ITLS Exam – Questions With Answers (Latest Update)
A pericardiocentesis is performed to: Right Ans - To remove fluid from the
lining around the heart
What is the most common cause of cardiopulmonary arrest in the trauma
patient? Right Ans - Hypoxemia
The cause of a secondary brain injury is: Right Ans - Hypoxia
What is the most serious early complication of burns from electrical contact?
Right Ans - Cardiac dysrhythmia
An unresponsive 52-year-old male was struck in the head by the bucket of a
crane. Vital signs are BP 134/80, P 88 and R 8 and shallow. The patient should
be ventilated at: Right Ans - a rate of 8-10 per minute
A 32-year-old male is involved in a motor vehicle crash. The steering wheel is
bent. Your assessment reveals present and equal bilateral breath sounds, a
rapid and weak radial pulse that disappears upon inspiration. You should
suspect: Right Ans - Cardiac tamponade
When performing a needle decompression, which of the following is the
correct anatomical location? Right Ans - Directly over the top of the fourth
rib in the midaxillary line
You have a patient with an isolated stab wound to the lateral chest. According
to recent studies, which of the following procedures should be avoided?
Right Ans - Spinal motion restriction
A 42-year-old male is involved in a motorcycle accident. Which of the
following assessment findings should be managed first? Right Ans -
External arterial bleeding
Which of the following is true regarding trauma in the elderly? Right Ans -
Fatal outcomes are more likely in the elderly than in the young
, A 25-year-old female was stabbed in the left arm. She presents with an altered
mental status and signs of shock. Bleeding is uncontrolled despite direct
pressure. You should: Right Ans - Apply a tourniquet proximal to the injury
A 35-year-old male is alert and oriented at the scene of a motor vehicle
collision complaining of knee pain and a headache. Your assessment reveals a
contusion above the left eye, swelling to the left knee and unequal pupils (left
is dilated). Vital signs are: BP 116/72, P 88 and R 16. You should suspect:
Right Ans - Ocular trauma
If hemorrhage is unable to be controlled with a tourniquet, a second
tourniquet should be applied: Right Ans - Just below the first tourniquet
A 34-year-old male is injured in a motor vehicle collision. He complains of
diffuse abdominal tenderness. Vital signs are BP 100/60, P 120 and R 28 and
shallow. You should: Right Ans - Administer intravenous fluids at a "keep
open" rate
Which of the following should always be performed prior to transport?
Right Ans - Control major external bleeding
An unresponsive 36-year-old female was involved in a motorcycle crash. Vital
signs are BP 170/100, P 50, R 8 and GCS 3. You should suspect: Right Ans -
Increased intracranial pressure
A 34-year-old female was struck by a vehicle causing blunt force chest trauma.
She is unconscious with gasping respirations, almost no air movement, a
rapid, thready carotid pulse and flat neck veins. You should: Right Ans -
Provide positive pressure ventilation
Which of the following distinguishes a tension pneumothorax from a simple
pneumothorax? Right Ans - Shock
Which of the following organs will suffer the least structural damage from a
gunshot wound from a rifle? Right Ans - Lung
Which one of the following is a reason to interrupt the initial assessment?
Right Ans - Cardiac arrest
A pericardiocentesis is performed to: Right Ans - To remove fluid from the
lining around the heart
What is the most common cause of cardiopulmonary arrest in the trauma
patient? Right Ans - Hypoxemia
The cause of a secondary brain injury is: Right Ans - Hypoxia
What is the most serious early complication of burns from electrical contact?
Right Ans - Cardiac dysrhythmia
An unresponsive 52-year-old male was struck in the head by the bucket of a
crane. Vital signs are BP 134/80, P 88 and R 8 and shallow. The patient should
be ventilated at: Right Ans - a rate of 8-10 per minute
A 32-year-old male is involved in a motor vehicle crash. The steering wheel is
bent. Your assessment reveals present and equal bilateral breath sounds, a
rapid and weak radial pulse that disappears upon inspiration. You should
suspect: Right Ans - Cardiac tamponade
When performing a needle decompression, which of the following is the
correct anatomical location? Right Ans - Directly over the top of the fourth
rib in the midaxillary line
You have a patient with an isolated stab wound to the lateral chest. According
to recent studies, which of the following procedures should be avoided?
Right Ans - Spinal motion restriction
A 42-year-old male is involved in a motorcycle accident. Which of the
following assessment findings should be managed first? Right Ans -
External arterial bleeding
Which of the following is true regarding trauma in the elderly? Right Ans -
Fatal outcomes are more likely in the elderly than in the young
, A 25-year-old female was stabbed in the left arm. She presents with an altered
mental status and signs of shock. Bleeding is uncontrolled despite direct
pressure. You should: Right Ans - Apply a tourniquet proximal to the injury
A 35-year-old male is alert and oriented at the scene of a motor vehicle
collision complaining of knee pain and a headache. Your assessment reveals a
contusion above the left eye, swelling to the left knee and unequal pupils (left
is dilated). Vital signs are: BP 116/72, P 88 and R 16. You should suspect:
Right Ans - Ocular trauma
If hemorrhage is unable to be controlled with a tourniquet, a second
tourniquet should be applied: Right Ans - Just below the first tourniquet
A 34-year-old male is injured in a motor vehicle collision. He complains of
diffuse abdominal tenderness. Vital signs are BP 100/60, P 120 and R 28 and
shallow. You should: Right Ans - Administer intravenous fluids at a "keep
open" rate
Which of the following should always be performed prior to transport?
Right Ans - Control major external bleeding
An unresponsive 36-year-old female was involved in a motorcycle crash. Vital
signs are BP 170/100, P 50, R 8 and GCS 3. You should suspect: Right Ans -
Increased intracranial pressure
A 34-year-old female was struck by a vehicle causing blunt force chest trauma.
She is unconscious with gasping respirations, almost no air movement, a
rapid, thready carotid pulse and flat neck veins. You should: Right Ans -
Provide positive pressure ventilation
Which of the following distinguishes a tension pneumothorax from a simple
pneumothorax? Right Ans - Shock
Which of the following organs will suffer the least structural damage from a
gunshot wound from a rifle? Right Ans - Lung
Which one of the following is a reason to interrupt the initial assessment?
Right Ans - Cardiac arrest
