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FISDAP-NREMT TRAUMA PRACTICE QUESTIONS AND ANSWERS WITH RATIONALES COMPLETE GUIDE 2024
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FISDAP-NREMT TRAUMA PRACTICE QUESTIONS AND ANSWERS WITH RATIONALES COMPLETE GUIDE 2024
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FISDAP/NREMT TRAUMA PRACTICE QUESTIONS ANDANSWERS WITH RATIONALES COMPLETE GUIDE 2024
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?
• neurogenic shock to hypovolemic shock
• decompensated shock to compensated shock
• compensated shock to decompensated shock
• decompensated shock to hypovolemic shock - CORRECT ANSWER
C) compensated shock to decompensated shock
Which of the following MOIs would NOT be significant for an adult?
• death in the same passenger compartment
• fall from more than 10 feet
• ejection from vehicle
• altered mental status - CORRECT 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?
• 22.5%
• 27%
• 40.5%
• 18% - CORRECT ANSWER A) 22.5%
Before placing an unconscious 6 y/o on a backboard, what should you do?
• place padding directly underneath the head
• place padding underneath the shoulders
• contact the parents for consent
• assess vital signs - CORRECT ANSWER B) place padding underneath
the shoulders
What best defines shock?
• lack of adequate perfusion to the tissues
• hemorrhage exceeding 50% of total blood volume
• deficiency of vascular tone due to hemorrhage
• inadequate cerebral blood flow - CORRECT ANSWER A) lack of adequate
perfusion to the tissues
Your patient's vehicle was struck by another motorist from behind. What should you do?
• perform a head-to-toe examination
• stabilize the c-spine
• administer high-flow oxygen
• apply a half-spine immobilization device - CORRECT ANSWER B) stabilize the
c- spine
,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?
• administer aspirin for pain
• insert an OPA to maintain patency
• apply oxygen by NRB at 15 L/min
• monitor her bleeding and ensure a patent airway - CORRECT 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:
• third degree trauma
• penetrating trauma
• blunt trauma
• cavitation - CORRECT 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?
• hypotensive shock
• hypertensive shock
• decompensated shock
• compensated shock - CORRECT ANSWER D) compensated shock
What is a contraindication of a traction splint?
• signs of hypoperfusion
• swelling or deformity to the thigh
• pelvic fracture
• potential spinal injury - CORRECT ANSWER C) pelvic fracture
A 56 y/o male involved in a car accident complains of chest and abdominal pain.
Pulses differ by 10 mmHg systolic bilaterally and lung sounds are muffled. To which
artery should you suspect a rupture?
• subclavian
• carotid
• iliac
• radial - CORRECT ANSWER A) subclavian
A 32 y/o female attempted suicide by taking sleeping pills and cutting her wrists. She
has dark red blood oozing from the wrist lacerations. BP is 90/52, HR 130 bpm and
weak, RR 18/min. What type of bleeding and shock is she experiencing?
• venous bleeding with hypovolemic shock
• capillary bleeding with cardiogenic shock
• arterial bleeding with hypovolemic shock
• venous bleeding with neurogenic shock - CORRECT ANSWER A) venous
bleeding with hypovolemic shock
, Unequal pupils are a result of pressure on which structure?
• oculomotor nerve
• central medulla
• trochlear membrane
• vagus nerve - CORRECT ANSWER A) oculomotor nerve
A 41 y/o male has been injured in an explosion at a chemical lab. He has ruptured TMs
and sinus injuries. At what phase of the blast did the patient sustain the injuries?
• primary
• ultimate
• tertiary
• secondary - CORRECT ANSWER A) primary
When protecting the cervical spine of a suspected trauma patient, what should you do?
• place gentle traction to straighten the c-spine
• hold the c-spine in the position found
• place a rigid collar on the neck prior to continuing with the rest of the assessment
• hold the neck in a neutral, in-line position - CORRECT ANSWER D) hold the neck
in a neutral, in-line position
What is a mechanism of obstructive shock?
• MI
• spinal cord injury
• acute fluid loss
• tension PTX - CORRECT ANSWER D) tension PTX
Which of the following is the first sign of shock that usually appears in patients?
• changes in vitals
• pale, cool, and clammy skin
• AMS
• nausea and vomiting - CORRECT ANSWER C) AMS
Which of the following describes bruising or discoloration behind the ears as a result
of a fractured skull?
• Babinski's sign
• silver fork sign
• Cushing's sign
• Battle's sign - CORRECT ANSWER D) Battle's sign
What is the correct technique for splinting a suspected finger fracture?
• apply a straight, flat, and rigid splint to the finger
• place an arm board under the wrist and wrap with Curlex
• tape the fractured finger to a neighboring finger only
• immobilize the hand and finger in a pillow and apply ice - CORRECT ANSWER
A) apply a straight, flat, and rigid splint to the finger
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