TRAUMA FISDAP UPDATED EXAM SCRIPT QUESTIONS
AND ANSWERS GRADED A+
✔✔65 year old patient has an amputation of the first and second fingers, but minimal
bleeding. Why? - ✔✔Vasoconstriction
✔✔Adult patient has a gunshot wound to the leg. Patient is confused , diaphoretic, and
has major bleeding. What do you do first to treat the patient? - ✔✔Tourniquet
✔✔How do you first protect/maintain C-Spine? - ✔✔Manual, neutral neck stabilization
✔✔35 year old patient with a heart murmur feel and has a swollen ankle. What should
you do? - ✔✔Transport the patient, non-emergent.
✔✔50 year old patient fell down stairs. They are unable to move their lower extremities,
they are prescribed various vitamins and Boniva. Which condition is the patient at the
greatest risk for? - ✔✔Fractured pelvis
Note: Boniva is for osteoporosis
✔✔19 year old is stabbed in the arm with a hunting knife. The knife is wedged into the
bone, he has sickle cell anemia. What is the first step you take to treat this patient? -
✔✔Apply direct pressure
✔✔18 year old patient has been ejected from a rollover in a vehicle. Responds
inappropriately and appears confused, low BP, high HR , labored respirations. What
condition is the patient presenting? - ✔✔Tension pneumothorax
✔✔33 year old patient has been stabbed multiple times. One wound is in their neck and
leaking air, and has multiple arm lacerations bleeding profusely. What do you do first? -
✔✔Apply occlusive dressing to the neck.
✔✔Patient is is in a 15 mph car crash. Car is hit on the driver side and patient was
restrained. Patient's level of consciousness is deteriorating, is taking Warfarin and other
medications. What is worse for the patient? - ✔✔Underlying health conditions
✔✔60 year old patient fell onto a coffee table yesterday. He has diffuse unbiblical
swelling. What is this called? - ✔✔Cullen's Sign
✔✔29 year old is in a MVC. Patient has an avulsed mandible and is making gurgling
sounds. What do you do? - ✔✔Suction
, ✔✔24 year old patient is pinned under a car for 20 minutes. Starts presenting blueish-
purple discoloration on his face a neck. What condition is the patient presenting? -
✔✔Traumatic Asphyxiation
✔✔42 year old patient has crush syndrome. What blood values would you expect from
this patient? - ✔✔Acidosis with Hyperkalemia
✔✔18 year old patient showing signs of hypotension and bradycardia. What kind of
shock are they experiencing? - ✔✔Neurogenic
✔✔Patient was ejected form a car during a MVC, experiencing multisystem trauma.
What level trauma center would you take them to? - ✔✔Level 1
✔✔23 year old patient is experiencing diffuse lower leg pain in the left leg, pedal pulse
is not present. What condition is the patient presenting? - ✔✔Compartment syndrome
✔✔Patient hit a light post in a motorcycle crash. Patient has JVD, BP is 90/80, clear
lung sounds and fast HR. What condition is the patient presenting? - ✔✔Cardiac
Tamponade
✔✔Patient has diminished lung sounds in the right lung, difficulty/painful breathing and
stable vitals. What condition is the patient presenting? - ✔✔Simple pneumothorax
✔✔Patient is involved in a MVC. Patient has a fixed dilated left pupil, bleeding from the
right ear and making gurgling sounds. What do you do first? - ✔✔Suction
✔✔26 year old patient is in a MVA. Has chest pain, BP is 160/70, HR is 65, 22
respirations, clear lung sounds and JVD. What condition is the patient presenting? -
✔✔Cardiac Tamponade
✔✔Patient has a profusely bleeding scalp avulsion. What do you do first? - ✔✔Apply
direct pressure
✔✔44 year old was in a MVA. The patient was unrestrained, and the steering wheel is
deformed. Patient is hypotensive, and difficulty breathing. What condition is the patient
presenting? - ✔✔Tension pneumothorax
✔✔Patient has severe closed head injury. Patient has high BP, low HR and irregular
respirations. What is this condition called? - ✔✔Cushing's Triad
✔✔25 year old patient fell 10 feet on to rebar. One piece is impaled in the RUQ of the
abdomen. Their vitals are stable, wound continues to bleed. What do you do? - ✔✔a.)
Apply direct pressure
AND ANSWERS GRADED A+
✔✔65 year old patient has an amputation of the first and second fingers, but minimal
bleeding. Why? - ✔✔Vasoconstriction
✔✔Adult patient has a gunshot wound to the leg. Patient is confused , diaphoretic, and
has major bleeding. What do you do first to treat the patient? - ✔✔Tourniquet
✔✔How do you first protect/maintain C-Spine? - ✔✔Manual, neutral neck stabilization
✔✔35 year old patient with a heart murmur feel and has a swollen ankle. What should
you do? - ✔✔Transport the patient, non-emergent.
✔✔50 year old patient fell down stairs. They are unable to move their lower extremities,
they are prescribed various vitamins and Boniva. Which condition is the patient at the
greatest risk for? - ✔✔Fractured pelvis
Note: Boniva is for osteoporosis
✔✔19 year old is stabbed in the arm with a hunting knife. The knife is wedged into the
bone, he has sickle cell anemia. What is the first step you take to treat this patient? -
✔✔Apply direct pressure
✔✔18 year old patient has been ejected from a rollover in a vehicle. Responds
inappropriately and appears confused, low BP, high HR , labored respirations. What
condition is the patient presenting? - ✔✔Tension pneumothorax
✔✔33 year old patient has been stabbed multiple times. One wound is in their neck and
leaking air, and has multiple arm lacerations bleeding profusely. What do you do first? -
✔✔Apply occlusive dressing to the neck.
✔✔Patient is is in a 15 mph car crash. Car is hit on the driver side and patient was
restrained. Patient's level of consciousness is deteriorating, is taking Warfarin and other
medications. What is worse for the patient? - ✔✔Underlying health conditions
✔✔60 year old patient fell onto a coffee table yesterday. He has diffuse unbiblical
swelling. What is this called? - ✔✔Cullen's Sign
✔✔29 year old is in a MVC. Patient has an avulsed mandible and is making gurgling
sounds. What do you do? - ✔✔Suction
, ✔✔24 year old patient is pinned under a car for 20 minutes. Starts presenting blueish-
purple discoloration on his face a neck. What condition is the patient presenting? -
✔✔Traumatic Asphyxiation
✔✔42 year old patient has crush syndrome. What blood values would you expect from
this patient? - ✔✔Acidosis with Hyperkalemia
✔✔18 year old patient showing signs of hypotension and bradycardia. What kind of
shock are they experiencing? - ✔✔Neurogenic
✔✔Patient was ejected form a car during a MVC, experiencing multisystem trauma.
What level trauma center would you take them to? - ✔✔Level 1
✔✔23 year old patient is experiencing diffuse lower leg pain in the left leg, pedal pulse
is not present. What condition is the patient presenting? - ✔✔Compartment syndrome
✔✔Patient hit a light post in a motorcycle crash. Patient has JVD, BP is 90/80, clear
lung sounds and fast HR. What condition is the patient presenting? - ✔✔Cardiac
Tamponade
✔✔Patient has diminished lung sounds in the right lung, difficulty/painful breathing and
stable vitals. What condition is the patient presenting? - ✔✔Simple pneumothorax
✔✔Patient is involved in a MVC. Patient has a fixed dilated left pupil, bleeding from the
right ear and making gurgling sounds. What do you do first? - ✔✔Suction
✔✔26 year old patient is in a MVA. Has chest pain, BP is 160/70, HR is 65, 22
respirations, clear lung sounds and JVD. What condition is the patient presenting? -
✔✔Cardiac Tamponade
✔✔Patient has a profusely bleeding scalp avulsion. What do you do first? - ✔✔Apply
direct pressure
✔✔44 year old was in a MVA. The patient was unrestrained, and the steering wheel is
deformed. Patient is hypotensive, and difficulty breathing. What condition is the patient
presenting? - ✔✔Tension pneumothorax
✔✔Patient has severe closed head injury. Patient has high BP, low HR and irregular
respirations. What is this condition called? - ✔✔Cushing's Triad
✔✔25 year old patient fell 10 feet on to rebar. One piece is impaled in the RUQ of the
abdomen. Their vitals are stable, wound continues to bleed. What do you do? - ✔✔a.)
Apply direct pressure
