ITLS ADVANCED PRACTICE EXAM (50
QUESTIONS)
AIRWAY & VENTILATION (1–12)
1. The most reliable method for confirming ET tube placement in the field is:
A. Chest rise
B. Condensation in tube
C. End-tidal CO₂ waveform
D. Auscultation
Answer: C
2. A trauma patient with suspected c-spine injury requires airway management. Preferred
technique is:
A. Head tilt–chin lift
B. Jaw thrust
C. Oropharyngeal airway only
D. Rapid Sequence Intubation with head tilt
Answer: B
3. In head trauma, hyperventilation is only indicated when:
A. GCS 10–12
B. Signs of cerebral herniation
C. ETCO₂ < 25 mmHg
D. SBP < 90 mmHg
Answer: B
4. Proper ventilation rate for an adult with a closed head injury and an advanced airway is:
A. 6/min
B. 8–10/min
C. 12–20/min
D. 20–24/min
Answer: B
5. A patient gurgles after suctioning for 10 seconds. Best next action:
A. Continue suctioning
B. Bag for 2 minutes before more suction
C. Insert NPA
D. Attempt intubation immediately
Answer: B
6. Contraindication to nasotracheal intubation:
A. COPD
B. Suspected midface/skull fracture
, C. Low GCS
D. Hypertension
Answer: B
7. You attempt intubation and see vomitus. Most important priority:
A. Continue intubation
B. Turn patient lateral
C. Suction and re-oxygenate
D. Insert LMA
Answer: C
8. Best way to improve mask seal during BVM ventilation is:
A. One-handed seal
B. Cricoid pressure
C. Two-person BVM
D. Using smaller reservoir bag
Answer: C
9. RSI induction agent preferred for hypotensive trauma patient:
A. Propofol
B. Ketamine
C. Etomidate
D. Midazolam
Answer: B
10. ET tube depth in adult typically:
A. 16 cm
B. 18 cm
C. 20–22 cm
D. 25–27 cm
Answer: C
11. Oxygen saturation drops suddenly after intubation. First step:
A. Remove tube
B. Check connections and BVM
C. Increase oxygen flow
D. Re-intubate
Answer: B
12. Difficult airway anticipated; optimal initial device:
A. Combitube
B. LMA
C. Video laryngoscope
D. Direct laryngoscope
Answer: C
QUESTIONS)
AIRWAY & VENTILATION (1–12)
1. The most reliable method for confirming ET tube placement in the field is:
A. Chest rise
B. Condensation in tube
C. End-tidal CO₂ waveform
D. Auscultation
Answer: C
2. A trauma patient with suspected c-spine injury requires airway management. Preferred
technique is:
A. Head tilt–chin lift
B. Jaw thrust
C. Oropharyngeal airway only
D. Rapid Sequence Intubation with head tilt
Answer: B
3. In head trauma, hyperventilation is only indicated when:
A. GCS 10–12
B. Signs of cerebral herniation
C. ETCO₂ < 25 mmHg
D. SBP < 90 mmHg
Answer: B
4. Proper ventilation rate for an adult with a closed head injury and an advanced airway is:
A. 6/min
B. 8–10/min
C. 12–20/min
D. 20–24/min
Answer: B
5. A patient gurgles after suctioning for 10 seconds. Best next action:
A. Continue suctioning
B. Bag for 2 minutes before more suction
C. Insert NPA
D. Attempt intubation immediately
Answer: B
6. Contraindication to nasotracheal intubation:
A. COPD
B. Suspected midface/skull fracture
, C. Low GCS
D. Hypertension
Answer: B
7. You attempt intubation and see vomitus. Most important priority:
A. Continue intubation
B. Turn patient lateral
C. Suction and re-oxygenate
D. Insert LMA
Answer: C
8. Best way to improve mask seal during BVM ventilation is:
A. One-handed seal
B. Cricoid pressure
C. Two-person BVM
D. Using smaller reservoir bag
Answer: C
9. RSI induction agent preferred for hypotensive trauma patient:
A. Propofol
B. Ketamine
C. Etomidate
D. Midazolam
Answer: B
10. ET tube depth in adult typically:
A. 16 cm
B. 18 cm
C. 20–22 cm
D. 25–27 cm
Answer: C
11. Oxygen saturation drops suddenly after intubation. First step:
A. Remove tube
B. Check connections and BVM
C. Increase oxygen flow
D. Re-intubate
Answer: B
12. Difficult airway anticipated; optimal initial device:
A. Combitube
B. LMA
C. Video laryngoscope
D. Direct laryngoscope
Answer: C
