PARAMEDIC TRAUMA FISDAP VERSION 1 AND VERSION 2
LATEST 2026/2027 ACCURATE EXAM EACH VERSION
CONTAINS COMPLETE APPROVED QUESTIONS WITH
WELL ELABORATED ANSWERS AND RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) CURRENTLY UPDATED
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PARAMEDIC TRAUMA FISDAP VERSION 1
1. A 22-year-old male sustained a gunshot wound to the right upper
chest. He is agitated, diaphoretic, and has distended neck veins. His
breath sounds are absent on the right side. What is the MOST
appropriate immediate intervention?
A. Needle decompression of the right chest
B. Endotracheal intubation
C. Apply a non-porous dressing to the wound
D. Rapid transport to a Level I trauma center
CORRECT ANSWER: A
Rationale: The patient presents with a tension pneumothorax (absent
breath sounds, distended neck veins, hypotension). Needle
decompression is the immediate life-saving intervention to relieve
intrathoracic pressure before it causes cardiac arrest.
2. Which of the following assessment findings is MOST indicative of a
basilar skull fracture?
A. Battle's sign
,B. Raccoon eyes
C. CSF otorrhea
D. All of the above
CORRECT ANSWER: D
Rationale: Battle's sign (ecchymosis over the mastoid process), raccoon
eyes (periorbital ecchymosis), and CSF leakage from the nose
(rhinorrhea) or ears (otorrhea) are all classic signs of a basilar skull
fracture.
3. A 45-year-old male involved in a MVC has a palpable femur fracture
and a deformed pelvis. His blood pressure is 78/54 mmHg with a heart
rate of 124. What is the underlying pathophysiology of his hypotension?
A. Neurogenic shock due to spinal cord injury
B. Hypovolemic shock due to hemorrhage into the pelvis and femurs
C. Cardiogenic shock from a myocardial contusion
D. Obstructive shock from a pericardial effusion
CORRECT ANSWER: B
Rationale: Pelvic fractures and bilateral femur fractures can sequester
significant volumes of blood (3-4 liters). The tachycardic response
indicates hypovolemic shock. The pelvis and femurs are primary sources
of occult hemorrhage in blunt trauma.
4. What is the proper sequence for the primary survey in a trauma
patient?
A. Airway, Breathing, Circulation, Disability, Exposure
B. Airway, Circulation, Breathing, Disability, Exposure
,C. Circulation, Airway, Breathing, Disability, Exposure
D. Breathing, Airway, Circulation, Disability, Exposure
CORRECT ANSWER: A
Rationale: The mnemonic "ABCDE" stands for Airway, Breathing,
Circulation, Disability, and Exposure. This sequence ensures life-
threatening issues are addressed in order of priority.
5. A patient has a flail chest segment. Which of the following ventilatory
strategies is MOST appropriate for this patient?
A. Positive pressure ventilation with PEEP
B. Restrictive fluid resuscitation
C. Apply a sandbag to the flail segment
D. Administer high-flow oxygen via non-rebreather
CORRECT ANSWER: A
Rationale: Positive pressure ventilation with PEEP stabilizes the flail
segment by providing internal pneumatic splinting, improving
oxygenation and ventilation.
6. A trauma patient has a Glasgow Coma Scale (GCS) score of 12. What
is the appropriate classification of this patient's head injury?
A. Minor
B. Moderate
C. Severe
D. Mild
CORRECT ANSWER: B
, Rationale: GCS scores: 13-15 is mild, 9-12 is moderate, and 3-8 is
severe. A GCS of 12 falls into the moderate category.
7. A 30-year-old female is stabbed in the left anterior chest. She is in
respiratory distress and has absent breath sounds on the left. What is the
MOST likely diagnosis?
A. Tension pneumothorax
B. Open pneumothorax
C. Simple pneumothorax
D. Hemothorax
CORRECT ANSWER: B
Rationale: A penetrating injury to the chest that creates an open
communication between the pleural space and the atmosphere results in
an open pneumothorax, which can lead to respiratory distress.
8. Which sign is the LEAST reliable for assessing perfusion in a trauma
patient?
A. Skin color
B. Capillary refill time
C. Pulse pressure
D. Level of consciousness
CORRECT ANSWER: C
Rationale: Pulse pressure is the least reliable sign of perfusion. Skin
color, capillary refill, and level of consciousness are more sensitive
indicators of shock.
LATEST 2026/2027 ACCURATE EXAM EACH VERSION
CONTAINS COMPLETE APPROVED QUESTIONS WITH
WELL ELABORATED ANSWERS AND RATIONALES (100%
CORRECT VERIFIED SOLUTIONS) CURRENTLY UPDATED
VERSION 2026 EDITION |GUARANTEED SUCCESS A+ |JUST
RELEASED |INSTANT DOWNLOAD PDF
PARAMEDIC TRAUMA FISDAP VERSION 1
1. A 22-year-old male sustained a gunshot wound to the right upper
chest. He is agitated, diaphoretic, and has distended neck veins. His
breath sounds are absent on the right side. What is the MOST
appropriate immediate intervention?
A. Needle decompression of the right chest
B. Endotracheal intubation
C. Apply a non-porous dressing to the wound
D. Rapid transport to a Level I trauma center
CORRECT ANSWER: A
Rationale: The patient presents with a tension pneumothorax (absent
breath sounds, distended neck veins, hypotension). Needle
decompression is the immediate life-saving intervention to relieve
intrathoracic pressure before it causes cardiac arrest.
2. Which of the following assessment findings is MOST indicative of a
basilar skull fracture?
A. Battle's sign
,B. Raccoon eyes
C. CSF otorrhea
D. All of the above
CORRECT ANSWER: D
Rationale: Battle's sign (ecchymosis over the mastoid process), raccoon
eyes (periorbital ecchymosis), and CSF leakage from the nose
(rhinorrhea) or ears (otorrhea) are all classic signs of a basilar skull
fracture.
3. A 45-year-old male involved in a MVC has a palpable femur fracture
and a deformed pelvis. His blood pressure is 78/54 mmHg with a heart
rate of 124. What is the underlying pathophysiology of his hypotension?
A. Neurogenic shock due to spinal cord injury
B. Hypovolemic shock due to hemorrhage into the pelvis and femurs
C. Cardiogenic shock from a myocardial contusion
D. Obstructive shock from a pericardial effusion
CORRECT ANSWER: B
Rationale: Pelvic fractures and bilateral femur fractures can sequester
significant volumes of blood (3-4 liters). The tachycardic response
indicates hypovolemic shock. The pelvis and femurs are primary sources
of occult hemorrhage in blunt trauma.
4. What is the proper sequence for the primary survey in a trauma
patient?
A. Airway, Breathing, Circulation, Disability, Exposure
B. Airway, Circulation, Breathing, Disability, Exposure
,C. Circulation, Airway, Breathing, Disability, Exposure
D. Breathing, Airway, Circulation, Disability, Exposure
CORRECT ANSWER: A
Rationale: The mnemonic "ABCDE" stands for Airway, Breathing,
Circulation, Disability, and Exposure. This sequence ensures life-
threatening issues are addressed in order of priority.
5. A patient has a flail chest segment. Which of the following ventilatory
strategies is MOST appropriate for this patient?
A. Positive pressure ventilation with PEEP
B. Restrictive fluid resuscitation
C. Apply a sandbag to the flail segment
D. Administer high-flow oxygen via non-rebreather
CORRECT ANSWER: A
Rationale: Positive pressure ventilation with PEEP stabilizes the flail
segment by providing internal pneumatic splinting, improving
oxygenation and ventilation.
6. A trauma patient has a Glasgow Coma Scale (GCS) score of 12. What
is the appropriate classification of this patient's head injury?
A. Minor
B. Moderate
C. Severe
D. Mild
CORRECT ANSWER: B
, Rationale: GCS scores: 13-15 is mild, 9-12 is moderate, and 3-8 is
severe. A GCS of 12 falls into the moderate category.
7. A 30-year-old female is stabbed in the left anterior chest. She is in
respiratory distress and has absent breath sounds on the left. What is the
MOST likely diagnosis?
A. Tension pneumothorax
B. Open pneumothorax
C. Simple pneumothorax
D. Hemothorax
CORRECT ANSWER: B
Rationale: A penetrating injury to the chest that creates an open
communication between the pleural space and the atmosphere results in
an open pneumothorax, which can lead to respiratory distress.
8. Which sign is the LEAST reliable for assessing perfusion in a trauma
patient?
A. Skin color
B. Capillary refill time
C. Pulse pressure
D. Level of consciousness
CORRECT ANSWER: C
Rationale: Pulse pressure is the least reliable sign of perfusion. Skin
color, capillary refill, and level of consciousness are more sensitive
indicators of shock.
