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ITLS Advanced Pre-Test (9th Edition - Version 9.1, March 2024) Questions with Solutions
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ITLS Advanced Pre-Test (9th Edition - Version 9.1, March 2024)
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ITLS Advanced Pre-Test (9th Edition -Version 9.1, March 2024)
In a rear-impact motor vehicle collision, which area of the spine is most susceptible to
injury?
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal - answerA. Cervical
A pericardiocentesis is performed to:
A. To remove fluid from the lining around the lungs
B. To remove fluid from the lining around the heart
C. To inject medications directly into the heart
D. To monitor stroke volume - answerB. To remove fluid from the lining around the heart
A 36-year-old male sustains blunt force thoracic trauma and fits the criteria for a load-
and-go patient. Which of the following should be performed on the scene?
A. Obtain an ECG
B. Establish vascular access
C. Obtain a finger stick serum lactate level
D. Assess for other potentially life-threatening conditions - answerD. Assess for other
potentially life-threatening conditions
The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottis visualization
D. Causes aspiration - answerC. Improves glottis visualization
A 56-year-old male sustains a gunshot wound to the abdomen. Vital signs are BP
74/32, P 136 present only at the carotid, and R 24 and shallow. The target of fluid
resuscitation is:
A. Return of peripheral pulses
B. Maintenance of central pulses
C. Systolic blood pressure of 110-120
D. Pulse rate of 100 - answerA. Return of peripheral pulses
An unconscious 15-year-old male was struck on the head with a baseball bat. His arms
and legs are extended and his right pupil is dilated and fixed. You should:
A. Insert an oropharyngeal airway, administer oxygen, and restrict fluids
, B. Apply a non-rebreather mask, restrict fluids, and administer Mannitol
C. Perform nasotracheal intubation, restrict fluids, and provide adequate ventilation
D. Perform bag-mask ventilation at 20 per minute - answerD. Perform bag-mask
ventilation at 20 per minute
Which of the following mechanisms of injury does not commonly cause damage to the
spinal cord?
A. Hyperextension
B. Hyper flex ion
C. Lateral stress
D. Compression - answerC. Lateral stress
A 4-year-old female is unconscious after falling off a bicycle. Which of the following is
the best method to pen the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift - answerA. Modified jaw-thrust
When performing the ITLS Primary Survey, the team leader may minimize errors by:
A. Performing all interventions
B. Limiting crew roles
C. Permitting crew to continue the assessment
D. Delegating interventions - answerD. Delegating interventions
You have placed an NPA in your patient and now observe mild hemorrhage from the
nares. You should:
A. Immediately remove the NPA and pack the nose with gauze
B. Immediately remove the NPA and reinsert on the opposite nare
C. Leave the NPA in place so as not to disturb the clot or reactivate bleeding
D. Contact medical control as an NPA will not cause hemorrhage - answerC. Leave the
NPA in place so as not to disturb the clot or reactivate bleeding
A 27-year-old male with blunt chest trauma from a motor vehicle collisions as
successfully intubated at the scene. While ventilating the patient, you note resistance
with absence of right chest wall movement. You should suspect a:
A. Flail chest
B. Gastric distention
C. Mucus obstruction
D. Tension pneumothorax - answerD. Tension pneumothorax
A 34-year-old man has a gunshot wound to the right groin area. Arterial bleeding, which
cannot be controlled with direct pressure or tourniquet, is coming from the wound. The
patient appears confused, diaphoretic, and has weak peripheral pulses. What is the
appropriate fluid resuscitation regimen for this patient?
A. Intravenous fluid at a "keep open" rate
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