ITLS Advanced Pre-test: Questions & Verified 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 Right Ans - A) IV fluid TKVO
What is the Sellick's Maneuver? Right 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 Right 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? Right 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? Right 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 Right 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 Right 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 Right 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 Right 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 Right 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? Right 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 Right Ans - B)bilateral femur fractures
what is the most commonly injured, during a fall from a height, of an infant?
Right Ans - head
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 Right Ans - A) IV fluid TKVO
What is the Sellick's Maneuver? Right 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 Right 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? Right 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? Right 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 Right 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 Right 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 Right 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 Right 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 Right 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? Right 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 Right Ans - B)bilateral femur fractures
what is the most commonly injured, during a fall from a height, of an infant?
Right Ans - head
