EMT FISDAP TRAUMA EXAM 3 LATEST VERSIONS
(VERSION A, B AND C) NEWEST 2024 ACTUAL EXAM
COMPLETE 400 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |
ALREADY GRADED A+
Treatment for a patient with full-thickness burns - ANSWER: High-flow oxygen; dry,
sterile dressings; thermal management (keep patient warm); provide rapid transport
What should you do if there is a major hemorrhage in a patient? - ANSWER: Apply a
proximal tourniquet to stop the bleeding immediately. Then turn to patient's airway
and breathing status (CAB)
How do you care for a partially amputated extremity? - ANSWER: Control bleeding
with bulky compression (pressure) dressings and splint extremity to prevent further
injury
Injury to the cervical spine from a hanging occurs through - ANSWER: distraction, or
stretching, of the vertebrae and spinal cord
What is a subluxation - ANSWER: a partial or incomplete dislocation; this is an injury,
not an injury mechanism
Injuries related to Hyperextension mechanisms - ANSWER: Patients who strike their
head on the windshield during a mvc
Axial Loading MOI - ANSWER: The spinal column is compressed vertically; injuries
after diving head first into shallow water and lumbar spine injuries after a fall from a
significant height and landing feet first
What does cold, pale skin and an absent distal pulse indicate in a limb? - ANSWER:
Indicates that blood flow distal to the injury is compromised
How do you make one attempt to restore distal circulation? - ANSWER: By applying
gentle manual traction in line with the long axis of the limb
What can you do to a limb after distal circulation is restored? - ANSWER: Splint the
limb in whatever position allows the strongest distal pulse, elevate limb above level
of the heart to help minimize swelling, and an icepack may also help reduce pain and
swelling
What is a flail chest? - ANSWER: Occurs when several ribs are fractured in more than
one place; the result is a free-floating section of ribs (flail segment) that collapses
during inhalation and bulges out during exhalation (paradoxical chest movement)
, What happens as the flail segment (flail chest) collapses? - ANSWER: The lung is
compressed and ventilation is impaired. Treatment should include PPV and prompt
transport.
12 Injuries or clinical findings that warrant transport to a high level trauma center: -
ANSWER: -GCS equal or less than 13 after trauma
-systolic BP less than 90 mm Hg
-Resp. rate less than 10 or greater than 29 breaths/min
-need for ventilatory support
-all penetrating injuries to the head, neck, torso or extremities proximal to the knee
or elbow
-chest wall instability or deformity (flail chest)
-two or more proximal long bone fractures
-a crushed, degloved, mangled or pulseless extremity
-amputation proximal to the ankle or wrist
-pelvic fractures
-open or depressed skull fracture
-paralysis
What happens to the skin of the body when the body attempts to compensate for
shock? - ANSWER: Peripheral vasoconstriction shunts blood away from the skin to
the more vital organs in the body
What should you do if your patient's condition deteriorates en route to a trauma
center? - ANSWER: Ex: increased respiratory rate; immediately repeat the primary
assessment and adjust your treatment accordingly. After stabilization, reassess vital
signs, including oxygen sat., and notify the receiving facility
Primary blast injury - ANSWER: Direct result of the pressure wave that occurs during
an explosion. Hollow organs are most susceptible and ruptured tympanic membrane
is most common injury
Secondary blast injury - ANSWER: When shrapnel and other debris are propelled
away from explosion, resulting in impalement injuries
Tertiary blast phase - ANSWER: Blunt traumatic injuries (skull fracture, spinal injury)
when the person is propelled away from the explosion and strikes a solid object
Hyphema - ANSWER: blood in the anterior chamber of the eye resulting from blunt
trauma. Obscures a portion of or the entire iris
Fracture of orbital floor (blowout fracture) symptoms - ANSWER: Double vision and
an inability to move eyes above the midline (paralysis of upward gaze) following
blunt facial trauma
Mechanism of an orbital blowout fracture - ANSWER: Fragments of fractured bone
can entrap some of the muscles controlling eye movement
(VERSION A, B AND C) NEWEST 2024 ACTUAL EXAM
COMPLETE 400 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |
ALREADY GRADED A+
Treatment for a patient with full-thickness burns - ANSWER: High-flow oxygen; dry,
sterile dressings; thermal management (keep patient warm); provide rapid transport
What should you do if there is a major hemorrhage in a patient? - ANSWER: Apply a
proximal tourniquet to stop the bleeding immediately. Then turn to patient's airway
and breathing status (CAB)
How do you care for a partially amputated extremity? - ANSWER: Control bleeding
with bulky compression (pressure) dressings and splint extremity to prevent further
injury
Injury to the cervical spine from a hanging occurs through - ANSWER: distraction, or
stretching, of the vertebrae and spinal cord
What is a subluxation - ANSWER: a partial or incomplete dislocation; this is an injury,
not an injury mechanism
Injuries related to Hyperextension mechanisms - ANSWER: Patients who strike their
head on the windshield during a mvc
Axial Loading MOI - ANSWER: The spinal column is compressed vertically; injuries
after diving head first into shallow water and lumbar spine injuries after a fall from a
significant height and landing feet first
What does cold, pale skin and an absent distal pulse indicate in a limb? - ANSWER:
Indicates that blood flow distal to the injury is compromised
How do you make one attempt to restore distal circulation? - ANSWER: By applying
gentle manual traction in line with the long axis of the limb
What can you do to a limb after distal circulation is restored? - ANSWER: Splint the
limb in whatever position allows the strongest distal pulse, elevate limb above level
of the heart to help minimize swelling, and an icepack may also help reduce pain and
swelling
What is a flail chest? - ANSWER: Occurs when several ribs are fractured in more than
one place; the result is a free-floating section of ribs (flail segment) that collapses
during inhalation and bulges out during exhalation (paradoxical chest movement)
, What happens as the flail segment (flail chest) collapses? - ANSWER: The lung is
compressed and ventilation is impaired. Treatment should include PPV and prompt
transport.
12 Injuries or clinical findings that warrant transport to a high level trauma center: -
ANSWER: -GCS equal or less than 13 after trauma
-systolic BP less than 90 mm Hg
-Resp. rate less than 10 or greater than 29 breaths/min
-need for ventilatory support
-all penetrating injuries to the head, neck, torso or extremities proximal to the knee
or elbow
-chest wall instability or deformity (flail chest)
-two or more proximal long bone fractures
-a crushed, degloved, mangled or pulseless extremity
-amputation proximal to the ankle or wrist
-pelvic fractures
-open or depressed skull fracture
-paralysis
What happens to the skin of the body when the body attempts to compensate for
shock? - ANSWER: Peripheral vasoconstriction shunts blood away from the skin to
the more vital organs in the body
What should you do if your patient's condition deteriorates en route to a trauma
center? - ANSWER: Ex: increased respiratory rate; immediately repeat the primary
assessment and adjust your treatment accordingly. After stabilization, reassess vital
signs, including oxygen sat., and notify the receiving facility
Primary blast injury - ANSWER: Direct result of the pressure wave that occurs during
an explosion. Hollow organs are most susceptible and ruptured tympanic membrane
is most common injury
Secondary blast injury - ANSWER: When shrapnel and other debris are propelled
away from explosion, resulting in impalement injuries
Tertiary blast phase - ANSWER: Blunt traumatic injuries (skull fracture, spinal injury)
when the person is propelled away from the explosion and strikes a solid object
Hyphema - ANSWER: blood in the anterior chamber of the eye resulting from blunt
trauma. Obscures a portion of or the entire iris
Fracture of orbital floor (blowout fracture) symptoms - ANSWER: Double vision and
an inability to move eyes above the midline (paralysis of upward gaze) following
blunt facial trauma
Mechanism of an orbital blowout fracture - ANSWER: Fragments of fractured bone
can entrap some of the muscles controlling eye movement
