Download FISDAP TRAUMA EXAM 2024 (3 DIFFERENT VERSIONS) ACTUAL 400 EXAM QUESTIONS AND CORRECT VERIF and more Exams Public Health in PDF only on Docsity!
FISDAP TRAUMA EXAM 2024 (3 DIFFERENT
VERSIONS) ACTUAL 400 EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS / TRAUMA FISDAP
LATEST EXAM QUESTIONS AND ANSWERS 2024-
2025/A+ GRADE
VERSION 1
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) decompensated shock to compensated shock C) compensated shock to decompensated shock 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 theshoulders 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 Your patient's vehicle was struck by another motorist from behind. What should you do? A) perform a head-to-toe examination B) stabilize the c-spine C) administer high-flow oxygen D) apply a half-spine immobilization device - ANSWER- B) stabilizethe c-spine An 18 y/o female was hit and has 4 teeth pushed into the upper gums of her jaw. She complains of severe pain and discomfort. Bleeding is minimal. BP is 120/90, HR is 88 bpm, RR is 16/min, and SpO2 is 96%. What should you do? A) administer aspirin for pain B) insert an OPA to maintain patency C) apply oxygen by NRB at 15 L/min D) monitor her bleeding and ensure a patent airway - ANSWER- D)monitor her bleeding and ensure a patent airway An injury produced by wounding forces of compression and change of speed, both of which can disrupt tissue, is defined as: A) third degree trauma B) penetrating trauma C) blunt trauma D) cavitation - ANSWER- C) blunt trauma A 34 y/o female has been bleeding vaginally for 2 hours. She is anxious, alert, and oriented. Her skin is cool, pale, and diaphoretic. BP is 116/70, HR 118 bpm, and RR 20/min. What should you suspect? A) hypotensive shock B) hypertensive shock C) decompensated shock
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 What is a mechanism of obstructive shock? A) MI B) spinal cord injury C) acute fluid loss D) tension PTX - ANSWER- D) tension PTX Which of the following is the first sign of shock that usually appears in patients? A) changes in vitals B) pale, cool, and clammy skin C) AMS D) nausea and vomiting - ANSWER- C) AMS Which of the following describes bruising or discoloration behind the ears as a result of a fractured skull? A) Babinski's sign B) silver fork sign C) Cushing's sign D) Battle's sign - ANSWER- D) Battle's sign What is the 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 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 - ANSWER- A) apply atourniquet 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 - ANSWER- A) secondary 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 What organ is located in the RUQ? A) spleen B) liver C) kidney D) pancreas - ANSWER- B) liver
What is an injury to ligaments around a joint called? A) fracture B) strain C) sprain D) dislocation - ANSWER- C) sprain 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 noseand 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? 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 - ANSWER-A) apply additional dressing material with direct pressure A 19 y/o female has a pencil impaled in her left eye. BP is 130/90, HR 84 bpm, RR 18/min. What should you do? A) assess her ability to track movement with her right eye B) apply oxygen by NRB at 15 L/min C) stabilize the pencil and cover her other eye in a dressing D) stabilize the pencil with a plastic cup - ANSWER- C) stabilize the pencil and cover her other eye in a dressing A 20 y/o male struck his head while jumping into a swimming pool. He is unconscious and apneic. BP is 88/70, HR 80 bpm. There is a large amount of swelling and deformity in the c-spine area. What should you do? A) apply and inflate MAST B) use the head tilt-chin lift to open his airway C) secure him to a long backboard D) administer oxygen via NRB - ANSWER- C) secure him to a long backboard A 45 y/o male has fallen down a flight of stairs. He is unresponsive and has diminished breath sounds bilaterally with subQ emphysema around the base of his neck. What should you suspect? A) hemothorax
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 An unrestrained 47 y/o female is in cardiac arrest after an MVC on the freeway. She has been pulseless for 20 mins and CPR was withheld. What should you do? A) start CPR and contact medical control to terminate efforts B) provide chest compressions for 2 mins and then apply the AED C) apply the AED and start CPR simultaneously D) look for signs of occult bleeding - ANSWER- A) start CPR andcontact 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 andtransport 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 theposition 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 columnis 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 patientwith a 4 - inch thigh laceration What is the initial treatment of an abdominal evisceration? A) apply a moist sterile dressing B) apply a cold pack to the injury C) apply a dry sterile dressing D) carefully reinsert the organs - ANSWER- A) apply a moist steriledressing
A 24 y/o male was stabbed in the thigh. Bright red blood spurts from the wound. What should you suspect that the patient severed? A) vein B) artery C) tendon D) ligament - ANSWER- B) artery A 60 y/o male with a head injury is moaning and making incomprehensible sounds. He withdrew when you started his IV but is otherwise not moving. His eyes are wide open. What is his GCS score? A) 13 B) 6 C) 3 D) 10 - ANSWER- D) 10 What type of impact to an unrestrained occupant commonly results in a multi- system injury? A) rotational B) lateral C) broadside D) frontal - ANSWER- A) rotational A 45 y/o male has a small puncture wound to his hand after cleaning his pressure washer. You notice swelling in his palm and fingers. What should you do? A) wrap the hand in Curlex B) irrigate the wound with saline C) apply ice and splint the hand D) elevate and splint the hand - ANSWER- D) elevate and splint the hand A 72 y/o female was in an MVC. She has a right ulnar fracture with no distal circulation. What should you do? A) attempt to realign the fracture B) splint the fracture in the position found C) apply a traction splint D) transport immediately - ANSWER- A) attempt to realign the fracture What is the minimum systolic BP that will perfuse all vital organs?
A) 90
B) 70
C) 80
D) 60 - ANSWER- C) 80
An 18 y/o 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 leg pain. When she is finally extricated from the car, her vitals begin to collapse. What should you suspect? A) neurogenic shock B) air embolism C) internal injuries D) crush syndrome - ANSWER- D) crush syndrome What is NOT included in the management of a minor venous laceration? A) pressure point B) elevation C) direct pressure D) tourniquet - ANSWER- D) tourniquet Which of the following MOIs would result in a coup-contrecoup injury? A) a front-impact MVC B) diving into shallow water C) a fall from over 20 feet D) a low-energy projectile - ANSWER- A) a front-impact MVC A) profusely bleed, very slowly B) rupture, rupture C) ooze blood, profusely D) rupture, profusely - ANSWER- D) rupture, profusely A patient has excessive bleeding from the neck. What should you apply? A) a tourniquet B) a Band-Aid C) an occlusive dressing D) a pressure dressing - ANSWER- D) a pressure dressing Contents of the chest are protected by: A) mediastinum Hollow organs while solid organs bleed.
D) apply a moist and occlusive dressing - ANSWER- D) apply a moistand occlusive dressing List all regions of the human vertebral column. - ANSWER- cervical, thoracic, lumbar, sacral, coccygeal Which of the following patients should be transported to a trauma center? A) a 60 y/o with rib pain after an MVC B) a 45 y/o female stabbed in the flank C) a 22 y/o male with a closed ulnar fracture D) a 25 y/o male who fell 10 feet - ANSWER- B) a 45 y/o femalestabbed in the flank A 16 y/o female fell rollerskating and is now confused and agitated. What should you suspect? A) head and chest injuries B) head and spinal injuries C) abdominal and extremity injuries D) abdominal and spinal injuries - ANSWER- B) head and spinalinjuries In which of the following situations would you remove an impaled object? A) knife in the lung B) piece of metal in the abdomen C) wire in the right cheek D) steel rod through the leg - ANSWER- C) wire in the right cheek The posterior chest region contains the: A) posterior vena cava B) spinal column C) sternum D) jugular veins - ANSWER- B) spinal column A 13 y/o has fallen 15 feet. He has a deformed right thigh and is lethargic to respond. What should you do? A) apply a traction splint B) obtain a SAMPLE history C) immediately attempt to contact his parents D) manually stabilize the c-spine - ANSWER- D) manually stabilizethe c-spine
A 34 y/o male was involved in an MVC. He has significant facial trauma and is bleeding profusely from the mouth and nose. When performing your assessment, what findings are most indicative of neurological disorders? A) changes in consciousness B) narrowing pulse pressure C) tachycardia and hypotension D) head trauma - ANSWER- A) changes in consciousness A 24 y/o female responds to a sternal rub by opening her eyes and moaning incomprehensibly. She tries to push your hands away from her sternum. What is her GCS score? A) 6 B) 3 C) 12 D) 9 - ANSWER- D) 9 A 26 y/o female has difficulty breathing after an MVC. Lung sounds are distant on the left side and she has paroxysmal chest rise. What should you do? A) insert an OPA B) wrap her chest in bandages C) apply an NRB at 15 L/min D) ventilate her with a BVM - ANSWER- D) ventilate her with a BVM A 22 y/o female has lower leg deformity, moderate bleeding from the forehead, and signs and symptoms of shock following an MVC. What should you do? A) open the airway and monitor the vitals every 15 mins B) complete a detailed trauma assessment and patient history C) perform a primary assessment, stabilize, and transport D) splint and bandage the patient's injuries before transporting - ANSWER- C) perform a primary assessment, stabilize, and transport An 18 y/o male was hit in the head by a large rock. When caring for this patient, what should you continually reassess? A) locomotor function B) level of consciousness C) quality and degree of pain D) pulse, motor, and sensory function - ANSWER- B) level of consciousness
C) cover with moist and occlusive dressings D) establish two large bore IVs and administer an analgesic - ANSWER- B) irrigate the wounds with saline and wrap with dry Curlex A 17 y/o male has a knife impaled in his left chest. BP is 170/90, RR is 10/min, and HR is 97 bpm. What should you do? A) perform positive pressure ventilations B) attempt to remove the knife C) stabilize the knife with dressings D) auscultate lung sounds - ANSWER- D) auscultate lung sounds How does the body try to compensate during uncontrolled bleeding? A) increasing HR B) increasing blood clotting mechanisms C) decreasing RR D) decreasing blood pH - ANSWER- A) increasing HR *** - ANSWER- A 40 y/o male is unresponsive and pale, and you notice a deformity above his right wrist and bruising around his navel. His wife tells you that her husband was out drinking the previous evening and he stumbled while walking up the front steps. What should you suspect? A) an extremity fracture B) alcohol poisoning C) hypoglycemia D) internal bleeding - ANSWER- D) internal bleeding Open wounds that sometimes cause significant blood loss are called: A) abrasions B) punctures C) lacerations D) contusions - ANSWER- C) lacerations A 39 y/o male has an angulated deformity to the humerus. You cannot feel a distal pulse and the limb is blue. What should you do? A) contact medical control for pain medication orders B) attempt to pull gentle traction and realign the bones C) transport emergently to the closest hospital
D) splint with a sling and swathe, apply ice, and transport - ANSWER-B) attempt to pull gentle traction and realign the bones A 37 y/o male has been pulled from the water after diving into a shallow lake. He is unconscious, flaccid, and has diaphragmatic breathing. BP is 100/70, HR 68 bpm, RR 20/min. What should you do? A) manually stabilize the c-spine B) insert a BIAD C) apply high-flow oxygen D) activate air-medical transport - ANSWER- A) manually stabilizethe c-spine A GSW is an example of a: A) laceration B) deformity C) contusion D) penetration - ANSWER- D) penetration Which of the following is used in the management of a pelvic fracture with hypotension? A) pneumatic anti-shock garment B) buddy splinting the legs to each other C) securing the patient to a backboard D) unilateral traction device with ankle straps - ANSWER- A)pneumatic anti-shock garment How should you treat an impaled object in the abdomen? A) manually secure the object and inflate the pneumatic anti-shock garment to stabilize it B) remove the object and apply a porous dressing moistened with sterile saline C) remove the object and apply an occlusive dressing D) secure the object, control bleeding, and use bulky dressings to stabilize the object - ANSWER- D) secure the object, control bleeding, and use bulky dressings to stabilize the object While on scene of a two-car T-bone type accident, a bystander comes up to you and states "I think my husband just died!" Upon arrival to the patient, you find him to be unresponsive, although he is breathing. Pt is noted to have a large hematoma to the frontal region of his head. Patient's family states that the patient has a long
