ITLS ADVANCED PRE-TEST 9TH EDITION - VERSION 9.1,

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ITLS ADVANCED PRE-TEST (9TH EDITION - VERSION 9.1,

MARCH 2020)

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

-Format: Multiple-choice / Flashcard

Question 1: What is the most frequent cause for an intubated trauma patient to develop poor lung compliance while being ventilated?

• Tracheal extubation
• Pericardial tamponade
• Gastric distention
• Tension pneumothorax

Answer:

• Tension pneumothorax

Question 2: An unresponsive 36-year-old female was involved in a motorcycle collision. Vital signs are BP 170/100, P 50, R 8 and GCS

3. You should suspect:

• Hypovolemia
• Increased intracranial pressure
• Pain and anxiety
• Spinal cord injury

Answer:

• Increased intracranial pressure

Question 3: Bag-valve-mask ventilation:

• Rarely causes gastric distention due to low airway pressures
• Is more effective in patient whose dentures have been removed
• Is easily accomplished by one rescuer at the head
• May exceed 60cm H2O pressure in the airway

Answer:

• May exceed 60cm H2O pressure in the airway

Question 4: Which of the following is true regarding pulmonary contusion?

• It is uncommon in chest trauma
• It is caused by hemorrhage into the lung parenchyma
• It is only caused by blunt force trauma
• It rapidly develops after injury

Answer:

• It is caused by hemorrhage into the lung parenchyma

Question 5: A 42-year-old male is involved in a motorcycle collision. Which of the following assessment findings should be managed first?

• Airway obstruction
• Hypotension
• External arterial bleeding
• Open lower leg fracture

Answer:

• External arterial bleeding

Question 6: The gold standard to confirm that the endotracheal tube is placed in the trachea is:

• Evaluation of breath sounds
• Equal chest rise and fall
• Waveform capnography
• Presence of condensation in the tube

Answer:

• Waveform capnography

Question 7: A 35-year-old male is alert and oriented at the scene of a motor vehicle collision complaining of knee pain and a headache. Your assessment reveals a contusion above the left eye, swelling to the left knee and unequal pupils (left is dilated). Vital signs are: BP 116/72, P 88

and R 16. You should suspect:

• Alcohol intoxication
• Cerebral herniation
• Decreased intracranial pressure
• Ocular trauma

Answer:

• Ocular trauma

Question 8: A 34-year-old female was struck by a vehicle, causing blunt force chest trauma. She is unconscious with gasping respirations, almost no air movement, a rapid, therapy carotid

pulse and flat neck veins. You should:

• Perform a head-tilt
• Perform chest thrusts
• Continue the ITLS Primary Survey
• Provide positive pressure ventilation

Answer:

• Provide positive pressure ventilation

Question 9: Which of the following injuries would change a trauma patient's transport classification from "stable" to "load and go"?

• Clavicle fracture
• Pelvic fracture
• Bilateral humerus fractures
• Bilateral tibia fractures

Answer:

• Pelvic fracture

Question 10: An unresponsive 52-year-old male was struck in the head by the bucket of a crane.Vital signs are BP 134/80, P 88 and R 8 and shallow. The patient should be ventilated at a rate of:

• 8-10 per minute
• 12-14 per minute
• 18-20 per minute
• 20-24 per minute

Answer:

• 8-10 per minute

Question 11: Which of he following organs will suffer the least structural damage from a gunshot wound from a rifle?

• Spleen
• Kidney
• Liver
• Lung

Answer:

• Lung