ITLS Adult Advanced 3

Question 1

A patient with blunt thoracic trauma develops sudden cardiovascular collapse during positive pressure ventilation. What is the most likely cause?

Accepted Answer

Simple pneumothorax converting to tension pneumothorax

Answer

Massive hemothorax

Answer

Pulmonary contusion

Answer

Flail chest decompensation

Question 2

In ITLS Advanced, what is the Glasgow Coma Scale score for a patient who opens eyes to pain, makes incomprehensible sounds, and exhibits flexion withdrawal?

Accepted Answer

GCS 8

Answer

GCS 7

Answer

GCS 9

Answer

GCS 10

Question 3

Which IV fluid strategy does ITLS Advanced recommend for hypotensive trauma patients with suspected internal hemorrhage?

Accepted Answer

Permissive hypotension with limited fluid boluses

Answer

Aggressive crystalloid resuscitation targeting normal blood pressure

Answer

Colloid-only resuscitation

Answer

Hypertonic saline as the primary resuscitation fluid

Question 4

A motorcyclist has an open femur fracture with arterial bleeding. After applying a tourniquet, what is the next priority in ITLS Advanced assessment?

Accepted Answer

Continue the primary survey

Answer

Splint the femur fracture

Answer

Start two large-bore IVs

Answer

Irrigate the open wound

Question 5

What finding during the ITLS detailed secondary survey would indicate a ruptured diaphragm?

Accepted Answer

Bowel sounds heard in the left chest

Answer

Subcutaneous emphysema over the chest wall

Answer

Paradoxical chest wall movement

Answer

Bilateral crackles at the lung bases

Question 6

In advanced trauma life support, why is succinylcholine used cautiously in patients with crush injuries older than 24-48 hours?

Accepted Answer

It can trigger fatal hyperkalemia from damaged muscle tissue

Answer

It causes malignant hyperthermia in all crush injury patients

Answer

It has no paralytic effect on crushed muscles

Answer

It worsens rhabdomyolysis by increasing muscle contraction