ITLS Question and Answer [2026] |
UPDATED ACTUAL Exam | Ultimate
Study Guide
• Two basic MOI for motion injury . CORRECT ANSWER: Blunt force injury
Penetrating injury
• Three collisions of a MVC . CORRECT ANSWER: Vehicle collision
Body collision
Organ collision
• 5 forms of MVC . CORRECT ANSWER: Frontal impact
Lateral impact
Rear-impact
Rollover
Rotational
• Most common tractor injury . CORRECT ANSWER: Rollover
• 3 factors of a fall . CORRECT ANSWER: Distance
Anatomy area impacted
Surface struck
• Bullet factors that contribute to tissue damage . CORRECT ANSWER: Missile size
Missile deformity
Semi jacket (expands to add SA)
Tumbling
Yaw
• 3 wounds caused by a bullet . CORRECT ANSWER: Entry wound
Exit wound (larger and more ragged)
Internal wound (temporary cavity)
• 5 factors of a blast injury . CORRECT ANSWER: Primary - caused by initial air blast
(affects lungs, ears, gi tract)
Secondary - struck by shrapnel
Tertiary - body being thrown
Quaternary - explosion fireball - burn injuries
Quinary - exposure to contaminants
, • Most common types of penetrating injuries . CORRECT ANSWER: Knife
Bullet
• Ideal ETCO2 . CORRECT ANSWER: 35-45 mm Hg
• Ideal SPO2 . CORRECT ANSWER: 95%
• Normal respiration rates . CORRECT ANSWER: Adults 10-20
Small child 15-30
Infant 25-50
• When to choose a focused exam . CORRECT ANSWER: No significant MOI
Normal initial assessment
No loss of consciousness
Normal breathing
Radical pulse less than 120
• Brief neurological exam . CORRECT ANSWER: Pupils
GCS
signs of cerebral herniation
• Frequency of ongoing exam . CORRECT ANSWER: 5 minutes for critical
15 for stable
Any time the patient is moved
Any time an intervention is performed
Any time patients condition worsens
• Primary goals of treating patient with chest injury . CORRECT ANSWER: ensure open
airway
High flow O2
Stabilize Flails
Seal Sucking wounds
Decompress chest
Load and Go
Obtain venous access
Transport to appropriate level of care
Notify Medical Direction
• Components of perfusion of body tissues . CORRECT ANSWER: Intact Vascular
system
Air Exchange in lungs
Blood Volume
Functioning Pump
UPDATED ACTUAL Exam | Ultimate
Study Guide
• Two basic MOI for motion injury . CORRECT ANSWER: Blunt force injury
Penetrating injury
• Three collisions of a MVC . CORRECT ANSWER: Vehicle collision
Body collision
Organ collision
• 5 forms of MVC . CORRECT ANSWER: Frontal impact
Lateral impact
Rear-impact
Rollover
Rotational
• Most common tractor injury . CORRECT ANSWER: Rollover
• 3 factors of a fall . CORRECT ANSWER: Distance
Anatomy area impacted
Surface struck
• Bullet factors that contribute to tissue damage . CORRECT ANSWER: Missile size
Missile deformity
Semi jacket (expands to add SA)
Tumbling
Yaw
• 3 wounds caused by a bullet . CORRECT ANSWER: Entry wound
Exit wound (larger and more ragged)
Internal wound (temporary cavity)
• 5 factors of a blast injury . CORRECT ANSWER: Primary - caused by initial air blast
(affects lungs, ears, gi tract)
Secondary - struck by shrapnel
Tertiary - body being thrown
Quaternary - explosion fireball - burn injuries
Quinary - exposure to contaminants
, • Most common types of penetrating injuries . CORRECT ANSWER: Knife
Bullet
• Ideal ETCO2 . CORRECT ANSWER: 35-45 mm Hg
• Ideal SPO2 . CORRECT ANSWER: 95%
• Normal respiration rates . CORRECT ANSWER: Adults 10-20
Small child 15-30
Infant 25-50
• When to choose a focused exam . CORRECT ANSWER: No significant MOI
Normal initial assessment
No loss of consciousness
Normal breathing
Radical pulse less than 120
• Brief neurological exam . CORRECT ANSWER: Pupils
GCS
signs of cerebral herniation
• Frequency of ongoing exam . CORRECT ANSWER: 5 minutes for critical
15 for stable
Any time the patient is moved
Any time an intervention is performed
Any time patients condition worsens
• Primary goals of treating patient with chest injury . CORRECT ANSWER: ensure open
airway
High flow O2
Stabilize Flails
Seal Sucking wounds
Decompress chest
Load and Go
Obtain venous access
Transport to appropriate level of care
Notify Medical Direction
• Components of perfusion of body tissues . CORRECT ANSWER: Intact Vascular
system
Air Exchange in lungs
Blood Volume
Functioning Pump
