ITLS ACTUAL EXAM SCRIPT 2026
COMPREHENSIVE EMERGENCY CARE
QUESTIONS AND ANSWERS
◉ An unresponsive 5yo F was struck by a car. She presents with
retractions and nasal flaring. The airway is patent, breathing is fast
and shallow, and the carotid pulse is weak and slow. Which of the
steps in her management should be done first?
Answer: Initiate ventilatory assistance
pg 334
Rationale: If you have any doubt that the child is breathing
adequately on his/her own, immediately assist the child's breathing
◉ Which of the following regarding trauma in the elderly is true?
Answer: Fatal outcomes are more likely in the elderly than in the
young
pg 353
◉ Supine hypotension syndrome is the pregnant PT is caused by?
Answer: Uterine obstruction of venous bloodflow
pg364
, Rationale: In supine hypotension syndrome, the hypotension is
caused by the weight of the pregnant uterus pressing on the inferior
vena caba and decreasing the return of blood flow to the heart b
30%
◉ Which of the following has a greater chance of surviving traumatic
cardiopulmonary arrest?
Answer: PTs with non-dialated pupils
pg 380
Rationale: Trauma PTs who presented unconscious, without
palpable pulse or spontaneous respiration, found that PTs with
Sinus rhythm and non-dialated (<4mm) reactive pupils had a good
chance of survival
◉ Which of the following concerning blast injury is true?
Answer: Secondary blast injury is caused by objects propelled by the
explosion (shrapnel)
pg 24
◉ The purpose of ITLS primary survey is to:
Answer: Identify all immediate life threats within the first 2 mins.
pg34
COMPREHENSIVE EMERGENCY CARE
QUESTIONS AND ANSWERS
◉ An unresponsive 5yo F was struck by a car. She presents with
retractions and nasal flaring. The airway is patent, breathing is fast
and shallow, and the carotid pulse is weak and slow. Which of the
steps in her management should be done first?
Answer: Initiate ventilatory assistance
pg 334
Rationale: If you have any doubt that the child is breathing
adequately on his/her own, immediately assist the child's breathing
◉ Which of the following regarding trauma in the elderly is true?
Answer: Fatal outcomes are more likely in the elderly than in the
young
pg 353
◉ Supine hypotension syndrome is the pregnant PT is caused by?
Answer: Uterine obstruction of venous bloodflow
pg364
, Rationale: In supine hypotension syndrome, the hypotension is
caused by the weight of the pregnant uterus pressing on the inferior
vena caba and decreasing the return of blood flow to the heart b
30%
◉ Which of the following has a greater chance of surviving traumatic
cardiopulmonary arrest?
Answer: PTs with non-dialated pupils
pg 380
Rationale: Trauma PTs who presented unconscious, without
palpable pulse or spontaneous respiration, found that PTs with
Sinus rhythm and non-dialated (<4mm) reactive pupils had a good
chance of survival
◉ Which of the following concerning blast injury is true?
Answer: Secondary blast injury is caused by objects propelled by the
explosion (shrapnel)
pg 24
◉ The purpose of ITLS primary survey is to:
Answer: Identify all immediate life threats within the first 2 mins.
pg34
