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ITLS Advanced Pre-test Exam/50 Q’s and A’s/A+ Rated
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ITLS Advanced Pre-test Exam/50 Q’s andA’s/A+ Rated
A 34 year old male is injured in a motor vehicle collision. physical
examination is normal except for diffuse abdominal tenderness. He is
conscious and vital signs obtained enroute to the hospital are resps 20, HR is
120BPM, BP 100/60; how should this patient be managed in the field?
A)IV fluid TKVO
B)IV fluid 20mL/Kg bolus
C)Fentanyl 100mcg IV
D) INsert an OPA and assist ventilations - -A) IV fluid TKVO
-What is the Sellick's Maneuver? - -Posteriorly directed pressure applied to
the cricoid cartilage
-For which of the following viruses is there currently an effective vaccine?
A)Delta hepatitis
B)Hepatitis B
C)Hepatitis C
D) Human immunodeficiency virus - -B) Hepatitis B
-A 16 year old girl is rescued from a burning house. She has 25% partial
thickness burns, and the burned areas are hot to the touch. What is the
appropriate treatment? - -apply clean water to burned areas for up to 1-2
minutes
-to proper immobolize a forearm (radius and ulna) fracture, what do you
need to splint? - -wrist, elbow and fracture site
-what treatment is NOT indicated in the routine management of the patient
with a head injury?
A)administration of %100 O2
B)fluid rescucitation to a BP of 110-120 systolic if the pt is hypotensive
C)Hyperventilating to obtain an ETCO2 of less than 30
D)Stabalization of the cervical spine - -C)hyperventilating to obtain ETCO2 of
less than 30
-which of the following sets of vital signs is most compatible witha diagnosis
of isolated head injury with increasing ICP?
A)BP170/100,HR50BPM
B)BP80/60,HR130BPM
C)BP80/60,HR50BPM
D)BP170/100,HR130BPM - -A)BP170/100,HR50BPM
-what would be considered a "load and go"?
, A)awake and alert patient who has bloof coming out of one ear
B)patient who had a brief loss of consciousness but is now awake
C)pt with abdominal tenderness,clammy skin, BP100/70 and pulse 130/min
D)pt with tender, deformed lower leg - -C)pt with abdominal
tenderness,clammy skin, blood pressure 100/70 and pulse 130/min
-which of the following should be performed at the scene of a "load and go",
prior to moving the trauma patient to the abmulance?
A)apply traction splint for femur fracture
B)decompress tension pneumothorax
C)initiate IV line
D)obtain vital signs - -B)decompress tension pneumothorax
-which of the following is a reason to interrupt the initial asessment?
A)cardiac arrest
B)multiple open (common) fractures
C)severe head injury with brin tissue visible
D)severe shock - -A) cardiac arrest
-a 24 year old woman is found lying on the sidewalk after jumping from a
fourth story window. She is hypotensice, diapheuretic, tachycardic, and
uncionscious. Injuries include open skull fracture, pelvis fractures, and flail
chest. What should your goal for your time be? - -5 minutes or less
-which of the following injuries would change an otherwise stable trauma
patients category from "stable" to "load and go"?
A)bilateral clavicle fractures
B)bilateral femur fractures
C)bilateral humerus fractures
D)bilateral tibia fractures - -B)bilateral femur fractures
-what is the most commonly injured, during a fall from a height, of an
infant? - -head
-what sire is the first choice for intraosseous infusion? - -Proximal tibia
-which of the following will generall suffer the LEAST structural damage from
a gunshot wound from a rifle?
A)spleen
B)kidney
C)liver
D)lung - -D)lung
-a 34 y/o man has a gunshot wound to the right groin area. Arterial
bleeding, which cannot be controlled with direct pressure, is coming from the
wound. The patient appears confused, diapheuretic and has weak peripheral
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