ITLS Advanced Practice Exam Review Questions with
Answer Graded A+ 2025/2026
When the injury occurs, what clock just started? - The "Golden Period"
(used to be the golden hour)
Max length of your initial assessment - 2 min.
Max length of "load and go" scene time? - Critical trauma scene time is 5
min. or less.
ELM stands for? - External Laryngeal Manipulation
Selick vs. ELM - Selick is when you close the esophagus to prevent air in
the gastric.
ELM is a manipulation technique to move the airway into alignment for
intubation.
SMR stands for? - Spinal Mobilization RESTRICTION
Best GCS score is? - Eyes 4
Verbal 5
Motor 6
Total 15
1st action of initial assessment? - Scene safety
Who is responsible for assessments of the patient? - Team leader only
Focused or Rapid trauma survey for a generalized, significant MOI? -
Rapid trauma assessment
How much does the tube move with neck flexion or extension? - 2-2.5cm
What team member can determine level of consciousness? - team leader
only
, Most important thing to do when a child is unresponsive with obvious
respiratory disress, tachypneic and shallow, weak slow pulse? - assist
ventilations
What angle and position do you tip or roll a pregnant woman? - Left lateral
side, rolled up 15-30 degrees
Adequate respiratory rate for an adult? - 10-12 per minute
every 5-6 seconds
What does stridor indicate in a trauma patient? - Airway obstruction
Major pediatric sign of shock? - tachycardia
ETCO2 level for impending respiratory collapse? - <30
BOOTS acronym - Difficult BVM items
B-Beards
O-Obesity
O-Older
T-Toothless
S-Snoring
In a head injury what do you maintain BP at? - 110-120 mmHg
What is a red flag vital sign for shock? - Tachycardia BP >120
What do you suspect in trauma with a BP >100? - Hemorrhage
Minimum BP for perfusion? - 50 to 60 mmHg
Max length of time to have a tourniquet on? - 2 hours
List 3 shock syndromes - Low Space shock
High space shock
Mechanical shock
Absolute hypovolemia - Low Space shock
Relative hypovolemia - High Space shock
Answer Graded A+ 2025/2026
When the injury occurs, what clock just started? - The "Golden Period"
(used to be the golden hour)
Max length of your initial assessment - 2 min.
Max length of "load and go" scene time? - Critical trauma scene time is 5
min. or less.
ELM stands for? - External Laryngeal Manipulation
Selick vs. ELM - Selick is when you close the esophagus to prevent air in
the gastric.
ELM is a manipulation technique to move the airway into alignment for
intubation.
SMR stands for? - Spinal Mobilization RESTRICTION
Best GCS score is? - Eyes 4
Verbal 5
Motor 6
Total 15
1st action of initial assessment? - Scene safety
Who is responsible for assessments of the patient? - Team leader only
Focused or Rapid trauma survey for a generalized, significant MOI? -
Rapid trauma assessment
How much does the tube move with neck flexion or extension? - 2-2.5cm
What team member can determine level of consciousness? - team leader
only
, Most important thing to do when a child is unresponsive with obvious
respiratory disress, tachypneic and shallow, weak slow pulse? - assist
ventilations
What angle and position do you tip or roll a pregnant woman? - Left lateral
side, rolled up 15-30 degrees
Adequate respiratory rate for an adult? - 10-12 per minute
every 5-6 seconds
What does stridor indicate in a trauma patient? - Airway obstruction
Major pediatric sign of shock? - tachycardia
ETCO2 level for impending respiratory collapse? - <30
BOOTS acronym - Difficult BVM items
B-Beards
O-Obesity
O-Older
T-Toothless
S-Snoring
In a head injury what do you maintain BP at? - 110-120 mmHg
What is a red flag vital sign for shock? - Tachycardia BP >120
What do you suspect in trauma with a BP >100? - Hemorrhage
Minimum BP for perfusion? - 50 to 60 mmHg
Max length of time to have a tourniquet on? - 2 hours
List 3 shock syndromes - Low Space shock
High space shock
Mechanical shock
Absolute hypovolemia - Low Space shock
Relative hypovolemia - High Space shock
