ITLS Pre – Test: Questions And Answers (Graded A+)
A 25-year-old female was stabbed in the left arm. She presents with an altered
mental status and signs of shock. Bleeding is controlled by direct pressure and
use of a tourniquet. Which intravenous fluid therapy is appropriate?
A. Estimate blood loss and administer fluid at a 3:1 ratio
B. Fluid administration of 250 mL
C. Fluid administration to maintain systolic pressure of 60 mmHg
D. Intravenous fluid administration bolus of 500 mL, then reassess Right
Ans - D. Intravenous fluid administration bolus of 500mL, then reassess
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 Right Ans - A. Cervical
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 Right Ans - D.
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 glottic visualization
D. Causes aspiration Right Ans - C. Improves glottic visualization
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 Right Ans - B. To remove fluid from the lining
around the heart
, 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 Right Ans - A. Return of peripheral pulses (90 Systolic)
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 Right Ans - D. 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. Hyperflexion
C. Lateral stress
D. Compression Right Ans - C. Lateral stress
A 4-year-old female is unconscious after falling off a bicycle. Which of the
following is the best method to open the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift Right Ans - A. 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 Right Ans - D. Delegating Interventions
A 25-year-old female was stabbed in the left arm. She presents with an altered
mental status and signs of shock. Bleeding is controlled by direct pressure and
use of a tourniquet. Which intravenous fluid therapy is appropriate?
A. Estimate blood loss and administer fluid at a 3:1 ratio
B. Fluid administration of 250 mL
C. Fluid administration to maintain systolic pressure of 60 mmHg
D. Intravenous fluid administration bolus of 500 mL, then reassess Right
Ans - D. Intravenous fluid administration bolus of 500mL, then reassess
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 Right Ans - A. Cervical
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 Right Ans - D.
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 glottic visualization
D. Causes aspiration Right Ans - C. Improves glottic visualization
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 Right Ans - B. To remove fluid from the lining
around the heart
, 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 Right Ans - A. Return of peripheral pulses (90 Systolic)
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 Right Ans - D. 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. Hyperflexion
C. Lateral stress
D. Compression Right Ans - C. Lateral stress
A 4-year-old female is unconscious after falling off a bicycle. Which of the
following is the best method to open the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift Right Ans - A. 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 Right Ans - D. Delegating Interventions
