ITLS ADVANCED PRE TEST 2026 TRAUMA
PRIMARY SURVEY AND TRIAGE REVIEW
QUESTIONS SOLUTIONS PROFESSIONAL
GUIDE
◉ A 45-year-old female is found unconscious at the scene of motor
vehicle collision. Her vital signs are BP 80/40, P 130, and R 30.
Which of the following is the most likely cause for her vital signs?
A. Fractured lower legs
B. Intracranial hemorrhage
C. Bleeding into the chest or abdomen
D. Spinal cord injury with neurogenic shock
Answer: C. Bleeding into the chest or abdomen
◉ The cause of a secondary brain injury is:
A. Contra-coup
B. Coup
C. Hemorrhage
D. Hypoxia
Answer: D. Hypoxia
, ◉ Which one of the following is a reason to interrupt the initial
assessment?
A. Cardiac arrest
B. Multiple open (compound) fractures
C. Severe head injury with brain tissue visible
D. Severe shock
Answer: A. Cardiac arrest
◉ Which of the following is not a desired characteristic of a suction
device?
A. It can be carried in an airway kit with an oxygen cylinder and
other airway equipment
B. It can be hand powered or battery powered
C. It can generate sufficient suction and volume displacement to
remove pieces of food, blood clots, and thick secretions from the
oropharynx
D. It can be powered by your portable O2 cylinder so it is not
dependent on battery power
Answer: D. It can be powered by your portable O2 cylinder so it is
not dependent on battery power
◉ What is the most serious early complication of burns from
electrical contact?
A. Cervical spine injury
PRIMARY SURVEY AND TRIAGE REVIEW
QUESTIONS SOLUTIONS PROFESSIONAL
GUIDE
◉ A 45-year-old female is found unconscious at the scene of motor
vehicle collision. Her vital signs are BP 80/40, P 130, and R 30.
Which of the following is the most likely cause for her vital signs?
A. Fractured lower legs
B. Intracranial hemorrhage
C. Bleeding into the chest or abdomen
D. Spinal cord injury with neurogenic shock
Answer: C. Bleeding into the chest or abdomen
◉ The cause of a secondary brain injury is:
A. Contra-coup
B. Coup
C. Hemorrhage
D. Hypoxia
Answer: D. Hypoxia
, ◉ Which one of the following is a reason to interrupt the initial
assessment?
A. Cardiac arrest
B. Multiple open (compound) fractures
C. Severe head injury with brain tissue visible
D. Severe shock
Answer: A. Cardiac arrest
◉ Which of the following is not a desired characteristic of a suction
device?
A. It can be carried in an airway kit with an oxygen cylinder and
other airway equipment
B. It can be hand powered or battery powered
C. It can generate sufficient suction and volume displacement to
remove pieces of food, blood clots, and thick secretions from the
oropharynx
D. It can be powered by your portable O2 cylinder so it is not
dependent on battery power
Answer: D. It can be powered by your portable O2 cylinder so it is
not dependent on battery power
◉ What is the most serious early complication of burns from
electrical contact?
A. Cervical spine injury
