ITLS PREP EXAM QUESTIONS

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ITLS PREP EXAM QUESTIONS

Actual Qs and Ans - Expert-Verified Explanation -Guaranteed passing score -33 Questions and Answers

-Format: Multiple-choice / Flashcard

Question 1: What is the most common cause of cardiopulmonary arrest in the trauma patient?

Answer:

Hypoxemia

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 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. What kind of shock is she suffering?

Answer:

Relative hypovolemic (high-space) shock Question 3: 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?

Answer:

Decompress tension pneumothorax

Question 4: 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?

Answer:

Apply a hemostatic agent and gain IV access given enough fluid to maintain peripheral pulses Question 5: Proper immobilization of a forearm (radius and ulna) fracture involves splinting which of the following?

Answer:

Wrist, elbow, and fracture site Question 6: Which one of the following mnemonics can be used to help predict which patients might potentially have difficult laryngoscopy and intubation?

Answer:

MMAP Question 7: Which of the following is an acceptable location to insert a needle when decompressing a tension pneumothorax?

Answer:

Directly over the top of the third rib, midclavicular line Question 8: What is most commonly injured, during a fall from a height, of an infant?

Answer:

Head Question 9: Which one of the following is a reason to interrupt the initial assessment?

Answer:

Cardiac arrest Question 10: What treatment is NOT indicated in the routine management of the patient with a head injury?

Answer:

Hyperventilation

Question 11: 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?

Answer:

Cardiogenic shock Question 12: An unrestrained 18-year-old male 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, blue around the lips with laboured respirations of 30 and shallow, thready radial pulses of about 120, distended neck veins, tracheal deviation to the right, an asymmetrical chest with absent breath sounds on the left. You assume his condition to be?

Answer:

Tension pneumothorax Question 13: A 49-year-old man is involved in a motor vehicle collision. First responders are doing CPR. Findings include a distended abdomen and obviously deformed pelvis and a quick look at the monitor shows asystole. Which of the following is the most appropriate act?

Answer:

Resuscitative efforts should not be started and the patient pronounced dead Question 14: A 54 year old man is involved in a motor vehicle collision. The steering wheel is bent. During your initial assessment you note his skin is pale and his radial pulses are present.Breath sounds are clear, heart tones are not muffled. Which one of the following is most consistent with these findings?

Answer:

Cardiac contusion Question 15: In which of the following situations should an emergency rescue be used?

Answer:

Presence of toxic fumes

Question 16: Which of the following would be the most compelling reason to intubate a patient immediately?

Answer:

Inability to ventilate (achieve chest rise) Question 17: Which of the following statements concerning treatment of shock in the pregnant, burn patient is TRUE?

Answer:

Volume replacement should be given earlier and in larger amounts to the pregnant, burn patient Question 18: A 23-year-old man is injured in a motorcycle collision. The patient appears disoriented and grossly intoxicated. There is a large laceration on his scalp which is actively bleeding. The patient refuses treatment and threatens to call his lawyer if anyone touches him.What should you do?

Answer:

Have the patient placed under protective custody then treat and transport the patient using restraints if necessary Question 19: An unrestrained 18 year old male 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, with laboured respirations of 30 and shallow, thready radial pulses of about 120, flat neck veins, trachea midline, an asymmetrical chest with absent breath sounds on the left. You assume he has a?

Answer:

Tension pneumothorax Question 20: 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?

Answer:

• minutes or less

Question 21: A 34-year-old man is injured in a motor vehicle collision. Physical examination is normal, except for diffuse abdominal tenderness. Capillary refill is normal. Vital signs obtained en-route to the hospital are blood pressure 100/60; pulse, 120/min; respirations 28/min. How should this patient be managed in the field?

Answer:

Intravenous (I.V.) of 0.9% normal saline (NS) at "keep open" rate