ITLS 8th Edition Additional Ques & Answ
1. Upon arrival at a trauma scene, you should complete a(n): Scene Size-
up
2. Prolonged scene times may reflect:: Inettective team collaboration
3. Which of the following indicates a state of hyperventilation?: An end
tidal CO2 level less than 30 mmHG
4. A 23 year old female fell from a 2nd floor balcony. Upon arrival,
you find her lying in the grass. She responds to verbal commands
and your assessment reveals flat neck veins, & normal
chest/abdomen/pelvic examinations. Vital signs are: BP 74/40, P 54 &
Weak, and R 16. You should suspect:: Relative hypovolemic (high-space) shock
Rationale: The condition causing the vascular space to be too large for a normal amount of blood has
been called "shock", or relative hypovolemia. Neurogenic shock, commonly called spinal shock, is a form
of relative hypovolemia. The clinical presentation of neurogenic shock ditters from hemorrhagic shock in
that there is no catecholamine release and this no pallor (vasoconstriction), tachycardia, or sweating. The
patient will have a decreased BP but the HR will be normal or slow, and the skin is usually warm, dry
and pink
5. An unresponsive 34 y/o female was struck by a vehicle. You
1/
12
, observe Asym-
metrical chest wall movement with a flail segment on the right.
Following delegation of c-spine control and opening the airway, you
should?: Stabilize the chest wall
6. Which of the following regarding PT positioning for external jugular
cannula-
tion is Incorrect?: Elevate the head to distend the vein and prevent air embolism.
Rationale: The PT must be in the supine position, preferably head down, to distend the vein and prevent air
embolism.
7. Which of the following set of vital signs is most compatible with a
diagnosis of isolated traumatic brain injury with increasing ICP?: BP
170/100, P 50
Rationale: When the ICP increases, the systemic BP increases to try to preserve blood flow to the brain. The
body senses the rise in systemic BP, and this triggers a drop in the pulse rate as the body tries to
lower the systemic BP
8. Which of the following statements is incorrect regarding spinal
motion re-
striction?: Neck traction should be applied to extend the neck upward during cervical collar
application
2/
12
1. Upon arrival at a trauma scene, you should complete a(n): Scene Size-
up
2. Prolonged scene times may reflect:: Inettective team collaboration
3. Which of the following indicates a state of hyperventilation?: An end
tidal CO2 level less than 30 mmHG
4. A 23 year old female fell from a 2nd floor balcony. Upon arrival,
you find her lying in the grass. She responds to verbal commands
and your assessment reveals flat neck veins, & normal
chest/abdomen/pelvic examinations. Vital signs are: BP 74/40, P 54 &
Weak, and R 16. You should suspect:: Relative hypovolemic (high-space) shock
Rationale: The condition causing the vascular space to be too large for a normal amount of blood has
been called "shock", or relative hypovolemia. Neurogenic shock, commonly called spinal shock, is a form
of relative hypovolemia. The clinical presentation of neurogenic shock ditters from hemorrhagic shock in
that there is no catecholamine release and this no pallor (vasoconstriction), tachycardia, or sweating. The
patient will have a decreased BP but the HR will be normal or slow, and the skin is usually warm, dry
and pink
5. An unresponsive 34 y/o female was struck by a vehicle. You
1/
12
, observe Asym-
metrical chest wall movement with a flail segment on the right.
Following delegation of c-spine control and opening the airway, you
should?: Stabilize the chest wall
6. Which of the following regarding PT positioning for external jugular
cannula-
tion is Incorrect?: Elevate the head to distend the vein and prevent air embolism.
Rationale: The PT must be in the supine position, preferably head down, to distend the vein and prevent air
embolism.
7. Which of the following set of vital signs is most compatible with a
diagnosis of isolated traumatic brain injury with increasing ICP?: BP
170/100, P 50
Rationale: When the ICP increases, the systemic BP increases to try to preserve blood flow to the brain. The
body senses the rise in systemic BP, and this triggers a drop in the pulse rate as the body tries to
lower the systemic BP
8. Which of the following statements is incorrect regarding spinal
motion re-
striction?: Neck traction should be applied to extend the neck upward during cervical collar
application
2/
12
