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TRAUMA FISDAP - QUESTIONS AND ANSWERS

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TRAUMA FISDAP - QUESTIONS AND ANSWERS / You arrive on the scene of a patient who fell from a ladder. Which of the following information is NOT an important factor in care of the patient? a)Height of the ladder b)Distance the patient fell from c)Surface the patient landed on d)What part of the body hit first - Answer-a)Height of the ladder /.You are at the scene of an MVA, in which there are three patients, all of which have minor visible injuries. Two are refusing treatment and the last is complaining of neck and back pain. How should you proceed? a)Treat all three patients, they are visibly injured and need medical attention b)Obtain signed refusals from the first two patients then proceed to the third c)Treat the third patient, nothing else is needed for the other two d)Have your partner obtain refusals from the two patients who refused treatment, while you treat the last patient. - Answer-d)Have your partner obtain refusals from the two patients who refused treatment, while you treat the last patient. /.Your patient is a 17 year old male found face down in a swimming pool. He is currently being held face up at the surface of the water. He is unconscious but breathing and has a pulse. What is the best course of action for this patient? a)Jump into the pool and begin CPR b)Remove the patient from the pool, immobilize, and transport. c)Apply cervical and spinal immobilization while the patient is still in the pool d)Wait for a trained water rescue team - Answer-c)Apply cervical and spinal immobilization while the patient is still in the pool /.A laceration, spurting bright laceration, spurting bright red blood, most likely means what type of injury? what red blood most likely means a)Venous b)Arterial c)Capillary d)Amputation - Answer-b)Arterial /.Your patient has a laceration to the right leg which has intersected the femoral artery. You have applied direct pressure to the wound, but it continues to soak through the bandages. What should you do next? a)Apply a tourniquet b)Elevate the leg c)Remove the old bandage and apply new ones d)Apply pressure to point just above the injury - Answer-b)Elevate the leg /.Of the two types of energy, which type of energy transfer in a motor vehicle crash (MVC) with frontal impact, non-restrained driver with bent steering wheel, and spidered windshield? a)High velocity penetrating b)Decelerating c)Low velocity penetrating d)Blunt - Answer-d)Blunt /.Any penetrating missile traveling over 2,000 ft/sec would be classified as? a)Low velocity b)Medium velocity c)High velocity d)Decelerating - Answer-c)High velocity /.When there is penetrating trauma there is a permanent cavity which is formed by the projectile contacting the tissues. How is a temporary cavity formed? a)By the twisting of the projectile b)By energy scrubbing off of the projectile c)The wadding entering the body d)Unspent gun powder - Answer-b)By energy scrubbing off of the projectile /.The way a patient is injured is often referred to as the _______________? a)Mechanism of injury b)Nature of illness c)Injury pattern d)Energy transfer - Answer-a)Mechanism of injury /.When approaching a scene of trauma incident, what is your first order of business? a)Airway b)C-Spine control c)Body substance Isolation d)Scene safety - Answer-d)Scene safety /.A large collection of blood under the skin is known as? a)Contusion b)Abrasion c)Hematoma d)Bruise - Answer-c)Hematoma /.Your trauma patient has her left hand caught between rollers on a conveyor belt. Extrication takes 30 minutes. Evaluation of the injury during extrication showed delayed capillary refill distal to the injury. Post extrication shows rapid capillary refill distal to the injury deformity mid-palm. There are no obvious fractures, no lacerations, and minor swelling. Knowing that crush injuries can cause many other problems, which is NOT considered a crush injury complication? a)Compression of tissues b)Fractures c)No injury at all d)Compartment syndrome - Answer-c)No injury at all /.Loss of tissue in a traumatic event can be: just soft tissue, a portion of an extremity, or an entire extremity. If your patient has lost the distal one-third of a lower extremity, what would that injury be called? a)Amplitude b)Avulsion c)Extremity exodus d)Amputation - Answer-d)Amputation /.In any traumatic event where there is tissue damage that caused bleeding, the bleeding needs to be controlled. What are the proper steps to bleeding control? a)Direct pressure, elevation, tourniquet, digital pressure b)Direct pressure, digital pressure, elevation, tourniquet c)Tourniquet, elevation, pressure dressing, direct pressure d)Direct pressure, pressure dressing, tourniquet - Answer-b)Direct pressure, digital pressure, elevation, tourniquet /.Your 16 year old trauma patient has what appears to be a mid-shaft femur fracture. You notice that there is a laceration directly over the suspected fracture. Bleeding is controlled. What type of fracture would this be? a)Greenstick b)Comminuted c)Closed d)Open - Answer-d)Open /.En route to the hospital, you intubate the patient. During your assessment of tube placement, you hear wheezing in the upper lung fields. What is most likely causing this wheezing? a)Inhalation injury to the upper airway b)Inhalation induced cardiac wheezing c)Inhalation induced asthma attack d)Inhalation injury to the lower airway - Answer-d)Inhalation injury to the lower airway /.Following the immobilization of an extremity fracture to the lower right arm, the paramedic should perform what step last? a)Ensuring the splint is applied tightly. b)Placing the hand in the position of function. c)Assessing presence of distal motor, sensory, and perfusion. d)Placing the immobilized extremity below the level of the heart - Answer-c)Assessing presence of distal motor, sensory, and perfusion. /.You are treating a 24-year-old female with a gunshot wound to the right side of the back. No exit wound is visible. She is awake but confused. Her skin is pale and

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TRAUMA FISDAP - QUESTIONS AND ANSWERS

/ You arrive on the scene of a patient who fell from a ladder. Which of the following
information is NOT an important factor in care of the patient?
a)Height of the ladder
b)Distance the patient fell from
c)Surface the patient landed on
d)What part of the body hit first - Answer-a)Height of the ladder

/.You are at the scene of an MVA, in which there are three patients, all of which have
minor visible injuries. Two are refusing treatment and the last is complaining of neck
and back pain. How should you proceed?
a)Treat all three patients, they are visibly injured and need medical attention
b)Obtain signed refusals from the first two patients then proceed to the third
c)Treat the third patient, nothing else is needed for the other two
d)Have your partner obtain refusals from the two patients who refused treatment, while
you treat the last patient. - Answer-d)Have your partner obtain refusals from the two
patients who refused treatment, while you treat the last patient.

/.Your patient is a 17 year old male found face down in a swimming pool. He is currently
being held face up at the surface of the water. He is unconscious but breathing and has
a pulse. What is the best course of action for this patient?
a)Jump into the pool and begin CPR
b)Remove the patient from the pool, immobilize, and transport.
c)Apply cervical and spinal immobilization while the patient is still in the pool
d)Wait for a trained water rescue team - Answer-c)Apply cervical and spinal
immobilization while the patient is still in the pool

/.A laceration, spurting bright laceration, spurting bright red blood, most likely means
what type of injury? what red blood most likely means
a)Venous
b)Arterial
c)Capillary
d)Amputation - Answer-b)Arterial

/.Your patient has a laceration to the right leg which has intersected the femoral artery.
You have applied direct pressure to the wound, but it continues to soak through the
bandages. What should you do next?
a)Apply a tourniquet
b)Elevate the leg
c)Remove the old bandage and apply new ones
d)Apply pressure to point just above the injury - Answer-b)Elevate the leg

,/.Of the two types of energy, which type of energy transfer in a motor vehicle crash
(MVC) with frontal impact, non-restrained driver with bent steering wheel, and spidered
windshield?
a)High velocity penetrating
b)Decelerating
c)Low velocity penetrating
d)Blunt - Answer-d)Blunt

/.Any penetrating missile traveling over 2,000 ft/sec would be classified as?
a)Low velocity
b)Medium velocity
c)High velocity
d)Decelerating - Answer-c)High velocity

/.When there is penetrating trauma there is a permanent cavity which is formed by the
projectile contacting the tissues. How is a temporary cavity formed?
a)By the twisting of the projectile
b)By energy scrubbing off of the projectile
c)The wadding entering the body
d)Unspent gun powder - Answer-b)By energy scrubbing off of the projectile

/.The way a patient is injured is often referred to as the _______________?
a)Mechanism of injury
b)Nature of illness
c)Injury pattern
d)Energy transfer - Answer-a)Mechanism of injury

/.When approaching a scene of trauma incident, what is your first order of business?
a)Airway
b)C-Spine control
c)Body substance Isolation
d)Scene safety - Answer-d)Scene safety

/.A large collection of blood under the skin is known as?
a)Contusion
b)Abrasion
c)Hematoma
d)Bruise - Answer-c)Hematoma

/.Your trauma patient has her left hand caught between rollers on a conveyor belt.
Extrication takes 30 minutes. Evaluation of the injury during extrication showed delayed
capillary refill distal to the injury. Post extrication shows rapid capillary refill distal to the
injury deformity mid-palm. There are no obvious fractures, no lacerations, and minor
swelling. Knowing that crush injuries can cause many other problems, which is NOT
considered a crush injury complication?
a)Compression of tissues

, b)Fractures
c)No injury at all
d)Compartment syndrome - Answer-c)No injury at all

/.Loss of tissue in a traumatic event can be: just soft tissue, a portion of an extremity, or
an entire extremity. If your patient has lost the distal one-third of a lower extremity, what
would that injury be called?
a)Amplitude
b)Avulsion
c)Extremity exodus
d)Amputation - Answer-d)Amputation

/.In any traumatic event where there is tissue damage that caused bleeding, the
bleeding needs to be controlled. What are the proper steps to bleeding control?
a)Direct pressure, elevation, tourniquet, digital pressure
b)Direct pressure, digital pressure, elevation, tourniquet
c)Tourniquet, elevation, pressure dressing, direct pressure
d)Direct pressure, pressure dressing, tourniquet - Answer-b)Direct pressure, digital
pressure, elevation, tourniquet

/.Your 16 year old trauma patient has what appears to be a mid-shaft femur fracture.
You notice that there is a laceration directly over the suspected fracture. Bleeding is
controlled. What type of fracture would this be?
a)Greenstick
b)Comminuted
c)Closed
d)Open - Answer-d)Open

/.En route to the hospital, you intubate the patient. During your assessment of tube
placement, you hear wheezing in the upper lung fields. What is most likely causing this
wheezing?
a)Inhalation injury to the upper airway
b)Inhalation induced cardiac wheezing
c)Inhalation induced asthma attack
d)Inhalation injury to the lower airway - Answer-d)Inhalation injury to the lower airway

/.Following the immobilization of an extremity fracture to the lower right arm, the
paramedic should perform what step last?
a)Ensuring the splint is applied tightly.
b)Placing the hand in the position of function.
c)Assessing presence of distal motor, sensory, and perfusion.
d)Placing the immobilized extremity below the level of the heart - Answer-c)Assessing
presence of distal motor, sensory, and perfusion.

/.You are treating a 24-year-old female with a gunshot wound to the right side of the
back. No exit wound is visible. She is awake but confused. Her skin is pale and

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