ITLS Pre - Test
In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury? - ✔✔cervical
A 36-year-old male sustains blunt force thoracic trauma and fits the criteria for a load- and-go patient.
Which of the following should be performed on the scene? - ✔✔Assess for other potentially life-
threatening conditions
The use of external laryngeal manipulation: - ✔✔Improves glottic visualization
A pericardiocentesis is performed to: - ✔✔To remove fluid from the lining around the heart
A 56-year-old male sustains a gunshot wound to the abdomen. Vital signs are BP 74/32, P 136 present
only at the carotid, and R 24 and shallow. The target of fluid resuscitation is - ✔✔Return of peripheral
pulses
An unconscious 15-year-old male was struck on the head with a baseball bat. His arms and legs are
extended and his right pupil is dilated and fixed. You should: - ✔✔Perform bag-mask ventilation at 20 per
minute
Which of the following mechanisms of injury does not commonly cause damage to the spinal cord? -
✔✔Lateral stress
A 4-year-old female is unconscious after falling off a bicycle. Which of the following is the best method to
open the airway? - ✔✔Modified jaw-thrust
When performing the ITLS Primary Survey, the team leader may minimize errors by: - ✔✔Delegating
interventions
You have placed an NPA in your patient and now observe mild hemorrhage from the nares. You should: -
✔✔Leave the NPA in place so as not to disturb the clot or reactivate bleeding
, A 27-year-old male with blunt chest trauma from a motor vehicle collision was successfully intubated at
the scene. While ventilating the patient, you note resistance with absence of right chest wall movement.
You should suspect a: - ✔✔Tension pneumothorax
A 34-year-old man has a gunshot wound to the right groin area. Arterial bleeding, which cannot be
controlled with direct pressure or tourniquet, is coming from the wound. The patient appears confused,
diaphoretic, and has weak peripheral pulses. What is the appropriate fluid resuscitation regimen for this
patient? - ✔✔Intravenous fluid; give enough fluid to maintain peripheral pulses
The gold standard to confirm that the endotracheal tube is placed in the trachea is: - ✔✔Waveform
capnography
Common mechanisms of injury for the pediatric patient include all of the following except: - ✔✔animal
bites
Which of the following injuries would change a trauma patient's transport classification from "stable" to
"load and go"? - ✔✔Pelvic fracture
Which of the following findings would not make a patient difficult to ventilate with a bag-valve mask? -
✔✔Multiple nose piercings
What is the most frequent cause for an intubated trauma patient to develop poor lung compliance while
being ventilated? - ✔✔Tension pneumothorax
Hemostatic agents applied directly to the source of bleeding must be used in conjunction with: -
✔✔Direct pressure to the wound
Routine use of hyperventilation in the traumatic brain injured (TBI) patient will: - ✔✔Cause
vasoconstriction and increased cerebral ischemia
Which finding requires interruption of the ITLS Primary Survey? - ✔✔Complete airway obstruction
In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury? - ✔✔cervical
A 36-year-old male sustains blunt force thoracic trauma and fits the criteria for a load- and-go patient.
Which of the following should be performed on the scene? - ✔✔Assess for other potentially life-
threatening conditions
The use of external laryngeal manipulation: - ✔✔Improves glottic visualization
A pericardiocentesis is performed to: - ✔✔To remove fluid from the lining around the heart
A 56-year-old male sustains a gunshot wound to the abdomen. Vital signs are BP 74/32, P 136 present
only at the carotid, and R 24 and shallow. The target of fluid resuscitation is - ✔✔Return of peripheral
pulses
An unconscious 15-year-old male was struck on the head with a baseball bat. His arms and legs are
extended and his right pupil is dilated and fixed. You should: - ✔✔Perform bag-mask ventilation at 20 per
minute
Which of the following mechanisms of injury does not commonly cause damage to the spinal cord? -
✔✔Lateral stress
A 4-year-old female is unconscious after falling off a bicycle. Which of the following is the best method to
open the airway? - ✔✔Modified jaw-thrust
When performing the ITLS Primary Survey, the team leader may minimize errors by: - ✔✔Delegating
interventions
You have placed an NPA in your patient and now observe mild hemorrhage from the nares. You should: -
✔✔Leave the NPA in place so as not to disturb the clot or reactivate bleeding
, A 27-year-old male with blunt chest trauma from a motor vehicle collision was successfully intubated at
the scene. While ventilating the patient, you note resistance with absence of right chest wall movement.
You should suspect a: - ✔✔Tension pneumothorax
A 34-year-old man has a gunshot wound to the right groin area. Arterial bleeding, which cannot be
controlled with direct pressure or tourniquet, is coming from the wound. The patient appears confused,
diaphoretic, and has weak peripheral pulses. What is the appropriate fluid resuscitation regimen for this
patient? - ✔✔Intravenous fluid; give enough fluid to maintain peripheral pulses
The gold standard to confirm that the endotracheal tube is placed in the trachea is: - ✔✔Waveform
capnography
Common mechanisms of injury for the pediatric patient include all of the following except: - ✔✔animal
bites
Which of the following injuries would change a trauma patient's transport classification from "stable" to
"load and go"? - ✔✔Pelvic fracture
Which of the following findings would not make a patient difficult to ventilate with a bag-valve mask? -
✔✔Multiple nose piercings
What is the most frequent cause for an intubated trauma patient to develop poor lung compliance while
being ventilated? - ✔✔Tension pneumothorax
Hemostatic agents applied directly to the source of bleeding must be used in conjunction with: -
✔✔Direct pressure to the wound
Routine use of hyperventilation in the traumatic brain injured (TBI) patient will: - ✔✔Cause
vasoconstriction and increased cerebral ischemia
Which finding requires interruption of the ITLS Primary Survey? - ✔✔Complete airway obstruction
