TRAUMA _ FISDAP
QUESTIONS WITH
ANSWERS PROVIDED
COMPLETE STUDY
GUIDE
1. A 53-year-old female was hit by a car. She is unresponsive with a
deformity to the left femur and pelvic instability. She has
diminished lung sounds on the left side. What should you do?
A) Immobilize to a long backboard and transport
B) Apply a traction splint to the left leg
C) Apply an occlusive dressing to the chest
D) Perform a needle decompression
,,,answer,,,: A) Immobilize to a long backboard and transport
Rationale: This patient presents with multiple severe injuries
(unresponsiveness, femur deformity, pelvic instability, possible chest
trauma). The priority is spinal immobilization and rapid transport to a
trauma center. A traction splint is contraindicated with pelvic injuries,
,and while an occlusive dressing may be needed, immobilization and
transport are the immediate priorities.
2. A 28-year-old male has blunt trauma to the right anterior chest.
He is pale, cool, diaphoretic, and responsive to verbal stimuli. His
respirations are 37 and shallow with paradoxical movement. What
should you do?
A) Apply high-flow oxygen via non-rebreather mask
B) Provide positive pressure ventilations
C) Apply an occlusive dressing
D) Perform a needle decompression
,,,answer,,,: B) Provide positive pressure ventilations
Rationale: Paradoxical movement indicates flail chest. The patient has
respiratory distress with shallow, rapid breathing. Positive pressure
ventilations help stabilize the flail segment and improve oxygenation
while preventing further injury.
3. What is the most likely cause of periorbital ecchymosis (raccoon
eyes)?
A) Orbital fracture
B) Basilar skull fracture
C) Maxillary fracture
D) Nasal fracture
,,,answer,,,: B) Basilar skull fracture
Rationale: Periorbital ecchymosis ("raccoon eyes") is a classic sign of
basilar skull fracture. This occurs when blood from the fracture site
tracks into the periorbital tissues. Other signs include Battle's sign
(bruising behind the ears) and CSF leakage from the nose or ears.
,4. A 30-year-old male was shot in the mid-thigh. Bleeding continues
after your partner applies direct pressure. What should you do?
A) Apply a tourniquet
B) Apply pressure to the femoral artery
C) Elevate the leg above the heart
D) Pack the wound with hemostatic gauze
,,,answer,,,: A) Apply a tourniquet
Rationale: When direct pressure fails to control severe extremity
hemorrhage, the next step is to apply a tourniquet high and tight on the
affected limb. Tourniquets are the standard of care for life-threatening
extremity hemorrhage that does not respond to direct pressure.
5. A 28-year-old motorcycle driver traveling 45 mph hit a parked
car. He was not wearing a helmet. He is supine with copious blood
around his face, gurgling, and respirations at 4 per minute. What is
the most appropriate action?
A) Perform a jaw-thrust maneuver
B) Control bleeding from the face
C) Suction the airway
D) Assist ventilations with a BVM
,,,answer,,,: C) Suction the airway
Rationale: Gurgling respirations indicate the airway is compromised by
blood and secretions. Airway management is the priority. The most
immediate action is to suction the oropharynx to clear the airway and
allow for adequate ventilation.
6. A male fell while water skiing and is now unconscious. What
should you suspect?
, A) Drowning
B) Head and spinal injury
C) Hypothermia
D) Alcohol intoxication
,,,answer,,,: B) Head and spinal injury
Rationale: Unconsciousness following a water skiing fall, where the
patient strikes the water at high speed, should raise concern for cervical
spine injury and traumatic brain injury. Spinal immobilization is
indicated.
7. What is the appropriate care for an amputated extremity?
A) Wrap the amputated part in dry gauze and place in a plastic bag, then
place the bag in cool water
B) Place the amputated part directly on ice
C) Wrap the amputated part in a wet towel
D) Place the amputated part in alcohol
,,,answer,,,: A) Wrap the amputated part in dry gauze and place in a
plastic bag, then place the bag in cool water
Rationale: The correct method for preserving an amputated part is to
wrap it in sterile gauze moistened with saline, place it in a sealed plastic
bag, and then place that bag in a container of cool water (not directly on
ice). The amputated part should never be placed directly on ice or in
water.
8. An 18-year-old male is holding his right shin after a sports-related
injury. He has deformity and swelling; his pedal pulse is present.
What should you do?
QUESTIONS WITH
ANSWERS PROVIDED
COMPLETE STUDY
GUIDE
1. A 53-year-old female was hit by a car. She is unresponsive with a
deformity to the left femur and pelvic instability. She has
diminished lung sounds on the left side. What should you do?
A) Immobilize to a long backboard and transport
B) Apply a traction splint to the left leg
C) Apply an occlusive dressing to the chest
D) Perform a needle decompression
,,,answer,,,: A) Immobilize to a long backboard and transport
Rationale: This patient presents with multiple severe injuries
(unresponsiveness, femur deformity, pelvic instability, possible chest
trauma). The priority is spinal immobilization and rapid transport to a
trauma center. A traction splint is contraindicated with pelvic injuries,
,and while an occlusive dressing may be needed, immobilization and
transport are the immediate priorities.
2. A 28-year-old male has blunt trauma to the right anterior chest.
He is pale, cool, diaphoretic, and responsive to verbal stimuli. His
respirations are 37 and shallow with paradoxical movement. What
should you do?
A) Apply high-flow oxygen via non-rebreather mask
B) Provide positive pressure ventilations
C) Apply an occlusive dressing
D) Perform a needle decompression
,,,answer,,,: B) Provide positive pressure ventilations
Rationale: Paradoxical movement indicates flail chest. The patient has
respiratory distress with shallow, rapid breathing. Positive pressure
ventilations help stabilize the flail segment and improve oxygenation
while preventing further injury.
3. What is the most likely cause of periorbital ecchymosis (raccoon
eyes)?
A) Orbital fracture
B) Basilar skull fracture
C) Maxillary fracture
D) Nasal fracture
,,,answer,,,: B) Basilar skull fracture
Rationale: Periorbital ecchymosis ("raccoon eyes") is a classic sign of
basilar skull fracture. This occurs when blood from the fracture site
tracks into the periorbital tissues. Other signs include Battle's sign
(bruising behind the ears) and CSF leakage from the nose or ears.
,4. A 30-year-old male was shot in the mid-thigh. Bleeding continues
after your partner applies direct pressure. What should you do?
A) Apply a tourniquet
B) Apply pressure to the femoral artery
C) Elevate the leg above the heart
D) Pack the wound with hemostatic gauze
,,,answer,,,: A) Apply a tourniquet
Rationale: When direct pressure fails to control severe extremity
hemorrhage, the next step is to apply a tourniquet high and tight on the
affected limb. Tourniquets are the standard of care for life-threatening
extremity hemorrhage that does not respond to direct pressure.
5. A 28-year-old motorcycle driver traveling 45 mph hit a parked
car. He was not wearing a helmet. He is supine with copious blood
around his face, gurgling, and respirations at 4 per minute. What is
the most appropriate action?
A) Perform a jaw-thrust maneuver
B) Control bleeding from the face
C) Suction the airway
D) Assist ventilations with a BVM
,,,answer,,,: C) Suction the airway
Rationale: Gurgling respirations indicate the airway is compromised by
blood and secretions. Airway management is the priority. The most
immediate action is to suction the oropharynx to clear the airway and
allow for adequate ventilation.
6. A male fell while water skiing and is now unconscious. What
should you suspect?
, A) Drowning
B) Head and spinal injury
C) Hypothermia
D) Alcohol intoxication
,,,answer,,,: B) Head and spinal injury
Rationale: Unconsciousness following a water skiing fall, where the
patient strikes the water at high speed, should raise concern for cervical
spine injury and traumatic brain injury. Spinal immobilization is
indicated.
7. What is the appropriate care for an amputated extremity?
A) Wrap the amputated part in dry gauze and place in a plastic bag, then
place the bag in cool water
B) Place the amputated part directly on ice
C) Wrap the amputated part in a wet towel
D) Place the amputated part in alcohol
,,,answer,,,: A) Wrap the amputated part in dry gauze and place in a
plastic bag, then place the bag in cool water
Rationale: The correct method for preserving an amputated part is to
wrap it in sterile gauze moistened with saline, place it in a sealed plastic
bag, and then place that bag in a container of cool water (not directly on
ice). The amputated part should never be placed directly on ice or in
water.
8. An 18-year-old male is holding his right shin after a sports-related
injury. He has deformity and swelling; his pedal pulse is present.
What should you do?
