Itls 8 Edition Nait

Front 1

Which of the following organs is contained in the retroperitoneal region of the abdomen?

Back 1

Kidney

Front 2

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?

Back 2

Apply clean water to burned areas fro up to 1 - 2 minutes

Front 3

Proper immobilization of a forearm (radius and ulna) fracture involves splinting which of the following?

Back 3

Wrist, elbow and fracture site

Front 4

Which of the following sets of vital signs is most compatible with a diagnosis of isolated head injury with increasing intracranial pressure?

Back 4

BP 170/100, pulse 50/ min. When the ICP increases the systemic blood pressure increases to try to preserve blood flow to the brain. The body senses the ris in systemic blood pressure and this triggers a drop in the pulse rate as the body tries to lower the systemic blood pressure. Chapter 10, Objective 5 Pg 193

Front 5

Prolonged scene times may reflect?

Back 5

Ineffective team collaboration

Front 6

Which of the following indicates a state of hyperventilation?

Back 6

An end tidal carbon dioxide level less than 30 mmHg

Front 7

Which of the following is considered on one of the four essential components to maintain normal perfusion?

Back 7

Fluid Levels

Front 8

When performing ITLS Primary Survey the team leader may minimize errors by?

Back 8

Delegating interventions

Front 9

A 27 year old male with blunt chest trauma from a motor vehicle collision was successfully intubated at the scene. While ventilating the pt you note resistance with an absence of right chest wall movement. You should suspect a:

Back 9

Tension pneumothorax

Front 10

Which of the following assessment findings is associated with neurogenic shock?

Back 10

Decreased pulse, normal skin color and temperature Pg 154

Front 11

Hemostatic agents applied directly to the source of bleeding must be used in conjunction with:

Back 11

Direct pressure to the wound

Front 12

Which finding requires interrupt the ITLS Primary Survey?

Back 12

Complete airway obstruction

Front 13

Which of the following is true regarding pulmonary contusion?

Back 13

Caused by hemorrhage into the lung parenchyma

Front 14

In the absence of herniation syndrome, adult patients with suspected traumatic brain injury should be ventilated as a rate of?

Back 14

8- 10 per minute

Front 15

What is the most likely cause of unequal pupils in an altered mental status pt with a head injury?

Back 15

Increased intracranial pressure

Front 16

A 45 year old female is found unconscious at the scene of a MVC. Her vitals signs are BP80/40, P 130 and R 30. Which of the following is the most likely cause fro her vital signs?

Back 16

Bleeding int the chest or abdomen

Front 17

The cause of a secondary brain injury is?

Back 17

Hypoxia

Front 18

What is the most serious early complication of burns from electrical contact?

Back 18

Cardiac dysrhythmia

Front 19

Which of the following changes is most useful to monitor in the child with head injury?

Back 19

LOC

Front 20

In a rear impact MVC which area of the spine is most susceptible to injury?

Back 20

Cervical

Front 21

A 54 year old male is involved in a MVC. The steering wheel is bent/ During your initial assessment, you note his skin is pale, radial pulses are present and breath sounds are clear. Which one of the following is most consistent with these findings?

Back 21

Cardiac contusion

Front 22

What is the most common cause of cardiopulmonary arrest in the trauma pt?

Back 22

Hypoxemia

Front 23

Which one of the following is typically associated with post-traumatic hemorrhage early shock?

Back 23

Narrowed pulse pressure

Front 24

Which of the following viruses is there currently an effective vaccine?

Back 24

Hep B

Front 25

A 16 year old girl is rescued from a burning house. She has 25% partial thickness burns and burned areas are hot to the touch. What is the appropriate treatment?

Back 25

Apply clean water to burned areas for up to 1-2 minutes

Front 26

Among the following, what is the most common cause of preventable trauma death in the injured adult pt?

Back 26

Hemorrhagic shock

Front 27

Clinical signs of a Tension pneumothorax

Back 27

Dyspnea, Anxiety, tachypnea, distended neck veins and possibly tracheal deviation away from the affected side

Front 28

BOOTS Stands for?

Back 28

Beards, Obesity, Older pt, Toothlessness, Snores or stridor

Front 29

You may interrupt the assessment sequence only if?

Back 29

1. The scene becomes unsafe 2. You must treat exsanguinating hemorrhage 3. You must treat an airway obstruction 4. You must treat cardiac arrest

Front 30

As intracerebral pressure rises after an isolated head injury, what does the systolic blood pressure do?

Back 30

Increases

Front 31

Which of the following mechanisms of injury does not commonly cause damage to the spinal cord

Back 31

Lateral stress

Front 32

A 4 year old female is unc after falling off a bicycle. Which of the following is the best method to open the airway?

Back 32

Modified jaw thrust

Front 33

You have place an NPA in your pt and now observe mild hemorrhage from the nares. You should:

Back 33

Leave the NPA in place so as not to disturb the clot or reactivate bleeding

Front 34

Common mechanisms of injury for the paediatric pt include all of the following except;

Back 34

Animal bites

Front 35

Which of the following injuries would change a trauma pt transport classification from "Stable" to "load and go"?

Back 35

Pelvic fracture

Front 36

Bag valve mask ventilation

Back 36

May exceed 60 cm H2O pressure in the airway

Front 37

Which is of the following is true regarding pulmonary contusion?

Back 37

Caused by hemorrhage into the lung parenchyma

Front 38

A -23 year old female fell from a scond floor balcony. Upon arrival you find her lying in the grass. She responds to berbal coomands and your assessment reveals flat neck veins and normal chest abdomen and pelvis examinations. Her skin is cool, clammy and shenl respirations are rapid and shallow; radial pulses are too rapid to count and thready. You place her on the heart monitor and it shows a wide complex tachycardia of about 280 per minute. You should suspect?

Back 38

Cardiogenic shock

Front 39

Routine use of hyperventialation in the traumatic brain injured (TBI) pt will cause:

Back 39

Cause vasoconstriction and increased cerebral ischemia

Front 40

What is the most likely cause of unequal pupils in an altered mental status pt with a head injury?

Back 40

Increased intracranial pressure

Front 41

A 57 year old male has respiratory rate of 36 ETCO2 of 30 mmHg and an oxygen saturation 80%. You should

Back 41

Provide supplemental oxygen

Pg 192