ITLS Advanced Pre-Test Questions and Answers
A 34 year old male is injured in a motor vehicle collision. physical examination is normal
except for diffuse abdominal tenderness. He is conscious and vital signs obtained
enroute to the hospital are resps 20, HR is 120BPM, BP 100/60; how should this patient
be managed in the field?
A)IV fluid TKVO
B)IV fluid 20mL/Kg bolus
C)Fentanyl 100mcg IV
D) INsert an OPA and assist ventilations - ANS-A) IV fluid TKVO
What is the Sellick's Maneuver? - ANS-Posteriorly directed pressure applied to the
cricoid cartilage
For which of the following viruses is there currently an effective vaccine?
A)Delta hepatitis
B)Hepatitis B
C)Hepatitis C
D) Human immunodeficiency virus - ANS-B) Hepatitis B
A 16 year old girl is rescued from a burning house. She has 25% partial thickness
burns, and the burned areas are hot to the touch. What is the appropriate treatment? -
ANS-apply clean water to burned areas for up to 1-2 minutes
to proper immobolize a forearm (radius and ulna) fracture, what do you need to splint? -
ANS-wrist, elbow and fracture site
what treatment is NOT indicated in the routine management of the patient with a head
injury?
A)administration of %100 O2
B)fluid rescucitation to a BP of 110-120 systolic if the pt is hypotensive
C)Hyperventilating to obtain an ETCO2 of less than 30
D)Stabalization of the cervical spine - ANS-C)hyperventilating to obtain ETCO2 of less
than 30
which of the following sets of vital signs is most compatible witha diagnosis of isolated
head injury with increasing ICP?
A)BP170/100,HR50BPM
B)BP80/60,HR130BPM
C)BP80/60,HR50BPM
D)BP170/100,HR130BPM - ANS-A)BP170/100,HR50BPM
what would be considered a "load and go"?
A)awake and alert patient who has bloof coming out of one ear
B)patient who had a brief loss of consciousness but is now awake
, C)pt with abdominal tenderness,clammy skin, BP100/70 and pulse 130/min
D)pt with tender, deformed lower leg - ANS-C)pt with abdominal tenderness,clammy
skin, blood pressure 100/70 and pulse 130/min
which of the following should be performed at the scene of a "load and go", prior to
moving the trauma patient to the abmulance?
A)apply traction splint for femur fracture
B)decompress tension pneumothorax
C)initiate IV line
D)obtain vital signs - ANS-B)decompress tension pneumothorax
which of the following is a reason to interrupt the initial asessment?
A)cardiac arrest
B)multiple open (common) fractures
C)severe head injury with brin tissue visible
D)severe shock - ANS-A) cardiac arrest
a 24 year old woman is found lying on the sidewalk after jumping from a fourth story
window. She is hypotensice, diapheuretic, tachycardic, and uncionscious. Injuries
include open skull fracture, pelvis fractures, and flail chest. What should your goal for
your time be? - ANS-5 minutes or less
which of the following injuries would change an otherwise stable trauma patients
category from "stable" to "load and go"?
A)bilateral clavicle fractures
B)bilateral femur fractures
C)bilateral humerus fractures
D)bilateral tibia fractures - ANS-B)bilateral femur fractures
what is the most commonly injured, during a fall from a height, of an infant? - ANS-head
what sire is the first choice for intraosseous infusion? - ANS-Proximal tibia
which of the following will generall suffer the LEAST structural damage from a gunshot
wound from a rifle?
A)spleen
B)kidney
C)liver
D)lung - ANS-D)lung
a 34 y/o man has a gunshot wound to the right groin area. Arterial bleeding, which
cannot be controlled with direct pressure, is coming from the wound. The patient
appears confused, diapheuretic and has weak peripheral pulses. what is the appropriate
fluid resuscitation for this patient? - ANS-apply a hemostatic agent and gain intravenous
access given enough fluid to maintain peripheral pulses
A 34 year old male is injured in a motor vehicle collision. physical examination is normal
except for diffuse abdominal tenderness. He is conscious and vital signs obtained
enroute to the hospital are resps 20, HR is 120BPM, BP 100/60; how should this patient
be managed in the field?
A)IV fluid TKVO
B)IV fluid 20mL/Kg bolus
C)Fentanyl 100mcg IV
D) INsert an OPA and assist ventilations - ANS-A) IV fluid TKVO
What is the Sellick's Maneuver? - ANS-Posteriorly directed pressure applied to the
cricoid cartilage
For which of the following viruses is there currently an effective vaccine?
A)Delta hepatitis
B)Hepatitis B
C)Hepatitis C
D) Human immunodeficiency virus - ANS-B) Hepatitis B
A 16 year old girl is rescued from a burning house. She has 25% partial thickness
burns, and the burned areas are hot to the touch. What is the appropriate treatment? -
ANS-apply clean water to burned areas for up to 1-2 minutes
to proper immobolize a forearm (radius and ulna) fracture, what do you need to splint? -
ANS-wrist, elbow and fracture site
what treatment is NOT indicated in the routine management of the patient with a head
injury?
A)administration of %100 O2
B)fluid rescucitation to a BP of 110-120 systolic if the pt is hypotensive
C)Hyperventilating to obtain an ETCO2 of less than 30
D)Stabalization of the cervical spine - ANS-C)hyperventilating to obtain ETCO2 of less
than 30
which of the following sets of vital signs is most compatible witha diagnosis of isolated
head injury with increasing ICP?
A)BP170/100,HR50BPM
B)BP80/60,HR130BPM
C)BP80/60,HR50BPM
D)BP170/100,HR130BPM - ANS-A)BP170/100,HR50BPM
what would be considered a "load and go"?
A)awake and alert patient who has bloof coming out of one ear
B)patient who had a brief loss of consciousness but is now awake
, C)pt with abdominal tenderness,clammy skin, BP100/70 and pulse 130/min
D)pt with tender, deformed lower leg - ANS-C)pt with abdominal tenderness,clammy
skin, blood pressure 100/70 and pulse 130/min
which of the following should be performed at the scene of a "load and go", prior to
moving the trauma patient to the abmulance?
A)apply traction splint for femur fracture
B)decompress tension pneumothorax
C)initiate IV line
D)obtain vital signs - ANS-B)decompress tension pneumothorax
which of the following is a reason to interrupt the initial asessment?
A)cardiac arrest
B)multiple open (common) fractures
C)severe head injury with brin tissue visible
D)severe shock - ANS-A) cardiac arrest
a 24 year old woman is found lying on the sidewalk after jumping from a fourth story
window. She is hypotensice, diapheuretic, tachycardic, and uncionscious. Injuries
include open skull fracture, pelvis fractures, and flail chest. What should your goal for
your time be? - ANS-5 minutes or less
which of the following injuries would change an otherwise stable trauma patients
category from "stable" to "load and go"?
A)bilateral clavicle fractures
B)bilateral femur fractures
C)bilateral humerus fractures
D)bilateral tibia fractures - ANS-B)bilateral femur fractures
what is the most commonly injured, during a fall from a height, of an infant? - ANS-head
what sire is the first choice for intraosseous infusion? - ANS-Proximal tibia
which of the following will generall suffer the LEAST structural damage from a gunshot
wound from a rifle?
A)spleen
B)kidney
C)liver
D)lung - ANS-D)lung
a 34 y/o man has a gunshot wound to the right groin area. Arterial bleeding, which
cannot be controlled with direct pressure, is coming from the wound. The patient
appears confused, diapheuretic and has weak peripheral pulses. what is the appropriate
fluid resuscitation for this patient? - ANS-apply a hemostatic agent and gain intravenous
access given enough fluid to maintain peripheral pulses
