Free ITLS Adult Advanced Questions and Answers

Question 1

A 36-year-old male sustains blunt force thoracic trauma and fits the criteria for a load-and-go patient. Which of the following should be performed on the scene?

Accepted Answer

Assess for other potentially life-threatening conditions

Answer

Obtain an ECG

Answer

Establish vascular access

Answer

Obtain a finger-stick serum lactate level

Question 2

The use of external laryngeal manipulation:

Accepted Answer

Improves glottic visualization

Answer

Decreases the risk of airway trauma

Answer

Reduces gastric distention

Answer

Causes aspiration

Question 3

A pericardiocentesis is performed to:

Accepted Answer

To remove fluid from the lining around the heart

Answer

To remove fluid from the lining around the lungs

Answer

To inject medications directly into the heart

Answer

To monitor stroke volume

Question 4

A 56-year-old male sustains a gunshot wound to the abdomen. Vital signs are BP 74/32, P 136 present only at the carotid, and R 24 and shallow. The target of fluid resuscitation is:

Accepted Answer

Return of peripheral pulses

Answer

Maintenance of central pulses

Answer

Systolic blood pressure of 110-120

Answer

Pulse rate of 100

Question 5

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

Accepted Answer

Intravenous fluid; gives enough fluid to maintain peripheral pulses

Answer

Intravenous fluid at a "keep open" rate

Answer

Intravenous fluid at a “wide open” rate

Answer

No intravenous access should be established in this situation

Question 6

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

Accepted Answer

Waveform capnography

Answer

Evaluation of breath sounds

Answer

Equal chest rise and fall

Answer

Presence of condensation in the tube

Question 7

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

Accepted Answer

Pelvic fracture

Answer

Clavicle fracture

Answer

Bilateral humerus fractures

Answer

Bilateral tibia fractures

Question 8

Which of the following findings would not make a patient difficult to ventilate with a bag-valve mask?

Accepted Answer

Multiple nose piercings

Answer

Beard

Answer

Obesity

Answer

Elderly patient

Question 9

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

Accepted Answer

Tension pneumothorax

Answer

Tracheal extubation

Answer

Pericardial tamponade

Answer

Gastric distention

Question 10

Hemostatic agents applied directly to the source of bleeding must be used in conjunction with:

Accepted Answer

Direct pressure to the wound

Answer

Tourniquets proximal to the wound

Answer

Pressure points to arteries proximal to the wound

Answer

Elevation of the wound above the level of the heart