ITLS ADVANCED PRE TEST 2026 TRAUMA LIFE SUPPORT
REVIEW || VERIFIED QUESTIONS & ANSWERS || LATEST
UPDATE || HIGH-YIELD PREPARATION || GRADED A+
1. 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
2. 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
3. The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottic visualization
D. Causes aspiration - CORRECT ANSWER -C. Improves glottic
visualization
4. 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
5. 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
6. 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
**7.** Which of the following mechanisms of injury does not commonly cause
damage to the spinal cord?
A. Hyperextension
B. Hyperflexion
C. Lateral stress
D. Compression - CORRECT ANSWER -C. Lateral stress
REVIEW || VERIFIED QUESTIONS & ANSWERS || LATEST
UPDATE || HIGH-YIELD PREPARATION || GRADED A+
1. 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
2. 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
3. The use of external laryngeal manipulation:
A. Decreases the risk of airway trauma
B. Reduces gastric distention
C. Improves glottic visualization
D. Causes aspiration - CORRECT ANSWER -C. Improves glottic
visualization
4. 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
5. 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
6. 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
**7.** Which of the following mechanisms of injury does not commonly cause
damage to the spinal cord?
A. Hyperextension
B. Hyperflexion
C. Lateral stress
D. Compression - CORRECT ANSWER -C. Lateral stress
