ITLS ADVANCED PRE-TEST 7TH ED.

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ITLS ADVANCED PRE-TEST 7TH ED.

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

-Format: Multiple-choice / Flashcard

Question 1: What site is the first choice for intraosseous infusion?

• Proximal tibia
• Distal humerus
• Proximal femur
• Distal fibula

Answer:

• Proximal tibia

Question 2: A 23 year old female has won the

"Let's-see-who-can-lean-the-farthest-backward-over- the-second-story-balcony-railing 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 cool, clammy and ashen, respirations are rapid and shallow, radial pulses are too rapid to count and thready. There is no external bleeding. She has flat neck veins, a normal chest and abdomen and 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 she suffering?

• Hypovolemic shock
• Relative hypovolemic (high-space) shock

• Mechanical (obstructive) shock
• Cardiogenic shock

Answer:

• Cardiogenic shock

Question 3: A 16 year old girl is rescued from a burning house. She has 25% partial thickness burns, and the burned areas are hot to the touch. What is the appropriate treatment?

• Apply ice to burned areas until cool to touch
• Apply clean water to burned areas for up to 1-2 minutes
• Apply iced water to burned areas until cool to touch
• Do not apply anything to burned areas other than clean sheets

Answer:

• Apply clean water to burned areas for up to 1-2 minutes

Question 4: In the absence of herniation syndrome, adult head injured patients should be:

• ventilated at a rate of 8-10 per minute
• ventilated at a rate of 12-14 per minute
• ventilated at a rate of 16-18 per minute
• ventilated at a rate of 20 per minute

Answer:

• ventilated at a rate of 8-10 per minute

Question 5: A 24 year old woman is found lying on the sidewalk after jumping from a fourth story window. She is hypotensive, diaphoretic, tachycardic, and unconscious. Injuries include open skull fracture, pelvis fractures, and flail chest. What should be your goal for your time?

• 5 minutes or less
• 5 to 10 minutes
• 10 to 15 minutes
• As long as necessary to assess and stabilize the patient

Answer:

• 5 minutes or less

Question 6: Which of the following conditions is your FIRST priority in management of a trauma patient?

• Open the airway and assess for breathing
• Provide ventilator support for your patient
• Control major external bleeding
• Begin chest compressions if pulses are absent

Answer:

• Control major external bleeding

Question 7: A 23 year old female has won the

"Let's-see-who-can-lean-the-farthest-backward-over- the-second-story-balcony-railing" 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, with no external bleeding. She has flat neck veins, a normal chest and abdomen and a stable pelvis. First responders who arrived just before you tell you that her pulse ox reading is 94 and her BP is 74/30. If this is true,

• Hypovolemic shock
• Relative hypovolemic (high-space) shock
• Mechanical (obstructive) shock
• Cardiogenic shock

Answer:

• Relative hypovolemic (high-space) shock

Question 8: A 34 year old man has a gunshot wound to the right groin area. Arterial bleeding, which cannot be controlled with direct pressure, is coming from the wound. The patient appears confused, diaphoretic, and has weak peripheral pulses. What is the appropriate fluid resuscitation for this patient?

• Intravenous fluid at a "keep open" rate
• Apply a hemostatic agent and gain intravenous access given enough fluid to maintain

peripheral pulses

• Intravenous fluid at a wide open rate; give at least two liters, then reassess patient
• No intravenous access should be established in this situation

Answer:

• Apply a hemostatic agent and gain intravenous access given enough fluid to maintain

peripheral pulses Question 9: The "Golden Period" begins:

• at the time of injury
• at the time your unit is dispatched
• when your unit arrives on scene
• when your unit lease the scene for the hospital

Answer:

• at the time of injury

Question 10: Which one of the following should be performed, at the scene of a "load and go", prior to moving the trauma patient to the ambulance?

• Apply traction splint for femur fracture
• Decompress tension pneumothorax
• Initiate intravenous line
• Obtain vital signs

Answer:

• Decompress tension pneumothorax

Question 11: 7 . Which of the following sets of vital signs is most compatible with a diagnosis of isolated head injury with increasing intracranial pressure?

• BP 170/100, pulse 50/min
• BP 80/60, pulse 130/min
• BP 80/60, pulse 50/min