ITLS Advanced Pre-Test (9th Edition -
Version 9.1) Questions and Answers
1. 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: A. Cervical
2. 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: B. To remove fluid from the lining around the heart
3. 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: D. Assess for
,other potentially life-threatening conditions
4. The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottis visualization
D. Causes aspiration: C. Improves glottis visualization
5. 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: A. Return of peripheral pulses
6. 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 ven- tilation
D. Perform bag-mask ventilation at 20 per minute: D. Perform bag-mask
ventilation at 20 per
Minute
7. 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: C. Lateral stress
8. 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: A. Modified jaw-thrust
9. 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
Version 9.1) Questions and Answers
1. 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: A. Cervical
2. 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: B. To remove fluid from the lining around the heart
3. 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: D. Assess for
,other potentially life-threatening conditions
4. The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottis visualization
D. Causes aspiration: C. Improves glottis visualization
5. 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: A. Return of peripheral pulses
6. 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 ven- tilation
D. Perform bag-mask ventilation at 20 per minute: D. Perform bag-mask
ventilation at 20 per
Minute
7. 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: C. Lateral stress
8. 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: A. Modified jaw-thrust
9. 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
