ITLS ADVANCED POST-TEST

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ITLS ADVANCED POST-TEST

Qs and Ans - Expert- Explanation - ing score -51 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: What type of force is the most common cause of abdominal trauma?

Answer:

Blunt force Question 2: What assessment is useful for monitoring a pediatric patient with a head injury?

Answer:

Level of consciousness Question 3: Your patient is in their car following an MVC when toxic fumes are released. What should be attempted?

Answer:

An Emergency rescue maneuver

Question 4: What is the main goal of the ITLS primary survey?

Answer:

To identify immediate life threats within the first 2 minutes on scene Question 5: What is the most common cause of cardiac arrest in a trauma patient?

Answer:

Hypoxemia

Question 6: Your patient has an extremity trapped. What can you do for them while waiting for extrication?

Answer:

Gather vital signs. Give pain management assuming vitals allow for it.

Question 7: Proper fluid levels are essential to what?

Answer:

proper perfusion Question 8: You are unable to ventilate with a BVM. This should compel you to do what?

Answer:

establish an advanced airway (ideally ET tube)

Question 9: What is the target SpO2 range for a trauma patient?

Answer:

95% or higher Question 10: What sign would suggest a better chance of surviving traumatic cardiac arrest?

Answer:

Non-dilated pupils Question 11: Can hypovolemic (high-space) shock occur without any obvious trauma?

Answer:

YES! Internal bleeding is a big concern

Question 12: What motion do you need to avoid when applying a C-collar?

Answer:

Neck traction (pulling head superiorly, stretching the spine) Question 13: What kind of trauma to the neck would not require spinal motion restriction?

Answer:

Penetrating trauma

Question 14: What assessment should be performed when you suspect a chest injury?

Answer:

An ECG Question 15: What is not considered a potential complication of chest decompression?

Answer:

Difficulty monitoring the decompression site

Question 16: What are primary blast injuries?

Answer:

Caused by the blast force or shockwave itself

Question 17: What ETCO2 value would indicate hyperventilation?

Answer:

less than 30mmHg

Question 18: What is the easiest landmark for obtaining IO access?

Answer:

the proximal tibia Question 19: What 2 interventions should be performed on a patient with a flail chest segment?

Answer:

• C-Spine precautions

• Positive Pressure Ventilations w/ a BVM

Question 20: Why should you use caution when using barbiturates to sedate a head injured patient?

Answer:

They decrease BP

Question 21: Prolonged scene times are often related to what factor?

Answer:

Ineffective team collaboration

Question 22: What should be completed upon arriving at the scene?

Answer:

Scene Size-up Question 23: Your patient has an isolated traumatic brain injury. How would you expect their BP and HR to be?

Answer:

BP: elevated

HR: decreased

Question 24: You accidentally overinflate a laryngeal mask airway. Do you need to worry about the patient vomiting due to this?

Answer:

No Question 25: Your patient is hypotensive in a wide-complex tachycardia and has pale, clammy, ashen skin. What type of shock should you suspect?

Answer:

Cardiogenic Question 26: You failed to put your 7 month pregnant patient in the correct position. What syndrome do they now have and what is causing it?

Answer:

Supine hypotensive syndrome Caused by uterine obstruction of venous blood flow

Question 27: A burn is still hot to the touch. How should you treat it?

Answer:

Apply clean water for 5-10 minutes before bandaging Question 28: How do you position the patient and their head when attempting an external jugular IV?

Answer:

Supine with no head elevation. Head turned to the appropriate side