International Trauma Life Support (ITLS) | 80+ Verified Exam Questions with Correct Answers | Primary Survey, TBI, Shock, SMR | 2025/2026 | Advanced Trauma Training

This document presents 80+ high-yield exam questions with verified correct answers, based on the International Trauma Life Support (ITLS) curriculum for the 2025/2026 academic year. It is designed to support learners preparing for advanced trauma training, ITLS certification, and field application of trauma care protocols in prehospital and emergency environments. The questions follow the ITLS framework and cover essential trauma assessment and management topics including: – ITLS Primary, Secondary, and Ongoing Survey protocols – Scene size-up, rapid trauma assessment, and transport decisions – Mechanisms of injury: MVC dynamics, blast injuries (primary to quinary) – Airway management techniques: Sellick maneuver, ELM, BOOTS mnemonic – Tension pneumothorax, hemothorax, cardiac tamponade, Beck’s triad – Head injuries: primary vs secondary brain injury, Cushing’s triad, ICP management – Shock classification: hypovolemic, mechanical, relative volume loss – Spinal Motion Restriction (SMR): rapid extrication, emergency rescue – Burn zones (coagulation, stasis, hyperemia), tourniquet rules, hemostatic contraindications – Golden Period, minimum perfusion pressure, criteria for hyperventilation This document is ideal for: – EMS and paramedic students – Advanced trauma life support learners (ITLS, PHTLS, ATLS) – Firefighters, combat medics, and tactical emergency responders – Nurses, physicians, and prehospital clinicians preparing for trauma cert exams – Instructors and trainers in trauma response and field medicine Each question is built to test understanding of critical thinking, anatomy-physiology, trauma physiology, and evidence-based emergency care. A valuable asset for both exam preparation and clinical application. Keywords: ITLS, trauma life support, rapid trauma assessment, primary survey, secondary survey, BOOTS, SMR, shock management, TBI, Cushing’s triad, Beck’s triad, blast injuries, MVC, airway management, Sellick maneuver, trauma exam, spinal precautions, emergency rescue