EMT FISDAP Trauma Exam | Ultimate Study Guide with
Comprehensive Questions, Correct Answer & Detailed
Explanations – Latest Update 2026/2027 | Already Graded A+
Question 1
You arrive at a motor-vehicle collision and find a patient with severe bleeding
from the thigh. The patient is conscious but pale and anxious. What should
you do FIRST?
A. Apply a cervical collar
B. Control the severe external bleeding
C. Obtain a detailed medical history
D. Assess the patient's blood glucose
Correct Answer: B. Control the severe external bleeding
Explanation: Severe external hemorrhage is an immediate life threat and
should be controlled promptly. After ensuring scene safety and addressing
catastrophic bleeding, continue with the primary assessment and
management of airway, breathing, and circulation.
Question 2
A patient involved in a high-speed collision has chest pain, difficulty breathing,
and absent breath sounds on the left side. The patient is becoming
increasingly restless. Which condition should you suspect?
A. Simple rib fracture
B. Tension pneumothorax
C. Isolated clavicle fracture
D. Abdominal bleeding
Correct Answer: B. Tension pneumothorax
Explanation: A tension pneumothorax can cause worsening respiratory
distress, decreased or absent breath sounds on the affected side, and
pg. 1
,progressive circulatory compromise. This is a life-threatening condition
requiring rapid recognition and appropriate emergency management.
Question 3
A trauma patient has abdominal tenderness and bruising across the abdomen
following a motor-vehicle crash. Which finding should MOST concern the
EMT?
A. Mild localized skin irritation
B. Increasing abdominal distention and signs of shock
C. Small superficial abrasion
D. Mild thirst without other symptoms
Correct Answer: B. Increasing abdominal distention and signs of shock
Explanation: Abdominal trauma can cause significant internal hemorrhage
that may not be externally visible. Increasing distention combined with pallor,
tachycardia, weakness, or altered mental status suggests serious internal
bleeding and requires rapid transport.
Question 4
A patient has an open fracture of the lower leg with bone visible through the
wound. Which intervention is MOST appropriate?
A. Push the bone back into position
B. Cover the wound with a sterile dressing and immobilize the extremity
C. Straighten the leg forcefully
D. Apply direct pressure directly over the exposed bone
Correct Answer: B. Cover the wound with a sterile dressing and
immobilize the extremity
Explanation: An open fracture should be protected with a sterile dressing
and the extremity immobilized appropriately. The EMT should not attempt to
pg. 2
,push exposed bone back into the wound or aggressively manipulate the
injury.
Question 5
A patient falls from a second-story window and complains of severe neck pain.
The patient is alert and breathing normally. What is the MOST appropriate
initial approach?
A. Allow the patient to walk to the ambulance
B. Maintain spinal motion restriction while continuing the primary
assessment
C. Have the patient rotate the neck to assess range of motion
D. Delay assessment until the patient reports increased pain
Correct Answer: B. Maintain spinal motion restriction while continuing
the primary assessment
Explanation: A significant mechanism combined with neck pain raises
concern for spinal injury. The EMT should minimize unnecessary spinal
movement while performing the primary assessment and determining the
patient's need for rapid transport.
Question 6
A patient with blunt chest trauma has paradoxical movement of a section of
the chest wall during breathing. What injury is MOST likely?
A. Flail chest
B. Simple pneumothorax
C. Cardiac tamponade
D. Pulmonary embolism
Correct Answer: A. Flail chest
Explanation: Flail chest occurs when multiple adjacent ribs are fractured in
multiple places, creating a segment of chest wall that moves independently.
pg. 3
, Paradoxical movement may occur, and associated lung injury can cause
significant respiratory compromise.
Question 7
An injured patient is unconscious and has blood and vomit in the mouth. What
is the EMT's priority?
A. Obtain a complete SAMPLE history
B. Clear and manage the airway
C. Assess the patient's ability to walk
D. Apply a splint to an injured extremity
Correct Answer: B. Clear and manage the airway
Explanation: Airway obstruction is an immediate threat to life. Blood and
vomit can obstruct the airway and lead to hypoxia. The EMT should manage
the airway promptly while maintaining appropriate spinal precautions when
indicated.
Question 8
A patient has a partial amputation of the hand following an industrial
accident. Severe bleeding is present. Which intervention should receive
priority?
A. Control the life-threatening hemorrhage
B. Search for the patient's medical history
C. Measure the injured hand
D. Apply a cold pack before controlling bleeding
Correct Answer: A. Control the life-threatening hemorrhage
Explanation: Severe hemorrhage can rapidly become fatal. Immediate
bleeding control takes priority over secondary concerns. After hemorrhage is
controlled, the amputated part should be appropriately protected and
transported with the patient when feasible.
pg. 4
Comprehensive Questions, Correct Answer & Detailed
Explanations – Latest Update 2026/2027 | Already Graded A+
Question 1
You arrive at a motor-vehicle collision and find a patient with severe bleeding
from the thigh. The patient is conscious but pale and anxious. What should
you do FIRST?
A. Apply a cervical collar
B. Control the severe external bleeding
C. Obtain a detailed medical history
D. Assess the patient's blood glucose
Correct Answer: B. Control the severe external bleeding
Explanation: Severe external hemorrhage is an immediate life threat and
should be controlled promptly. After ensuring scene safety and addressing
catastrophic bleeding, continue with the primary assessment and
management of airway, breathing, and circulation.
Question 2
A patient involved in a high-speed collision has chest pain, difficulty breathing,
and absent breath sounds on the left side. The patient is becoming
increasingly restless. Which condition should you suspect?
A. Simple rib fracture
B. Tension pneumothorax
C. Isolated clavicle fracture
D. Abdominal bleeding
Correct Answer: B. Tension pneumothorax
Explanation: A tension pneumothorax can cause worsening respiratory
distress, decreased or absent breath sounds on the affected side, and
pg. 1
,progressive circulatory compromise. This is a life-threatening condition
requiring rapid recognition and appropriate emergency management.
Question 3
A trauma patient has abdominal tenderness and bruising across the abdomen
following a motor-vehicle crash. Which finding should MOST concern the
EMT?
A. Mild localized skin irritation
B. Increasing abdominal distention and signs of shock
C. Small superficial abrasion
D. Mild thirst without other symptoms
Correct Answer: B. Increasing abdominal distention and signs of shock
Explanation: Abdominal trauma can cause significant internal hemorrhage
that may not be externally visible. Increasing distention combined with pallor,
tachycardia, weakness, or altered mental status suggests serious internal
bleeding and requires rapid transport.
Question 4
A patient has an open fracture of the lower leg with bone visible through the
wound. Which intervention is MOST appropriate?
A. Push the bone back into position
B. Cover the wound with a sterile dressing and immobilize the extremity
C. Straighten the leg forcefully
D. Apply direct pressure directly over the exposed bone
Correct Answer: B. Cover the wound with a sterile dressing and
immobilize the extremity
Explanation: An open fracture should be protected with a sterile dressing
and the extremity immobilized appropriately. The EMT should not attempt to
pg. 2
,push exposed bone back into the wound or aggressively manipulate the
injury.
Question 5
A patient falls from a second-story window and complains of severe neck pain.
The patient is alert and breathing normally. What is the MOST appropriate
initial approach?
A. Allow the patient to walk to the ambulance
B. Maintain spinal motion restriction while continuing the primary
assessment
C. Have the patient rotate the neck to assess range of motion
D. Delay assessment until the patient reports increased pain
Correct Answer: B. Maintain spinal motion restriction while continuing
the primary assessment
Explanation: A significant mechanism combined with neck pain raises
concern for spinal injury. The EMT should minimize unnecessary spinal
movement while performing the primary assessment and determining the
patient's need for rapid transport.
Question 6
A patient with blunt chest trauma has paradoxical movement of a section of
the chest wall during breathing. What injury is MOST likely?
A. Flail chest
B. Simple pneumothorax
C. Cardiac tamponade
D. Pulmonary embolism
Correct Answer: A. Flail chest
Explanation: Flail chest occurs when multiple adjacent ribs are fractured in
multiple places, creating a segment of chest wall that moves independently.
pg. 3
, Paradoxical movement may occur, and associated lung injury can cause
significant respiratory compromise.
Question 7
An injured patient is unconscious and has blood and vomit in the mouth. What
is the EMT's priority?
A. Obtain a complete SAMPLE history
B. Clear and manage the airway
C. Assess the patient's ability to walk
D. Apply a splint to an injured extremity
Correct Answer: B. Clear and manage the airway
Explanation: Airway obstruction is an immediate threat to life. Blood and
vomit can obstruct the airway and lead to hypoxia. The EMT should manage
the airway promptly while maintaining appropriate spinal precautions when
indicated.
Question 8
A patient has a partial amputation of the hand following an industrial
accident. Severe bleeding is present. Which intervention should receive
priority?
A. Control the life-threatening hemorrhage
B. Search for the patient's medical history
C. Measure the injured hand
D. Apply a cold pack before controlling bleeding
Correct Answer: A. Control the life-threatening hemorrhage
Explanation: Severe hemorrhage can rapidly become fatal. Immediate
bleeding control takes priority over secondary concerns. After hemorrhage is
controlled, the amputated part should be appropriately protected and
transported with the patient when feasible.
pg. 4
