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WorksheetsBTLS Revised MAY 2023
Total questions: 20
Worksheet time: 23mins
1. The primary survey is designed to rapidly assess and treat 6 life-threatening injuries. Listed below are the 6 life threatening injuries EXCEPT;:
A. Open Pneumothorax
B. Airway obstruction
C. Lung Contusion
D. Massive Hemothorax
2. Which of the following manual airway maneuvers is NOT recommended for use on trauma patients?
A. Mandible lift
B. Jaw thrust
C. Head tilt, Chin lift
D. Chin lift
3. Which one of the following not included in the LETHAL TRIAD of trauma?
A. Acidosis
B. Hypoglycemia
C. Coagulopathy
D. Hypothermia
4. A 35 year old man falls off a 10-foot ladder. Based on this information, which injuries would you attend to first?
A. Fractured femur
B. Angulated wrist
C. C-spine precautions
D. Hip fracture
5. _______________ is the most desirable method of achieving maximum control of the airway for trauma patients who are apnoeic or require assisted ventilation.
A. Laryngeal Mask airway
B. Endotracheal intubation
C. An Oropharyngeal Airway
D. Bag valve mask ventilation
6. In a patient with an open pneumothorax, the chest tube is inserted at
A. open wound site
B. between 3rd & 4th intercostal space mid clavicular line
C. between 4th & 5th intercostal spaces, just anterior to the mid axillary line
D. 2nd intercostal space at mid clavicular line
7. Which is NOT a sign of Tension Pneumothorax?
A. Decreased Breath sounds
B. Tracheal deviation
C. Decreased chest expansion / compliance
D. Dullness on percussion
8. Which of the following conditions is your FIRST priority in management of a trauma patient?
A. Open the airway and assess for breathing
B. Provide a spinal board for spinal protection
C. Control major / catastrophic external bleeding
D. Access the GCS scoring of the patient
9. An unrestrained 18 year old male on the way to a post-graduation party leaves the road, bounces through a ditch and hits a tree. You find him behind the bent steering wheel, unconscious, cool, pale and clammy, blue around the lips with labored respirations of 30 and shallow, thready radial pulses of about 120, distended neck veins, tracheal deviation to the right, and an asymmetrical chest with absent breath sounds on the left. You assume he has a:
A. Cardiac tamponade
B. Tension pneumothorax
C. Massive hemothorax
D. Simple pneumothorax
10. The most important, immediate step in the management of an open pneumothorax is
A. Endotracheal intubation.
B. Clean and surgically close the wound.
C. Placing a chest tube through the chest wound
D. Placement an occlusive dressing over the wound.
11. A 45 year old woman is found lying in pain at the scene of a motor vehicle collision. Her vital signs are blood pressure, 80/40; pulse, 130/min; and respirations, 30/min. Which of the following is the MOST likely cause for her vital signs?
A. Fractured lower legs
B. Intra cranial hemorrhage
C. Bleeding into the chest or abdomen
D. Spinal cord injury with neurogenic shock
12. A previously healthy, 70 kg man suffers an estimated acute blood loss of two liters. Which one of the following statements applies to this patient?
A. His pulse pressure will be widened.
B. He will have tachycardia, but no change in his systolic blood pressure.
C. His systolic blood pressure will be decreased with a narrowed, pulse pressure.
D. His systolic blood pressure will be maintained with widened, pulse pressure.
13. A 25-year-old man, injured in a motor vehicular crash, is admitted to the emergency department. His pupils react sluggishly and his eyes open to painful stimuli. He does not follow commands, but he does moan periodically. His right arm is deformed and does not respond to painful stimulus; however, his left hand reaches toward it. Both legs are stiffly ended. His Glasgow Coma Scale Score is
A. two
B. four
C. nine
D. twelve
14. Proper immobilization of a forearm (radius and ulna) fracture involves splinting which of the following?
A. Elbow and fracture site
B. Fracture site only
C. Wrist and fracture site
D. Wrist, elbow, and fracture site
15. “GCS scoring 12 is considered as?
A. Normal traumatic brain injury
B. Mild traumatic brain injury
C. Moderate traumatic brain injury
D. Severe traumatic brain injury
16. “Which of the following is Potential Life Threatening?
A. Pulmonary contusion
B. Pulmonary oedema
C .Pulmonary embolism
D. Pulmonary fibrosis
17. “Beck’s triad indicates
A. A closed head injury.
B. A flail chest.
C. Cardiac tamponade.
D. Pulmonary embolism.”
18. “A progressive collapsing of lung tissue due to accumulation of air in the thorax is known as a
A. Pleural effusion
B. Hemothorax.
C. Pulmonary embolism.
D. Tension pneumothorax.”
19. “Raccoon’s eyes are signs of a
A. Basal skull fracture.
B. Temporal fracture.
C. Linear fracture.
D. Concussion injury.
20. An individual is involved in a motor vehicle collision and found to have a deviated trachea and complain of chest pain. His BP is 80/60, pulse 122 , RR 32 , SpO 95% on 15L oxygen, what would be your next immediate intervention
A. Intubation
B. Analgesics
C. Blood transfusion
D. Needle decompression / finger thoracostomy
