Paramedic Trauma FISDAP EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
If you see a cracked windshield in a MVC... what will the pt represent with? - ans -
Bruised or lacerated head or face. Brain injury, *cervical spine injury (always until
proven otherwise), tracheal injury.
Spleen Injuries - ans -Most common complaint is left shoulder pain, when the
spleen has ruptured. This is known as Kehr Sign.
How to Treat Heat Exhaustion - ans -Move the Pt to a cooler area. Remove excess
clothing. Sponge, spray, or drip tepid water on the Pt. If anuses and vomiting are
present, start a saline line. May want to consider an anti nausea medication
(zofran). Pt will still be alert and oriented.
Heatstroke - ans -Involves elevated temp above *104. and AMS. One of the
earliest signs in changes in behavior (irritable, combative, etc). Pt may have a
seizure. Pt will be tachycardia, hyperventilating. Manage the ABC's. Move the Pt
to a cool environment. Cooling efforts should continue until temp reaches below
*102. Cool as rapidly as possible. Consider ice water immersion, placed ice packs
in groin, armpits, etc. Start a line and administer saline. Monitor cardiac rhythm.
Frostbite/Frostnip - ans -Get the Pt out of the cold. Do not rub or massage the
area. Administer pain medication. Cover blisters with dry, sterile dressing. *Do
not attempt rewarming in the field if there is any possibility of refreezing or if the
Pt must walk on the frostbitten foot. Frotstbitten parts are usually hard and waxy.
Gangrene can occur if the area was frozen.
Treating a Pt with Hypothermia - ans -Strip all the wet or cold clothes, and move
Pt to a warm place. Begin to rewarm the Pt, with blankets (mild hypothermia less
than 95 degrees), heat packs if necessary (moderate hypothermia 87 degrees to
93 degrees), and lastly warm IV fluids for severe hypothermia.
Cushing Reflex/Response/Syndrome - ans -Due to ICP. Signs are- increased BP,
decreased HR & irregular respirations (Biots breathing!).
, If you see a deformed steering column in a MVC... what will the pt represent
with? - ans -Bruised neck, bruised chest. Sternal or rib fracture, flail chest,
myocardial contusion, *pericardial tamponade, pneumo/hemothorax, aortic tear.
If you see a deformed dashboard in a MVC... what will the pt represent with? -
ans -Bruised abdomen, bruised knee, misplaced kneecap. Ruptured spleen, liver,
bowel, diaphragm. Fractured patella, dislocated knee, *femoral fracture,
dislocated hip.
Phases of Deceleration - ans -1) Deceleration of the vehicle, occurs when the
vehicle strikes another object & comes to a stop. 2) Deceleration of occupant,
which starts during sudden braking & continues through the whole crash. 3)
Deceleration of internal organs, that consist of internal organs that continue
forward momentum until they're stopped by anatomical restraints. 4) Secondary
collisions, which occur when a vehicle occupant is hit by objects moving within
the vehicle (loose objects). 5) Additional impacts, that the vehicle may receive
when it is hit by a second vehicle or is deflected into another.
Seat Belt Use - ans -All arguments against seat belt use are unfounded.
Primary Blast Injury - ans -Injuries due to the wave blast itself, usually causing
damage to the lungs, eardrums and other compressible organs (air filled cavities).
Burns also may occur.
Secondary Blast Injury - ans -Injuries due to missiles being propelled by blast force
(struck by flying debris).
Tertiary Blast Injury - ans -Injuries due to body impact with another object (when
a person is hurled by the force against stationary objects).
Perfusion - ans -Circulation of blood within an organ or tissue in adequate
amounts to meet the cells needs.
Autonomic Nervous System - ans -Monitors the body's needs from moment to
moment, adjusting the blood flow as required. Maintains homeostasis & is
divided into the parasympathetic & sympathetic components that oppose each
other and keep vital functions in balance.
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
If you see a cracked windshield in a MVC... what will the pt represent with? - ans -
Bruised or lacerated head or face. Brain injury, *cervical spine injury (always until
proven otherwise), tracheal injury.
Spleen Injuries - ans -Most common complaint is left shoulder pain, when the
spleen has ruptured. This is known as Kehr Sign.
How to Treat Heat Exhaustion - ans -Move the Pt to a cooler area. Remove excess
clothing. Sponge, spray, or drip tepid water on the Pt. If anuses and vomiting are
present, start a saline line. May want to consider an anti nausea medication
(zofran). Pt will still be alert and oriented.
Heatstroke - ans -Involves elevated temp above *104. and AMS. One of the
earliest signs in changes in behavior (irritable, combative, etc). Pt may have a
seizure. Pt will be tachycardia, hyperventilating. Manage the ABC's. Move the Pt
to a cool environment. Cooling efforts should continue until temp reaches below
*102. Cool as rapidly as possible. Consider ice water immersion, placed ice packs
in groin, armpits, etc. Start a line and administer saline. Monitor cardiac rhythm.
Frostbite/Frostnip - ans -Get the Pt out of the cold. Do not rub or massage the
area. Administer pain medication. Cover blisters with dry, sterile dressing. *Do
not attempt rewarming in the field if there is any possibility of refreezing or if the
Pt must walk on the frostbitten foot. Frotstbitten parts are usually hard and waxy.
Gangrene can occur if the area was frozen.
Treating a Pt with Hypothermia - ans -Strip all the wet or cold clothes, and move
Pt to a warm place. Begin to rewarm the Pt, with blankets (mild hypothermia less
than 95 degrees), heat packs if necessary (moderate hypothermia 87 degrees to
93 degrees), and lastly warm IV fluids for severe hypothermia.
Cushing Reflex/Response/Syndrome - ans -Due to ICP. Signs are- increased BP,
decreased HR & irregular respirations (Biots breathing!).
, If you see a deformed steering column in a MVC... what will the pt represent
with? - ans -Bruised neck, bruised chest. Sternal or rib fracture, flail chest,
myocardial contusion, *pericardial tamponade, pneumo/hemothorax, aortic tear.
If you see a deformed dashboard in a MVC... what will the pt represent with? -
ans -Bruised abdomen, bruised knee, misplaced kneecap. Ruptured spleen, liver,
bowel, diaphragm. Fractured patella, dislocated knee, *femoral fracture,
dislocated hip.
Phases of Deceleration - ans -1) Deceleration of the vehicle, occurs when the
vehicle strikes another object & comes to a stop. 2) Deceleration of occupant,
which starts during sudden braking & continues through the whole crash. 3)
Deceleration of internal organs, that consist of internal organs that continue
forward momentum until they're stopped by anatomical restraints. 4) Secondary
collisions, which occur when a vehicle occupant is hit by objects moving within
the vehicle (loose objects). 5) Additional impacts, that the vehicle may receive
when it is hit by a second vehicle or is deflected into another.
Seat Belt Use - ans -All arguments against seat belt use are unfounded.
Primary Blast Injury - ans -Injuries due to the wave blast itself, usually causing
damage to the lungs, eardrums and other compressible organs (air filled cavities).
Burns also may occur.
Secondary Blast Injury - ans -Injuries due to missiles being propelled by blast force
(struck by flying debris).
Tertiary Blast Injury - ans -Injuries due to body impact with another object (when
a person is hurled by the force against stationary objects).
Perfusion - ans -Circulation of blood within an organ or tissue in adequate
amounts to meet the cells needs.
Autonomic Nervous System - ans -Monitors the body's needs from moment to
moment, adjusting the blood flow as required. Maintains homeostasis & is
divided into the parasympathetic & sympathetic components that oppose each
other and keep vital functions in balance.
