ITLS 9th edition UPDATED Questions and CORRECT Answers
1. Normal adult 60-100 beats per minute
heart rate
2. normal adult res- 12-20 breaths per minute
piratory rate
3. Normal adult 120/80 mmHg
blood pressure
4. flail chest A condition in which two or more ribs are fractured in two or more places or in
association with a fracture of the sternum so that a segment of the chest wall is
effectively detached from the rest of the thoracic cage.
5. Signs and symp- Paradoxical movement of the chest, decreased lung volumes, decreased lung
toms of flail chest compliance, pain to fracture site
6. open pneumoth- Accumulation of air in pleural space resulting in a partial collapsed lung. The
orax (sucking persistent open wound equalizes in thoracic pressure with atmospheric pressure
chest wound) resulting in a collapsed lung
7. Signs and symp- Sucking chest wound
toms of an open Sudden chest pain
pneumothorax Dyspena
Rapid/shallow breathing
Rapid heart rate
Hypoxia
8. Massive hemoth- Collection of blood >1000 mL in the pleural space, requires a chest drain to treat
orax
9. Signs and symp- Hypovolaemia
toms of massive Respiratory compromise
hemothorax Hypotension
, Cool and clammy
Diaphoretic, pale
Dull sounds
Absent or partial breaths on affected side
10. tension pneu- a type of pneumothorax in which air that enters the chest cavity is prevented from
mothorax escaping creating an increase in thoracic pressure
11. signs and symp- dyspnea, rapid/weak pulse,
toms of tension rapid/shallow breaths,
pneumothorax decreased lung compliance,
unilateral decreased/absent breath sounds,
decreased blood pressure,
jugular vein dissension,
subcutaneous emphysema,
cyanosis,
tracheal deviation to affected side
12. cardiac tampon- acute compression of the heart caused by rapid fluid accumulation in the pericar-
ade dial cavity
13. Signs and symp- Beck's Triad: prescense of JVD, muffled heart sounds, and hypotension
toms of cardiac Paradoxical pulse : inhalation pressure decreases exhalation pressure increases
tamponade Tracheal midline
14. myocardial con- bruising of the heart muscle
tusion
15. Signs and symp- chest pain,
toms of myocar- dysrhythmia
dial contusion , cardiogenic shock,
irregular pulse,
neck vein elevation,
2/5
1. Normal adult 60-100 beats per minute
heart rate
2. normal adult res- 12-20 breaths per minute
piratory rate
3. Normal adult 120/80 mmHg
blood pressure
4. flail chest A condition in which two or more ribs are fractured in two or more places or in
association with a fracture of the sternum so that a segment of the chest wall is
effectively detached from the rest of the thoracic cage.
5. Signs and symp- Paradoxical movement of the chest, decreased lung volumes, decreased lung
toms of flail chest compliance, pain to fracture site
6. open pneumoth- Accumulation of air in pleural space resulting in a partial collapsed lung. The
orax (sucking persistent open wound equalizes in thoracic pressure with atmospheric pressure
chest wound) resulting in a collapsed lung
7. Signs and symp- Sucking chest wound
toms of an open Sudden chest pain
pneumothorax Dyspena
Rapid/shallow breathing
Rapid heart rate
Hypoxia
8. Massive hemoth- Collection of blood >1000 mL in the pleural space, requires a chest drain to treat
orax
9. Signs and symp- Hypovolaemia
toms of massive Respiratory compromise
hemothorax Hypotension
, Cool and clammy
Diaphoretic, pale
Dull sounds
Absent or partial breaths on affected side
10. tension pneu- a type of pneumothorax in which air that enters the chest cavity is prevented from
mothorax escaping creating an increase in thoracic pressure
11. signs and symp- dyspnea, rapid/weak pulse,
toms of tension rapid/shallow breaths,
pneumothorax decreased lung compliance,
unilateral decreased/absent breath sounds,
decreased blood pressure,
jugular vein dissension,
subcutaneous emphysema,
cyanosis,
tracheal deviation to affected side
12. cardiac tampon- acute compression of the heart caused by rapid fluid accumulation in the pericar-
ade dial cavity
13. Signs and symp- Beck's Triad: prescense of JVD, muffled heart sounds, and hypotension
toms of cardiac Paradoxical pulse : inhalation pressure decreases exhalation pressure increases
tamponade Tracheal midline
14. myocardial con- bruising of the heart muscle
tusion
15. Signs and symp- chest pain,
toms of myocar- dysrhythmia
dial contusion , cardiogenic shock,
irregular pulse,
neck vein elevation,
2/5
