ITLS Advanced Pre-Test 7th Ed. Exam
– Questions and Answers
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 - -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 - -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 - -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
D. Do not apply anything to burned areas other than clean sheets - -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 - -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 - -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 - -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
D. Patient with tender, deformed lower leg - -C. Patient with abdominal
tenderness, clammy skin, blood pressure 100/70, and
pulse 130/min
-Which one of the following should be performed, at the scene of a "load and
go", prior to moving the trauma patient to the ambulance?
A. Apply traction splint for femur fracture
B. Decompress tension pneumothorax
C. Initiate intravenous line
D. Obtain vital signs - -B. Decompress tension pneumothorax
-Which one of the following is a reason to interrupt the initial assessment?
A. Cardiac arrest
B. Multiple open (compound) fractures
C. Severe head injury with brain tissue visible
D. Severe shock - -A. Cardiac arrest
-A 24 year old woman is found lying on the sidewalk after jumping from a
fourth story window. She is hypotensive, diaphoretic, tachycardic, and
unconscious. Injuries include open skull fracture, pelvis fractures, and flail
chest. What should be your goal for your time?
A. 5 minutes or less
B. 5 to 10 minutes
– Questions and Answers
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 - -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 - -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 - -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
D. Do not apply anything to burned areas other than clean sheets - -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 - -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 - -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 - -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
D. Patient with tender, deformed lower leg - -C. Patient with abdominal
tenderness, clammy skin, blood pressure 100/70, and
pulse 130/min
-Which one of the following should be performed, at the scene of a "load and
go", prior to moving the trauma patient to the ambulance?
A. Apply traction splint for femur fracture
B. Decompress tension pneumothorax
C. Initiate intravenous line
D. Obtain vital signs - -B. Decompress tension pneumothorax
-Which one of the following is a reason to interrupt the initial assessment?
A. Cardiac arrest
B. Multiple open (compound) fractures
C. Severe head injury with brain tissue visible
D. Severe shock - -A. Cardiac arrest
-A 24 year old woman is found lying on the sidewalk after jumping from a
fourth story window. She is hypotensive, diaphoretic, tachycardic, and
unconscious. Injuries include open skull fracture, pelvis fractures, and flail
chest. What should be your goal for your time?
A. 5 minutes or less
B. 5 to 10 minutes
