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

Explanation:
The purpose of the initial assessment is to prioritize the patient and to identify all immediately life-threatening conditions. The information gathered is used to make decisions about critical interventions and time of transport.

Question 2

The use of external laryngeal manipulation:

Accepted Answer

Improves glottic visualization

Answer

Explanation:
Manipulating the thyroid cartilage can help bring the vocal cords into view during endotracheal intubation. This is called external laryngeal manipulation (ELM). The movement is usually pressing the thyroid cartilage backward against the esophagus and then upward and slightly to the patient’s right side.

Question 3

A pericardiocentesis is performed to:

Accepted Answer

To remove fluid from the lining around the heart

Answer

Explanation:
The pericardial sac is an inelastic membrane that surrounds the heart. If blood collects rapidly between the heart and pericardium from a cardiac injury, the ventricles of the heart will be compressed, making the heart less able to refill, and cardiac output falls.

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

Explanation:
This is an example of internal, uncontrolled hemorrhage. Administer sufficient normal saline to maintain peripheral perfusion, following local or EMS agency medical direction policies. Maintaining peripheral perfusion is generally defined as giving enough fluid—usually in boluses—to return a peripheral pulse, such as a radial pulse.

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

Explanation:
Give only enough normal saline to maintain a blood pressure high enough for adequate peripheral perfusion. Maintaining peripheral perfusion may be defined as producing a peripheral pulse (such as a radial pulse)

ITLS - International Trauma Life Support Practice Test

ITLS - International Trauma Life Support Practice Test

FREE ITLS Adult Advanced Questions and Answers