ITLS Pretest UPDATED ACTUAL Questions and CORRECT Answers
1. Intravenous fluid A 34 year old man is injured in a motor vehicle collision. Physical examination is
at a "keep open" normal
rate 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?
2. Posteriorly di- What is Sellick's maneuver?
rected pressure
applied to the
cricoid cartilage
3. Hepatitis B For which one of the following viruses is there currently an effective vaccine?
4. Apply clean water A 16 year old girl is rescued from a burning house. She has 25% partial thickness
to burned areas burns, and the burned areas are hot to the touch. What is the appropriate treat-
for up to 1-2 min- ment?
utes
5. Wrist, elbow, and Proper immobilization of a forearm (radius and ulna) fracture involves splinting
fracture site which of the following?
6. Hyperventilating What treatment is NOT indicated in the routine management of the patient with a
to obtain an head injury?
EtCO2 of less
than 30
7. BP 170/100, Which of the following sets of vital signs is most compatible with a diagnosis of
pulse 50/min isolated head injury with increasing intracranial pressure?
8. Patient with ab- Which of the following trauma situations would be considered "load and go"?
dominal tender-
ness, clammy
skin, blood pres-
, sure 100/70, and
pulse 130/min
9. Decompress ten- Which one of the following should be performed, at the scene of a "load and go",
sion pneumotho- prior to moving the trauma patient to the ambulance?
rax
10. Cardiac arrest Which one of the following is a reason to interrupt the initial assessment?
11. 5 minutes or less A 24 year old woman is found lying on the sidewalk after jumping from a fourth
story window. She is hypotensive, diaphoretic, tachycardic, and unconscious. In-
juries include open skull fracture, pelvis fractures, and flail chest. What should be
your goal for your time?
12. Bilateral femur Which of the following injuries would change an otherwise stable trauma patient's
fractures category from "stable" to "load and go"?
13. Head What is most commonly injured, during a fall from a height, of an infant?
14. Proximal tibia What site is the first choice for intraosseous infusion?
15. Lung Which of the following will generally suffer the LEAST structural damage from a
gunshot wound from a rifle?
16. Apply a he- A 34 year old man has a gunshot wound to the right groin area. Arterial bleeding,
mostatic agent which cannot be controlled with direct pressure, is coming from the wound. The
and gain in- patient appears confused, diaphoretic, and has weak peripheral pulses. What is
travenous access the appropriate fluid resuscitation for this patient?
given enough flu-
id to maintain
peripheral pulses
17. Narrowed pulse Which one of the following is typically associated with, post-traumatic hemorrhage,
pressure EARLY shock?
2/7
1. Intravenous fluid A 34 year old man is injured in a motor vehicle collision. Physical examination is
at a "keep open" normal
rate 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?
2. Posteriorly di- What is Sellick's maneuver?
rected pressure
applied to the
cricoid cartilage
3. Hepatitis B For which one of the following viruses is there currently an effective vaccine?
4. Apply clean water A 16 year old girl is rescued from a burning house. She has 25% partial thickness
to burned areas burns, and the burned areas are hot to the touch. What is the appropriate treat-
for up to 1-2 min- ment?
utes
5. Wrist, elbow, and Proper immobilization of a forearm (radius and ulna) fracture involves splinting
fracture site which of the following?
6. Hyperventilating What treatment is NOT indicated in the routine management of the patient with a
to obtain an head injury?
EtCO2 of less
than 30
7. BP 170/100, Which of the following sets of vital signs is most compatible with a diagnosis of
pulse 50/min isolated head injury with increasing intracranial pressure?
8. Patient with ab- Which of the following trauma situations would be considered "load and go"?
dominal tender-
ness, clammy
skin, blood pres-
, sure 100/70, and
pulse 130/min
9. Decompress ten- Which one of the following should be performed, at the scene of a "load and go",
sion pneumotho- prior to moving the trauma patient to the ambulance?
rax
10. Cardiac arrest Which one of the following is a reason to interrupt the initial assessment?
11. 5 minutes or less A 24 year old woman is found lying on the sidewalk after jumping from a fourth
story window. She is hypotensive, diaphoretic, tachycardic, and unconscious. In-
juries include open skull fracture, pelvis fractures, and flail chest. What should be
your goal for your time?
12. Bilateral femur Which of the following injuries would change an otherwise stable trauma patient's
fractures category from "stable" to "load and go"?
13. Head What is most commonly injured, during a fall from a height, of an infant?
14. Proximal tibia What site is the first choice for intraosseous infusion?
15. Lung Which of the following will generally suffer the LEAST structural damage from a
gunshot wound from a rifle?
16. Apply a he- A 34 year old man has a gunshot wound to the right groin area. Arterial bleeding,
mostatic agent which cannot be controlled with direct pressure, is coming from the wound. The
and gain in- patient appears confused, diaphoretic, and has weak peripheral pulses. What is
travenous access the appropriate fluid resuscitation for this patient?
given enough flu-
id to maintain
peripheral pulses
17. Narrowed pulse Which one of the following is typically associated with, post-traumatic hemorrhage,
pressure EARLY shock?
2/7
