REVIEW EXAM QUESTIONS:
INTERNATIONAL TRAUMA LIFE
SUPPORT/ITLS, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
Which of the following forms of hepatitis are health care workers
at greater risk of contracting due to their frequent contact with
blood and needles? - CORRECT ANSWERS- Hepatitis B
A 27-year-old male with blunt chest trauma from a motor vehicle
collisions was successfully intubated at the scene. While
ventilating the patient, you note resistance with an absence of
right chest wall movement. You should suspect a: - CORRECT
ANSWERS- Tension pneumothorax
Which of the following assessment findings is associated with
neurogenic shock? - CORRECT ANSWERS- Decreased pulse,
normal skin color and temperature
Which of the following sets of vital signs is most compatible with a
diagnosis of isolated traumatic brain injury with increasing
intracranial pressure? - CORRECT ANSWERS- BP 170/100 ; P 50
Common mechanisms of injury for the pediatric patient include all
of the following except: - CORRECT ANSWERS- Falls
,Which of the following injuries would change a trauma patient's
transport classification from "stable" to "load and go"? - CORRECT
ANSWERS- Pelvic fracture
Which of the following findings would not make a patient difficult
to ventilate with a bag-valve mask? - CORRECT ANSWERS-
Multiple nose piercings
An unconscious 18-year-old male is involved in a motor vehicle
collision. You find him unrestrained behind the bent steering
wheel. He is unconscious with cool, pale, and clammy skin. Vitals
are BP 90/40, P 120 and thready, and R 30 and shallow. Your
assessment reveals that he is blue around the lips, his distended
neck veins and tracheal deviation to the right. He also has an
asymmetrical chest with absent breath sounds on the left. You
should suspect: - CORRECT ANSWERS- Tension pneumothorax
Hemostatic agents applied directly to the source of bleeding must
be used in conjunction with: - CORRECT ANSWERS- Direct
pressure to the wound
Routine use of hyperventilation in the traumatic brain injury (TBI)
patient will: - CORRECT ANSWERS- Cause vasoconstriction and
increased cerebral ischemia
Which finding requires interruption of the ITLS Primary Survey? -
CORRECT ANSWERS- Complete airway obstruction
, Bag-valve-mask ventilation: - CORRECT ANSWERS- May exceed
60 cm H20 pressure in the airway
Which of the following is true regarding pulmonary contusion? -
CORRECT ANSWERS- Caused by hemorrhage into the lung
parenchyma
A 23-year-old female fell from a second-floor balcony. Upon
arrival, you find her lying in the grass. She responds to verbal
commands and your assessment reveals flat neck veins, and
normal chest, abdomen and pelvis examinations. Her skin is cool,
clammy and ashen; respirations are rapid and shallow; radial
pulses are too rapid to count and thready. You place her on the
heart monitor and it shows a wide-complex tachycardia of about
280 per minute. You should suspect: - CORRECT ANSWERS-
Cardiogenic shock
In the absence of herniation syndrome, adult patients with
suspected traumatic brain injury should be ventilated as a rate of:
- CORRECT ANSWERS- 8-10 per minute
What is the most likely cause of unequal pupils in an altered
mental status patient with a head injury? - CORRECT ANSWERS-
Increased intracranial pressure
INTERNATIONAL TRAUMA LIFE
SUPPORT/ITLS, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
Which of the following forms of hepatitis are health care workers
at greater risk of contracting due to their frequent contact with
blood and needles? - CORRECT ANSWERS- Hepatitis B
A 27-year-old male with blunt chest trauma from a motor vehicle
collisions was successfully intubated at the scene. While
ventilating the patient, you note resistance with an absence of
right chest wall movement. You should suspect a: - CORRECT
ANSWERS- Tension pneumothorax
Which of the following assessment findings is associated with
neurogenic shock? - CORRECT ANSWERS- Decreased pulse,
normal skin color and temperature
Which of the following sets of vital signs is most compatible with a
diagnosis of isolated traumatic brain injury with increasing
intracranial pressure? - CORRECT ANSWERS- BP 170/100 ; P 50
Common mechanisms of injury for the pediatric patient include all
of the following except: - CORRECT ANSWERS- Falls
,Which of the following injuries would change a trauma patient's
transport classification from "stable" to "load and go"? - CORRECT
ANSWERS- Pelvic fracture
Which of the following findings would not make a patient difficult
to ventilate with a bag-valve mask? - CORRECT ANSWERS-
Multiple nose piercings
An unconscious 18-year-old male is involved in a motor vehicle
collision. You find him unrestrained behind the bent steering
wheel. He is unconscious with cool, pale, and clammy skin. Vitals
are BP 90/40, P 120 and thready, and R 30 and shallow. Your
assessment reveals that he is blue around the lips, his distended
neck veins and tracheal deviation to the right. He also has an
asymmetrical chest with absent breath sounds on the left. You
should suspect: - CORRECT ANSWERS- Tension pneumothorax
Hemostatic agents applied directly to the source of bleeding must
be used in conjunction with: - CORRECT ANSWERS- Direct
pressure to the wound
Routine use of hyperventilation in the traumatic brain injury (TBI)
patient will: - CORRECT ANSWERS- Cause vasoconstriction and
increased cerebral ischemia
Which finding requires interruption of the ITLS Primary Survey? -
CORRECT ANSWERS- Complete airway obstruction
, Bag-valve-mask ventilation: - CORRECT ANSWERS- May exceed
60 cm H20 pressure in the airway
Which of the following is true regarding pulmonary contusion? -
CORRECT ANSWERS- Caused by hemorrhage into the lung
parenchyma
A 23-year-old female fell from a second-floor balcony. Upon
arrival, you find her lying in the grass. She responds to verbal
commands and your assessment reveals flat neck veins, and
normal chest, abdomen and pelvis examinations. Her skin is cool,
clammy and ashen; respirations are rapid and shallow; radial
pulses are too rapid to count and thready. You place her on the
heart monitor and it shows a wide-complex tachycardia of about
280 per minute. You should suspect: - CORRECT ANSWERS-
Cardiogenic shock
In the absence of herniation syndrome, adult patients with
suspected traumatic brain injury should be ventilated as a rate of:
- CORRECT ANSWERS- 8-10 per minute
What is the most likely cause of unequal pupils in an altered
mental status patient with a head injury? - CORRECT ANSWERS-
Increased intracranial pressure
