ITLS FINAL Exam Review Questions With Correct Answers, Exams of Advanced Education

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ITLS FINAL Exam Review Questions With

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Windshield survey is done when? - Correct Answer-during scene size- up Signs and symptoms of a tension pneumothorax include: - Correct Answer-- AMS

• signs of shock (P/C/D, hypotension)
• JVD
• diminished/absent lung sounds on affected side What priority is increased bag resistance in trauma? - Correct Answer- the lowest What sort of assessment is done for an elderly patient involved in a moderate auto accident? - Correct Answer-a rapid trauma assessment Which is considered a "load-and-go" situation: open femur fracture or bilateral femur fractures? - Correct Answer-bilateral femur fractures

A tension pneumothorax is considered what kind of shock? - Correct Answer-mechanical All trauma patients EXCEPT which are fluid resuscitated until a systolic BP of 80-90: - Correct Answer-head injury patients Pleural decompression entails what? - Correct Answer-- mid-clavicular

• second intercostal space
• above the third rib (*do not go under the second rib to avoid damage to the blood vessels and nerves) If you have a pediatric patient who is grunting, this is indicative of what? How to treat? - Correct Answer-respiratory failure; MUST provide vent. support (BVM) If you're presented wit ha patient who comes out of a house fire with no obvious burns, who is complaining of being light-headed and dizzy, suspect what? - Correct Answer-toxic inhalation exposure Knee dislocations are most likely to be associated with what other damage? - Correct Answer-damage to nerves and arteries If you are presented with a trauma patient who has a BP above 90, what rate is the IV to flow? - Correct Answer-"KVO"

Difference(s) between a pneumothorax and a tension pneumothorax:

• Correct Answer-signs of shock Emergency rescue is done in which environments? - Correct Answer- toxic environments How to manage cerebral herniation? - Correct Answer-hyperventilate w/ BVM at 20 bpm Signs and Symptoms of cerebral herniation: - Correct Answer-1. hypertension

2. bradycardia
3. decr. LOC that rapidly progresses to coma
4. decerebrate posturing
5. dilated pupils
6. paralysis on the side opposite to the injury Management of ventilation in a patient with a flail segment: - Correct Answer-1. BVM at 12 bpm
7. bulky dressing A patient who does not have a head injury, and is intubated, manage CO2 levels where? - Correct Answer-CO2 at 35- 45

In neurogenic shock, skin? - Correct Answer-P/W/D What guarantees successful endotracheal intubation? - Correct Answer-1. CO2 wave form

2. a # on wave Physical confirmation of correct endotracheal tube intubation: - Correct Answer-visualizing the cords What is used to assist in visualizing the cords during intubation? - Correct Answer-"Sellick" maneuver: posterior pressure on the cricoid cartilage to prevent gastric inflation and vomiting (Ex: external laryngeal manipulation is used to improve glottis visualization) As per ITLS, NOT ALL patients need to be placed on backboards (example?) - Correct Answer-patient with a stab wound to axillary chest During primary assessment (ABC), what can a medic delegate a crew member to do? - Correct Answer-1. oxygenate patient

3. hold c-spine If you have a trauma patient who presents with signs of shock but you CANNOT find any sign of significant trauma, what now? - Correct

• muffled heart tones
• pulses paradoxical Airway management will interrupt what? - Correct Answer-the only thing that would interrupt a primary assessment Isolated sternum fractures should be delt with how? - Correct Answer-
• by placing the patient on the cardiac monitor If a patient presents with stridor from trauma, what should be done? - Correct Answer-intubate IMMEDIATELY