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Exam (elaborations)

ITLS Advanced Pre-Test v9.1 – Complete Review, Practice Questions & Answers

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Complete ITLS Advanced Pre-Test 9th Edition (Version 9.1) Study Guide with full answer explanations. Covers high-yield trauma, airway, shock, and critical care concepts. Designed for EMS, paramedic, and advanced life support students to efficiently review content and prepare for the ITLS Advanced Pre-Test 9th Edition exam.

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Uploaded on
December 11, 2025
Number of pages
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Written in
2025/2026
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ITLS Advanced Pre-Test 9th Edition (Version
9.1) – Complete Study Guide & Answers




In a rear-impact motor vehicle collision, which area of the spine is most susceptible to injury?

A. Cervical

B. Thoracic

C. Lumbar

D. Sacral-coccygeal - ANSWER ✨✔---A. Cervical



A pericardiocentesis is performed to:

A. To remove fluid from the lining around the lungs

B. To remove fluid from the lining around the heart

C. To inject medications directly into the heart

D. To monitor stroke volume - ANSWER ✨✔---B. To remove fluid from the lining around the heart



A 36-year-old male sustains blunt force thoracic trauma and fits the criteria for a load-and-go patient.
Which of the following should be performed on the scene?

A. Obtain an ECG

B. Establish vascular access

C. Obtain a finger stick serum lactate level

D. Assess for other potentially life-threatening conditions - ANSWER ✨✔---D. Assess for other
potentially life-threatening conditions

, The use of external laryngeal manipulation:

A. Decreases the risk of airway trauma

B. Reduces gastric distention

C. Improves glottis visualization

D. Causes aspiration - ANSWER ✨✔---C. Improves glottis visualization



A 56-year-old male sustains a gunshot wound to the abdomen. Vital signs are BP 74/32, P 136 present
only at the carotid, and R 24 and shallow. The target of fluid resuscitation is:

A. Return of peripheral pulses

B. Maintenance of central pulses

C. Systolic blood pressure of 110-120

D. Pulse rate of 100 - ANSWER ✨✔---A. Return of peripheral pulses



An unconscious 15-year-old male was struck on the head with a baseball bat. His arms and legs are
extended and his right pupil is dilated and fixed. You should:

A. Insert an oropharyngeal airway, administer oxygen, and restrict fluids

B. Apply a non-rebreather mask, restrict fluids, and administer Mannitol

C. Perform nasotracheal intubation, restrict fluids, and provide adequate ventilation

D. Perform bag-mask ventilation at 20 per minute - ANSWER ✨✔---D. Perform bag-mask
ventilation at 20 per minute



Which of the following mechanisms of injury does not commonly cause damage to the spinal cord?

A. Hyperextension

B. Hyper flex ion

C. Lateral stress

D. Compression - ANSWER ✨✔---C. Lateral stress



A 4-year-old female is unconscious after falling off a bicycle. Which of the following is the best method
to pen the airway?

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