Itls advanced pre and post-test (9th edition - version 9.1) questions & 100%
verified answers
Itls advanced pre and post-test (9th edition -
version 9.1) questions & 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 answer A. Cervical
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 - correct 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 - correct 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 - correct answer C. Improves glottis visualization
,Itls advanced pre and post-test (9th edition - version 9.1) questions & 100%
verified answers
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 - correct 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 - correct 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 - correct 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 - correct answer A. Modified jaw-thrust
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
, Itls advanced pre and post-test (9th edition - version 9.1) questions & 100%
verified answers
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
verified answers
Itls advanced pre and post-test (9th edition -
version 9.1) questions & 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 answer A. Cervical
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 - correct 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 - correct 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 - correct answer C. Improves glottis visualization
,Itls advanced pre and post-test (9th edition - version 9.1) questions & 100%
verified answers
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 - correct 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 - correct 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 - correct 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 - correct answer A. Modified jaw-thrust
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
, Itls advanced pre and post-test (9th edition - version 9.1) questions & 100%
verified answers
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
