ITLS ADVANCED PRE TEST 2026 PRE
HOSPITAL TRAUMA MANAGEMENT
MODULE QUESTIONS SOLUTIONS
STRUCTURED SCRIPT
◉ 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?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift
Answer: A. Modified jaw-thrust
HOSPITAL TRAUMA MANAGEMENT
MODULE QUESTIONS SOLUTIONS
STRUCTURED SCRIPT
◉ 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?
A. Modified jaw-thrust
B. Head tilt
C. Neck flexion
D. Neck lift
Answer: A. Modified jaw-thrust
