EMT FISDAP TRAUMA EXAM / LATEST UPDATE / ACTUAL
EXAM QUESTIONS AND ELABORATE ANSWERS/
ALREADY GRADED A+
1. A 25-year-old male was involved in a high-speed motorcycle crash. He is
conscious but complaining of severe chest pain and shortness of breath. How
should you begin your assessment and initial management?
Begin with a rapid primary survey (ABCDE). Assess airway patency, provide
supplemental oxygen, check for chest wall deformities or paradoxical movement
indicating flail chest, control external bleeding, monitor vital signs, and prepare
for rapid transport to a trauma center.
2. A patient has a deep laceration to the forearm with active arterial bleeding.
What is your priority intervention in the prehospital setting?
Apply direct pressure immediately to control bleeding. If direct pressure fails, use
a pressure dressing or tourniquet as a last resort. Elevate the limb if possible,
monitor distal pulses, provide oxygen if needed, and transport rapidly.
3. You arrive at the scene of a fall from a two-story building. The patient is
unresponsive with shallow breathing. How do you manage the airway and
spinal precautions?
Use the jaw-thrust maneuver to open the airway while maintaining cervical spine
immobilization. Administer high-flow oxygen, monitor ventilations, and prepare
for advanced airway interventions if hypoventilation persists. Apply a cervical
collar and immobilize the patient on a long spine board for transport.
4. A 40-year-old woman was ejected from a vehicle and presents with
abdominal distention, tenderness, and hypotension. What is your prehospital
management?
Suspect internal bleeding. Provide supplemental oxygen, establish IV access if
, protocols allow, monitor vital signs, keep patient supine, avoid unnecessary
movement, and transport immediately to a trauma center.
5. A patient presents with a flail chest after a motorcycle accident. What are the
signs and field interventions?
Signs include paradoxical chest movement, severe pain, dyspnea, and bruising.
Interventions include supplemental oxygen, positive pressure ventilation if
hypoxia worsens, pain management as permitted, monitoring for pneumothorax,
and rapid transport.
6. How do you assess a trauma patient for hypovolemic shock due to internal
bleeding?
Check for tachycardia, hypotension, pallor, cool clammy skin, delayed capillary
refill, weak pulses, and altered mental status. Maintain airway, provide oxygen,
initiate IV fluids if allowed, and transport rapidly.
7. A 30-year-old male presents with a penetrating chest wound and sucking
chest injury. What is the appropriate prehospital management?
Seal the wound with an occlusive dressing, ideally taped on three sides, provide
supplemental oxygen, monitor for signs of tension pneumothorax, and transport
rapidly. Do not remove any impaled objects.
8. How do you manage a trauma patient with suspected cervical spine injury
who is vomiting?
Maintain spinal immobilization, suction as needed, keep the patient in a lateral
recumbent position if airway compromise is imminent, provide oxygen, monitor
ABCs, and transport promptly.
9. A child has fallen from a 10-foot height and is conscious but complaining of
leg pain. What is your assessment and management strategy?
Perform primary and secondary surveys, assess airway, breathing, and circulation.
Evaluate limb for deformity, swelling, tenderness, and distal pulses. Immobilize
the injured limb with appropriate pediatric splints, provide oxygen if needed, and
transport. Monitor for shock signs.
, 10. Which findings suggest a basilar skull fracture, and how does it affect
prehospital care?
Look for raccoon eyes, Battle’s sign, and cerebrospinal fluid drainage from ear or
nose. Avoid nasal intubation if possible, maintain airway, immobilize the cervical
spine, monitor neurological status, and transport urgently.
11. A patient with an open tibia fracture has severe bleeding. How should you
control hemorrhage and stabilize the limb?
Apply direct pressure, elevate the limb if possible, and use a pressure dressing.
Immobilize the leg with a splint that extends above and below the fracture.
Monitor distal circulation, provide oxygen, and transport.
12. How do you recognize a tension pneumothorax, and what is the emergency
prehospital intervention?
Look for absent breath sounds on one side, tracheal deviation, distended neck
veins, hypotension, and respiratory distress. Perform needle decompression if
trained and allowed by protocol, provide oxygen, and transport immediately.
13. Which signs indicate increased intracranial pressure, and what should be
your immediate actions?
Signs include altered mental status, vomiting, headache, bradycardia with
hypertension, and pupillary changes. Maintain airway, administer oxygen, keep
the patient’s head neutral, avoid hypotension, and transport rapidly.
14. A patient has a deformed upper arm following a motorcycle accident. How do
you assess and manage this injury?
Check for deformity, swelling, tenderness, crepitus, and distal pulses. Immobilize
the arm with a padded splint, monitor neurovascular status, provide pain control if
permitted, and transport.
15. What are the priorities for a patient with suspected internal bleeding from
blunt abdominal trauma?
Rapid primary survey, provide supplemental oxygen, establish IV access if
EXAM QUESTIONS AND ELABORATE ANSWERS/
ALREADY GRADED A+
1. A 25-year-old male was involved in a high-speed motorcycle crash. He is
conscious but complaining of severe chest pain and shortness of breath. How
should you begin your assessment and initial management?
Begin with a rapid primary survey (ABCDE). Assess airway patency, provide
supplemental oxygen, check for chest wall deformities or paradoxical movement
indicating flail chest, control external bleeding, monitor vital signs, and prepare
for rapid transport to a trauma center.
2. A patient has a deep laceration to the forearm with active arterial bleeding.
What is your priority intervention in the prehospital setting?
Apply direct pressure immediately to control bleeding. If direct pressure fails, use
a pressure dressing or tourniquet as a last resort. Elevate the limb if possible,
monitor distal pulses, provide oxygen if needed, and transport rapidly.
3. You arrive at the scene of a fall from a two-story building. The patient is
unresponsive with shallow breathing. How do you manage the airway and
spinal precautions?
Use the jaw-thrust maneuver to open the airway while maintaining cervical spine
immobilization. Administer high-flow oxygen, monitor ventilations, and prepare
for advanced airway interventions if hypoventilation persists. Apply a cervical
collar and immobilize the patient on a long spine board for transport.
4. A 40-year-old woman was ejected from a vehicle and presents with
abdominal distention, tenderness, and hypotension. What is your prehospital
management?
Suspect internal bleeding. Provide supplemental oxygen, establish IV access if
, protocols allow, monitor vital signs, keep patient supine, avoid unnecessary
movement, and transport immediately to a trauma center.
5. A patient presents with a flail chest after a motorcycle accident. What are the
signs and field interventions?
Signs include paradoxical chest movement, severe pain, dyspnea, and bruising.
Interventions include supplemental oxygen, positive pressure ventilation if
hypoxia worsens, pain management as permitted, monitoring for pneumothorax,
and rapid transport.
6. How do you assess a trauma patient for hypovolemic shock due to internal
bleeding?
Check for tachycardia, hypotension, pallor, cool clammy skin, delayed capillary
refill, weak pulses, and altered mental status. Maintain airway, provide oxygen,
initiate IV fluids if allowed, and transport rapidly.
7. A 30-year-old male presents with a penetrating chest wound and sucking
chest injury. What is the appropriate prehospital management?
Seal the wound with an occlusive dressing, ideally taped on three sides, provide
supplemental oxygen, monitor for signs of tension pneumothorax, and transport
rapidly. Do not remove any impaled objects.
8. How do you manage a trauma patient with suspected cervical spine injury
who is vomiting?
Maintain spinal immobilization, suction as needed, keep the patient in a lateral
recumbent position if airway compromise is imminent, provide oxygen, monitor
ABCs, and transport promptly.
9. A child has fallen from a 10-foot height and is conscious but complaining of
leg pain. What is your assessment and management strategy?
Perform primary and secondary surveys, assess airway, breathing, and circulation.
Evaluate limb for deformity, swelling, tenderness, and distal pulses. Immobilize
the injured limb with appropriate pediatric splints, provide oxygen if needed, and
transport. Monitor for shock signs.
, 10. Which findings suggest a basilar skull fracture, and how does it affect
prehospital care?
Look for raccoon eyes, Battle’s sign, and cerebrospinal fluid drainage from ear or
nose. Avoid nasal intubation if possible, maintain airway, immobilize the cervical
spine, monitor neurological status, and transport urgently.
11. A patient with an open tibia fracture has severe bleeding. How should you
control hemorrhage and stabilize the limb?
Apply direct pressure, elevate the limb if possible, and use a pressure dressing.
Immobilize the leg with a splint that extends above and below the fracture.
Monitor distal circulation, provide oxygen, and transport.
12. How do you recognize a tension pneumothorax, and what is the emergency
prehospital intervention?
Look for absent breath sounds on one side, tracheal deviation, distended neck
veins, hypotension, and respiratory distress. Perform needle decompression if
trained and allowed by protocol, provide oxygen, and transport immediately.
13. Which signs indicate increased intracranial pressure, and what should be
your immediate actions?
Signs include altered mental status, vomiting, headache, bradycardia with
hypertension, and pupillary changes. Maintain airway, administer oxygen, keep
the patient’s head neutral, avoid hypotension, and transport rapidly.
14. A patient has a deformed upper arm following a motorcycle accident. How do
you assess and manage this injury?
Check for deformity, swelling, tenderness, crepitus, and distal pulses. Immobilize
the arm with a padded splint, monitor neurovascular status, provide pain control if
permitted, and transport.
15. What are the priorities for a patient with suspected internal bleeding from
blunt abdominal trauma?
Rapid primary survey, provide supplemental oxygen, establish IV access if
