ITLS Advanced Pre-Test 7th Ed. GUARANTEED PASS!!
A 34 year old man 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 respirations 20 per minute, pulse rate is 120 per minute blood pressure 100/60; How should
this patient be managed in the field?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid at 20 ml/kg bolus
C. Fentanyl 100 mcg intravenous
D. Insert an oropharyngeal airway and assist ventilations - (ANSWER)A. Intravenous fluid at a
"keep open" rate
What is Sellick's maneuver?
A. A method allowing the rescuer to hold a mask on the face with both hands
B. A system used to calculate minute volume
C. Another name for Mallampati
D. Posteriorly directed pressure applied to the cricoid cartilage - (ANSWER)D. Posteriorly
directed pressure applied to the cricoid cartilage
For which one 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?
A. Apply ice to burned areas until cool to touch
B. Apply clean water to burned areas for up to 1-2 minutes
C. Apply iced water to burned areas until cool to touch
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, D. Do not apply anything to burned areas other than clean sheets - (ANSWER)B. Apply clean
water to burned areas for up to 1-2 minutes
Proper immobilization of a forearm (radius and ulna) fracture involves splinting which of the
following?
A. Elbow and fracture site
B. Fracture site only
C. Wrist and fracture site
D. Wrist, elbow, and fracture site - (ANSWER)D. 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% oxygen
B. Fluid resuscitation to a BP of 110-120 systolic if the patient is hypotensive
C. Hyperventilating to obtain an EtCO2 of less than 30
D. Stabilization of the cervical spine - (ANSWER)C. Hyperventilating to obtain an EtCO2 of
less than 30
7 . Which of the following sets of vital signs is most compatible with a diagnosis of isolated head
injury with increasing intracranial pressure?
A. BP 170/100, pulse 50/min
B. BP 80/60, pulse 130/min
C. BP 80/60, pulse 50/min
D. BP 170/100, pulse 130/min - (ANSWER)A. BP 170/100, pulse 50/min
Which of the following trauma situations would be considered "load and go"?
A. Awake and alert patient who has blood coming out of one ear
B. Patient who had brief loss of consciousness but is now awake
C. Patient with abdominal tenderness, clammy skin, blood pressure 100/70, and
pulse 130/min
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A 34 year old man 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 respirations 20 per minute, pulse rate is 120 per minute blood pressure 100/60; How should
this patient be managed in the field?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid at 20 ml/kg bolus
C. Fentanyl 100 mcg intravenous
D. Insert an oropharyngeal airway and assist ventilations - (ANSWER)A. Intravenous fluid at a
"keep open" rate
What is Sellick's maneuver?
A. A method allowing the rescuer to hold a mask on the face with both hands
B. A system used to calculate minute volume
C. Another name for Mallampati
D. Posteriorly directed pressure applied to the cricoid cartilage - (ANSWER)D. Posteriorly
directed pressure applied to the cricoid cartilage
For which one 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?
A. Apply ice to burned areas until cool to touch
B. Apply clean water to burned areas for up to 1-2 minutes
C. Apply iced water to burned areas until cool to touch
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, D. Do not apply anything to burned areas other than clean sheets - (ANSWER)B. Apply clean
water to burned areas for up to 1-2 minutes
Proper immobilization of a forearm (radius and ulna) fracture involves splinting which of the
following?
A. Elbow and fracture site
B. Fracture site only
C. Wrist and fracture site
D. Wrist, elbow, and fracture site - (ANSWER)D. 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% oxygen
B. Fluid resuscitation to a BP of 110-120 systolic if the patient is hypotensive
C. Hyperventilating to obtain an EtCO2 of less than 30
D. Stabilization of the cervical spine - (ANSWER)C. Hyperventilating to obtain an EtCO2 of
less than 30
7 . Which of the following sets of vital signs is most compatible with a diagnosis of isolated head
injury with increasing intracranial pressure?
A. BP 170/100, pulse 50/min
B. BP 80/60, pulse 130/min
C. BP 80/60, pulse 50/min
D. BP 170/100, pulse 130/min - (ANSWER)A. BP 170/100, pulse 50/min
Which of the following trauma situations would be considered "load and go"?
A. Awake and alert patient who has blood coming out of one ear
B. Patient who had brief loss of consciousness but is now awake
C. Patient with abdominal tenderness, clammy skin, blood pressure 100/70, and
pulse 130/min
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