1 | Page
ITLS EXAM MULTIPLE CHOICES
WITH WELL SORTED QUESTIONS
AND ANSWERS /GRADED A+/BEST
FOR THAT GOOD GRADE
Upon arrival at a trauma scene, you should complete a(n) -
ANSWER-Scene Size-up
pg 2
Prolonged scene times may reflect: - ANSWER-Ineffective
team collaboration
pg 34
Which of the following indicates a state of hyperventilation? -
ANSWER-An end tidal CO2 level less than 30 mmHG
pg 79
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
,2 | Page
74/40, P 54 & Weak, and R 16. You should suspect: -
ANSWER-Relative hypovolemic (high-space) shock
pg 161
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 differs 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
An unresponsive 34 y/o female was struck by a vehicle. You
observe Asymmetrical chest wall movement with a flail segment
on the right. Following delegation of c-spine control and
opening the airway, you should? - ANSWER-Stabilize the chest
wall
pg 131
Which of the following regarding PT positioning for external
jugular cannulation is Incorrect? - ANSWER-Elevate the head
to distend the vein and prevent air embolism.
pg 178
, 3 | Page
Rationale: The PT must be in the supine position, preferably
head down, to distend the vein and prevent air embolism.
Which of the following set of vital signs is most compatible with
a diagnosis of isolated traumatic brain injury with increasing
ICP? - ANSWER-BP 170/100, P 50
pg 193
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
Which of the following statements is incorrect regarding spinal
motion restriction? - ANSWER-Neck traction should be applied
to extend the neck upward during cervical collar application
pg 219
A 15 y/o male was stabbed and has an abdominal evisceration.
The PT is A/O, BP 112/68, P 94, R18. You should? - ANSWER-
Prepare PT for transport & establish vascular access during
transport.
pg 259
ITLS EXAM MULTIPLE CHOICES
WITH WELL SORTED QUESTIONS
AND ANSWERS /GRADED A+/BEST
FOR THAT GOOD GRADE
Upon arrival at a trauma scene, you should complete a(n) -
ANSWER-Scene Size-up
pg 2
Prolonged scene times may reflect: - ANSWER-Ineffective
team collaboration
pg 34
Which of the following indicates a state of hyperventilation? -
ANSWER-An end tidal CO2 level less than 30 mmHG
pg 79
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
,2 | Page
74/40, P 54 & Weak, and R 16. You should suspect: -
ANSWER-Relative hypovolemic (high-space) shock
pg 161
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 differs 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
An unresponsive 34 y/o female was struck by a vehicle. You
observe Asymmetrical chest wall movement with a flail segment
on the right. Following delegation of c-spine control and
opening the airway, you should? - ANSWER-Stabilize the chest
wall
pg 131
Which of the following regarding PT positioning for external
jugular cannulation is Incorrect? - ANSWER-Elevate the head
to distend the vein and prevent air embolism.
pg 178
, 3 | Page
Rationale: The PT must be in the supine position, preferably
head down, to distend the vein and prevent air embolism.
Which of the following set of vital signs is most compatible with
a diagnosis of isolated traumatic brain injury with increasing
ICP? - ANSWER-BP 170/100, P 50
pg 193
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
Which of the following statements is incorrect regarding spinal
motion restriction? - ANSWER-Neck traction should be applied
to extend the neck upward during cervical collar application
pg 219
A 15 y/o male was stabbed and has an abdominal evisceration.
The PT is A/O, BP 112/68, P 94, R18. You should? - ANSWER-
Prepare PT for transport & establish vascular access during
transport.
pg 259
