Trauma – Fisdap EXAM 2024 WITH 100%
CORRECT ANSWERS
You arrive on the scene of a patient who fell from a ladder. Which of the following information is NOT
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an important factor in care of the patient?
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a)Height of the ladder |;, |;, |;,
b)Distance the patient fell from |;, |;, |;, |;, |;,
c)Surface the patient landed on |;, |;, |;, |;,
d)What part of the body hit first - correct answers-a)Height of the ladder
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You are at the scene of an MVA, in which there are three patients, all of which have minor visible
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injuries. Two are refusing treatment and the last is complaining of neck and back pain. How should you
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proceed?
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a)Treat all three patients, they are visibly injured and need medical attention
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b)Obtain signed refusals from the first two patients then proceed to the third
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c)Treat the third patient, nothing else is needed for the other two
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d)Have your partner obtain refusals from the two patients who refused treatment, while you treat the last
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patient. - correct answers-d)Have your partner obtain refusals from the two patients who refused
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treatment, while you treat the last patient.
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Your patient is a 17 year old male found face down in a swimming pool. He is currently being held face
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up at the surface of the water. He is unconscious but breathing and has a pulse. What is the best course
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of action for this patient?
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a)Jump into the pool and begin CPR |;, |;, |;, |;, |;, |;,
b)Remove the patient from the pool, immobilize, and transport. |;, |;, |;, |;, |;, |;, |;, |;,
c)Apply cervical and spinal immobilization while the patient is still in the pool
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d)Wait for a trained water rescue team - correct answers-c)Apply cervical and spinal immobilization
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while the patient is still in the pool
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A laceration, spurting bright laceration, spurting bright red blood, most likely means what type of
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injury? what red blood most likely means
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a)Venous
b)Arterial
c)Capillary
d)Amputation - correct answers-b)Arterial |;, |;, |;,
Your patient has a laceration to the right leg which has intersected the femoral artery. You have applied
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direct pressure to the wound, but it continues to soak through the bandages. What should you do next?
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a)Apply a tourniquet |;, |;,
b)Elevate the leg |;, |;,
c)Remove the old bandage and apply new ones |;, |;, |;, |;, |;, |;, |;,
d)Apply pressure to point just above the injury - correct answers-b)Elevate the leg
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Of the two types of energy, which type of energy transfer in a motor vehicle crash (MVC) with frontal
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impact, non-restrained driver with bent steering wheel, and spidered windshield?
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a)High velocity penetrating |;, |;,
b)Decelerating
c)Low velocity penetrating |;, |;,
d)Blunt - correct answers-d)Blunt |;, |;, |;,
Any penetrating missile traveling over 2,000 ft/sec would be classified as?
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a)Low velocity |;,
b)Medium velocity |;,
,c)High velocity |;,
d)Decelerating - correct answers-c)High velocity |;, |;, |;, |;,
When there is penetrating trauma there is a permanent cavity which is formed by the projectile
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contacting the tissues. How is a temporary cavity formed?
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a)By the twisting of the projectile
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b)By energy scrubbing off of the projectile
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c)The wadding entering the body
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d)Unspent gun powder - correct answers-b)By energy scrubbing off of the projectile
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The way a patient is injured is often referred to as the _______________?
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a)Mechanism of injury |;, |;,
b)Nature of illness |;, |;,
c)Injury pattern |;,
d)Energy transfer - correct answers-a)Mechanism of injury |;, |;, |;, |;, |;, |;,
When approaching a scene of trauma incident, what is your first order of business?
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a)Airway
b)C-Spine control |;,
c)Body substance Isolation |;, |;,
d)Scene safety - correct answers-d)Scene safety |;, |;, |;, |;, |;,
A large collection of blood under the skin is known as?
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a)Contusion
b)Abrasion
c)Hematoma
d)Bruise - correct answers-c)Hematoma |;, |;, |;,
Your trauma patient has her left hand caught between rollers on a conveyor belt. Extrication takes 30
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minutes. Evaluation of the injury during extrication showed delayed capillary refill distal to the injury.
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Post extrication shows rapid capillary refill distal to the injury deformity mid-palm. There are no
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obvious fractures, no lacerations, and minor swelling. Knowing that crush injuries can cause many other
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problems, which is NOT considered a crush injury complication?
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a)Compression of tissues |;, |;,
b)Fractures
c)No injury at all |;, |;, |;,
d)Compartment syndrome - correct answers-c)No injury at all |;, |;, |;, |;, |;, |;, |;,
Loss of tissue in a traumatic event can be: just soft tissue, a portion of an extremity, or an entire
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extremity. If your patient has lost the distal one-third of a lower extremity, what would that injury be
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called?
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a)Amplitude
b)Avulsion
c)Extremity exodus |;,
d)Amputation - correct answers-d)Amputation |;, |;, |;,
In any traumatic event where there is tissue damage that caused bleeding, the bleeding needs to be
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controlled. What are the proper steps to bleeding control?
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a)Direct pressure, elevation, tourniquet, digital pressure
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b)Direct pressure, digital pressure, elevation, tourniquet
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c)Tourniquet, elevation, pressure dressing, direct pressure |;, |;, |;, |;, |;,
d)Direct pressure, pressure dressing, tourniquet - correct answers-b)Direct pressure, digital pressure,
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elevation, tourniquet
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Your 16 year old trauma patient has what appears to be a mid-shaft femur fracture. You notice that there
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is a laceration directly over the suspected fracture. Bleeding is controlled. What type of fracture would
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this be?
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a)Greenstick
b)Comminuted
c)Closed
d)Open - correct answers-d)Open |;, |;, |;,
, En route to the hospital, you intubate the patient. During your assessment of tube placement, you hear
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wheezing in the upper lung fields. What is most likely causing this wheezing?
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a)Inhalation injury to the upper airway |;, |;, |;, |;, |;,
b)Inhalation induced cardiac wheezing |;, |;, |;,
c)Inhalation induced asthma attack |;, |;, |;,
d)Inhalation injury to the lower airway - correct answers-d)Inhalation injury to the lower airway |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
Following the immobilization of an extremity fracture to the lower right arm, the paramedic should
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perform what step last?
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a)Ensuring the splint is applied tightly. |;, |;, |;, |;, |;,
b)Placing the hand in the position of function. |;, |;, |;, |;, |;, |;, |;,
c)Assessing presence of distal motor, sensory, and perfusion. |;, |;, |;, |;, |;, |;, |;,
d)Placing the immobilized extremity below the level of the heart - correct answers-c)Assessing presence
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of distal motor, sensory, and perfusion.
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You are treating a 24-year-old female with a gunshot wound to the right side of the back. No exit wound
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is visible. She is awake but confused. Her skin is pale and diaphoretic with cyanosis noted to the oral
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mucosa. Breath sounds are clear and equal bilaterally. Jugular vein distention is present. Blood pressure
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is 90/78 mmHg, heart rate is 124 beats per minute, and respiratory rate is 28 per minute and labored.
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Sinus tachycardia is seen on the cardiac monitor. What condition do you think is most likely present
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with this patient?
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a)Hemothorax
b)Tension pneumothorax |;,
c)Pericardial tamponade |;,
d)Lacerated aorta - correct answers-c)Pericardial tamponade |;, |;, |;, |;, |;,
You are treating a 24-year-old female with a gunshot wound to the right side of the back. No exit wound
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is visible. She is awake but confused. Her skin is pale and diaphoretic with cyanosis noted to the oral
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mucosa. Breath sounds are clear and equal bilaterally. Jugular vein distention is present. Blood pressure
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is 90/78 mmHg, heart rate is 124 beats per minute, and respiratory rate is 28 per minute and labored.
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Sinus tachycardia is seen on the cardiac monitor. Which of the following treatment regimens would be
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the most appropriate for this patient?
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a)High flow oxygen, spinal precautions, occlusive dressing over entrance wound, rapid transport.
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b)High flow oxygen by nonrebreather, spinal precautions, allow patient to remain in a position of
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comfort.
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c)High flow oxygen by nonrebreather, cover entrance wound with an occlusive dressing.
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d)High flow oxygen, pleural decompression to right side of chest, rapid transport. - correct answers-
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a)High flow oxygen, spinal precautions, occlusive dressing over entrance wound, rapid transport.
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You are treating a 12-year-old male patient who was hit in the nose with a baseball. His nose is deviated
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to the left with moderate epistaxis. He is complaining of severe pain to his nose. He is alert and oriented
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with no loss of consciousness. Which of the following treatment sequences would best manage this
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patient?
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a)Pack nares with gauze to control bleeding. |;, |;, |;, |;, |;, |;,
b)Have patient lie supine while holding pressure to nares.
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c)Align nose in the neutral position while holding pressure to nares.
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d)Have patient sit upright and lean forward while holding pressure to nares. - correct answers-d)Have
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patient sit upright and lean forward while holding pressure to nares.
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You are called for an elderly female that fell down and hurt her knee. When you find the patient, she
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tells you she tripped and fell, and landed on her left knee. She denies any loss of consciousness or
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trauma to her head. The patient is only complaining of pain to the distal portion of her femur. During
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your assessment, you notice deformity and swelling to the femur, proximal to the knee. The patient has
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good distal pulses, motor function, and sensation. What would be the most appropriate treatment for this
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patient?
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a)Secure to a backboard and pad appropriately |;, |;, |;, |;, |;, |;,
b)Application of padded board splints |;, |;, |;, |;,
c)Traction splinting |;,
d)Inflation of the PASG on both legs - correct answers-a)Secure to a backboard and pad appropriately
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Which of the following patients would be most appropriate for triage to a non-trauma center?
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a)67-year-old female who was electrocuted by a 220 volt electrical outlet |;, |;, |;, |;, |;, |;, |;, |;, |;, |;,
