ITLS Test Video Answers

1. D
2. C
3. A
4. D
5. D
6. C
7. D
8. D
9. A
10. D
11. C
12. D
13. A
14. A
15. B
16. D
17. D
18. A
19. C
20. B

Sample ITLS - International Trauma Life Support Practice Questions

Try these questions from our free ITLS - International Trauma Life Support practice tests. The correct answer and an explanation follow each question.

1. At what gestational age does ITLS recommend performing a perimortem cesarean section in a pregnant patient in cardiac arrest, and what is the goal?

   • A. Only at full term (40 weeks)
   • B. At approximately 23-24 weeks viable gestation, ideally within 4-5 minutes of arrest, to both save the fetus and improve maternal resuscitation by relieving aortocaval compression
   • C. Only after 30 minutes of unsuccessful CPR
   • D. Perimortem cesarean section is never performed prehospitally

   Answer: B. At approximately 23-24 weeks viable gestation, ideally within 4-5 minutes of arrest, to both save the fetus and improve maternal resuscitation by relieving aortocaval compression

   Perimortem cesarean section is recommended at ≥23-24 weeks gestational age, with delivery within 4-5 minutes of cardiac arrest. The dual purpose is fetal survival and improvement of maternal hemodynamics by relieving aortocaval compression.

2. During an ITLS Basic primary survey, you find a patient responsive only to painful stimuli. What is the most appropriate airway maneuver for this patient with a suspected cervical spine injury?

   • A. Head-tilt chin-lift
   • B. Jaw thrust without head extension
   • C. Nasopharyngeal airway insertion only
   • D. Immediate oral intubation

   Answer: B. Jaw thrust without head extension

   The jaw thrust without head extension is the preferred airway maneuver for trauma patients with suspected cervical spine injury, as it opens the airway without moving the neck.

3. A patient presents with a circumferential full-thickness burn to the right lower leg. Several hours later, the foot becomes pale, cool, and pulseless. What complication has developed?

   • A. Deep vein thrombosis
   • B. Compartment syndrome from burn eschar
   • C. Arterial embolism
   • D. Peripheral neuropathy from the burn

   Answer: B. Compartment syndrome from burn eschar

   Circumferential full-thickness burns create a rigid, non-elastic eschar that acts like a tourniquet as underlying tissue swells, causing compartment syndrome with vascular compromise.

4. The Pediatric Assessment Triangle (PAT) is a rapid assessment tool used to form a general impression of a sick child. Which of the following are the three components of the PAT?

   • A. Airway, Breathing, Circulation
   • B. Appearance, Work of Breathing, Circulation to Skin
   • C. Level of Consciousness, Motor Response, Pupil Reaction
   • D. Heart Rate, Respiratory Rate, Blood Pressure

   Answer: B. Appearance, Work of Breathing, Circulation to Skin

   The Pediatric Assessment Triangle (PAT) consists of three key observational components: Appearance (evaluating tone, interactiveness, consolability, look/gaze, and speech/cry), Work of Breathing (assessing for abnormal sounds, positioning, and retractions), and Circulation to Skin (checking for pallor, mottling, or cyanosis). This tool allows for a rapid 'from the doorway' evaluation without touching the patient.

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