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Trauma FISDAP 107 Question and Answers (scores 100%)
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Trauma FISDAP 107 Answered QuestionsWhat is external hemorrhage? Correct Answer: Bleeding
A 16 year old male complains of severe pain in his upper left quadrant after being hit in the stomach
while playing football. What should you suspect?
a. Lacerated liver
b. Ruptured spleen
c. Pulmonary contusion
d. Bruised ribs Correct Answer: b. Ruptured spleen
The spleen is located in the upper left quadrant. It is a solid organ with two arteries that supply blood
flow. The spleen is dense with blood and the injury has the ability to be life-threatening.
A 46 year old male is only responsive to verbal stimuli after being stabbed. He has an open, bubbling
chest wound. What should you do?
a. Assist ventilations with a bag-valve mask.
b. Apply sterile gauze over the wound.
c. Cover the wound with a gloved hand.
d. Perform pleural chest decompression. Correct Answer: c. Cover the wound with a gloved hand.
You should first cover the open chest wound with a gloved hand to prevent any more air leakage into
the thoracic cavity.
A 43 year old male is unresponsive after being kicked in the chest by a horse. On inhalation a segment of
his chest moves inward. Vital signs are P 130, R 24 and shallow. What should you do?
a. Stabilize the segment with a bulky dressing.
b. Assist ventilations with a bag-valve mask.
c. Apply high-flow oxygen by non-rebreather mask.
d. Obtain intravascular access. Correct Answer: b. Assist ventilations with a bag-valve mask.
The initial treatment for a flail segment is providing positive pressure ventilations (PPV). The chest wall
structure has been compromised and they need help breathing to prevent them from tiring out.
Continuous waveform capnography will help assess their ventilations. Analgesics my help reduce their
pain and allow them to breathe easier (follow local protocol).
what are primary blast injury's? Correct Answer: Primary blast injury is caused by the blast wave moving
through the body.
what are secondary blast injury's? Correct Answer: Secondary blast injuries are caused by debris that is
displaced by the blast wind of the explosion.
, What are tertiary blast injurys? Correct Answer: Tertiary blast injuries are caused when the person in
displaced through the air and impacts on another object by the blast wind, or when a structure collapses
and causes injury to the person.
Why are circumferential full thickness burns of an extremity considered so serious?
a. The extremity will begin to utilize anabolic metabolism proximal to the burn site.
b. Blood flow to underlying and distal tissue may become restricted.
c. The patient becomes more susceptible to systemic infection.
d. Even if the extremity heals, it will lose most of its functional ability. Correct Answer: b. Blood flow to
underlying and distal tissue may become restricted.
Circumferential full thickness burns can inhibit blood flow and muscle movement. These injuries need to
be monitored for the need of an escharotomy. This surgical procedure allows for tissue expansion in
order to restore local perfusion.
What chemical do muscle cells release after being damaged?
a. Calcium
b. Magnesium
c. Potassium
d. Sodium Correct Answer: c. Potassium
Potassium is the predominated intercellular ion. When muscle cells die they release potassium, which
may lead to rhabdomyolysis.
An 18 year old male screams in pain and has a large volume of bright, red blood spurting from his right
wrist. What should you do?
a. Apply direct pressure.
b. Apply a tourniquet.
c. Ensure an adequate airway.
d. Apply high-flow oxygen. Correct Answer: a. Apply direct pressure.
Since he is screaming in pain, you know he has a patent airway. Bright, red blood spurting from his wrist
is a life-threatening injury. The first step in bleeding and shock management is to apply direct pressure.
An altered 24 year old male has an evisceration. In which position should the patient be transported?
a. Reverse Trendelenburg
b. Supine with knees flexed
c. Left lateral
d. Trendelenburg Correct Answer: b. Supine with knees flexed
Transporting a patient in a supine position with their knees flexed (bent) will help relieve pressure on
the abdomen
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