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FISDAP/NREMT TRAUMA PRACTICE NEW 2023/
Q&A/ACCURATE ANSWERS /LATEST
An alert 18 y/o female is found trapped in her car after a single-car MVC. The airbag 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 she transitioning from? A) neurogenic shock to hypovolemic shock B) C) D) decompensated shock to hypovolemic shock – ANSWER==C) compensated shock to decompensated shock Which of the following MOIs would NOT be significant for an adult? A) death in the same passenger compartment B) fall from more than 10 feet C) ejection from vehicle D) altered mental status
- ANSWER ==B) fall from more than 10 feet A 20 y/o female has burns on her chest, abdomen, and on the anterior side of her right arm. What percentage of her body is burned? A) 22.5% B) 27% C) 40.5% D) 18%
- ANSWER ==A) 22.5% Before placing an unconscious 6 y/o on a backboard, what should you do? A) place padding directly underneath the head B) place padding underneath the shoulders C) contact the parents for consent D) assess vital signs
- ANSWER ==B) place padding underneath the shoulders What best defines shock? A) lack of adequate perfusion to the tissues B) hemorrhage exceeding 50% of total blood volume C) deficiency of vascular tone due to hemorrhage D) inadequate cerebral blood flow
- ANSWER==A) lack of adequate perfusion to the tissues decompensated shock to compensated shock compensated shock to
Your patient's vehicle was struck by another motorist from behind. What should you do? A) perform a head-to-toe examination
C) iliac D) radial
- ANSWER ==A) subclavian A 32 y/o female attempted suicide by taking sleeping pills and cutting her wrists. She has dark red blood oozing from the wrist lacerations. BP is
90/52, HR 130 bpm and weak, RR 18/min. What type of bleeding and shock is she experiencing? A) venous bleeding with hypovolemic shock B) capillary bleeding with cardiogenic shock C) arterial bleeding with hypovolemic shock D) venous bleeding with neurogenic shock
- ANSWER ==A) venous bleeding with hypovolemic shock Unequal pupils are a result of pressure on which structure? A) oculomotor nerve B) central medulla C) trochlear membrane D) vagus nerve
- ANSWER ==A) oculomotor nerve A 41 y/o male has been injured in an explosion at a chemical lab. He has ruptured TMs and sinus injuries. At what phase of the blast did the patient sustain the injuries? A) primary B) ultimate C) tertiary D) secondary
- ANSWER ==A) primary When protecting the cervical spine of a suspected trauma patient, what should you do? A) place gentle traction to straighten the c-spine B) hold the c-spine in the position found C) place a rigid collar on the neck prior to continuing with the rest of the assessment D) hold the neck in a neutral, in-line position - ANSWER ==D) hold the neck in a neutral, in-line position
- ANSWER
B) silver fork sign C) Cushing's sign D) Battle's sign - ANSWER ==D) Battle's sign What is the correct technique for splinting a suspected finger fracture? A) apply a straight, flat, and rigid splint to the finger B) place an arm board under the wrist and wrap with Curlex
- ANSWE
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C) tape the fractured finger to a neighboring finger only D) immobilize the hand and finger in a pillow and apply ice
- ANSWER==A) apply a straight, flat, and rigid splint to the finger
After initial treatments of an arterial bleed in the left forearm are unsuccessful, what should you do? A) apply a tourniquet B) lower the extremity C) apply pressure to the radial artery D) apply pressure to the subclavian artery A 12 y/o male has suffered a blast injury. In what phase would projectiles have caused injury to the patient? A) secondary B) primary C) tertiary D) quaternary
When the vascular container enlarges without proportional increase in the fluid volume, what type of shock should you suspect? A) decompensated B) hypovolemic C) cardiogenic D) distributive - ANSWER ==D) distributive A 26 y/o female complains of chest pain after an MVC. Auscultation of lung sounds reveals distant heart tones. Vitals are BP 160/70, HR 56 bpm, RR 22/min. She has distended neck veins. What should you suspect? A) hemothorax B) AAA C) congestive heart failure D) pericardial tamponade - ANSWER ==D) pericardial tamponade A 34 y/o male involved in a motorcycle crash presents with tachycardia, hypotension, and muffled heart tones. What should you suspect? A) pericardial tamponade B) hemopneumothorax C) traumatic asphyxia D) tension PTX
- ANSWER==A) pericardial tamponade
==A) apply a
An alert and ambulatory 26 y/o female admits to laying her motorcycle down at 25 mph to avoid a crash. She has extreme pain to her left side where you note severe abrasions. She denies any neck or back pain. What should you do? A) c-collar and immobilize her fully in the standing position B) oxygen and transport in a semi-sitting position of comfort C) c-collar and transport on her left side D) sterile dressings and treat her pain with ice
and immobilize her fully in the standing position A 20 y/o female was involved in an MVC. She complains of midline neck pain and is unable to move her extremities. What secondary injury should you suspect? A) difficulty breathing B) ruptured vertebrae C) vertebral swelling D) subluxation
- ANSWER==C) vertebral swelling
An unrestrained 24 y/o female driver hit an electrical pole and struck the steering wheel. She appears pale and complains of nausea and abdominal pain. What organ is LEAST likely to suffer injury as a result of this impact? A) liver B) stomach C) spleen D) diaphragm
A 28 y/o female has full thickness burns to her hands and arms after being shocked by an electrical outlet. BP is 150/90, RR 20/min, HR 84 bpm. What should you do? A) cover her wounds with moist sterile dressings B) irrigate her burns with normal saline C) apply dry sterile dressings to her wounds D) administer ice to her burns
- ANSWER ==C) apply dry sterile dressings to her wounds
A 38 y/o male has been struck with a brick. His words are incomprehensible, and he has no eye opening or motor response. He has unequal pupils, and has blood draining from his left ear. BP is 178/110, HR 58 bpm, RR 8/min. What should you suspect? A) a narcotic overdose
B) a basilar skull fracture C) hypovolemic shock D) subdural hematoma
- ANSWER==B) a basilar skull fracture What is an injury to ligaments around a joint called? A) fracture
A 16 y/o male has a broken nose. He is bleeding heavily from both nostrils. What should you do? A) pinch his nose and lean him forward B) pinch his nose and lean him back C) gently pack both nostrils with sterile gauze D) apply direct pressure to his nostrils
- ANSWER==A) pinch his nose and lean him forward An 18 y/o male has hypotension, bradycardia, and warm dry skin following a hard hit during a football game. What should you suspect? A) septic shock B) neurogenic shock C) hypovolemic shock D) cardiogenic shock
- ANSWER ==B) neurogenic shock An 80 y/o 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 B) normal post-surgery occurrence C) medication overdose D) a DVT - ANSWER ==D) a DVT A 29 y/o female fell from an 18 foot roof. During your rapid trauma assessment, where are you most likely to find life-threatening injuries? A) abdomen, pelvis, arms B) head, chest, abdomen C) head, neck, extremities D) chest, pelvis, extremities - ANSWER ==B) head, chest, abdomen How quickly should you expect a clot to form from a venous laceration? A) 11-14 mins B) 7-10 mins C) 4-6 mins D) 1 min – ANSWER ==C) 4-6 mins A 60 y/o male fell onto a coffee table yesterday, and he woke up this morning complaining of dull abdominal pain. You note periumbulical bruising. What is this known as? A) Grey-Turner's sign B) Kehr's sign C) Crohn's sign
D) Cullen's sign - ANSWER ==D) Cullen's sign A 56 y/o female has an arm injury with arterial bleeding. The dressing becomes soaked with blood. What should you do?
blee ding from his left elbo w. Whic h of the follo wing woul d be the most likely com plicat ion from the injur y? A) contam ination and infectio n B) air emboli sm interfer ing with heart rhythm C) locatin g the child's legal guardi an D) major blood loss
- ANSWER ==A) contamination and infection
An intoxicated 45 y/o homeless man was hit in the chest. He complains of pain with inspiration. Bilateral lung sounds are clear. BP is 130/80, HR is 76 bpm, RR is 12/min, and SpO2 is 94%. What should you suspect? A) head injury B) pericardial tamponade C) tension PTX A 56 y/o 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. BP is 140/90, HR 90 bpm, RR 12/min. What is the most likely cause of his symptoms? A) tension PTX B) rib fractures C) flail chest D) left-sided hemothorax
- ANSWER ==B) rib fractures Your patient has a small sucking puncture wound to the right side of his chest. How would you dress the wound? A) roller gauze B) moist gauze C) butterfly bandages D) occlusive dressing - ANSWER ==D) occlusive dressing A 31 y/o female has a GSW to the right lateral chest. She is awake and alert with obvious difficulty breathing. Where should she be transported? A) respiratory center B) local hospital C) emergency department D) trauma center - ANSWER ==D) trauma center You are at an amusement part when you witness a 19 y/o male being stabbed in the arm. After ensuring that the scene is safe, you approach and see that he is experiencing slow, steady bleeding. You have disposable gloves in your pocket, but no bandages. You should: A) send a bystander to locate a tourniquet B) apply direct pressure to the wound using your gloved hand C) locate a first-aid kit and control the bleeding with bandages D) elevate the arm and use a pressure point to control bleeding
- ANSWER==B) apply direct pressure to the wound using your gloved hand D) rib fractures - ANSWER ==D) rib fractures
D) look for signs of occult bleeding – ANSWER ==A) start CPR and contact medical control to terminate efforts A 25 y/o pregnant female was ejected from a motor vehicle. She is apneic and pulseless. What should you do? A) prepare for delivery B) provide CPR and transport C) transport in the left lateral recumbent position D) avoid contaminating the scene - ANSWER ==B) provide CPR and transport A 25 y/o female has a distended abdomen and muffled lung sounds after an MVC. BP is 130/80, HR 96 bpm, RR 24/min. What should you suspect? A) abdominal evisceration B) pericardial tamponade C) ruptured bowel D) tension PTX - ANSWER ==C) ruptured bowel What are the general principles for 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 - ANSWER ==D) splinting in the position found An alert and oriented 35 y/o female is sitting on the ground after an MVC. BP is 90/62, HR 96 bpm, and RR 24/min and shallow. She denies any numbness or tingling in her extremities. What should you do? A) reassess her vitals B) apply oxygen by nasal cannula C) perform full spinal immobilization D) transport immediately - ANSWER ==D) transport immediately What findings would indicate a serious MOI during an MVC? A) the front end of the car has crumpled without intrusion into the passenger compartment B) the patient has a 1-inch laceration to his face and his left shoulder is bruised C) the windshield is badly cracked on the passenger side
D) the steering wheel is deformed and the steering column is damaged - ANSWER ==D) the steering wheel is deformed and the steering column is damaged What patient would NOT be triaged as red? A) a patient with an obstructed airway B) a patient with a sucking chest wound C) a patient in decompensated shock D) a patient with a 4-inch thigh laceration - ANSWER ==D) a patient with a 4- inch thigh laceration
