ITLS ADVANCED PRE-TEST

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ITLS ADVANCED PRE-TEST

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -50 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: Among the following, what is the most common cause of preventable trauma death in the inj. adult PT?

Answer:

• airway obstruction

• cardiac tamponade

• hemorrhagic shock

• spinal inj.

Question 2: Which of the following trauma situations would be considered "load-and-go"?

Answer:

• awake & alert PT who has blood coming out of one ear

• PT who had brief LOC but is now awake

• PT w/ abd. tenderness, clammy skin, BP 100/70m & P 130/min.

• PT w/ tender, deformed lower leg

Question 3: What treatment is NOT indicated in the routine management of the patient with a head injury? (p188)

Answer:

• admin. of 100% O2

• fluid resuscitation to BP of 110-120 systolic if the PT is hypotensive

• hyperventilation to obtain an EtCO2 of less than 30

• stabilization of the cervical spine

Question 4: Which areas of the spine is the most susceptible to injury in a rear-impact MVC?

Answer:

• cervical

• thoracic

• lumbar

• sacral-coccygeal

Question 5: Which of the following conditions is your FIRST priority in management of a trauma PT?

Answer:

• open the airway and assess for breathing

• provide ventilator support for your PT

• control the major external bleeding

• begin chest compressions if pulses are absent

Question 6: Tourniquet application should be limited to less than:

Answer:

• 1 hour

• 2 hours

• 3 hours

• 4 hours

Question 7: A 16YOF is rescued from a burning house. 25% partial thickness burns, and burned areas are hot to the touch. What is the appropriate treatment? (p293)

Answer:

• apply ice to burned areas until cool to touch

• apply clean water to burned areas for up to 1-2 min.

• apply iced water to burned areas until cool to the touch

• do not apply anything to burned areas other than clean sheets

Question 8: What is most commonly inj., during a fall from a height, of an infant?

Answer:

• head

• chest

• abdomen

• extremities

Question 9: Hemostatic agents applied directly to the source of bleeding must be used in

conjunction w/:

Answer:

• direct pressure to the wound

• tourniquets proximal to the wound

• pressure points to arteries proximal to the wound

• elevation of the wound above the level of the heart

Question 10: A 23YOF has won the

"let's-see-who-can-lean-the-farthest-backward-over-the-second-story-balcony-railling" contest.You arrive to find her boyfriend standing over her, holding two beers, as she lies on the grass under the balcony. She opens her eyes to voice, her skin is normal in color, respirations about 16 and unlabored, pulse 54 and a little weak at the wrist, w/ no external bleeding. She has flat neck veins, a normal chest and abdomen and a stable pelvis. Her boyfriend tells you that she has some kind of heart problem but he doesn't know what. Placed on the monitor, she shows a wide-complex tachycardia of about 280. What kind of shock is he suffering?

Answer:

• hypovolemic shock

• relative hypovolemic (high-space) shock

• mechanical (obstructive) shock

• cardiogenic shock

Question 11: An unrestrained 18YOM on the way to a post-graduation party leaves the road, bounces through a ditch and hits a tree. You find him behind the bent steering wheel, unconscious, cool, pale and clammy, w/ labored respirations of 30 and shallow, thready radial pulses of about 120, flat neck veins, trachea midline, an asymmetrical chest w/ absent breath

sounds on the left. You assume he has a:

Answer:

• cardiac tamponade

• tension pneumothorax

• massive hemothorax

• simple pneumothorax

Question 12: In the absence of herniation syndrome, adult head injured PTs should be:

Answer:

• ventilated at a rate of 8-10/min.

• ventilated at a rate of 12-14/min.

• ventilated at a rate of 16-18/min.

• ventilated at a rate of 20/min.

Question 13: Which of the following is the correct orientation for inserting an intraosseous needle to the proximal tibia?

Answer:

• medial to the midline, avoiding the growth plate

• medial to the midline, pointing towards the growth plate

• lateral to the midline, avoiding the growth plate

• lateral to the midline, pointing towards the growth plate