BTLS Revised MAY 2023

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 3^rd & 4^th intercostal space mid clavicular line

• C. between 4^th & 5^th intercostal spaces, just anterior to the mid axillary line

• D. 2^nd 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.