ITLS Advanced Pre-Test 7th Edition
Questions and Answers
1. A 34 year old man 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 respirations 20 per minute, pulse rate is 120 per minute
blood pressure 100/60; How should this patient be managed in
the field?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid at 20 ml/kg bolus
C. Fentanyl 100 mcg intravenous
D. Insert an oropharyngeal airway and assist ventilations: A. Intravenous
fluid at a "keep open" rate
2. What is Sellick's maneuver?
A. A method allowing the rescuer to hold a mask on the face with both
hands
B. A system used to calculate minute volume
C. Another name for Mallampati
D. Posteriorly directed pressure applied to the cricoid cartilage: D.
Posteriorly directed pressure applied to the cricoid cartilage
,3. For which one of the following viruses is there currently an effective
vaccine?
A. Delta hepatitis
B. Hepatitis B
C. Hepatitis C
D. Human immunodeficiency virus: B. Hepatitis B
4. A 16 year old girl is rescued from a burning house. She has 25%
partial thick- ness burns, and the burned areas are hot to the touch.
What is the appropriate treatment?
A. Apply ice to burned areas until cool to touch
B. Apply clean water to burned areas for up to 1-2 minutes
C. Apply iced water to burned areas until cool to touch
D. Do not apply anything to burned areas other than clean sheets: B.
Apply clean water to burned areas for up to 1-2 minutes
5. Proper immobilization of a forearm (radius and ulna) fracture
involves splint- ing which of the
following?
A. Elbow and fracture site
B. Fracture site only
C. Wrist and fracture site
D. Wrist, elbow, and fracture site: D. Wrist, elbow, and fracture site
, 6. What treatment is NOT indicated in the routine management
of the patient with a head injury?
A. Administration of 100% oxygen
B. Fluid resuscitation to a BP of 110-120 systolic if the patient is
hypotensive
C. Hyperventilating to obtain an EtCO2 of less than 30
D. Stabilization of the cervical spine: C. Hyperventilating to obtain an EtCO2 of less
than 30
7. 7 . Which of the following sets of vital signs is most compatible
with a diag- nosis of isolated head injury with increasing
intracranial pressure?
A. BP 170/100, pulse 50/min
B. BP 80/60, pulse 130/min
C. BP 80/60, pulse 50/min
D. BP 170/100, pulse 130/min: A. BP 170/100, pulse 50/min
8. Which of the following trauma situations would be considered "load
and go"?
A. Awake and alert patient who has blood coming out of one ear
B. Patient who had brief loss of consciousness but is now awake
C. Patient with abdominal tenderness, clammy skin, blood pressure
100/70, and
Questions and Answers
1. A 34 year old man 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 respirations 20 per minute, pulse rate is 120 per minute
blood pressure 100/60; How should this patient be managed in
the field?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid at 20 ml/kg bolus
C. Fentanyl 100 mcg intravenous
D. Insert an oropharyngeal airway and assist ventilations: A. Intravenous
fluid at a "keep open" rate
2. What is Sellick's maneuver?
A. A method allowing the rescuer to hold a mask on the face with both
hands
B. A system used to calculate minute volume
C. Another name for Mallampati
D. Posteriorly directed pressure applied to the cricoid cartilage: D.
Posteriorly directed pressure applied to the cricoid cartilage
,3. For which one of the following viruses is there currently an effective
vaccine?
A. Delta hepatitis
B. Hepatitis B
C. Hepatitis C
D. Human immunodeficiency virus: B. Hepatitis B
4. A 16 year old girl is rescued from a burning house. She has 25%
partial thick- ness burns, and the burned areas are hot to the touch.
What is the appropriate treatment?
A. Apply ice to burned areas until cool to touch
B. Apply clean water to burned areas for up to 1-2 minutes
C. Apply iced water to burned areas until cool to touch
D. Do not apply anything to burned areas other than clean sheets: B.
Apply clean water to burned areas for up to 1-2 minutes
5. Proper immobilization of a forearm (radius and ulna) fracture
involves splint- ing which of the
following?
A. Elbow and fracture site
B. Fracture site only
C. Wrist and fracture site
D. Wrist, elbow, and fracture site: D. Wrist, elbow, and fracture site
, 6. What treatment is NOT indicated in the routine management
of the patient with a head injury?
A. Administration of 100% oxygen
B. Fluid resuscitation to a BP of 110-120 systolic if the patient is
hypotensive
C. Hyperventilating to obtain an EtCO2 of less than 30
D. Stabilization of the cervical spine: C. Hyperventilating to obtain an EtCO2 of less
than 30
7. 7 . Which of the following sets of vital signs is most compatible
with a diag- nosis of isolated head injury with increasing
intracranial pressure?
A. BP 170/100, pulse 50/min
B. BP 80/60, pulse 130/min
C. BP 80/60, pulse 50/min
D. BP 170/100, pulse 130/min: A. BP 170/100, pulse 50/min
8. Which of the following trauma situations would be considered "load
and go"?
A. Awake and alert patient who has blood coming out of one ear
B. Patient who had brief loss of consciousness but is now awake
C. Patient with abdominal tenderness, clammy skin, blood pressure
100/70, and
