PARAMEDIC TRAUMA FISDAP EXAM QUESTIONS AND ANSWERS
If you see a cracked windshield in a MVC... what will the pt represent with? - CORRECT
ANSWER✅✅Bruised or lacerated head or face. Brain injury, *cervical spine injury (always until proven
otherwise), tracheal injury.
If you see a deformed steering column in a MVC... what will the pt represent with? - CORRECT
ANSWER✅✅Bruised neck, bruised chest. Sternal or rib fracture, flail chest, myocardial contusion,
*pericardial tamponade, pneumo/hemothorax, aortic tear.
If you see a deformed dashboard in a MVC... what will the pt represent with? - CORRECT
ANSWER✅✅Bruised abdomen, bruised knee, misplaced kneecap. Ruptured spleen, liver, bowel,
diaphragm. Fractured patella, dislocated knee, *femoral fracture, dislocated hip.
Phases of Deceleration - CORRECT ANSWER✅✅1) Deceleration of the vehicle, occurs when the vehicle
strikes another object & comes to a stop. 2) Deceleration of occupant, which starts during sudden
braking & continues through the whole crash. 3) Deceleration of internal organs, that consist of internal
organs that continue forward momentum until they're stopped by anatomical restraints. 4) Secondary
collisions, which occur when a vehicle occupant is hit by objects moving within the vehicle (loose
objects). 5) Additional impacts, that the vehicle may receive when it is hit by a second vehicle or is
deflected into another.
Seat Belt Use - CORRECT ANSWER✅✅All arguments against seat belt use are unfounded.
Primary Blast Injury - CORRECT ANSWER✅✅Injuries due to the wave blast itself, usually causing
damage to the lungs, eardrums and other compressible organs (air filled cavities). Burns also may occur.
Secondary Blast Injury - CORRECT ANSWER✅✅Injuries due to missiles being propelled by blast force
(struck by flying debris).
Tertiary Blast Injury - CORRECT ANSWER✅✅Injuries due to body impact with another object (when a
person is hurled by the force against stationary objects).
Perfusion - CORRECT ANSWER✅✅Circulation of blood within an organ or tissue in adequate amounts to
meet the cells needs.
, Autonomic Nervous System - CORRECT ANSWER✅✅Monitors the body's needs from moment to
moment, adjusting the blood flow as required. Maintains homeostasis & is divided into the
parasympathetic & sympathetic components that oppose each other and keep vital functions in balance.
Compensated Shock (Phase 1) - CORRECT ANSWER✅✅Tachycardia, NORMAL BP, thirst, anxiety,
clammy/cool skin.
Decompensated Shock (Phase 2) - CORRECT ANSWER✅✅AMS, DROP IN BP, thready/absent peripheral
pulse, labored or irregular breathing.
Wet Dressing - CORRECT ANSWER✅✅Used for small, superficial burns.
Rhabdomyolysis - CORRECT ANSWER✅✅The destruction of muscle tissue leading to a release of
potassium and myoglobin.
Chemical Burns - CORRECT ANSWER✅✅Flush the area off with water, remove pt's clothing & jewelry.
Hydrofluoric Acid (HF) - CORRECT ANSWER✅✅Is found in drain cleaner, and for etching glass, and in
industrial settings. Pt will complain of burning, and will not stop with copious amounts of flushing.
Calcium chloride will work to relieve the pain/burning.
How to assess a electrical injury...? - CORRECT ANSWER✅✅The first thing is to protect yourself and
bystanders. If powerlines are down on a car, you tell your pt to remain in the car and do not go near it.
Le Fort 1 Fracture - CORRECT ANSWER✅✅From the bottom of the nose down. Involves the mandible
and the maxilla.
Le Fort 2 Fracture - CORRECT ANSWER✅✅Involving the nasal bone and the maxilla.
Le Fort 3 Fracture - CORRECT ANSWER✅✅A fracture of all midfacial bones, seperating the entire
midface from the cranium. Includes the eyes.
If you see a cracked windshield in a MVC... what will the pt represent with? - CORRECT
ANSWER✅✅Bruised or lacerated head or face. Brain injury, *cervical spine injury (always until proven
otherwise), tracheal injury.
If you see a deformed steering column in a MVC... what will the pt represent with? - CORRECT
ANSWER✅✅Bruised neck, bruised chest. Sternal or rib fracture, flail chest, myocardial contusion,
*pericardial tamponade, pneumo/hemothorax, aortic tear.
If you see a deformed dashboard in a MVC... what will the pt represent with? - CORRECT
ANSWER✅✅Bruised abdomen, bruised knee, misplaced kneecap. Ruptured spleen, liver, bowel,
diaphragm. Fractured patella, dislocated knee, *femoral fracture, dislocated hip.
Phases of Deceleration - CORRECT ANSWER✅✅1) Deceleration of the vehicle, occurs when the vehicle
strikes another object & comes to a stop. 2) Deceleration of occupant, which starts during sudden
braking & continues through the whole crash. 3) Deceleration of internal organs, that consist of internal
organs that continue forward momentum until they're stopped by anatomical restraints. 4) Secondary
collisions, which occur when a vehicle occupant is hit by objects moving within the vehicle (loose
objects). 5) Additional impacts, that the vehicle may receive when it is hit by a second vehicle or is
deflected into another.
Seat Belt Use - CORRECT ANSWER✅✅All arguments against seat belt use are unfounded.
Primary Blast Injury - CORRECT ANSWER✅✅Injuries due to the wave blast itself, usually causing
damage to the lungs, eardrums and other compressible organs (air filled cavities). Burns also may occur.
Secondary Blast Injury - CORRECT ANSWER✅✅Injuries due to missiles being propelled by blast force
(struck by flying debris).
Tertiary Blast Injury - CORRECT ANSWER✅✅Injuries due to body impact with another object (when a
person is hurled by the force against stationary objects).
Perfusion - CORRECT ANSWER✅✅Circulation of blood within an organ or tissue in adequate amounts to
meet the cells needs.
, Autonomic Nervous System - CORRECT ANSWER✅✅Monitors the body's needs from moment to
moment, adjusting the blood flow as required. Maintains homeostasis & is divided into the
parasympathetic & sympathetic components that oppose each other and keep vital functions in balance.
Compensated Shock (Phase 1) - CORRECT ANSWER✅✅Tachycardia, NORMAL BP, thirst, anxiety,
clammy/cool skin.
Decompensated Shock (Phase 2) - CORRECT ANSWER✅✅AMS, DROP IN BP, thready/absent peripheral
pulse, labored or irregular breathing.
Wet Dressing - CORRECT ANSWER✅✅Used for small, superficial burns.
Rhabdomyolysis - CORRECT ANSWER✅✅The destruction of muscle tissue leading to a release of
potassium and myoglobin.
Chemical Burns - CORRECT ANSWER✅✅Flush the area off with water, remove pt's clothing & jewelry.
Hydrofluoric Acid (HF) - CORRECT ANSWER✅✅Is found in drain cleaner, and for etching glass, and in
industrial settings. Pt will complain of burning, and will not stop with copious amounts of flushing.
Calcium chloride will work to relieve the pain/burning.
How to assess a electrical injury...? - CORRECT ANSWER✅✅The first thing is to protect yourself and
bystanders. If powerlines are down on a car, you tell your pt to remain in the car and do not go near it.
Le Fort 1 Fracture - CORRECT ANSWER✅✅From the bottom of the nose down. Involves the mandible
and the maxilla.
Le Fort 2 Fracture - CORRECT ANSWER✅✅Involving the nasal bone and the maxilla.
Le Fort 3 Fracture - CORRECT ANSWER✅✅A fracture of all midfacial bones, seperating the entire
midface from the cranium. Includes the eyes.
