FREE ITLS Adult Basic Questions and Answers

Question 1

In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury?

Accepted Answer

Cervical

Answer

Thoracic

Answer

Lumbar

Answer

Sacral-coccygeal

Question 2

Prolonged scene times may reflect:

Accepted Answer

Ineffective team collaboration

Answer

A decrease in death rates

Answer

Delivery of better care

Answer

Accomplishment of interventions

Question 3

Which of the following indicates a state of hyperventilation?

Accepted Answer

An end-tidal carbon dioxide level less than 30 mmHg

Answer

An adult respiratory rate greater than 20 per minute

Answer

A tidal volume of less than 400 mL

Answer

An oxygen saturation greater than 94%

Question 4

A 54-year-old male is involved in a motor vehicle collision. The steering wheel is bent. During your initial assessment, you note his skin is pale, radial pulses are present, and breath sounds are clear. The patient is tender over his sternum and complains of chest pain. Which intrathoracic injury should you suspect given the above findings?

Accepted Answer

Cardiac contusion

Answer

Traumatic aortic rupture

Answer

Flail chest

Answer

Tension pneumothorax

Question 5

Which of the following is considered one of the four essential components to maintain normal perfusion?

Accepted Answer

Fluid levels

Answer

Serum lactate levels

Answer

ETCO2 levels

Answer

SaO2 levels

Question 6

As intracerebral pressure rises after an isolated head injury, what does the systolic blood pressure do?

Accepted Answer

Increases

Answer

Stays the same

Answer

Decreases

Answer

Changes randomly

Question 7

Which of the following mechanisms of injury does not commonly cause damage to the spinal cord?

Accepted Answer

Lateral stress

Answer

Hyperextension

Answer

Hyperflexion

Answer

Compression

Question 8

When performing the ITLS Primary Survey, the team leader may minimize errors by:

Accepted Answer

Delegating interventions

Answer

Performing all interventions

Answer

Limiting crew roles

Answer

Permitting the crew to continue the assessment

Question 9

You have placed an NPA in your patient and now observe mild hemorrhage from the nares. You should:

Accepted Answer

Leave the NPA in place so as not to disturb the clot or reactivate bleeding

Answer

Immediately remove the NPA and pack the nose with gauze

Answer

Immediately remove the NPA and reinsert it on the opposite nare

Answer

Contact medical control as an NPA will not cause hemorrhage

Question 10

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 an absence of right chest wall movement. You should suspect a:

Accepted Answer

Tension pneumothorax

Answer

Flail chest

Answer

Gastric distention

Answer

Mucus obstruction