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ITLS PRETEST EXAM QUESTIONS

Exam (elaborations) Feb 27, 2026
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ITLS PRETEST EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -50 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Control major external bleeding

Answer:

Which of the following conditions is your FIRST priority in management of a trauma patient?

Question 2: Hemorrhagic shock

Answer:

Among the following, what is the most common cause of preventable trauma death in the injured adult patient?Question 3: Apply a hemostatic agent and gain intravenous access given enough fluid to maintain peripheral pulses

Answer:

A 34 year old man has a gunshot wound to the right groin area. Arterial bleeding, which cannot be controlled with direct pressure, is coming from the wound. The patient appears confused, diaphoretic, and has weak peripheral pulses. What is the appropriate fluid resuscitation for this patient?

Question 4: Wrist, elbow, and fracture site

Answer:

Proper immobilization of a forearm (radius and ulna) fracture involves splinting which of the following?

Question 5: Proximal tibia

Answer:

What site is the first choice for intraosseous infusion?

Question 6: 2 hours

Answer:

Tourniquet application should be limited to less than:

Question 7: -Serum lactate levels

-Abdominal ultrasound

Answer:

Which assessment tool(s) may assist in predicting patient deterioration for someone who otherwise appears stable?

Question 8: 5 minutes or less

Answer:

A 24 year old woman is found lying on the sidewalk after jumping from a fourth story window. She is hypotensive, diaphoretic, tachycardic, and unconscious. Injuries include open skull fracture, pelvis fractures, and flail chest. What should be your goal for your time?

Question 9: -Cyanide poisoning

-High ambient light -Carbon monoxide poisoning -...All of the above (correct)

Answer:

Which of the following may affect the reliability of a pulse oxymetry reading?

Question 10: Decompress tension pneumothorax

Answer:

Which one of the following should be performed, at the scene of a "load and go", prior to moving the trauma patient to the ambulance?

Question 11: Presence of toxic fumes

Answer:

In which of the following situations should an emergency rescue be used?

Question 12: direct pressure to the wound

Answer:

Hemostatic agents applied directly to the source of bleeding must be used in conjunction with:

Question 13: ventilated at a rate of 8-10 per minute

Answer:

In the absence of herniation syndrome, adult head injured patients should be:

Question 14: Hepatitis B

Answer:

For which one of the following viruses is there currently an effective vaccine?

Question 15: Apply clean water to burned areas for up to 1-2 minutes

Answer:

A 16 year old girl is rescued from a burning house. She has 25% partial thickness burns, and the burned areas are hot to the touch. What is the appropriate treatment?

Question 16: Cardiac arrest

Answer:

Which one of the following is a reason to interrupt the initial assessment?

Question 17: Pre-existing condition (anisocoria)

Answer:

A 35-year-old male is found at the scene of a motor vehicle collision. He is alert and oriented and complaining of knee pain. Your assessment reveals a respiratory rate of 16 per minute non-labored, pulse rate of 88 per minute strong, blood pressure 124/64, unequal pupils and swelling to the isolated knee injury. What is the most likely cause of the unequal pupils?

Question 18: Bilateral femur fractures

Answer:

Which of the following injuries would change an otherwise stable trauma patient's category from "stable" to "load and go"?

Question 19: Relative hypovolemic (high-space) shock

Answer:

A 23 year old female has won the "Let's-see-who-can-lean-the-farthest-backward-over- the-second-story-balcony-railing" contest. You arrive to find her boyfriend standing over her, holding two beers, as she lies on the grass under the balcony. She opens her eyes to voice, her skin is normal in color, respirations about 16 and unlabored, pulse 54 and a little weak at the wrist, with no external bleeding. She has flat neck veins, a normal chest and abdomen and a stable pelvis. First responders who arrived just before you tell you that her pulse ox reading is 94 and her BP is 74/30. If this is true,

Question 20: Lung

Answer:

Which of the following will generally suffer the LEAST structural damage from a gunshot wound from a rifle?

Question 21: at the time of injury

Answer:

The "Golden Period" begins:

Question 22: Intravenous fluid at a "keep open" rate

Answer:

A 34 year old man is injured in a motor vehicle collision. Physical examination is normal except for diffuse abdominal tenderness. He is conscious and vital signs obtained enroute to the hospital are respirations 20 per ,minute, pulse rate is 120 per minute blood pressure 100/60; How should this patient be managed in the field?

Question 23: Patients with dentures

Answer:

Which one of the following may predict which patients might have difficult laryngoscopy and intubation?

Question 24: Secondary injury is caused by materials propelled

Answer:

Which of he following concerning blast injury is TRUE?

Question 25: Hypotension

Answer:

In the elderly which of the following findings is most likely caused by an acute injury?

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