ITLS Advanced Pre-Test 9th Ed. Missed Questions Answered Correctly – Expert Verified

18 y/o male involved in an MVC.you find him behind a bent steering wheel, unconscious, cool, pale and clammy, with laboured respirations of 30 and shallow, thready radial pulses of about 120, FLAT neck veins, traches midline, asymmetrical chest with absent lung sounds on the left. what does this patient have? - massive hemothorax 18 y/o/ male involved in an MVC. you find him behind the bent steering wheel, unconscious, cool, pale and clammy, blue around the lips with laboured respirations of 30 and shallow, thready radial pulses of about 120, DISTENDED neck veins, tracheal deviation to the right, an asymmetrical chest with absent breath sounds on the left. What does he have? - tension pneumothorax 23 y/o female falls off a bolcony backwards. she opens her eyes to voice, her skin is cool, clammy and ashen, respirations are rapid and shallow, radial pulses are too rapid to count and thready. there is no external bleeding. she has flat neck veins, normal chest abdomen and pelvis. Her boyfriend tells you that she has some kind of heart problem but cannot remember what it is. placed on the monitor, she shows a wide complex tachycardia of about 280. what kind of shock is she suffering? - cardiogenic shock 23 y/o female falls off a bolcony backwards. she opens her eyes to voice, skin normal in color, respirations 16 and unlabored, pulse 54 and a little weak at the wrist, no external bleeding. she has flat neck veins, normal chest and abdomen and a stable pelvis. first responders who arrive before you say that her pulse oximetry reading is 94 and her BP 74/30. what type of shock is she in? - relative (high space) hypovolemic shock 35 y/o male found at an MVC. he is alert and oriented and complaining of knee pain. your assessment reveals a resp rate of 16 nonlaboured, HR 88 strong, BP 124/64, unequal pupils and swelling to the isolated knee injury. what is the most likely cause of the unequal pupils? - pre-existing condition (anisocoria) 49 y/o man is involved in an MVC. first responders doing CPR. findings include a distended abdomen and obviously deformed pelvis and a quick look at the monitor shows asystole. what is the most appropriate way to act? - resuscitative efforts should not be started and the patient should be pronounced dead