1|Page
FISDAP TRAUMA EXAM AND PRACTICE EXAM
NEWEST 2026 TEST BANK| EMT FISDAP TRAUMA
EXAM WITH COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT (DETAILED ANSWERS)
VERIFIED ANSWERS/ GRADED A+ (MOST RECENT!!)
A patient is unresponsive with snoring respirations. His arm is
amputated just above the elbow and is bleeding heavily. The EMT
should:
A) open the patient's airway.
B) apply a proximal tourniquet.
C) administer high-flow oxygen.
D) ventilate with a bag-mask device. - Correct Answer - B) apply a
proximal tourniquet.
Major hemorrhage kills patients faster than a compromised airway, so in
this case, bleeding control has the highest priority. The EMT should
apply a proximal tourniquet and stop the bleeding immediately.
Attention can then turn to the patient's airway and breathing status. As
with any patient, treatment priorities must focus on injuries or conditions
that will be the MOST immediately fatal.
After covering a large open chest wound with an occlusive dressing, it
becomes necessary to ventilate the patient with a bag-mask device. What
should you do?
A) Remove the occlusive dressing.
B) Ventilate with greater volume.
C) Ventilate at 24 breaths/min.
,2|Page
D) Request a paramedic intercept. - Correct Answer - A) Remove the
occlusive dressing.
If it becomes necessary to ventilate a patient after covering an open
chest wound, you should remove the occlusive dressing. With the wound
closed, positive pressure ventilation will quickly increase intrathoracic
pressure, resulting in a tension pneumothorax. Ventilating the patient
with greater volume and/or a faster rate would only cause a more rapid
increase in pleural tension and should be avoided. Excessive ventilation
can also reduce venous return to the heart, causing a decrease in
perfusion. Consider requesting a paramedic intercept, as long as it does
not cause a delay in transporting the patient to a trauma center.
Which of the following factors would reduce the blood's natural ability
to clot, thus worsening internal or external bleeding?
A) Tachycardia
B) Hypothermia
C) Hypotension
D) Vasoconstriction - Correct Answer - B) Hypothermia
Hypothermia can cause an abnormality in blood clotting (coagulopathy),
which can impair clotting factors and cause prolonged bleeding. This is
why patients with hemorrhagic shock should be kept warm. Tachycardia,
hypotension, and vasoconstriction do not impair the blood's ability to
clot.
A baseball player was struck in the center of the chest by a line drive and
immediately collapsed. He is unresponsive, apneic, and pulseless. The
EMT should recognize that the MOST likely cause of this patient's
collapse was:
A) rupture of the aorta.
B) myocardial contusion.
,3|Page
C) ventricular fibrillation.
D) shearing of the vena cava. - Correct Answer - C) ventricular
fibrillation.
Commotio cordis is a blunt chest injury caused by a sudden, direct blow
to the chest (over the heart) during a critical phase of the person's
heartbeat. This can cause immediate cardiac arrest from ventricular
fibrillation, which can often be corrected with early defibrillation.
Commotio cordis occurs most commonly during sports-related injuries,
and has been reported after patients were struck with baseballs, softballs,
bats, snowballs, fists, or kicks during kickboxing. The EMT should
suspect commotio cordis if a patient presents with cardiac arrest
following a sudden, direct blow to the chest. Myocardial contusion can
also occur following blunt chest trauma; however, cardiac arrest with
this type of injury is uncommon. Great vessel injury (ie, aortic rupture,
shearing of the vena cavae) occurs more commonly following rapid
deceleration, such as when the chest strikes the steering wheel during a
high speed collision or when the patient falls from a significant height.
Which of the following will provide you with the MOST information
regarding a head-injured patient's condition?
A) Pupil size
B) Heart rate
C) Mental status
D) Blood pressure - Correct Answer - C) Mental status
The patient's mental status provides you with the most information
regarding overall perfusion status, especially when assessing a patient
with a head injury. Frequent neurologic assessments, which includes
assessing the patient's pupils, are critical in determining if the patient's
condition is improving or deteriorating. Vital signs should be monitored
according to the patient's condition, at least every 5 minutes if he or she
is unstable and at least every 15 minutes if he or she is stable.
, 4|Page
A patient has an open chest wound, which has been covered with an
occlusive dressing. He is receiving oxygen at 12 L/min by
nonrebreathing mask. During transport, the patient's heart rate increases,
he becomes pale and diaphoretic, and his oxygen saturation falls. What
should you do?
A) Remove the occlusive dressing.
B) Ventilate with a bag-mask device.
C) Increase the oxygen to 15 L/min.
D) Encourage him to take deep breaths. - Correct Answer - A) Remove
the occlusive dressing.
When placing an occlusive dressing over a sucking chest wound (open
pneumothorax), it is important to remember that you have converted the
injury to a closed pneumothorax. With no way for the air in the pleural
space to escape, and depending on the size of the pneumothorax, the
patient could develop excessive pleural tension that interferes with
circulation (tension pneumothorax). You should suspect that this is what
is happening to the patient in this scenario. Your most immediate action
should be to remove the occlusive dressing and allow air to escape from
the pleural space. Positive pressure ventilation {ie, bag-mask ventilation)
in a patient whose open chest injury has been covered with an occlusive
dressing may rapidly lead to a tension pneumothorax; therefore, if the
patient must be ventilated, the occlusive dressing should be removed.
A patient with a chest injury has a BP of 100/70 mm Hg and a heart rate
of 100 beats/min. Reassessment reveals a BP of 90/74 mm Hg, a pulse
of 120 beats/min, and the development of jugular venous distention.
What should you suspect?
A) Massive hemothorax
B) Simple pneumothorax
C) Pericardia! tamponade
FISDAP TRAUMA EXAM AND PRACTICE EXAM
NEWEST 2026 TEST BANK| EMT FISDAP TRAUMA
EXAM WITH COMPLETE 350 REAL EXAM
QUESTIONS AND CORRECT (DETAILED ANSWERS)
VERIFIED ANSWERS/ GRADED A+ (MOST RECENT!!)
A patient is unresponsive with snoring respirations. His arm is
amputated just above the elbow and is bleeding heavily. The EMT
should:
A) open the patient's airway.
B) apply a proximal tourniquet.
C) administer high-flow oxygen.
D) ventilate with a bag-mask device. - Correct Answer - B) apply a
proximal tourniquet.
Major hemorrhage kills patients faster than a compromised airway, so in
this case, bleeding control has the highest priority. The EMT should
apply a proximal tourniquet and stop the bleeding immediately.
Attention can then turn to the patient's airway and breathing status. As
with any patient, treatment priorities must focus on injuries or conditions
that will be the MOST immediately fatal.
After covering a large open chest wound with an occlusive dressing, it
becomes necessary to ventilate the patient with a bag-mask device. What
should you do?
A) Remove the occlusive dressing.
B) Ventilate with greater volume.
C) Ventilate at 24 breaths/min.
,2|Page
D) Request a paramedic intercept. - Correct Answer - A) Remove the
occlusive dressing.
If it becomes necessary to ventilate a patient after covering an open
chest wound, you should remove the occlusive dressing. With the wound
closed, positive pressure ventilation will quickly increase intrathoracic
pressure, resulting in a tension pneumothorax. Ventilating the patient
with greater volume and/or a faster rate would only cause a more rapid
increase in pleural tension and should be avoided. Excessive ventilation
can also reduce venous return to the heart, causing a decrease in
perfusion. Consider requesting a paramedic intercept, as long as it does
not cause a delay in transporting the patient to a trauma center.
Which of the following factors would reduce the blood's natural ability
to clot, thus worsening internal or external bleeding?
A) Tachycardia
B) Hypothermia
C) Hypotension
D) Vasoconstriction - Correct Answer - B) Hypothermia
Hypothermia can cause an abnormality in blood clotting (coagulopathy),
which can impair clotting factors and cause prolonged bleeding. This is
why patients with hemorrhagic shock should be kept warm. Tachycardia,
hypotension, and vasoconstriction do not impair the blood's ability to
clot.
A baseball player was struck in the center of the chest by a line drive and
immediately collapsed. He is unresponsive, apneic, and pulseless. The
EMT should recognize that the MOST likely cause of this patient's
collapse was:
A) rupture of the aorta.
B) myocardial contusion.
,3|Page
C) ventricular fibrillation.
D) shearing of the vena cava. - Correct Answer - C) ventricular
fibrillation.
Commotio cordis is a blunt chest injury caused by a sudden, direct blow
to the chest (over the heart) during a critical phase of the person's
heartbeat. This can cause immediate cardiac arrest from ventricular
fibrillation, which can often be corrected with early defibrillation.
Commotio cordis occurs most commonly during sports-related injuries,
and has been reported after patients were struck with baseballs, softballs,
bats, snowballs, fists, or kicks during kickboxing. The EMT should
suspect commotio cordis if a patient presents with cardiac arrest
following a sudden, direct blow to the chest. Myocardial contusion can
also occur following blunt chest trauma; however, cardiac arrest with
this type of injury is uncommon. Great vessel injury (ie, aortic rupture,
shearing of the vena cavae) occurs more commonly following rapid
deceleration, such as when the chest strikes the steering wheel during a
high speed collision or when the patient falls from a significant height.
Which of the following will provide you with the MOST information
regarding a head-injured patient's condition?
A) Pupil size
B) Heart rate
C) Mental status
D) Blood pressure - Correct Answer - C) Mental status
The patient's mental status provides you with the most information
regarding overall perfusion status, especially when assessing a patient
with a head injury. Frequent neurologic assessments, which includes
assessing the patient's pupils, are critical in determining if the patient's
condition is improving or deteriorating. Vital signs should be monitored
according to the patient's condition, at least every 5 minutes if he or she
is unstable and at least every 15 minutes if he or she is stable.
, 4|Page
A patient has an open chest wound, which has been covered with an
occlusive dressing. He is receiving oxygen at 12 L/min by
nonrebreathing mask. During transport, the patient's heart rate increases,
he becomes pale and diaphoretic, and his oxygen saturation falls. What
should you do?
A) Remove the occlusive dressing.
B) Ventilate with a bag-mask device.
C) Increase the oxygen to 15 L/min.
D) Encourage him to take deep breaths. - Correct Answer - A) Remove
the occlusive dressing.
When placing an occlusive dressing over a sucking chest wound (open
pneumothorax), it is important to remember that you have converted the
injury to a closed pneumothorax. With no way for the air in the pleural
space to escape, and depending on the size of the pneumothorax, the
patient could develop excessive pleural tension that interferes with
circulation (tension pneumothorax). You should suspect that this is what
is happening to the patient in this scenario. Your most immediate action
should be to remove the occlusive dressing and allow air to escape from
the pleural space. Positive pressure ventilation {ie, bag-mask ventilation)
in a patient whose open chest injury has been covered with an occlusive
dressing may rapidly lead to a tension pneumothorax; therefore, if the
patient must be ventilated, the occlusive dressing should be removed.
A patient with a chest injury has a BP of 100/70 mm Hg and a heart rate
of 100 beats/min. Reassessment reveals a BP of 90/74 mm Hg, a pulse
of 120 beats/min, and the development of jugular venous distention.
What should you suspect?
A) Massive hemothorax
B) Simple pneumothorax
C) Pericardia! tamponade
