Itls Advanced Pre-Test (9Th Edition - Version 9.1, March 2020) Questions And Answers

ITLS ADVANCED PRE-TEST (9TH
EDITION - VERSION 9.1, MARCH 2020)
QUESTIONS AND ANSWERS

Inxaxrear-
impactxmotorxvehiclexcollision,xwhichxareaxofxthexspinexisxmostxsusceptiblextoxinjury?
A.xCervical
B.xThoracic
C.xLumbar
D.xSacral-coccygealx-xanswer--A.xCervical

Axpericardiocentesisxisxperformedxto:
A.xToxremovexfluidxfromxthexliningxaroundxthexlungs
B.xToxremovexfluidxfromxthexliningxaroundxthexheart
C.xToxinjectxmedicationsxdirectlyxintoxthexheart
D.xToxmonitorxstrokexvolumex-xanswer--
B.xToxremovexfluidxfromxthexliningxaroundxthexheart

Ax36-year-oldxmalexsustainsxbluntxforcexthoracicxtraumaxandxfitsxthexcriteriaxforxaxload-
and-goxpatient.xWhichxofxthexfollowingxshouldxbexperformedxonxthexscene?x
A.xObtainxanxECG
B.xEstablishxvascularxaccess
C.xObtainxaxfingerxstickxserumxlactatexlevel
D.xAssessxforxotherxpotentiallyxlife-threateningxconditionsx-xanswer--
D.xAssessxforxotherxpotentiallyxlife-threateningxconditions

Thexusexofxexternalxlaryngealxmanipulation:
A.xDecreasesxthexriskxofxairwayxtrauma
B.xReducesxgastricxdistention
C.xImprovesxglottisxvisualization
D.xCausesxaspirationx-xanswer--C.xImprovesxglottisxvisualization

Ax56-year-
oldxmalexsustainsxaxgunshotxwoundxtoxthexabdomen.xVitalxsignsxarexBPx74/32,xPx136x
presentxonlyxatxthexcarotid,xandxRx24xandxshallow.xThextargetxofxfluidxresuscitationxis:
A.xReturnxofxperipheralxpulses
B.xMaintenancexofxcentralxpulses
C.xSystolicxbloodxpressurexofx110-120
D.xPulsexratexofx100x-xanswer--A.xReturnxofxperipheralxpulses

Anxunconsciousx15-year-
oldxmalexwasxstruckxonxthexheadxwithxaxbaseballxbat.xHisxarmsxandxlegsxarexextendedx
andxhisxrightxpupilxisxdilatedxandxfixed.xYouxshould:
A.xInsertxanxoropharyngealxairway,xadministerxoxygen,xandxrestrictxfluids

, B.xApplyxaxnon-rebreatherxmask,xrestrictxfluids,xandxadministerxMannitol
C.xPerformxnasotrachealxintubation,xrestrictxfluids,xandxprovidexadequatexventilation
D.xPerformxbag-maskxventilationxatx20xperxminutex-xanswer--D.xPerformxbag-
maskxventilationxatx20xperxminute

Whichxofxthexfollowingxmechanismsxofxinjuryxdoesxnotxcommonlyxcausexdamagextoxth
exspinalxcord?x
A.xHyperextension
B.xHyperxflexxion
C.xLateralxstress
D.xCompressionx-xanswer--C.xLateralxstress

Ax4-year-
oldxfemalexisxunconsciousxafterxfallingxoffxaxbicycle.xWhichxofxthexfollowingxisxthexbestx
methodxtoxpenxthexairway?x
A.xModifiedxjaw-thrust
B.xHeadxtilt
C.xNeckxflexion
D.xNeckxliftx-xanswer--A.xModifiedxjaw-thrust

WhenxperformingxthexITLSxPrimaryxSurvey,xthexteamxleaderxmayxminimizexerrorsxby:x
A.xPerformingxallxinterventions
B.xLimitingxcrewxroles
C.xPermittingxcrewxtoxcontinuexthexassessment
D.xDelegatingxinterventionsx-xanswer--D.xDelegatingxinterventions

YouxhavexplacedxanxNPAxinxyourxpatientxandxnowxobservexmildxhemorrhagexfromxthex
nares.xYouxshould:x
A.xImmediatelyxremovexthexNPAxandxpackxthexnosexwithxgauze
B.xImmediatelyxremovexthexNPAxandxreinsertxonxthexoppositexnare
C.xLeavexthexNPAxinxplacexsoxasxnotxtoxdisturbxthexclotxorxreactivatexbleeding
D.xContactxmedicalxcontrolxasxanxNPAxwillxnotxcausexhemorrhagex-xanswer--
C.xLeavexthexNPAxinxplacexsoxasxnotxtoxdisturbxthexclotxorxreactivatexbleeding

Ax27-year-
oldxmalexwithxbluntxchestxtraumaxfromxaxmotorxvehiclexcollisionsxasxsuccessfullyxintub
atedxatxthexscene.xWhilexventilatingxthexpatient,xyouxnotexresistancexwithxabsencexofxri
ghtxchestxwallxmovement.xYouxshouldxsuspectxa:x
A.xFlailxchest
B.xGastricxdistention
C.xMucusxobstruction
D.xTensionxpneumothoraxx-xanswer--D.xTensionxpneumothorax

Ax34-year-
oldxmanxhasxaxgunshotxwoundxtoxthexrightxgroinxarea.xArterialxbleeding,xwhichxcannotx
bexcontrolledxwithxdirectxpressurexorxtourniquet,xisxcomingxfromxthexwound.xThexpatien
txappearsxconfused,xdiaphoretic,xandxhasxweakxperipheralxpulses.xWhatxisxthexappropr
iatexfluidxresuscitationxregimenxforxthisxpatient?x
A.xIntravenousxfluidxatxax"keepxopen"xrate
B.xIntravenousxfluid;xgivexenoughxfluidxtoxmaintainxperipheralxpulses