EMT FISDAP TRAUMA EXAM LATEST 2026 – 100-
QUESTION PRACTICE TEST WITH VERIFIED ANSWERS
& RATIONALES
PART 1 – QUESTIONS 1–50
Question 1. You are on the scene of a motor vehicle collision. A 34-year-old male, who
was the unrestrained driver, is now lying on the ground. He is pale, his skin is cool and
clammy, and he is confused. He has a deformity to his left femur. What should be your
priority?
A. Perform a rapid trauma assessment and apply a traction splint before moving him.
B. Fully immobilize him to a long backboard before any other assessment.
C. Perform a rapid assessment and initiate immediate transport to a trauma center.
D. Control all external bleeding and apply a cervical collar.
Correct Answer: C
Rationale: This patient shows signs of hypovolemic shock (pale, cool skin, altered
mental status) with multiple injuries. The "scoop and run" approach is critical; do not
delay transport for procedures that can be performed en route to the trauma center .
,Question 2. A patient fell from a height. You note blood coming from his ear, which
suggests a possible basilar skull fracture. What is the preferred method to open his
airway?
A. Head-tilt, chin-lift maneuver
B. Jaw-thrust maneuver with in-line spinal stabilization
C. Nasopharyngeal airway insertion
D. Oropharyngeal airway insertion
Correct Answer: B
Rationale: The jaw-thrust maneuver is the preferred method to open the airway when a
spinal injury is suspected. A head-tilt/chin-lift is contraindicated as it may exacerbate a
spinal injury. An NPA is contraindicated with a suspected basilar skull fracture due to the
risk of intracranial placement .
Question 3. A patient has an impaled object in his chest. Which of the following actions
is most appropriate?
A. Remove the object immediately to assess the underlying wound.
B. Apply a pressure dressing directly over the object to control bleeding.
C. Stabilize the object in place and apply a bulky dressing around it.
D. Cut the object so it is flush with the chest wall for easier transport.
Correct Answer: C
Rationale: Impaled objects should generally be stabilized in place to prevent further
injury and uncontrolled hemorrhage. Removal in the field should only be considered if
the object interferes with CPR or airway management .
,Question 4. A 45-year-old male is struck by a car while riding a bicycle. He has a deep
laceration on his forearm with bright red blood spurting from the wound. What is your
first action?
A. Apply a tourniquet proximal to the wound.
B. Apply an occlusive dressing over the wound.
C. Apply direct pressure with a sterile dressing.
D. Elevate the arm and apply a pressure point.
Correct Answer: C
Rationale: Spurting bright red blood is a sign of arterial hemorrhage. The immediate
treatment is to apply direct pressure with a sterile dressing. If this fails to control the
bleeding, then a tourniquet should be considered .
Question 5. A patient has an open chest wound with air movement audible during
breathing. You should apply a:
A. Four-sided occlusive dressing.
B. Three-sided occlusive dressing.
C. Pressure dressing.
D. Non-occlusive dressing.
Correct Answer: B
Rationale: An open chest wound (sucking chest wound) should be treated with a three-
sided occlusive dressing. This dressing acts as a flutter valve, allowing air to escape
during exhalation but preventing air from being drawn into the chest cavity during
inhalation, which could lead to a tension pneumothorax .
, Question 6. A 28-year-old male is involved in a motorcycle crash. He is responsive to
verbal stimuli. His breathing is shallow and rapid at 38 breaths/min, and he has
paradoxical movement of his chest wall on the right side. What is the most appropriate
intervention?
A. Apply high-flow oxygen via a non-rebreather mask.
B. Administer oxygen via a nasal cannula and transport.
C. Provide positive pressure ventilation (BVM) with high-flow oxygen.
D. Apply an occlusive dressing to the chest wall.
Correct Answer: C
Rationale: Paradoxical chest wall movement is a sign of a flail chest, which can indicate
severe underlying pulmonary contusion. The patient also has tachypnea and shallow
breathing, indicating inadequate ventilation. Positive pressure ventilation (BVM) is
needed to support oxygenation and stabilize the chest wall .
Question 7. What is the most likely cause of periorbital ecchymosis ("raccoon eyes") in a
trauma patient?
A. A blow to the nose
B. A basilar skull fracture
C. A simple orbital fracture
D. A zygomatic fracture
Correct Answer: B
Rationale: Periorbital ecchymosis, or "raccoon eyes," is a classic sign of a basilar skull
fracture. It is caused by blood tracking from the fracture site into the soft tissues around
the eyes .
QUESTION PRACTICE TEST WITH VERIFIED ANSWERS
& RATIONALES
PART 1 – QUESTIONS 1–50
Question 1. You are on the scene of a motor vehicle collision. A 34-year-old male, who
was the unrestrained driver, is now lying on the ground. He is pale, his skin is cool and
clammy, and he is confused. He has a deformity to his left femur. What should be your
priority?
A. Perform a rapid trauma assessment and apply a traction splint before moving him.
B. Fully immobilize him to a long backboard before any other assessment.
C. Perform a rapid assessment and initiate immediate transport to a trauma center.
D. Control all external bleeding and apply a cervical collar.
Correct Answer: C
Rationale: This patient shows signs of hypovolemic shock (pale, cool skin, altered
mental status) with multiple injuries. The "scoop and run" approach is critical; do not
delay transport for procedures that can be performed en route to the trauma center .
,Question 2. A patient fell from a height. You note blood coming from his ear, which
suggests a possible basilar skull fracture. What is the preferred method to open his
airway?
A. Head-tilt, chin-lift maneuver
B. Jaw-thrust maneuver with in-line spinal stabilization
C. Nasopharyngeal airway insertion
D. Oropharyngeal airway insertion
Correct Answer: B
Rationale: The jaw-thrust maneuver is the preferred method to open the airway when a
spinal injury is suspected. A head-tilt/chin-lift is contraindicated as it may exacerbate a
spinal injury. An NPA is contraindicated with a suspected basilar skull fracture due to the
risk of intracranial placement .
Question 3. A patient has an impaled object in his chest. Which of the following actions
is most appropriate?
A. Remove the object immediately to assess the underlying wound.
B. Apply a pressure dressing directly over the object to control bleeding.
C. Stabilize the object in place and apply a bulky dressing around it.
D. Cut the object so it is flush with the chest wall for easier transport.
Correct Answer: C
Rationale: Impaled objects should generally be stabilized in place to prevent further
injury and uncontrolled hemorrhage. Removal in the field should only be considered if
the object interferes with CPR or airway management .
,Question 4. A 45-year-old male is struck by a car while riding a bicycle. He has a deep
laceration on his forearm with bright red blood spurting from the wound. What is your
first action?
A. Apply a tourniquet proximal to the wound.
B. Apply an occlusive dressing over the wound.
C. Apply direct pressure with a sterile dressing.
D. Elevate the arm and apply a pressure point.
Correct Answer: C
Rationale: Spurting bright red blood is a sign of arterial hemorrhage. The immediate
treatment is to apply direct pressure with a sterile dressing. If this fails to control the
bleeding, then a tourniquet should be considered .
Question 5. A patient has an open chest wound with air movement audible during
breathing. You should apply a:
A. Four-sided occlusive dressing.
B. Three-sided occlusive dressing.
C. Pressure dressing.
D. Non-occlusive dressing.
Correct Answer: B
Rationale: An open chest wound (sucking chest wound) should be treated with a three-
sided occlusive dressing. This dressing acts as a flutter valve, allowing air to escape
during exhalation but preventing air from being drawn into the chest cavity during
inhalation, which could lead to a tension pneumothorax .
, Question 6. A 28-year-old male is involved in a motorcycle crash. He is responsive to
verbal stimuli. His breathing is shallow and rapid at 38 breaths/min, and he has
paradoxical movement of his chest wall on the right side. What is the most appropriate
intervention?
A. Apply high-flow oxygen via a non-rebreather mask.
B. Administer oxygen via a nasal cannula and transport.
C. Provide positive pressure ventilation (BVM) with high-flow oxygen.
D. Apply an occlusive dressing to the chest wall.
Correct Answer: C
Rationale: Paradoxical chest wall movement is a sign of a flail chest, which can indicate
severe underlying pulmonary contusion. The patient also has tachypnea and shallow
breathing, indicating inadequate ventilation. Positive pressure ventilation (BVM) is
needed to support oxygenation and stabilize the chest wall .
Question 7. What is the most likely cause of periorbital ecchymosis ("raccoon eyes") in a
trauma patient?
A. A blow to the nose
B. A basilar skull fracture
C. A simple orbital fracture
D. A zygomatic fracture
Correct Answer: B
Rationale: Periorbital ecchymosis, or "raccoon eyes," is a classic sign of a basilar skull
fracture. It is caused by blood tracking from the fracture site into the soft tissues around
the eyes .
