FISDAP TRAUMA ACTUAL EXAM
QUESTIONS AND ANSWERS
1. What does the body do to compensate for blood loss? - ANSWER Increase
HR
2. Patient has a dog bite. 6 inch avulsion with minimal bleeding, How do you
treat this patient? - ANSWER Irrigate wound and cover with dry, sterile
dressing.
3. 29 year old patient is in an MVC. The patient was unrestrained. Respirations
are shallow and fast, normal BP, high HR, JVD, breath sounds are equal.
What condition is the patient presenting? - ANSWER Cardiac Tamponade
4. 20 year old patient is possibly intoxicated. Patient is unconscious, has
tachycardia, low BP, high HR, respirations 20. What condition is the patient
presenting? - ANSWER Hypovolemic shock
5. Patient has burns over 60% of his body. What fluids do you use for the
patient? - ANSWER Normal Saline
6. Patient is in a lateral collision MVC. 8 inches of intrusion into the
compartment. Patient is anxious, has painful respirations, and is guarding
their lower right chest. What condition is the patient presenting? - ANSWER
Flail chest
7. Patient has head trauma. Has hypertension, bradycardia, irregular
respirations and withdraws from pain. What part of the brain is injured? -
ANSWER Medulla Oblongata
8. Patient has dry chemical spilled on his hands. Shortly after developing sores.
What do you do? - ANSWER Brush chemicals off
9. 24 year old patient is unresponsive. Heart rate is 140, weak carotid pulse,
respirations is 20 and unilateral chest movement, low BP. What should you
do? - ANSWER Needle decompression
1
,10.Patient hit head on diving board. They are unconscious, apneic, BP is 88/70,
HR is 80. What condition should you suspect? - ANSWER C-Spine injury
11.Scene size up of a MVA. Patient has no complaints, yet your index of
suspicion is high. Patient wants to sign a release from. treatment. What
should you do? - ANSWER Convince the patient to be transported
12.Patient has knife in RUQ of abdomen, complains of shortness of breath and
pain during inhalation. What should you suspect? - ANSWER
Diaphragmatic injury
13.What mechanism would cause coup contrecoup? - ANSWER Car accident
14.Patient is hit in the chest. Patient has chest pain during inhalation, clear and
equal lung sounds, vitals are stable. What condition is the patient
presenting? - ANSWER Fractured ribs
15.Patient is hit in the chest with a large pipe. Patient has a harder time
breathing, large contusion superior to the sternal notch, subcutaneous
emphysema and coughing blood. What condition is the patient presenting? -
ANSWER Tracheal tear
16.Patient jumps 20 feet from a burning building. Has an open femur fracture,
partial thickness burns to upper torso, blisters on the face and neck,
respirations is 32 and wheezing. What should you do? - ANSWER Use
BVM
17.Patient struck head on platform trying to do a flip. BP is 92/68, 96 HR, 12
respirations. What condition is the patient presenting? - ANSWER
Distributive (Neurogenic) shock
18.Patient involved in a car crash. Has a lacerated tongue , is responsive to
painful stimuli, has a low BP, High HR, shock symptoms, respirations are
fast and shallow. What do you do first? - ANSWER Clear the airway and
suction
19.Patient has a head injury from a brick. He is moaning, has unequal pupils,
high BP, low HR. What condition is the patient presenting? - ANSWER
Cerebra Herniation
Note: Cushing's Triad
2
,20.You are splint a deformed humerus. You notice no distal pulse. What do you
do next? - ANSWER Loosen the splint and recheck MSPs.
21.How do you handle arterial bleeding from a forearm laceration? - ANSWER
Tourniquet
22.Patient falls 24 feet and lands on their side. They have trouble breathing,
bruising on the chest, holding their chest. What condition is the patient
presenting? - ANSWER Flail Segment
23.A 25 year old male was involved in a head on MVC. The patient was
unrestrained, Days later the patient shows a distended abdomen and is hot to
the touch. His vital signs are normal. What condition is the patient showing?
- ANSWER Ruptured Bowel
24.Patient has been assaulted. Prior to the assault he had two drinks. Patient has
blurry vision, slurred speech, stumbling, high BP and low HR. What
condition is the patient presenting? - ANSWER Epidural Hematoma
25.Patient fell on the steps the night before. The patient is now unresponsive,
deformity to the wrist, bruising around the navel (Cullen's sign). What
condition is the patient presenting? - ANSWER Internal/Intraabdominal
Bleeding
26.Patient is found slumped in a chair. He admitted to attempting suicide by
taking pills and cutting his wrist. He has slurred speech, slow and oozing
blood from the wrist (dark red), low BP, high HR, 18 respirations per
minute. How do you treat this patient? - ANSWER Ask about suicide
ideation
27.35 year old patient was assaulted 36 hours before. He has a head injury, lost
consciousness. Now patient's level of consciousness had gone from agitated
to confused. What condition is the patient presenting? - ANSWER Epidural
Hematoma
28.A 26 year old was involved in a MVC. Left lung sounds are distant, there is
asymmetrical chest rise. What do you do next? - ANSWER Give patient
respirations with BVM
3
, 29.When caring for more than one patient, when do you change your gloves? -
ANSWER When switching from one patient to the next.
30.29 year old was shot in the chest. Absent carotid pulse, JVD, and minimal
chest wall movement. How do you treat this patient? - ANSWER Needle
Decompression
31.24 year old was pulled from a fire. Patient has full thickness burns to both
arms distal to the elbow, chest and head. What percentage of the body is
burned based on the rule of 9's. - ANSWER 27%
32.There is a large contusion in the LUQ of the abdomen. Wat organ is most
likely affected? - ANSWER Spleen
33.20 year old was found facedown in a pool. Bystanders say he struck his head
jumping into the pool. What do do you do first for the patient? - ANSWER
Turn him over so he is supine
34.36 year old patient is struck by flying debris. Patient has shortness of breath,
low BP, rapid respirations and flat neck veins. What condition is the patient
presenting? - ANSWER Hemothorax
35.What do electric and hydrofluoric acid burns have in common? - ANSWER
Usually are worse than initially expected
36.45 year old patient is unconscious, has diminished breath sounds,
subcutaneous emphysema around the neck and a history of asthma. What
condition is the patient presenting? - ANSWER Fractured trachea/Tracheal
tear
37.65 year old patient has an amputation of the first and second fingers, but
minimal bleeding. Why? - ANSWER Vasoconstriction
38.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? - ANSWER Tourniquet
39.How do you first protect/maintain C-Spine? - ANSWER Manual, neutral
neck stabilization
4
QUESTIONS AND ANSWERS
1. What does the body do to compensate for blood loss? - ANSWER Increase
HR
2. Patient has a dog bite. 6 inch avulsion with minimal bleeding, How do you
treat this patient? - ANSWER Irrigate wound and cover with dry, sterile
dressing.
3. 29 year old patient is in an MVC. The patient was unrestrained. Respirations
are shallow and fast, normal BP, high HR, JVD, breath sounds are equal.
What condition is the patient presenting? - ANSWER Cardiac Tamponade
4. 20 year old patient is possibly intoxicated. Patient is unconscious, has
tachycardia, low BP, high HR, respirations 20. What condition is the patient
presenting? - ANSWER Hypovolemic shock
5. Patient has burns over 60% of his body. What fluids do you use for the
patient? - ANSWER Normal Saline
6. Patient is in a lateral collision MVC. 8 inches of intrusion into the
compartment. Patient is anxious, has painful respirations, and is guarding
their lower right chest. What condition is the patient presenting? - ANSWER
Flail chest
7. Patient has head trauma. Has hypertension, bradycardia, irregular
respirations and withdraws from pain. What part of the brain is injured? -
ANSWER Medulla Oblongata
8. Patient has dry chemical spilled on his hands. Shortly after developing sores.
What do you do? - ANSWER Brush chemicals off
9. 24 year old patient is unresponsive. Heart rate is 140, weak carotid pulse,
respirations is 20 and unilateral chest movement, low BP. What should you
do? - ANSWER Needle decompression
1
,10.Patient hit head on diving board. They are unconscious, apneic, BP is 88/70,
HR is 80. What condition should you suspect? - ANSWER C-Spine injury
11.Scene size up of a MVA. Patient has no complaints, yet your index of
suspicion is high. Patient wants to sign a release from. treatment. What
should you do? - ANSWER Convince the patient to be transported
12.Patient has knife in RUQ of abdomen, complains of shortness of breath and
pain during inhalation. What should you suspect? - ANSWER
Diaphragmatic injury
13.What mechanism would cause coup contrecoup? - ANSWER Car accident
14.Patient is hit in the chest. Patient has chest pain during inhalation, clear and
equal lung sounds, vitals are stable. What condition is the patient
presenting? - ANSWER Fractured ribs
15.Patient is hit in the chest with a large pipe. Patient has a harder time
breathing, large contusion superior to the sternal notch, subcutaneous
emphysema and coughing blood. What condition is the patient presenting? -
ANSWER Tracheal tear
16.Patient jumps 20 feet from a burning building. Has an open femur fracture,
partial thickness burns to upper torso, blisters on the face and neck,
respirations is 32 and wheezing. What should you do? - ANSWER Use
BVM
17.Patient struck head on platform trying to do a flip. BP is 92/68, 96 HR, 12
respirations. What condition is the patient presenting? - ANSWER
Distributive (Neurogenic) shock
18.Patient involved in a car crash. Has a lacerated tongue , is responsive to
painful stimuli, has a low BP, High HR, shock symptoms, respirations are
fast and shallow. What do you do first? - ANSWER Clear the airway and
suction
19.Patient has a head injury from a brick. He is moaning, has unequal pupils,
high BP, low HR. What condition is the patient presenting? - ANSWER
Cerebra Herniation
Note: Cushing's Triad
2
,20.You are splint a deformed humerus. You notice no distal pulse. What do you
do next? - ANSWER Loosen the splint and recheck MSPs.
21.How do you handle arterial bleeding from a forearm laceration? - ANSWER
Tourniquet
22.Patient falls 24 feet and lands on their side. They have trouble breathing,
bruising on the chest, holding their chest. What condition is the patient
presenting? - ANSWER Flail Segment
23.A 25 year old male was involved in a head on MVC. The patient was
unrestrained, Days later the patient shows a distended abdomen and is hot to
the touch. His vital signs are normal. What condition is the patient showing?
- ANSWER Ruptured Bowel
24.Patient has been assaulted. Prior to the assault he had two drinks. Patient has
blurry vision, slurred speech, stumbling, high BP and low HR. What
condition is the patient presenting? - ANSWER Epidural Hematoma
25.Patient fell on the steps the night before. The patient is now unresponsive,
deformity to the wrist, bruising around the navel (Cullen's sign). What
condition is the patient presenting? - ANSWER Internal/Intraabdominal
Bleeding
26.Patient is found slumped in a chair. He admitted to attempting suicide by
taking pills and cutting his wrist. He has slurred speech, slow and oozing
blood from the wrist (dark red), low BP, high HR, 18 respirations per
minute. How do you treat this patient? - ANSWER Ask about suicide
ideation
27.35 year old patient was assaulted 36 hours before. He has a head injury, lost
consciousness. Now patient's level of consciousness had gone from agitated
to confused. What condition is the patient presenting? - ANSWER Epidural
Hematoma
28.A 26 year old was involved in a MVC. Left lung sounds are distant, there is
asymmetrical chest rise. What do you do next? - ANSWER Give patient
respirations with BVM
3
, 29.When caring for more than one patient, when do you change your gloves? -
ANSWER When switching from one patient to the next.
30.29 year old was shot in the chest. Absent carotid pulse, JVD, and minimal
chest wall movement. How do you treat this patient? - ANSWER Needle
Decompression
31.24 year old was pulled from a fire. Patient has full thickness burns to both
arms distal to the elbow, chest and head. What percentage of the body is
burned based on the rule of 9's. - ANSWER 27%
32.There is a large contusion in the LUQ of the abdomen. Wat organ is most
likely affected? - ANSWER Spleen
33.20 year old was found facedown in a pool. Bystanders say he struck his head
jumping into the pool. What do do you do first for the patient? - ANSWER
Turn him over so he is supine
34.36 year old patient is struck by flying debris. Patient has shortness of breath,
low BP, rapid respirations and flat neck veins. What condition is the patient
presenting? - ANSWER Hemothorax
35.What do electric and hydrofluoric acid burns have in common? - ANSWER
Usually are worse than initially expected
36.45 year old patient is unconscious, has diminished breath sounds,
subcutaneous emphysema around the neck and a history of asthma. What
condition is the patient presenting? - ANSWER Fractured trachea/Tracheal
tear
37.65 year old patient has an amputation of the first and second fingers, but
minimal bleeding. Why? - ANSWER Vasoconstriction
38.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? - ANSWER Tourniquet
39.How do you first protect/maintain C-Spine? - ANSWER Manual, neutral
neck stabilization
4
