ITLS Advanced Pre-test 100 Exam
Questions | Airway, TBI, Chest Trauma,
Shock | 9th Edition 2025 | Paramedic &
EMS
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 - ✔✔ANSWER✔✔-A)
IV fluid TKVO
When does the "golden period' begin? - ✔✔ANSWER✔✔-At
the time of injury
Describe pulsus paradoxus - ✔✔ANSWER✔✔-When the radial
pulse disappears upon inspiration
What is the correct orientation for inserting an intraosseous
needle to the proximal tibia? - ✔✔ANSWER✔✔-medial to the
midline, avoiding the growth plate
What is the Sellick's Maneuver? - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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? -
✔✔ANSWER✔✔-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? - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-C)
hyperventilating to obtain ETCO2 of less than 30
Which of the following sets of vital signs is most compatible
with a diagnosis of isolated head injury with increasing ICP?
A) BP170/100, HR50 BPM
B) BP80/60, HR130 BPM
C) BP80/60, HR50 BPM
D) BP170/100, HR130 BPM - ✔✔ANSWER✔✔-A) BP170/100,
HR50 BPM
What would be considered a "load and go"?
A) awake and alert patient who has blood coming out of one
ear
Questions | Airway, TBI, Chest Trauma,
Shock | 9th Edition 2025 | Paramedic &
EMS
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 - ✔✔ANSWER✔✔-A)
IV fluid TKVO
When does the "golden period' begin? - ✔✔ANSWER✔✔-At
the time of injury
Describe pulsus paradoxus - ✔✔ANSWER✔✔-When the radial
pulse disappears upon inspiration
What is the correct orientation for inserting an intraosseous
needle to the proximal tibia? - ✔✔ANSWER✔✔-medial to the
midline, avoiding the growth plate
What is the Sellick's Maneuver? - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-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? -
✔✔ANSWER✔✔-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? - ✔✔ANSWER✔✔-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 - ✔✔ANSWER✔✔-C)
hyperventilating to obtain ETCO2 of less than 30
Which of the following sets of vital signs is most compatible
with a diagnosis of isolated head injury with increasing ICP?
A) BP170/100, HR50 BPM
B) BP80/60, HR130 BPM
C) BP80/60, HR50 BPM
D) BP170/100, HR130 BPM - ✔✔ANSWER✔✔-A) BP170/100,
HR50 BPM
What would be considered a "load and go"?
A) awake and alert patient who has blood coming out of one
ear
