ITLS Advanced Pre-test Questions & Answers(GRADED
A+)
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 - ANSWERA) IV fluid TKVO
What is the Sellick's Maneuver? - ANSWERPosteriorly 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 - ANSWERB) 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? - ANSWERapply 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? -
ANSWERwrist, 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 - ANSWERC)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 - ANSWERA)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 - ANSWERC)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 - ANSWERB)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 - ANSWERA) cardiac arrest
which of the following will generall suffer the LEAST structural damage from a gunshot wound from a
rifle?
A)spleen
B)kidney
C)liver
A+)
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 - ANSWERA) IV fluid TKVO
What is the Sellick's Maneuver? - ANSWERPosteriorly 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 - ANSWERB) 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? - ANSWERapply 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? -
ANSWERwrist, 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 - ANSWERC)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 - ANSWERA)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 - ANSWERC)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 - ANSWERB)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 - ANSWERA) cardiac arrest
which of the following will generall suffer the LEAST structural damage from a gunshot wound from a
rifle?
A)spleen
B)kidney
C)liver
