EMT FISDAP TRAUMA & FINAL READINESS
EXAM TEST BANK (2025/2026) ACTUAL
CERTIFIED QUESTIONS WITH ANSWERS
EXAM STRUCTURE OVERVIEW
Content Area Approximate Coverage
Trauma Assessment & Scene Management ~15%
Airway & Breathing Management ~10%
Hemorrhage & Shock ~15%
Head & Spinal Trauma ~10%
Thoracic Trauma ~10%
Abdominal & Pelvic Trauma ~10%
Musculoskeletal Trauma ~10%
Soft Tissue & Burn Injuries ~10%
Special Populations & Multi-System Trauma ~10%
SECTION 1: TRAUMA ASSESSMENT & SCENE MANAGEMENT
Question 1
A 56-year-old male complains of tearing chest pain that radiates to his back. He
was the restrained driver involved in a car crash at highway speeds. What should
your secondary assessment include?
,A. Focused abdominal assessment
B. Bilateral upper extremity blood pressures
C. Neurological assessment
D. Extremity assessment
Correct answer: B
Rationale: Tearing chest pain radiating to the back in a trauma patient is highly
suggestive of aortic dissection. Bilateral upper extremity blood pressures should be
obtained as a significant difference between arms (>20 mmHg) is a classic finding
in aortic dissection. This injury can occur from rapid deceleration forces.
Question 2
A 21-year-old female has an open femur fracture after falling off a horse. What
should you do first?
A. Apply a traction splint
B. Apply manual stabilization to her femur
C. Apply a tourniquet
D. Irrigate the open wound
Correct answer: B
Rationale: The first step in managing an open femur fracture is to apply manual
stabilization to prevent further injury to surrounding neurovascular structures. This
should be done before applying a traction splint or dressing the wound. Manual
stabilization helps maintain alignment and reduces pain.
Question 3
An unresponsive 49-year-old male is supine on the road next to a crashed
motorcycle. What should you do first?
A. Perform a rapid trauma assessment
B. Apply a cervical collar
C. Hold C-spine
D. Check for a pulse
Correct answer: C
,Rationale: The first priority is to manually stabilize the cervical spine (hold C-
spine) to prevent spinal cord injury. This should be done immediately upon
approaching the patient and continued until the spine is fully immobilized.
Motorcycle crashes carry a high risk of spinal injury.
Question 4
A 34-year-old male has a fractured left elbow and his arm is cyanotic and
pulseless. What should you do?
A. Apply a tourniquet
B. Align with gentle traction until hesitation is met
C. Apply an ice pack
D. Splint in the position found
Correct answer: B
Rationale: Cyanosis and pulselessness indicate vascular compromise. Gentle
traction should be applied to realign the fracture and restore perfusion. Traction
should be applied until hesitation is met (resistance is felt), but not beyond. This
may restore blood flow to the extremity.
Question 5
A 23-year-old male was stabbed in the lower left quadrant. He has minor bleeding
from the wound. What should you do?
A. Apply a pressure dressing
B. Apply an occlusive dressing
C. Pack the wound with gauze
D. Apply a tourniquet
Correct answer: B
Rationale: Any penetrating wound to the abdomen or chest should be covered
with an occlusive dressing to prevent air from entering the wound and causing
complications such as pneumothorax or evisceration. The lower left quadrant
contains the descending colon and may also involve the spleen or small intestine.
, Question 6
A 22-year-old male has a knife impaled in the upper right quadrant of his
abdomen. He complains of pain when he inhales and shortness of breath. What
should you suspect?
A. Liver laceration
B. Diaphragmatic tear
C. Gastric perforation
D. Kidney injury
Correct answer: B
Rationale: A knife impaled in the upper right quadrant with associated respiratory
symptoms (pain with inhalation and shortness of breath) suggests a diaphragmatic
tear or injury. The diaphragm may be penetrated, allowing abdominal contents to
herniate into the chest, compromising respiration.
Question 7
An altered 19-year-old male was just extricated from a burning building by the fire
department. He has soot around his mouth and nose. What should you do?
A. Administer high-flow oxygen
B. Remove any smoldering clothing
C. Establish an IV line
D. Apply a cervical collar
Correct answer: B
Rationale: Soot around the mouth and nose indicates possible inhalation injury.
Smoldering clothing must be removed immediately to prevent ongoing thermal
injury. Smoldering clothing can continue to burn the patient's skin even after
extrication.
Question 8
A 21-year-old male is semi-conscious and lying at the bottom of 2 flights of stairs.
What should you do?
A. Perform a primary assessment
B. Apply a cervical collar
EXAM TEST BANK (2025/2026) ACTUAL
CERTIFIED QUESTIONS WITH ANSWERS
EXAM STRUCTURE OVERVIEW
Content Area Approximate Coverage
Trauma Assessment & Scene Management ~15%
Airway & Breathing Management ~10%
Hemorrhage & Shock ~15%
Head & Spinal Trauma ~10%
Thoracic Trauma ~10%
Abdominal & Pelvic Trauma ~10%
Musculoskeletal Trauma ~10%
Soft Tissue & Burn Injuries ~10%
Special Populations & Multi-System Trauma ~10%
SECTION 1: TRAUMA ASSESSMENT & SCENE MANAGEMENT
Question 1
A 56-year-old male complains of tearing chest pain that radiates to his back. He
was the restrained driver involved in a car crash at highway speeds. What should
your secondary assessment include?
,A. Focused abdominal assessment
B. Bilateral upper extremity blood pressures
C. Neurological assessment
D. Extremity assessment
Correct answer: B
Rationale: Tearing chest pain radiating to the back in a trauma patient is highly
suggestive of aortic dissection. Bilateral upper extremity blood pressures should be
obtained as a significant difference between arms (>20 mmHg) is a classic finding
in aortic dissection. This injury can occur from rapid deceleration forces.
Question 2
A 21-year-old female has an open femur fracture after falling off a horse. What
should you do first?
A. Apply a traction splint
B. Apply manual stabilization to her femur
C. Apply a tourniquet
D. Irrigate the open wound
Correct answer: B
Rationale: The first step in managing an open femur fracture is to apply manual
stabilization to prevent further injury to surrounding neurovascular structures. This
should be done before applying a traction splint or dressing the wound. Manual
stabilization helps maintain alignment and reduces pain.
Question 3
An unresponsive 49-year-old male is supine on the road next to a crashed
motorcycle. What should you do first?
A. Perform a rapid trauma assessment
B. Apply a cervical collar
C. Hold C-spine
D. Check for a pulse
Correct answer: C
,Rationale: The first priority is to manually stabilize the cervical spine (hold C-
spine) to prevent spinal cord injury. This should be done immediately upon
approaching the patient and continued until the spine is fully immobilized.
Motorcycle crashes carry a high risk of spinal injury.
Question 4
A 34-year-old male has a fractured left elbow and his arm is cyanotic and
pulseless. What should you do?
A. Apply a tourniquet
B. Align with gentle traction until hesitation is met
C. Apply an ice pack
D. Splint in the position found
Correct answer: B
Rationale: Cyanosis and pulselessness indicate vascular compromise. Gentle
traction should be applied to realign the fracture and restore perfusion. Traction
should be applied until hesitation is met (resistance is felt), but not beyond. This
may restore blood flow to the extremity.
Question 5
A 23-year-old male was stabbed in the lower left quadrant. He has minor bleeding
from the wound. What should you do?
A. Apply a pressure dressing
B. Apply an occlusive dressing
C. Pack the wound with gauze
D. Apply a tourniquet
Correct answer: B
Rationale: Any penetrating wound to the abdomen or chest should be covered
with an occlusive dressing to prevent air from entering the wound and causing
complications such as pneumothorax or evisceration. The lower left quadrant
contains the descending colon and may also involve the spleen or small intestine.
, Question 6
A 22-year-old male has a knife impaled in the upper right quadrant of his
abdomen. He complains of pain when he inhales and shortness of breath. What
should you suspect?
A. Liver laceration
B. Diaphragmatic tear
C. Gastric perforation
D. Kidney injury
Correct answer: B
Rationale: A knife impaled in the upper right quadrant with associated respiratory
symptoms (pain with inhalation and shortness of breath) suggests a diaphragmatic
tear or injury. The diaphragm may be penetrated, allowing abdominal contents to
herniate into the chest, compromising respiration.
Question 7
An altered 19-year-old male was just extricated from a burning building by the fire
department. He has soot around his mouth and nose. What should you do?
A. Administer high-flow oxygen
B. Remove any smoldering clothing
C. Establish an IV line
D. Apply a cervical collar
Correct answer: B
Rationale: Soot around the mouth and nose indicates possible inhalation injury.
Smoldering clothing must be removed immediately to prevent ongoing thermal
injury. Smoldering clothing can continue to burn the patient's skin even after
extrication.
Question 8
A 21-year-old male is semi-conscious and lying at the bottom of 2 flights of stairs.
What should you do?
A. Perform a primary assessment
B. Apply a cervical collar
