ITLS ADVANCED PRE-TEST (9TH
EDITION - VERSION 9.1), 2025/2026
EXAM WITH CORRECT/ACCURATE
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 - CORRECT ANSWERS- A. Cervical
What is the most serious early complication of burns from
electrical contact?
A. Cervical spine injury
B. Cardiac arrhythmia
C. Hypovolemic shock
D. Renal failure - CORRECT ANSWERS- B. Cardiac arrhythmia
Which of the following changes is most useful to monitor in the
child with head injury?
A. Frequency of vomiting
,B. Level of consciousness
C. Reflexes
D. Sensory exam - CORRECT ANSWERS- B. Level of
consciousness
A disoriented 23-year-old male is injured in a motorcycle collision.
The patient appears to be intoxicated and does not want medical
attention despite a large laceration on his scalp, which is actively
bleeding. You should:
A. Have the patient call a friend of family member and have them
drive him home and sleep it off
B. Discuss the impact of alcohol abuse with him
C. Treat him as a head injured patient
D. Wait until the patient loses consciousness and then transport -
CORRECT ANSWERS- C. Treat him as a head injured patient
When performing a needle decompression, which of the following
is the best anatomical location?
A. Directly over the top of the fifth rib in the anterior axillary line
B. Directly over the top of the fourth rib in anterior axillary line
C. Directly under the bottom of the third rib in the midclavicular
line
D. Directly over the top of the second rib in the anterior axillary
line - CORRECT ANSWERS- A. Directly over the top of the fifth rib
in the anterior axillary line
, Which of the following is true regarding trauma in the elderly?
A. Elderly patients are less likely to bleed internally than younger
patient
B. Elderly patients have better outcomes following burns than
younger patients
C. Fatal outcomes are more likely in the elderly than in the young
D. Motor vehicle collisions are an uncommon mechanism of injury
- CORRECT ANSWERS- C. Fatal outcomes are more likely in the
elderly than in the young
Which of he following organs will suffer the least structural
damage from a gunshot wound from a rifle?
A. Spleen
B. Kidney
C. Liver
D. Lung - CORRECT ANSWERS- D. Lung
Which of the following should always be performed prior to
transport?
A. Splint all fractures
B. Control major external bleeding
C. Perform the ITLS Secondary Survey
D. Assess vital signs - CORRECT ANSWERS- B. Control major
external bleeding
EDITION - VERSION 9.1), 2025/2026
EXAM WITH CORRECT/ACCURATE
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 - CORRECT ANSWERS- A. Cervical
What is the most serious early complication of burns from
electrical contact?
A. Cervical spine injury
B. Cardiac arrhythmia
C. Hypovolemic shock
D. Renal failure - CORRECT ANSWERS- B. Cardiac arrhythmia
Which of the following changes is most useful to monitor in the
child with head injury?
A. Frequency of vomiting
,B. Level of consciousness
C. Reflexes
D. Sensory exam - CORRECT ANSWERS- B. Level of
consciousness
A disoriented 23-year-old male is injured in a motorcycle collision.
The patient appears to be intoxicated and does not want medical
attention despite a large laceration on his scalp, which is actively
bleeding. You should:
A. Have the patient call a friend of family member and have them
drive him home and sleep it off
B. Discuss the impact of alcohol abuse with him
C. Treat him as a head injured patient
D. Wait until the patient loses consciousness and then transport -
CORRECT ANSWERS- C. Treat him as a head injured patient
When performing a needle decompression, which of the following
is the best anatomical location?
A. Directly over the top of the fifth rib in the anterior axillary line
B. Directly over the top of the fourth rib in anterior axillary line
C. Directly under the bottom of the third rib in the midclavicular
line
D. Directly over the top of the second rib in the anterior axillary
line - CORRECT ANSWERS- A. Directly over the top of the fifth rib
in the anterior axillary line
, Which of the following is true regarding trauma in the elderly?
A. Elderly patients are less likely to bleed internally than younger
patient
B. Elderly patients have better outcomes following burns than
younger patients
C. Fatal outcomes are more likely in the elderly than in the young
D. Motor vehicle collisions are an uncommon mechanism of injury
- CORRECT ANSWERS- C. Fatal outcomes are more likely in the
elderly than in the young
Which of he following organs will suffer the least structural
damage from a gunshot wound from a rifle?
A. Spleen
B. Kidney
C. Liver
D. Lung - CORRECT ANSWERS- D. Lung
Which of the following should always be performed prior to
transport?
A. Splint all fractures
B. Control major external bleeding
C. Perform the ITLS Secondary Survey
D. Assess vital signs - CORRECT ANSWERS- B. Control major
external bleeding
