ITLS Adult Advanced 2

Question 1

During a rapid trauma assessment on an unresponsive patient, which finding most urgently requires immediate intervention before continuing the survey?

Accepted Answer

Absent breath sounds on the left side

Answer

Bruising over the mastoid process

Answer

A deformed left forearm

Answer

Abdominal rigidity

Question 2

A 45-year-old male involved in a high-speed MVC presents with JVD, muffled heart sounds, and hypotension. What is the most likely diagnosis?

Accepted Answer

Cardiac tamponade

Answer

Tension pneumothorax

Answer

Flail chest

Answer

Aortic dissection

Question 3

Which medication is indicated for a trauma patient exhibiting signs of increased intracranial pressure with a GCS of 7?

Accepted Answer

Mannitol

Answer

Naloxone

Answer

Epinephrine

Answer

Atropine

Question 4

In the ITLS Advanced assessment, what is the recommended ventilation rate for an intubated adult trauma patient without signs of herniation?

Accepted Answer

10-12 breaths per minute

Answer

8-10 breaths per minute

Answer

12-20 breaths per minute

Answer

20-24 breaths per minute

Question 5

A trauma patient has a systolic BP of 78 mmHg and an estimated blood loss of 1500 mL. According to ITLS classification, what class of hemorrhage is this?

Accepted Answer

Class III

Answer

Class I

Answer

Class II

Answer

Class IV

Question 6

During rapid sequence intubation of a trauma patient, which agent is preferred for induction when increased ICP is suspected?

Accepted Answer

Etomidate

Answer

Ketamine

Answer

Midazolam

Answer

Propofol