI patient will? - ✔✔Cause vasoconstriction and increase cerbral
ischemia
Which finding requires interruption of the ITLS primary survey? - ✔✔Complete airway obstruction.
BVM ventilation may: - ✔✔May exceed 60 cams H20 pressure in the airway.
