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Fisdap Trauma Questions with Answers 202 5 Update 1. An alert 18 year old female is found trapped in her car after a single motor vehicle crash. The air bag deployed and she denies any head or neck pain, but she complains of hip and left leg pain. When she is finally extricated from the car, her vital signs begin to collapse. What shock is shetransitioning from? A. neurogenic shock to hypovolemic shock. decompensated shock to compensated shock. compensated shock to decompensated shock. decompensated shock to hypovolemic shock. vow 2. Which of the following mechanism of injuries would NOT be significant foran adult? A. Death in the same passenger compartment. Fall from more than ten feet. Ejection from vehicle. Altered mental status. cow 3. A 20 year old female has burns on her chest, abdomen, and on the anteriorside of her right arm. What percentage of body is burned? 22.5% 27% 40.5% 18% ne de 4. Before placing an unconscious 6 year old on a long backboard, what shouldyou do? A. Place padding directly underneath the head. B. Place padding underneath the shoulders. Contact the parents for consent. Asses vital signs. va What best defines shock? Lack of adequate perfusion to the tissues. Hemorrhage exceeding 50% of total blood volume. Deficiency of vascular tone due to hemorrhage. Inadequate cerebral blood flow. BLO Bip a 6. Your patient's vehicle was struck by another motorist from behind. Whatshould you do? A. Perform a head-to-toe examination. B. Stabilize the cervical spine. Cc. Administer high-flow oxygen. D. Apply a half-spine immobilization device. 7. An 18 year old female was hit and has 4 teeth pushed into the upper gums ofher jaw. She complains of severe pain and discomfort. Bleeding is minimal and vital signs are BP 120/90, R16, P 88, SpO2 96%. What should you do? A. Administer aspirin for pain. B. Insert an oropharyngeal airway to maintain patency. Cc. Apply oxygen by nonrebreather mask at 15 lpm. 14. A 41 year old male has been injured in an explosion at a chemical laboratory. He has a ruptured tympanic membranes and sinus injuries. At whatphase of the blast did the patient sustain the sinus injuries? A. Primary Ultimate Tertiary Secondary vaw 15. When protecting the cervical spine of a suspected trauma patient, whatshould you do? A. Place gentile traction to straighten the cervical spine. B. Hold the cervical spine in the position found. c. Place a rigid collar on the neck prior to continuing with the rest of theassessment. D. Hold the neck in a neutral, in-line position. 16. What is a mechanism of obstructive shock? A. Myocardial infarction B. Spinal cord injury c. Acute fluid loss D. Tension pneumothorax 17. Which of the following is the first sign of shock that usually appears inpatients? A. Changes in vital signs Pale, cool, and clammy skin Altered mental status Nausea and vomiting vow 18. Which of the following describes bruising or discoloration behind the earsas a result of a fractured skull? A. Babinski's Silver fork Cushing's Battle's cow 19. What is the correct technique when splinting a suspected finger fracture? Apply a straight, flat, and rigid splint to the finger. Place an arm board under the wrist and wrap with curlex. Tape the fractured finger to a neighboring finger only. Immobilize the hand and finger in a pillow and apply ice. oer 20. After initial treatments of an arterial bleed in the left forearm areunsuccessful. What should you do? A. Apply a tourniquet. B. Lower the extremity. Cc. Apply pressure to the radial artery. D. Apply pressure to the subclavian artery. D. Sterile dressings and treat her pain with ice. 27. A 20 year old female was involved in a car crash. She complains of midline neck pain and is unable to move her extremities. What secondaryinjury should you suspect? A. Difficulty breathing Ruptured vertebrae Vertebral swelling Subluxation vaw 28. A unrestrained 24 year old female driver hit an electrical pole and struckthe steering wheel. She appears pale and complains of nausea and abdominal pain. What organ is LEAST likely to suffer an injury as a result of this impact? A. Liver B. Stomach c. Spleen D. Diagphram 29. A 28 year old female has full thickness burns to her hands and arms afterbeing shocked by an electrical outlet. Vital signs are BP 150/90, R 20, P 84.What should you do? Cover her wounds with moist sterile dressings. Irrigate her burns with normal saline. Apply dry sterile dressings to her wounds. Administer ice to her burns. Pee Scenario: 30. A 38 year old male has been struck with a brick. His words are incomprehensible, and he has no eye opening or motor response. He has unequalpupils and has blood draining from his left ear. Vital signs are BP 178/110,P 58, R8. What should you suspect? A narcotic overdose A basal skull fracture Hypovolemic shock Subdural hematoma Bam? 31. What is an injury to ligaments around a joint called? A. Fracture B. Strain c. Sprain D. Dislocation 32. A 16 year old male has a broken nose. He is bleeding heavily from bothnostrils. What should you do? A. Pinch his nose and lean him forward. 33. A 18 year old male has hypotension, bradycardia, and warm dry skinfollowing a hard hit during a football game. What should you suspect? A. Septic shock B. Neurogenic shock Cc. Hypovolemic shock D. Cardiogenic shock Scenario: 34. An 80 year old male complains of leg pain. His left foot is pulseless ,discolored, and cool to the touch. He had surgery two days prior with no complications. What should you suspect? A. Diabetes Normal post surgery occurrence. Medication overdose A blood clot vaw 35. A 29 year old female fell from an 18 foot roof. During your rapid traumaassessment, where are you most likely to find life-threatening injuries? A. Abdomen, pelvis, arms Head, chest, abdomen Head, neck, extremities Chest, pelvis, extremities vaw 36. How quickly should you expect a clot to form from a venous laceration? 11-14 minutes 7-10 minutes 4-6 minutes 1 minute Bowe 37. A 60 year old male fell onto a coffee table yesterday and he woke up thismorning complaining of diffuse, dull abdominal pain. You note periumbilical bruising. What is this known as? A. Grey-Turner's sign Kehr's sign Crohn's sign Cullen's sign vow 38. A 56 year old female has an arm injury with arterial bleeding. Thedressing becomes soaked with blood. What should you do? A. Apply additional dressing material with direct pressure. B. Remove and replace the dressing with a thicker dressing. c. Wrap an elastic bandage around the blood soaked dressing. D. Cover the existing dressing with an occlusive dressing. B. Pericardial tamponade c. Tension Pneumothorax D. Rib fractures © 45. A 56 year old male tripped and fell into a manhole in the sidewalk. He complains of chest pain and tenderness when he takes a deep breath. Lung sounds are clear but diminished bilaterally. Vital signs are BP 140/90, P 90,R12. What is the most likely cause of his symptoms? A. Tension pneumothorax B. Rib fractures c. Flail chest D. Left sided hemothorax 46. Your patient has a small, sucking puncture wound on the right side of hischest. How should you dress the wound? A. Roller gauze. B. Moist gauze. c. Butterfly bandages. D. An occlusive dressing. 47. A 31 year old female has gun shot wound to the right lateral chest. She isawake and alert with obvious difficulty breathing. Where should she be transported? A. Respiratory center B. Local hospital c. Emergency department D. Trauma center 48. You are at an amusement park when you witness a 19 year male being stabbedin the arm. After assuring the scene is safe, you approach and see that he isexperiencing slow, steady bleeding. You have disposible gloves in your pocket, but no bandages. You should A. Send a bystander to locate a tourniquet. Apply direct pressure to the wound using your gloved hand. Locate a first aid kit and control the bleeding with bandages. Elevate the arm and use a pressure point to control bleeding. vow 49. An unrestrained 47 year old female is in cardiac arrest after car crash onthe freeway. She has been pulseless for 20 minutes and CPR was withheld. Whatshould you do? Start CPR and contact medical control to terminate efforts. Provide chest compressions for 2 minutes then apply the AED. Apply the AED and start CPR simultaneously. Look for signs of occult bleeding. PRP 50. A 25 year old pregnant patient was ejected from a motor vehicle. She isapneic and pulseless. What should you do? A. Prepare for delivery. B. Provide CPR and transport. c. Transport in the left lateral recumbent position. 51. A 25 year old female has a distended abdomen and muffled lung sounds aftera car accident. BP 130/80, P 96, R24. What should you suspect? A. Abdominal evisceration Pericardial tamponade Ruptured bowel Tension pneumothorax vow 52. What are the general principles for the management of a dislocation? A. Traction and realignment. B. Splinting in a position of comfort. c. Pain management and realignment. D. Splinting in the position found. 53. An alert and oriented 35 year old female is sitting on the ground after acar accident. Vital signs are BP 90/62, P 96, R 24 and shallow. She denies any numbness or tingling in her extremities. What should you do? Reassess her vitals Apply oxygen by nasal cannula Perform full spinal immobilization Transport immediately B pBey 54. What findings would indicate a serious mechanism of injury during a motorvehicle crash? A. The front end of the car has crumpled without intrusion into the passengercompartment. B. The patient has a 1" laceration to his face and his left shoulder isbruised. c. The windshield is badly cracked on the passenger's side. D. The steering wheel is deformed, and the steering column is damaged. 55. What patient would NOT be triaged as a red? A patient with an obstructed airway. A patient with a sucking chest wound. A patient in decompensated shock. A patient with a 4 inch thigh laceration. Pore 56. What is the initial treatment of an abdominal evisceration? Apply a moist sterile dressing. Apply cold pack to the injury. Apply a dry sterile dressing. Carefully reinsert of the organs. Pie B 57. If transport is delayed or prolonged, and if circulation is impaired, an attempt should be made to reposition a grossly deformed fracture or dislocated 63. A 60 year old male with a head injury is moaning and making incomprehensible sounds. He withdrew when you started his IV but is otherwisenot moving. His eyes are wide open. What is his Glascow Coma Score? voup bun 64. What type of impact to an unrestrained occupant commonly results in amultiple system injury? A. Rotational B. Lateral c. Broadside D. Frontal 65. A 45 year old male has a small puncture wound to his hand after cleaninghis pressure washer. You notice swelling in his palm and fingers. What should you do? Wrap the hand in curlex Irrigate the wound with saline Apply ice and splint the hand Elevate and splint the hand BO me 66. A 72 year old female was in a motor vehicle collision. She has a rightulnar fracture with no distal circulation. What should you do? Attempt to realign the fracture Splint the fracture in position found Apply a traction splint Transport immediately 2 6 be 67. What the minimum systolic blood pressure that will perfuse all vitalorgans? A. 90 mmHg B. 70 mmHg c. 80 mmHg D. 60 mmHg 68. An 18 year old female is found conscious and alert, but trapped in her car. She denies any head or neck pain, but she complains of hip and left legpain. When she is finally extricated from the car, her vital signs begin to collapse. What should you suspect? Neurogenic shock Air embolism Internal injuries Crush syndrome B Bee 69. What is NOT included in the management of a minor venous laceration? 
