Fisdap Trauma Exam 2025 (Actual Exam) Questions and Verified Answers

A 56 yr old male complains of tearing chest pain that radiates to his back. He was the restrained driver involved in a car-crash at high-way speeds. What should your secondary assessment include?

Bilateral upper extermity blood pressures

A 34 yr old male has a fractured left elbow and his arm is cyanotic and pulse less. What should you do.

Align with gentle traction until restiance is met.

A 23 yr old male was stabbed in the lower left quadrant. He was minor bleeding from the wound. What should you do.

Apply an occlusive dressing

Which injury is most likely to develop compartment syndrome.

Closed tibia fracture.

A 21 yr old female has an open femur fracture after falling off a horse. What should you do.

Apply manual stabilization to her femur.

An altered 19 yr old male was musty extricated from a burning building by the fire department. He has soot around his mouth and nose. What should you do?

Remove and smoldering clothing

A 41 yr old male was kicked in the chest by a horse. He is short of breath and he has a contusion to his sternum. Vital signs are BP 96/78, P 124, R 24 and shallow. What should you suspect.

Cardiac tamponade

A 21 yr old male is semi conscious and lying kiddywampus at the bottom of 2 flights of stairs. What should you do?

Manually stabilize c-spine

Which injury or condition should be managed first in a patient with multi-system trauma?

Bleeding within the oral cavity

A 22 yr old male has a knife impaled in the upper right quadrant of his abdomen. He complains of the painful when he inhales and shortness of breathing. What should you suspect.

Diaphragmatic tear

A 21 year old male has a large piece of glass impaled in his eye. What should you do?

Stabilize the glass with a paper cup

What is the the term for the injury in which the epidermis remains intact, but cells and blood vessels in the dermis may be damaged.

contusion, bruise

An unresponsive 49 yer old male is supine on the road next to a crashed motorcycle. What should you do?

Hold c-spine

Wha type of injury results from prolonged compression forces applied to soft tissue?

Crush injury

A 20 yr old male was the unrestrained driver in a car crash. He is anxious, pale and has absent lung sounds on the left side. Vitals signs are BP 80/48, P 132, R 31 and shallow. What should you suspect.

Tension pneumothorax

What is most life threatening for an adult patient?

Bubbling wound to the chest

What is the best care for a suspected hemothorax?

transporting rapidly

A 46 yr old female was in a car crash at highway speeds. She is unconscious, breathing deep and fast with an abrasion to the lateral aspect of her neck. What should you do?

Take c-spine precautions

A 23 yr old male was stabbed in the shoulder and blood is spurting from the wound. What should do you?

Apply direct pressure

A 25 yr old male has a deep laceration on his right forearm. You are applying direct pressure with a trauma dressing, but the wound continues to bleed. What should you do?

Apply a tourniquet proximal the laceration.

A patient fell while water skiing. Unconscious. Suspect?

Head and spine injury

A patient riding a motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious amount of blood around face. Gurgling and R 4 per min. Most appropriate should?

Suction airway

A patient at a healthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should concern you the most?

Coumadin (which is a blood thinner

assess a carotid pulse and assist ventilations

Pt stabbed in RUQ. What organ could be injured?

Liver

A patient has fallen and has a deformed right lower leg. The extremity is pulseless and the skin is cool and cyanotic. You should?

Realign the injured extremity

You arrive on scene of a car crash. The driver is alert and complaining of severe chest and abdominal pain. His radial is weak and rapid. skin is cool, pale and moist. The patient has a history of cardiac problems. You should?

Rapidly extricate onto a long spinal board and transport

A patient shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You should suspect?

Spinal cord injury

A patient is in distress after being stabbed in the chest. Blood is bubbling from a laceration to L chest wall. Lung sounds diminished on L side. You should?

Apply occlusive dressing

What is an early sign of decompensated shock?

Cold and clammy extremities; a feeble or absent peripheral pulse; server tachycardia.

A patient with chemical burn on eye and is wearing contact lenses. You should?

Remove the contact lenses

A patient had an accident on moped. She is lying on ground, breathing well. Still wearing helmet. You should?

Leave helmet is place where she is stable

A patient who was fleeing from police and sustained a laceration shallow on forearm while climbing a rusted chain link fence. Refusing transport. What should you be concerned with?

Infection

A patient who was fleeing from police and sustained a laceration shallow on forearm while climbing a rusted chain link fence. Refusing transport. What should you be concerned with?

infection

Most important factor with person struck in chest with baseball?

Speed of the ball

A patient has metal impaled in lower right leg. Obvious open fracture and no pulse in R foot, what should you do?

Stabilize the object before transporting

A patient has received burns to feet while stomping fire. He is still wearing the shoes. The rubber soles and laces melted together. What do you do?

Cut shoelace and remove shoes

A MAN HAS A KNIFE IMPALED AT THE FOURTH INTERCOSTAL SPACE, LEFT STERNAL BORDER. HE IS PULSELESS AND NOT BREATHING. YOU SHOULD:

Remove the knife from the chest

AN ADULT WAS PINNED BETWEEN TWO VEHICLES. HE IS CONSCIOUS BUT CONFUSED AND UNABLE TO FOLLOW COMMANDS. HE HAS BRUISING ON BOTH SIDES OF HIS ANTERIOR CHEST. HE HAS A WEAK CAROTID PULSE, NO PERIPHERAL PULSES, CLEAR BREATH SOUNDS IN ALL FIELDS, AND DISTENDED NECK VEINS. YOU SHOULD SUSPECT:

Pericardial tamponade

A PATIENT RECEIVED A SEVERE STEAM BURN TO HIS HAND AND WRIST. YOU SHOULD:

Apply a dry sterile dressing.

PROPER MANAGEMENT FOR AN AVULSION OF THE EAR INCLUDES:

PACKING THE WOUND WITH DRESSING

A PATIENT HAS A STAB WOUND TO THE UPPER LEFT QUADRANT. WHICH ORGAN WOULD MOST LIKELY BE INJURED?

spleen/pancreas

A 47 YEAR OLD MALE WAS SHOT IN THE BACK. HE IS COOL AND CLAMMY AND HAS ARM WEAKNESS. VITAL SIGNS ARE BP 130/90, P 76, R 24. YOU SHOULD SUSPECT:

spinal cord injury

A 32 YEAR OLD MALE SUSTAINED FACIAL TRAUMA AFTER FALLING FROM A ROOF. HE HAS SNORING RESPIRATION. WHAT SHOULD YOU DO?

Perform a modified jaw-thrust

A 50 YEAR OLD MALE HAS AN OBVIOUSLY DEFORMED RIGHT LOWER LEG AFTER FALLING OFF A ROOF. AS YOU APPROACH YOU NOTICE A TEAR IN THE SKIN OVER THE DEFORMITY. WHAT SHOULD YOU DO?

Realign and splint the leg

A 53 YEAR OLD FEMALE WAS HIT BY A CAR. SHE IS UNRESPONSIVE WITH DEFORMITY TO THE LEFT FEMUR AND PELVIC INSTABILITY WITH DEFORMITY TO THE LEFT FEMUR AND PELVIC INSTABILITY. SHE HAS DIMINISHED LUNG SOUNDS ON THE LEFT SIDE. YOU SHOULD:

RAPIDLY TRANSPORT TO THE NEAREST EMERGENCY ROOM

WHICH OF THE FOLLOWING TRAUMA PATIENT IS SUFFERING FROM THE MOST SEVERE BRAIN INJURY?

A semi-conscious 34 year old with decerebrate posturing

A SNOWMOBILE RIDER WAS THROWN 15 FEET FROM HIS VEHICLE. FINGER IS DEFORMED AND HIS STERNUM IS TENDER TO PALPATION. HE SAYS, "I THINK I"LL BE OKAY", AND REFUSES TRANSPORT. WHAT SHOULD YOU DO?

Ask him if you can perform a detail assessment

A PATIENT HAS A 4 INCH STICK LODGED IN HER EYE. YOU SHOULD:

Stabilize the stick with gauze, place a paper cup over the affected eye, and dress the unaffected eye.

A 32 YEAR OLD MALE IS UNCONSCIOUS AFTER BEING STRUCK IN THE HEAD BY A BASEBALL BAT. HIS PULSE AND BREATHING ARE SLOW AND YOU SEE MINOR BLEEDING FROM A LACERATION AT HIS LEFT TEMPLE. YOUR PARTNER IS MAINTAINING MANUAL C-SPINE STABILIZATION. YOU SHOULD:

Measure and apply a rigid c-collar

A FOUR YEAR OLD MALE HAS SUFFERED AN ARM AMPUTATION DURING A FARMING ACCIDENT. HOW SHOULD YOU MANAGE THE AMPUTATION LIMB?

SEAL IN A PLASTIC BAG AND PLACE IN A CONTAINER OF COOL WATER

A PATIENT HAS DIMINISHED BREATH SOUNDS ON ONE SIDE. CHEST RISE IS UNEQUAL. YOU SHOULD SUSPECT:

pneumothorax

A 16 YEAR OLD MALE COMPLAINS OF EXTREME PAIN TO HIS CHEST. YOU NOTE HIS SHIRT IS SPLASHED WITH BATTERY ACID. VITALS ARE BP 150/100, P 100, R 24. YOU SHOULD:

Remove his shirt and flush skin with water

WHAT IS THE MOST IMPORTANT FACTOR WHEN A PERSON IS STRUCK IN THE CHEST WITH A BASEBALL?

The speed of the ball at impact

A 25 YEAR OLD ASSAULT VICTIM IS SPLITTING UP LIGHT PINK SPUTUM. HE HAS BRIGHT, RED BLOOD SPURTING FROM A 2 INCH LACERATION TO HIS LEFT FOREARM, WHAT SHOULD YOU DO?

apply direct pressure to the wound

A 21 YEAR OLD FOOTBALL PLAYER WAS HIT FROM THE SIDE AND LANDED HEAD FIRST ONTO THE GROUND. HE WAS AMBULATORY ON SCENE AND IS NOW ORIENTED TO NAME ONLY. HE REFUSES CARE AND TRANSPORT. YOU SHOULD:

Ask the team coach for assistance

A TRAUMA PATIENT HAS SEVERAL WOUNDS OOZING BLOOD. AFTER COMPLETING THE SCENE SIZE UP, YOU SHOULD:

Ensure that the patient has an adequate airway

A PATIENT WAS STABBED IN THE CHEST, AND THE KNIFE WAS REMOVED PRIOR TO YOUR ARRIVAL. YOU NOTICED BLOOD AND BUBBLES LEAKING FROM THE WOUND. YOU CANNOT FIND AN OCCLUSIVE DRESSING. YOU SHOULD:

Apply a dry, sterile dressing and tape down on three sides

A 24 YEAR OLD MALE SUSTAINED BURNS TO HIS EYES, NOSE, AND MOUTH WHEN THE RADIATOR CAP ON HIS CAR BLEW OFF. YOU SHOULD TREAT FOR:

Respiratory swelling

WHEN TREATING AN ABDOMINAL EVISCERATION, YOU SHOULD:

Cover with moist sterile dressing

AN 18 YEAR OLD MALE FELL OFF HIS SKATEBOARD, STRUCK HIS HEAD ON THE CONCRETE, AND IMMEDIATELY STARTED SCREAMING. HE IS ALERT AND ORIENTED TO NAME ONLY. YOU SHOULD

Immobilize and expedite transport

A PATIENT IS FOUND DEAD AT THE SCENE. WHAT IS THE GLASGOW COMA SCORE WOULD HE RECEIVE?

3

WHAT IS THE APPROPRIATE CARE FOR AN AMPUTED EXTREMITY?

WRAP IN DRY GAUZE , SEAL IN A PLASTIC BAG AND PLACE IN COOL WATER

A WOMAN WAS STRUCK IN THE FACE WITH A SOFTBALL BAT. SHE IS UNCONSCIOUS. VITAL SIGNS ARE BP 74/50, P 60, R8. WHAT SHOULD YOU DO?

INSERT AN ORAL AIRWAY AND ADMINISTER OXYGEN VIA BAG-VALVE MASK

WHAT IS THE MOST LIKELY CAUSE OF BILATERAL PERIORBITAL ECCHYMOSIS?

basilar skull fracture

A 62 YEAR OLD MALE IS FOUND UNRESPONSIVE NEXT TO a ladder. Vital signs are BP 80/48, P 60, R 24. What should you suspect?

Neurogenic shock and hemorrhagic shock

In chest wounds, the crackling sensation produced by air flowing into the surrounding tissues is called subcutaneous

emphysema

An early indicator or shock includes:

Tachycardia

A 22 year old male was ejected from his vehicle. He complains of numbness and tingling in his extremities. What should you do?

Stabilize the cervical spine

After securing your trauma patient onto a long backboard, you should immediately assess

Sensory, pulse, and motor function

Which of the following is considered an open wound?

abrasion

A 75 year old female was in a motor vehicle collision and says she cant feel her legs. Vital signs are BP 80/40 , P 60, R 24. You should suspect

neurogenic shock

A45 year old male fell asleep outside while doing yard work. His face and lower legs are bright red, with small blisters and painful on examination. You should suspect:

Both Superficial and partial thickness burns

An altered 24 year old male has been stabbed in the abdomen. The patient is sitting, holding abdominal contents and complaining of dizziness. He does not want to be touched. Vital signs are BP 70/40, P 120,R 20. You should:

Lay him down and apply a moist dressing

A patient has a 3 cm laceration above his left eye. It is bleeding profusely. You should

Apply several 4x4 dressing to the wound using pressure to hold

Which injury is most likely to require routine assessment and transport?

Deformed wrist injury

Your first concern with a concious patient who has partial thickness burns to his face is treating:

Airway problems

A 23 year old male received burns to his feet while stomping out a campfire. He is still wearing his shoes and the rubber soles and shoelaces have melted together. What should you do?

Place his feet in a bucket of cold sterile water

A 59 year old male is trapped in his car by a broken gas pedal through his footf. He has gone into cardiac arrest. You should:

Attach AED and follow prompts

How should you manage an amputated limb?

What is ecchymosis?

a discoloration of the skin resulting from bleeding underneath, typically caused by bruising.

Which medication should concern you the most when there is an injury.

Blood thinners

A pt has a leg injury. There is deformity and swelling, and pedal pulse present. How should you care for the injury? You should?

Apply a board splint in position found

How should you manage a large laceration with a loop of protruding bowel?

Apply a moist sterile dressing covered by a dry sterile dressing.

Which is first degree which is second degree?

Superficial or partial thickness

Pt is bruising around the eyes and behind ears. What should you suspect?

basilar skull fracture

What is the most likely cause of periorbital ecchymosis?

Raccoon eyes

What area is oropharynx? Can you suction this area?

The mouth and yes

Superficial burn

first degree burn like sun burn

partial thickness burn

Blisters start to form- Epi/dermis

Full thickness burn

a burn in which all the layers of the skin are damaged. There are usually areas that are charred black or areas that are dry and white.