ITLS Advanced Pre-Test (9th Edition -
Version 9.1)
A 25-year-old female was stabbed in the left arm. She presents with an altered
mental status and signs of shock. Bleeding is controlled by direct pressure and use
of a tourniquet. Which intravenous fluid therapy is appropriate?
A. Estimate blood loss and administer fluid at a 3:1 ration
B. Fluid administration of 250mL
C. Fluid administration to maintain systolic pressure of 60mmHg
D. Intravenous fluid administration bolus of 500mL, then reassess - ------------ANS:
D. Intravenous fluid administration bolus of 500mL, then reassess
A 25-year-old female was stabbed in the left arm. She presents with an altered
mental status and signs of shock. Bleeding is uncontrolled despite direct pressure.
You should:
A. Apply a tourniquet directly over the wound
B. Elevate the extremity above the level of the heart
C. Apply a pressure point
D. Apply a tourniquet proximal to the injury - ------------ANS: D. Apply a tourniquet
proximal to the injury
A 27-year-old male with blunt chest trauma from a motor vehicle collisions as
successfully intubated at the scene. While ventilating the patient, you note resistance
with absence of right chest wall movement. You should suspect a:
A. Flail chest
B. Gastric distention
C. Mucus obstruction
D. Tension pneumothorax - ------------ANS: D. Tension pneumothorax
, A 31-year-old male presents with difficulty breathing, rapid and weak pulse, flat neck
veins, and midline trachea. Your assessment of the left side of the chest reveals
decreased breath sounds and dullness to percussion. You should suspect:
A. Cardiac tamponade
B. Flail chest
C. Tension pneumothorax
D. Massive hemothorax - ------------ANS: D. Massive hemothorax
A 32-year-old male is involved in a motor vehicle collision. The steering wheel is
bent. Your assessment reveals present and equal bilateral breath sounds and a rapid
and weak radial pulse that disappears upon inspiration. You should suspect:
A. Cardiac contusion
B. Cardiac tamponade
C. Flail chest
D. Tension pneumothorax - ------------ANS: B. Cardiac tamponade
A 34-year-old female was struck by a vehicle, causing blunt force chest trauma. She
is unconscious with gasping respirations, almost no air movement, a rapid, therapy
carotid pulse and flat neck veins. You should:
A. Perform a head-tilt
B. Perform chest thrusts
C. Continue the ITLS Primary Survey
D. Provide positive pressure ventilation - ------------ANS: D. Provide positive pressure
ventilation
A 34-year-old male is injured in a motor vehicle collision. He complains of diffuse
abdominal tenderness. Vital signs are BP 100/60, P 120 and R 28 and shallow. You
should:
A. Administer sufficient intravenous fluids to maintain peripheral pulses
Version 9.1)
A 25-year-old female was stabbed in the left arm. She presents with an altered
mental status and signs of shock. Bleeding is controlled by direct pressure and use
of a tourniquet. Which intravenous fluid therapy is appropriate?
A. Estimate blood loss and administer fluid at a 3:1 ration
B. Fluid administration of 250mL
C. Fluid administration to maintain systolic pressure of 60mmHg
D. Intravenous fluid administration bolus of 500mL, then reassess - ------------ANS:
D. Intravenous fluid administration bolus of 500mL, then reassess
A 25-year-old female was stabbed in the left arm. She presents with an altered
mental status and signs of shock. Bleeding is uncontrolled despite direct pressure.
You should:
A. Apply a tourniquet directly over the wound
B. Elevate the extremity above the level of the heart
C. Apply a pressure point
D. Apply a tourniquet proximal to the injury - ------------ANS: D. Apply a tourniquet
proximal to the injury
A 27-year-old male with blunt chest trauma from a motor vehicle collisions as
successfully intubated at the scene. While ventilating the patient, you note resistance
with absence of right chest wall movement. You should suspect a:
A. Flail chest
B. Gastric distention
C. Mucus obstruction
D. Tension pneumothorax - ------------ANS: D. Tension pneumothorax
, A 31-year-old male presents with difficulty breathing, rapid and weak pulse, flat neck
veins, and midline trachea. Your assessment of the left side of the chest reveals
decreased breath sounds and dullness to percussion. You should suspect:
A. Cardiac tamponade
B. Flail chest
C. Tension pneumothorax
D. Massive hemothorax - ------------ANS: D. Massive hemothorax
A 32-year-old male is involved in a motor vehicle collision. The steering wheel is
bent. Your assessment reveals present and equal bilateral breath sounds and a rapid
and weak radial pulse that disappears upon inspiration. You should suspect:
A. Cardiac contusion
B. Cardiac tamponade
C. Flail chest
D. Tension pneumothorax - ------------ANS: B. Cardiac tamponade
A 34-year-old female was struck by a vehicle, causing blunt force chest trauma. She
is unconscious with gasping respirations, almost no air movement, a rapid, therapy
carotid pulse and flat neck veins. You should:
A. Perform a head-tilt
B. Perform chest thrusts
C. Continue the ITLS Primary Survey
D. Provide positive pressure ventilation - ------------ANS: D. Provide positive pressure
ventilation
A 34-year-old male is injured in a motor vehicle collision. He complains of diffuse
abdominal tenderness. Vital signs are BP 100/60, P 120 and R 28 and shallow. You
should:
A. Administer sufficient intravenous fluids to maintain peripheral pulses
