ITLS Advanced Pre-Test (9th Edition -
Version 9.1, March 2025)
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
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
Version 9.1, March 2025)
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
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
