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ITLS Advanced Pre-test – International Trauma Life Support EXAM LATEST VERSION QUESTIONS AND VERIFIED CORRECT ANSWERS JUST RELEASED

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This document features the ITLS Advanced pre-test exam with current, exam-aligned questions and verified correct answers for the 2026–2027 testing cycle. It focuses on advanced trauma assessment and management, including rapid trauma survey, airway and ventilation, hemorrhage control, shock, head and spinal trauma, and multisystem injuries. The content is ideal for paramedics and advanced providers preparing for ITLS Advanced certification or refresher exams.

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ITLS Advanced Pre-test EXAM 2026-2027 LATEST VERSION
QUESTIONS AND VERIFIED CORRECT ANSWERS JUST RELEASED
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 - answer>>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? - answer>>apply a hemostatic agent and gain intravenous access given enough fluid to
maintain peripheral pulses



which of the following is typically associated with post traumatic hemmorhage EARLY shock?

A)ventricular dysrhythmias

B)hypotension

C)loss of 30% to 45% of blood volume

D)narrowed pulse pressure - answer>>D) narrowed pulse pressure



among the following, what is the most common cause of preventable trauma death in the
injured adult patient?

A)airway obstruction

B)cardiac tamponade

C)hemmorhagic shock

, D)spinal injury - answer>>C)hemmorhagic shock



in which of the following situations shoulf an emergency rescue be used?

A)leaking antifreeze from a radiator

B)paralyzed patient

C)prescence of toxic fumes

D)pregnant patient - answer>>C)prescence of toxic fumes



What is the is most typical signs of early, neurogenic shock? - answer>>decreased pulse, warm
and dry skin



a 23 y/o man is injured in a motorcycle collision. the patient appeatrs disoriented and grossly
intoxicated. there is a large laceration on his scalp, which is actively bleeding. the patient
refuses treatment and threatens to call his lawyer if anyone touches him. what should you do? -
answer>>have the patient put under protective custody then treat and transport the patient
using restraints if necessary



where is an acceptable location to insert a needle when decompressing a tension
pneumothorax - answer>>directly overtop of the third rib midclavicular



54 y/0 man involved in a motor vehicle collision. the steering wheel is bent. during your initial
assessment you note his skin is pale and his radial pulses are present. breath sounds are clear,
heart tones not muffled. what thoracic injury would be most common with these findings? -
answer>>cardiac tamponade



what is the most common cause of cardiac arrest in trauma patients? - answer>>hypoxemia

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