Practice Test GeeksITLS - International Trauma Life Support Practice Test
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Adult Advanced Flashcards

6 cards from real ITLS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Adult Advanced flashcards as text

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

    Answer: Absent breath sounds on the left side

    Absent breath sounds indicate a potential tension pneumothorax or massive hemothorax, both immediately life-threatening conditions requiring intervention during the primary survey before proceeding.

  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?

    Answer: Cardiac tamponade

    Beck's triad—JVD, muffled heart sounds, and hypotension—is the classic presentation of cardiac tamponade, caused by blood accumulating in the pericardial sac and compressing the heart.

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

    Answer: Mannitol

    Mannitol is an osmotic diuretic used to reduce intracranial pressure by drawing fluid from brain tissue into the vascular space, appropriate for patients with signs of herniation.

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

    Answer: 10-12 breaths per minute

    The recommended ventilation rate for an intubated adult trauma patient is 10-12 breaths per minute. Hyperventilation should be avoided as it decreases cardiac preload and cerebral perfusion.

  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?

    Answer: Class III

    Class III hemorrhage involves 1500-2000 mL blood loss (30-40% of blood volume) and is characterized by hypotension, tachycardia, and altered mental status.

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

    Answer: Etomidate

    Etomidate is preferred for RSI in trauma patients with suspected elevated ICP because it provides hemodynamic stability and does not increase intracranial pressure.