ITLS ADVANCED (9TH EDITION, VERSION 9.1):
PRE-TEST REVIEW FEATURING EXAM-
RELEVANT QUESTIONS AND CLINICALLY
CORRECT ANSWERS
When performing the ITLS Primary Survey, the team leader may
minimize errors by:
A. Performing all interventions
B. Limiting crew roles
C. Permitting crew to continue the assessment
D. Delegating interventions Correct Answer D. Delegating
interventions
You have placed an NPA in your patient and now observe mild
hemorrhage from the nares. You should:
A. Immediately remove the NPA and pack the nose with gauze
B. Immediately remove the NPA and reinsert on the opposite nare
C. Leave the NPA in place so as not to disturb the clot or
reactivate bleeding
D. Contact medical control as an NPA will not cause hemorrhage
Correct Answer C. Leave the NPA in place so as not to disturb the
clot or reactivate bleeding
,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 Correct Answer D. Tension
pneumothorax
A 34-year-old man has a gunshot wound to the right groin area.
Arterial bleeding, which cannot be controlled with direct pressure
or tourniquet, is coming from the wound. The patient appears
confused, diaphoretic, and has weak peripheral pulses. What is
the appropriate fluid resuscitation regimen for this patient?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid; give enough fluid to maintain peripheral
pulses
C. Intravenous fluid at a "wide open" rate
D. No intravenous access should be established in this situation
Correct Answer B. Intravenous fluid; give enough fluid to maintain
peripheral pulses
The gold standard to confirm that the endotracheal tube is placed
in the trachea is:
, A. Evaluation of breath sounds
B. Equal chest rise and fall
C. Waveform capnography
D. Presence of condensation in the tube Correct Answer C.
Waveform capnography
Which of the causes of pediatric injury listed below is most likely
to result in severe injury or death?
A. Falls
B. Motor vehicle collisions
C. Burns
D. Animal bites Correct Answer B. Motor vehicle collisions
Which of the following injuries would change a trauma patient's
transport classification from "stable" to "load and go"?
A. Clavicle fracture
B. Pelvic fracture
C. Bilateral humerus fractures
D. Bilateral tibia fractures Correct Answer B. Pelvic fracture
Which of the following findings would not make a patient difficult
to ventilate with a bag-valve mask?
A. Beard
PRE-TEST REVIEW FEATURING EXAM-
RELEVANT QUESTIONS AND CLINICALLY
CORRECT ANSWERS
When performing the ITLS Primary Survey, the team leader may
minimize errors by:
A. Performing all interventions
B. Limiting crew roles
C. Permitting crew to continue the assessment
D. Delegating interventions Correct Answer D. Delegating
interventions
You have placed an NPA in your patient and now observe mild
hemorrhage from the nares. You should:
A. Immediately remove the NPA and pack the nose with gauze
B. Immediately remove the NPA and reinsert on the opposite nare
C. Leave the NPA in place so as not to disturb the clot or
reactivate bleeding
D. Contact medical control as an NPA will not cause hemorrhage
Correct Answer C. Leave the NPA in place so as not to disturb the
clot or reactivate bleeding
,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 Correct Answer D. Tension
pneumothorax
A 34-year-old man has a gunshot wound to the right groin area.
Arterial bleeding, which cannot be controlled with direct pressure
or tourniquet, is coming from the wound. The patient appears
confused, diaphoretic, and has weak peripheral pulses. What is
the appropriate fluid resuscitation regimen for this patient?
A. Intravenous fluid at a "keep open" rate
B. Intravenous fluid; give enough fluid to maintain peripheral
pulses
C. Intravenous fluid at a "wide open" rate
D. No intravenous access should be established in this situation
Correct Answer B. Intravenous fluid; give enough fluid to maintain
peripheral pulses
The gold standard to confirm that the endotracheal tube is placed
in the trachea is:
, A. Evaluation of breath sounds
B. Equal chest rise and fall
C. Waveform capnography
D. Presence of condensation in the tube Correct Answer C.
Waveform capnography
Which of the causes of pediatric injury listed below is most likely
to result in severe injury or death?
A. Falls
B. Motor vehicle collisions
C. Burns
D. Animal bites Correct Answer B. Motor vehicle collisions
Which of the following injuries would change a trauma patient's
transport classification from "stable" to "load and go"?
A. Clavicle fracture
B. Pelvic fracture
C. Bilateral humerus fractures
D. Bilateral tibia fractures Correct Answer B. Pelvic fracture
Which of the following findings would not make a patient difficult
to ventilate with a bag-valve mask?
A. Beard
