1|Page
ITLS 9TH EDITION EXAM ACTUAL EXAM 2 LATEST
VERSIONS AND STUDY GUIDE COMPLETE 300
QEUSTIONS AND CORRECT ANSWERS ALREADY
GRADED A+
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 - CORRECT ANSWER >>>>A.
Cervical
Rationale: The sudden increase in acceleration
produces posterior displacement of the occupants and
possible hyperextension of the cervical spine if the
,2|Page
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 - CORRECT 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
,3|Page
D. Causes aspiration - CORRECT 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 - CORRECT 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 will be compressed,
making the heart less able to refill, and cardiac output
falls.
, 4|Page
5. A 56-year-old male sustains a gunshot wound to the
abdomen. Vital signs are BP 74/32, P 136 present only
at the carotid, and R 24 and shallow. The target of
fluid resuscitation is:
A. Return of peripheral pulses
B. Maintenance of central pulses
C. Systolic blood pressure of 110-120
D. Pulse rate of 100 - CORRECT ANSWER >>>>A.
Return of peripheral pulses
Rationale: This is an example of internal, uncontrolled
hemorrhage. Administer sufficient normal saline to
maintain peripheral perfusion, following local or EMS
agency medical direction policies. Maintaining
peripheral perfusion is generally defined as giving
enough fluid—usually in boluses—to return a
peripheral pulse, such as a radial pulse.
6. An unconscious 15-year-old male was struck on the
head with a baseball bat. His arms and legs are
extended and his right pupil is dilated and fixed. You
should:
A. Insert an oropharyngeal airway, administer oxygen,
and restrict fluids
ITLS 9TH EDITION EXAM ACTUAL EXAM 2 LATEST
VERSIONS AND STUDY GUIDE COMPLETE 300
QEUSTIONS AND CORRECT ANSWERS ALREADY
GRADED A+
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 - CORRECT ANSWER >>>>A.
Cervical
Rationale: The sudden increase in acceleration
produces posterior displacement of the occupants and
possible hyperextension of the cervical spine if the
,2|Page
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 - CORRECT 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
,3|Page
D. Causes aspiration - CORRECT 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 - CORRECT 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 will be compressed,
making the heart less able to refill, and cardiac output
falls.
, 4|Page
5. A 56-year-old male sustains a gunshot wound to the
abdomen. Vital signs are BP 74/32, P 136 present only
at the carotid, and R 24 and shallow. The target of
fluid resuscitation is:
A. Return of peripheral pulses
B. Maintenance of central pulses
C. Systolic blood pressure of 110-120
D. Pulse rate of 100 - CORRECT ANSWER >>>>A.
Return of peripheral pulses
Rationale: This is an example of internal, uncontrolled
hemorrhage. Administer sufficient normal saline to
maintain peripheral perfusion, following local or EMS
agency medical direction policies. Maintaining
peripheral perfusion is generally defined as giving
enough fluid—usually in boluses—to return a
peripheral pulse, such as a radial pulse.
6. An unconscious 15-year-old male was struck on the
head with a baseball bat. His arms and legs are
extended and his right pupil is dilated and fixed. You
should:
A. Insert an oropharyngeal airway, administer oxygen,
and restrict fluids
