ITLS REVIEW MODULE QUESTION BANK
2026 AND EXPLANATIONS
◉ How is the 'JVD' finding in tension pneumothorax best described?
Answer: Jugular venous distention (present unless hypovolemic)
◉ What is your first action for a patient found supine after a fall
from height who is unresponsive with snoring respirations?
Answer: Jaw thrust with manual in-line stabilization
◉ When should the ITLS secondary survey be performed?
Answer: After the primary survey and any life-threatening
interventions
◉ Which injury is most likely to be missed in a multi-system trauma
patient?
Answer: Small bowel injury
◉ What should be done for a patient with a knife wound to the mid-
abdomen and eviscerated bowel?
Answer: Covering with a moist, sterile dressing
, ◉ Which sign indicates inadequate perfusion in a pediatric patient?
Answer: Tachycardia with weak distal pulses
◉ How is supine hypotension prevented in a pregnant trauma
patient over 20 weeks?
Answer: Left lateral uterine displacement
◉ What is the most common cause of airway obstruction in an
unresponsive trauma patient?
Answer: The tongue
◉ How should a patient with a sucking chest wound be initially
managed?
Answer: An occlusive dressing taped on three sides
◉ What is the primary purpose of spinal motion restriction (SMR)?
Answer: To minimize gross spinal movement in suspected injury
◉ What should a hypotensive patient with a positive FAST exam and
a pelvic fracture receive?
Answer: Pelvic binder and blood transfusion
◉ What indicates the need for immediate chest decompression?
2026 AND EXPLANATIONS
◉ How is the 'JVD' finding in tension pneumothorax best described?
Answer: Jugular venous distention (present unless hypovolemic)
◉ What is your first action for a patient found supine after a fall
from height who is unresponsive with snoring respirations?
Answer: Jaw thrust with manual in-line stabilization
◉ When should the ITLS secondary survey be performed?
Answer: After the primary survey and any life-threatening
interventions
◉ Which injury is most likely to be missed in a multi-system trauma
patient?
Answer: Small bowel injury
◉ What should be done for a patient with a knife wound to the mid-
abdomen and eviscerated bowel?
Answer: Covering with a moist, sterile dressing
, ◉ Which sign indicates inadequate perfusion in a pediatric patient?
Answer: Tachycardia with weak distal pulses
◉ How is supine hypotension prevented in a pregnant trauma
patient over 20 weeks?
Answer: Left lateral uterine displacement
◉ What is the most common cause of airway obstruction in an
unresponsive trauma patient?
Answer: The tongue
◉ How should a patient with a sucking chest wound be initially
managed?
Answer: An occlusive dressing taped on three sides
◉ What is the primary purpose of spinal motion restriction (SMR)?
Answer: To minimize gross spinal movement in suspected injury
◉ What should a hypotensive patient with a positive FAST exam and
a pelvic fracture receive?
Answer: Pelvic binder and blood transfusion
◉ What indicates the need for immediate chest decompression?
