Exam (elaborations)
ITLS 8th Edition Additional Q&As
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- ITLS 8th Edition Additional Q&As
ITLS 8th Edition Additional Q&As
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ITLS 8th Edition Additional Q&AsUpon arrival at a trauma scene, you should complete a(n) - -Scene Size-up
-Prolonged scene times may reflect: - -Ineffective team collaboration
-Which of the following indicates a state of hyperventilation? - -An end tidal
CO2 level less than 30 mmHG
-A 23 year old female fell from a 2nd floor balcony. Upon arrival, you find
her lying in the grass. She responds to verbal commands and your
assessment reveals flat neck veins, & normal chest/abdomen/pelvic
examinations. Vital signs are: BP 74/40, P 54 & Weak, and R 16. You should
suspect: - -Relative hypovolemic (high-space) shock
Rationale: The condition causing the vascular space to be too large for a
normal amount of blood has been called "shock", or relative hypovolemia.
Neurogenic shock, commonly called spinal shock, is a form of relative
hypovolemia. The clinical presentation of neurogenic shock differs from
hemorrhagic shock in that there is no catecholamine release and this no
pallor (vasoconstriction), tachycardia, or sweating. The patient will have a
decreased BP but the HR will be normal or slow, and the skin is usually
warm, dry and pink
-An unresponsive 34 y/o female was struck by a vehicle. You observe
Asymmetrical chest wall movement with a flail segment on the right.
Following delegation of c-spine control and opening the airway, you should? -
-Stabilize the chest wall
-Which of the following regarding PT positioning for external jugular
cannulation is Incorrect? - -Elevate the head to distend the vein and prevent
air embolism.
Rationale: The PT must be in the supine position, preferably head down, to
distend the vein and prevent air embolism.
-Which of the following set of vital signs is most compatible with a diagnosis
of isolated traumatic brain injury with increasing ICP? - -BP 170/100, P 50
Rationale: When the ICP increases, the systemic BP increases to try to
preserve blood flow to the brain. The body senses the rise in systemic BP,
and this triggers a drop in the pulse rate as the body tries to lower the
systemic BP
, -Which of the following statements is incorrect regarding spinal motion
restriction? - -Neck traction should be applied to extend the neck upward
during cervical collar application
-A 15 y/o male was stabbed and has an abdominal evisceration. The PT is
A/O, BP 112/68, P 94, R18. You should? - -Prepare PT for transport &
establish vascular access during transport.
-A 33yo female's leg was trapped in a piece of industrial equipment and has
been extricated. She is now complaining of secure lower leg pain. PT is A/O
with no signs of external hemorrhage. Vital signs are:
BP 132/78, P 96, R 20. Which of the following is indicated? - -Administer pain
medication
-Establishing vascular access on scene is indicated: - -To administer
medication
-Which of the following changes is most useful to monitor in the child with
head injury? - -Level of consciousness
Rationale: changing of LOC is the best indicator of traumatic brain injury
-In the geriatric PT, which of the following findings is most likely caused by
an acute injury? - -Hypotension
-A 31yo female was the restrained driver of a vehicle that hit a utility pole at
moderate speed. The drivers side airbag deployed. She is A/O & anxious. She
reports that she is 8mo pregnant and complain of abdominal, chest and
lower extremity pain. Her vital signs are BP 100/60, P 90, R 20. Your
impression and interventions are: - -Early signs of shock. Treat with O2, fluid
administration, at "keep open" rate.
Rationale: Do not mistake normal vital signs in pregnant PTs. The pregnant
PT has a normal resting pulse that is 10-15 beats faster than usual, and the
BP is 10-15mmHG lower than usual. However, it is also important to realize
that a BP loss of 30% can occur in these PTs before there is a significant
change in BP
-A disoriented 23yo male is injured in a motorcycle collision. The PT appears
to be intoxicated and does not want medical attention despite a large
laceration on his scalp, which is actively bleeding. You should: - -Treat him
as a head injury PT
-What is the most common cause of cardiopulmonary arrest in the trauma
PT? - -Hypoxemia
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