ITLS Pre - Test
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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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
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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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 - ✔✔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
