ITLS Advanced Pre -Test 9 th Ed. Remembered Questions Answered Correctly – Expert Verified Which of the following sets of vital signs is most compatible with a diagnosis of isolated head injury with increasing intracranial pressu re? A. BP 170/100, pulse 50/min B. BP 80/60, pulse 130/min C. BP 80/60, pulse 50/min D. BP 170/100, pulse 130/min - ✔✔A. BP 170/100, pulse 50/min 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? A. Apply ice to burned areas until cool to touch B. Apply clean water to burned areas for up to 1 -2 minutes C. Apply iced water to burned areas until cool to touch D. Do not apply anything to burned areas other than clean sheets - ✔✔B. Apply clean water to burned areas for up to 1 -2 minutes A 23 year old female has won the "Let's -see-who -can-lean -the-farthest -backward -over - the-second -
story -balcony -railing contest. You arrive to find her boyfriend s tanding over her, holding two beers, as she lies on the grass under the balcony. 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, a normal chest and abdomen and pelvis. Her boyfriend tells you that she has some kind of heart problem but he doesn't know what. Placed on the monitor, she shows a wide -complex tachycardia of about 280. What kind of shock is she suffering? A. Hypovolemic shock B. Relative hypovolemic (high -space) shock C. Mechanical (obstructive) shock D. Cardiogenic shock - ✔✔D. Cardiogenic shock A 23 year old female has won the "Let's -see-who -can-lean -the-farthest -backward -over - the-second -
story -balcony -railing" contest. You arrive to find her boyfriend standing over her, holding two beers, as she lies on the grass under the balcony. She opens her eyes to voice, her skin is normal in color, respirations about 16 and unlabored, pulse 54 and a little weak at the wrist, with no external bleeding. She has flat neck veins, a normal chest and abdomen and a stable pelvis. First responders who arrived just before you tell you that her pulse ox reading is 94 and her BP is 74/30. If this is true, A. Hypovolemic shock B. Relative hypovolemic (high -space) shock C. Mechanical (obstructive) shock D. Cardiogenic shock - ✔✔B. Relative hypovolemic (high -space) shock A 23 year old man is injured in a motorcycle collision. The patient appears disoriented and grossly intoxicated. There is a large laceration on his scalp, which is actively bleeding. The patient refuses treatment and threatens to call his lawyer if anyone touches him. What should you do? A. Allow the patient to phone his lawyer B. Have the patient sign a release form, then let him go C. Have the patient placed under protective custody then treat and transport the patient using restraints if necessary D. Wai t until the patient passes out from his head injury or bleeding then transport - ✔✔C. Have the patient placed under protective custody then treat and transport the patient using restraints if necessary A 24 year old woman is found lying on the sidewalk af ter jumping from a fourth story window. She is hypotensive, diaphoretic, tachycardic, and unconscious. Injuries include open skull fracture, pelvis fractures, and flail chest. What should be your goal for your time? A. 5 minutes or less B. 5 to 10 minutes C. 10 to 15 minutes D. As long as necessary to assess and stabilize the patient - ✔✔A. 5 minutes or less A 34 year old 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, diaphoretic, and has weak peripheral pulses. What is the appropriate fluid resuscitation for this patient? A. Intravenous fluid at a "keep open" rate
story -balcony -railing contest. You arrive to find her boyfriend s tanding over her, holding two beers, as she lies on the grass under the balcony. 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, a normal chest and abdomen and pelvis. Her boyfriend tells you that she has some kind of heart problem but he doesn't know what. Placed on the monitor, she shows a wide -complex tachycardia of about 280. What kind of shock is she suffering? A. Hypovolemic shock B. Relative hypovolemic (high -space) shock C. Mechanical (obstructive) shock D. Cardiogenic shock - ✔✔D. Cardiogenic shock A 23 year old female has won the "Let's -see-who -can-lean -the-farthest -backward -over - the-second -
story -balcony -railing" contest. You arrive to find her boyfriend standing over her, holding two beers, as she lies on the grass under the balcony. She opens her eyes to voice, her skin is normal in color, respirations about 16 and unlabored, pulse 54 and a little weak at the wrist, with no external bleeding. She has flat neck veins, a normal chest and abdomen and a stable pelvis. First responders who arrived just before you tell you that her pulse ox reading is 94 and her BP is 74/30. If this is true, A. Hypovolemic shock B. Relative hypovolemic (high -space) shock C. Mechanical (obstructive) shock D. Cardiogenic shock - ✔✔B. Relative hypovolemic (high -space) shock A 23 year old man is injured in a motorcycle collision. The patient appears disoriented and grossly intoxicated. There is a large laceration on his scalp, which is actively bleeding. The patient refuses treatment and threatens to call his lawyer if anyone touches him. What should you do? A. Allow the patient to phone his lawyer B. Have the patient sign a release form, then let him go C. Have the patient placed under protective custody then treat and transport the patient using restraints if necessary D. Wai t until the patient passes out from his head injury or bleeding then transport - ✔✔C. Have the patient placed under protective custody then treat and transport the patient using restraints if necessary A 24 year old woman is found lying on the sidewalk af ter jumping from a fourth story window. She is hypotensive, diaphoretic, tachycardic, and unconscious. Injuries include open skull fracture, pelvis fractures, and flail chest. What should be your goal for your time? A. 5 minutes or less B. 5 to 10 minutes C. 10 to 15 minutes D. As long as necessary to assess and stabilize the patient - ✔✔A. 5 minutes or less A 34 year old 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, diaphoretic, and has weak peripheral pulses. What is the appropriate fluid resuscitation for this patient? A. Intravenous fluid at a "keep open" rate
