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Exam (elaborations)

Paramedic Trauma FISDAP 2025 | 180+ Q&A | MVC, Burns, GSW, Shock, Head Injury | EMS

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This document includes over 180 high-yield trauma-focused questions and verified answers designed for Paramedic students preparing for the FISDAP Trauma Exam 2025/2026. It follows a clear question-and-answer format with accurate explanations and clinical context for each answer. Topics are drawn directly from real-world trauma scenarios and align with the National Registry of EMT standards and FISDAP testing blueprint. Key trauma categories covered include: Mechanism of Injury in MVCs (cracked windshield, dashboard deformation, up-and-over/down-and-under pathways) Blast injuries, blunt vs. penetrating trauma, gunshot wounds, and stab wounds Head trauma and brain injuries (GCS, coup-contrecoup, ICP management, herniation signs) Thoracic injuries (flail chest, pneumothorax, pericardial tamponade, commotio cordis) Abdominal trauma, including spleen/liver injury, retroperitoneal organ damage, Kehr's sign Burns (superficial to full-thickness, rule of nines, inhalation burns, electrical/chemical burns, HF acid exposure) Fractures and splinting techniques, femur and spinal injuries Shock management (hypovolemic, compensated vs. decompensated, crush syndrome, compartment syndrome) Facial, eye, ear, and neck trauma, including Le Fort fractures, epistaxis, orbital injuries Environmental emergencies (hypothermia, heatstroke, frostbite) Neurological trauma (Babinski reflex, Cushing's triad, decorticate vs. decerebrate posturing) All answers are pre-graded A+ and offer paramedic-level insight to help reinforce critical thinking, trauma assessment skills, and priority-based patient care decision-making. This resource is ideal for: Paramedic students in advanced trauma or clinical courses EMT-P candidates preparing for the National Registry or FISDAP trauma exams Students in Accredited EMS programs such as Community Colleges, Fire Academy EMT programs, or Paramedic schools across the US EMS educators looking for ready-to-use trauma review materials Keywords: FISDAP trauma exam, paramedic trauma questions, MVC injury patterns, gunshot wounds, shock management, ICP, burns EMS, head injury, Le Fort fractures, blast injuries, airway trauma, hypovolemic shock, femur fracture splinting, EMS board prep, paramedic 2025

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Paramedic Trauma FISDAP
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Paramedic Trauma FISDAP

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Uploaded on
November 7, 2025
Number of pages
26
Written in
2025/2026
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Paramedic Trauma FISDAP 2025/2026
Exam Questions and Verified Answers |
Already Graded A+



If you see a cracked windshield in a MVC... what will the pt represent with?

- 🧠ANSWER ✔✔Bruised or lacerated head or face. Brain injury, *cervical

spine injury (always until proven otherwise), tracheal injury.

If you see a deformed steering column in a MVC... what will the pt

represent with? - 🧠ANSWER ✔✔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? - 🧠ANSWER ✔✔Bruised abdomen, bruised knee, misplaced

kneecap. Ruptured spleen, liver, bowel, diaphragm. Fractured patella,

dislocated knee, *femoral fracture, dislocated hip.

,If you see the rear end of the vehicle is damaged in a MVC... what will the

pt represent with? - 🧠ANSWER ✔✔Secondary anterior injuries, esp if the pt

wasn't restrained. "Wiplash" injuries, *coup contrecoup injury.


Phases of Deceleration - 🧠ANSWER ✔✔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.


Velocity - 🧠ANSWER ✔✔"Speed kills"- causes more damage than mass.


Seat Belt Use - 🧠ANSWER ✔✔All arguments against seat belt use are

unfounded.


Airbag Injuries - 🧠ANSWER ✔✔Common injuries include abrasions to the

face, chest and arms. Minor corrosive effects can occur because of the

cornstarch on the airbag, and it may irritate the skin.

, Down and Under Pathway - 🧠ANSWER ✔✔Occupant slides under the

steering wheel or the dash. The knees hit the dashboard, and transmit

energy up the leg, to the femur/pelvis. If the feet are locked in place, it can

cause femur fractures.


Up and Over Pathway - 🧠ANSWER ✔✔Chest hits the steering wheel, head

hits the windshield and anterior portion of the throat hits the top of the

steering wheel. Can cause significant head and neck injuries.


Head on Impact in Motorcycle Crashes - 🧠ANSWER ✔✔Head on impact-

motorcycle strikes another object and stops its forward motion, while the

rider continues forward motion until stopped by outside force. This causes

the rider to go over the handlebars, which causes femur fractures, and tib

fractures.


Angular Impact in Motorcycle Crashes - 🧠ANSWER ✔✔The motorcycle

strikes an object, or another vehicle at an angel so that the rider sustains

direct crushing injuries to the lower extremity between the object and

motorcycle.


Motorcycle Crashes - 🧠ANSWER ✔✔With any motorcycle crash, the

helmet should be removed carefully if airway management techniques


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