1p|pPp ap gp e
ITLS 9TH EDITION EXAM LATEST ACTUAL EXAM COMP
p p p p p p p
LEETE 250 QUESTIONS AND DETAILED CORRECT ANSW
p p p p p p
ERS JUST RELEASED. p p
1. In a rear-
p p
impact motor vehicle crash, which area of the spine is
p p p p p p p p p p
most susceptible to injury?
p p p
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal - p
CORRECT ANSWER >>>>A. Cervical
p p p p
Rationale: The sudden increase in acceleration produce
p p p p p p
s posterior displacement of the occupants and possible
p p p p p p p p
hyperextension of the cervical spine if the headrest is no p p p p p p p p p
t properly adjusted. The potential for cervical-
p p p p p p
spine injuries is great.
p p p
,2p|pPp ap gp e
2. A 36-year- p
old male sustains blunt force thoracic trauma and fits t
p p p p p p p p p
he criteria for a load- and-
p p p p p
go patient. Which of the following should be performe
p p p p p p p p
d on the scene?
p p p
A. Obtain an EKG B. p p p
B. Establish vascular access p p
C. Obtain a finger-stick serum lactate level p p p p p
D. Assess for other potentially life- p p p p
threatening conditions - p p
CORRECT ANSWER >>>>D. Assess for other potent
p p p p p p p
ially life-threatening conditions
p p
Rationale: The purpose of the initial assessment is to pr
p p p p p p p p p
ioritize the patient and to identify all immediately life-
p p p p p p p p
threatening conditions. The information gathered is us p p p p p p
ed to make decisions about critical interventions and ti
p p p p p p p p
me of transport.
p p
3. The use of external laryngeal manipulation:
p p p p p
A. Decreases the risk of airway trauma p p p p p
B. Reduces gastric distention p p
C. Improves glottic visualization p p
D. Causes aspiration - p p
CORRECT ANSWER >>>>C. Improves glottic visual
p p p p p p
ization
,3p|pPp ap gp e
Rationale: Manipulating the thyroid cartilage can help b p p p p p p p
ring the vocal cords into view during endotracheal intub
p p p p p p p p
ation. This is called external laryngeal manipulation (EL
p p p p p p p
M). The movement is usually pressing the thyroid cartila
p p p p p p p p
ge backward against the esophagus and then upward an
p p p p p p p p
d slightly to the patient's right side.
p p p p p p
4. A pericardiocentesis is performed to:
p p p p
A. To remove fluid from the lining around the lungs
p p p p p p p p
B. To remove fluid from the lining around the heart
p p p p p p p p
C. To inject medications directly into the heart
p p p p p p
D. To monitor stroke volume - CORRECT ANSWER
p p p p p p
>>>>B. To remove fluid from the lining around the heart
p p p p p p p p p
Rationale: The pericardial sac is an inelastic membrane t p p p p p p p p
hat surrounds the heart. If blood collects rapidly betwee
p p p p p p p p
n the heart and pericardium from a cardiac injury, the ve
p p p p p p p p p p
ntricles of the heart will be compressed, making the hear
p p p p p p p p p
t less able to refill, and cardiac output falls.
p p p p p p p p
5. A 56-year- p
old male sustains a gunshot wound to the abdomen. Vit
p p p p p p p p p
al signs are BP 74/32, P 136 present only
p p p p p p p p
, 4p|pPp ap gp e
at the carotid, and R 24 and shallow. The target of fluid r
p p p p p p p p p p p p
esuscitation is: p
A. Return of peripheral pulses p p p
B. Maintenance of central pulses p p p
C. Systolic blood pressure of 110-120 p p p p
D. Pulse rate of 100 - CORRECT ANSWER >>>>A.
p p p p p p p
Return of peripheral pulses p p p
Rationale: This is an example of internal, uncontrolled hp p p p p p p p
emorrhage. Administer sufficient normal saline to main p p p p p p
tain peripheral perfusion, following local or EMS agency
p p p p p p p p
medical direction policies. Maintaining peripheral perfu
p p p p p
sion is generally defined as giving enough fluid—
p p p p p p p
usually in boluses— p p
to return a peripheral pulse, such as a radial pulse.
p p p p p p p p p
6. An unconscious 15-year-
p p
old male was struck on the head with a baseball bat. His
p p p p p p p p p p p p
arms and legs are extended and his right pupil is dilated
p p p p p p p p p p p
and fixed. You should:
p p p
A. Insert an oropharyngeal airway, administer oxygen, a
p p p p p p
nd restrict fluids
p p
B. Apply a non- p p
rebreather mask, restrict fluids, and administer Man p p p p p p
nitol
ITLS 9TH EDITION EXAM LATEST ACTUAL EXAM COMP
p p p p p p p
LEETE 250 QUESTIONS AND DETAILED CORRECT ANSW
p p p p p p
ERS JUST RELEASED. p p
1. In a rear-
p p
impact motor vehicle crash, which area of the spine is
p p p p p p p p p p
most susceptible to injury?
p p p
A. Cervical
B. Thoracic
C. Lumbar
D. Sacral-coccygeal - p
CORRECT ANSWER >>>>A. Cervical
p p p p
Rationale: The sudden increase in acceleration produce
p p p p p p
s posterior displacement of the occupants and possible
p p p p p p p p
hyperextension of the cervical spine if the headrest is no p p p p p p p p p
t properly adjusted. The potential for cervical-
p p p p p p
spine injuries is great.
p p p
,2p|pPp ap gp e
2. A 36-year- p
old male sustains blunt force thoracic trauma and fits t
p p p p p p p p p
he criteria for a load- and-
p p p p p
go patient. Which of the following should be performe
p p p p p p p p
d on the scene?
p p p
A. Obtain an EKG B. p p p
B. Establish vascular access p p
C. Obtain a finger-stick serum lactate level p p p p p
D. Assess for other potentially life- p p p p
threatening conditions - p p
CORRECT ANSWER >>>>D. Assess for other potent
p p p p p p p
ially life-threatening conditions
p p
Rationale: The purpose of the initial assessment is to pr
p p p p p p p p p
ioritize the patient and to identify all immediately life-
p p p p p p p p
threatening conditions. The information gathered is us p p p p p p
ed to make decisions about critical interventions and ti
p p p p p p p p
me of transport.
p p
3. The use of external laryngeal manipulation:
p p p p p
A. Decreases the risk of airway trauma p p p p p
B. Reduces gastric distention p p
C. Improves glottic visualization p p
D. Causes aspiration - p p
CORRECT ANSWER >>>>C. Improves glottic visual
p p p p p p
ization
,3p|pPp ap gp e
Rationale: Manipulating the thyroid cartilage can help b p p p p p p p
ring the vocal cords into view during endotracheal intub
p p p p p p p p
ation. This is called external laryngeal manipulation (EL
p p p p p p p
M). The movement is usually pressing the thyroid cartila
p p p p p p p p
ge backward against the esophagus and then upward an
p p p p p p p p
d slightly to the patient's right side.
p p p p p p
4. A pericardiocentesis is performed to:
p p p p
A. To remove fluid from the lining around the lungs
p p p p p p p p
B. To remove fluid from the lining around the heart
p p p p p p p p
C. To inject medications directly into the heart
p p p p p p
D. To monitor stroke volume - CORRECT ANSWER
p p p p p p
>>>>B. To remove fluid from the lining around the heart
p p p p p p p p p
Rationale: The pericardial sac is an inelastic membrane t p p p p p p p p
hat surrounds the heart. If blood collects rapidly betwee
p p p p p p p p
n the heart and pericardium from a cardiac injury, the ve
p p p p p p p p p p
ntricles of the heart will be compressed, making the hear
p p p p p p p p p
t less able to refill, and cardiac output falls.
p p p p p p p p
5. A 56-year- p
old male sustains a gunshot wound to the abdomen. Vit
p p p p p p p p p
al signs are BP 74/32, P 136 present only
p p p p p p p p
, 4p|pPp ap gp e
at the carotid, and R 24 and shallow. The target of fluid r
p p p p p p p p p p p p
esuscitation is: p
A. Return of peripheral pulses p p p
B. Maintenance of central pulses p p p
C. Systolic blood pressure of 110-120 p p p p
D. Pulse rate of 100 - CORRECT ANSWER >>>>A.
p p p p p p p
Return of peripheral pulses p p p
Rationale: This is an example of internal, uncontrolled hp p p p p p p p
emorrhage. Administer sufficient normal saline to main p p p p p p
tain peripheral perfusion, following local or EMS agency
p p p p p p p p
medical direction policies. Maintaining peripheral perfu
p p p p p
sion is generally defined as giving enough fluid—
p p p p p p p
usually in boluses— p p
to return a peripheral pulse, such as a radial pulse.
p p p p p p p p p
6. An unconscious 15-year-
p p
old male was struck on the head with a baseball bat. His
p p p p p p p p p p p p
arms and legs are extended and his right pupil is dilated
p p p p p p p p p p p
and fixed. You should:
p p p
A. Insert an oropharyngeal airway, administer oxygen, a
p p p p p p
nd restrict fluids
p p
B. Apply a non- p p
rebreather mask, restrict fluids, and administer Man p p p p p p
nitol
