Advanced ITLS 8th Edition Questions And Answers 2022

1. In a rear-impact motor vehicle crash, which area of the spine is most susceptible to injury? A. Cervical B. Thoracic C. Lumbar D. Sacral-coccygeal - Answer - A. Cervical Rationale: The sudden increase in acceleration produces posterior displacement of the occupants and possible hyperextension of the cervical spine if the headrest is not properly adjusted. The potential for cervical-spine injuries is great. 2. 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? A. Obtain an EKG B. B. Establish vascular access C. Obtain a finger-stick serum lactate level D. Assess for other potentially life-threatening conditions - Answer - D. Assess for other potentially life-threatening conditions Rationale: 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. 3. The use of external laryngeal manipulation: A. Decreases the risk of airway trauma B. Reduces gastric distention C. Improves glottic visualization D. Causes aspiration - Answer - C. Improves glottic visualization Rationale: 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. 4. A pericardiocentesis is performed to: A. To remove fluid from the lining around the lungs B. To remove fluid from the lining around the heart C. To inject medications directly into the heart D. To monitor stroke volume - Answer - B. To remove fluid from the lining around the heart Rationale: 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