ITLS WRITTEN EXAMINATION (9TH
EDITION): A COMPREHENSIVE REVIEW
WITH LATEST UPDATES AND A+ GRADED
ANSWERS
**1.** 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 Correct Answer A. Return of peripheral
pulses
**2.** 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 Correct
Answer D. Assess for other potentially life-threatening conditions
,**3.** The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottic visualization
D. Causes aspiration Correct Answer C. Improves glottic
visualization
**4.** 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 Correct Answer B. To remove fluid
from the lining around the heart
**5.** 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 Correct Answer A. Cervical
, **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 ventilation
D. Perform bag-mask ventilation at 20 per minute Correct Answer
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. Hyperflexion
C. Lateral stress
D. Compression Correct Answer 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 open the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
EDITION): A COMPREHENSIVE REVIEW
WITH LATEST UPDATES AND A+ GRADED
ANSWERS
**1.** 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 Correct Answer A. Return of peripheral
pulses
**2.** 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 Correct
Answer D. Assess for other potentially life-threatening conditions
,**3.** The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottic visualization
D. Causes aspiration Correct Answer C. Improves glottic
visualization
**4.** 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 Correct Answer B. To remove fluid
from the lining around the heart
**5.** 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 Correct Answer A. Cervical
, **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 ventilation
D. Perform bag-mask ventilation at 20 per minute Correct Answer
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. Hyperflexion
C. Lateral stress
D. Compression Correct Answer 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 open the airway?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
