Trauma Fisdap with Questions &
Answers
1) 53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability.
Diminished lung sounds on L side. You should?
o *Perform detailed physical assessment/stabilize left femur with traction
splint/immobilize long backboard/transport to nearest emergency room
2) 28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to
verbal. R 38 and shallow with paradoxical movement. What should you do?
o ALS back up/02 non rebreather/stabilize chest with bulky dressing/02 with
positive pressure ventilations
3) What is the most likely cause of periorbital ecchymosis?
o Basicular skull fracture/ blow out fracture/ subdermal hematoma/ epidural
hematoma
4) 30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You
should?
o Tourniquet/ continue pressure and transport rapidly/ elevate leg and place
pressure dressing/ check for PMS
5) 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet.
Supine with copious amount of blood around face. Gurgling and R 4 per min. Most
appropriate?
o Jaw thrust without head tilt/ head tilt and jaw thrust/ chin lift without head tilt/
head lift with chin lift
6) M fell while water skiing. Unconscious. Suspect?
o Head and spine injury/ hypothermia/anaphylaxis/heat related injury
7) Appropriate care for amputated extremity?
o Wrap in dry gauze, seal in plastic bag, and place in cool water/ice cooler and
immediate trans/moist gauze keep cool with cold packs/immerse in cool
water for improved tissue preservation
8) 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet.
Supine with copious amount of blood around face. Gurgling and R 4 per min. Most
appropriate?
o Suction airway/ BVM/ C-collar/ control bleeding
9) 18 yo M holding right shin after sports related injury. Deformity and swelling; pedal
pulse present. You should?
o Apply board splint in position found/ stabilize limb at hip and ankle/ traction,
realign limb/ ice pack and elevate limb
10) Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has
difficulty breathing. BP 80/40, P 120, R 28 and shallow. 90% SPO2. You should?
o BVM/ nonrebreather/ NPA/ long backboard
11) 81 yo F healthcare facility fell out of bed. Nurse suspects hip fracture. Which
medication should concern you the most?
o Coumadin/ albuterol/ nitro/ insulin
12) You are treating a patient with agonal respirations and gunshot wound to the chest.
You notice an open skull fracture leaking brain matter. There is no radial pulse, you
,should?
o Discontinue treatment and protect crime scene/ collect the brain matter and
transport rapidly/ assess a carotid pulse and assist ventilations / begin CPR and
place airway adjunct
, 13) A 45 year old male fell asleep outside while doing yard work. His face and lower legs
are bright red with small blisters and painful on examination. You should suspect?
o Both superficial and partial thickness burns/ allergic reaction due to insect bite/
both partial and full thickness burns/ alcohol intoxication lead to prolonged
exposure
14) A 35 year old patient has fallen and has a deformed right lower leg. The distal
extremity is pulseless and the skin is cool and cyanotic. You should?
o Realign the injured extremity/ apply a traction splint/ apply an elastic
bandage/ splint the extremity as it is
15) You arrive on scene of a car crash. The driver is alert and complaining of severe chest
and abdominal pain. His radial is weak and rapid. skin is cool, pale and moist. The
patient has a history of cardiac problems. You should?
o Remove pt from vehicle and place in shock position/ assist the pt in self
admin their nitro/ check lung sounds and BP/ rapidly extricate onto a long
spinal board and transport
16) 47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P
76, R 24. You should suspect?
o Spinal cord injury/
17) Injury that is most likely to require routine assessment and transport?
o Deformed Wrist injury
18) After securing pt on longboard, you should immediately assess:
o PMS
19) 23 year old soccer player was kicked in the chest. He is alert with rapid, shallow R and
complains of chest pain. Pale, cool and wet. You should?
o Rapid trauma assessment/ NPA/ non rebreather/ palpate chest for tenderness
20) 25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2cm
laceration to L chest wall. Lung sounds diminished on L side. You should?
o Apply occlusive dressing
21) Early signs of decompensated shock?
o Low blood pressure
22) Pt stabbed in RUQ. What organ is injured?
o Liver
23) Pt with chemical burn on eye and is wearing contact lenses. You should?
o Remove contact lenses and administer irrigation solutions/ remove contact
lenses and apply cool saline soaked gauze to eye/ leave contact lenses in and
apply saline soaked gauze to eye/ leave contact lenses in and administer
irrigation solution
24) A baseball player was hit by a baseball in the left eye and complains for double vision.
What should you do?
o *Perform detailed exam/ c spine
25) First concern with conscious pt who received partial thick burns to the face is treating?
o Airway problems/
26) 22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing
helmet. You should?
Answers
1) 53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability.
Diminished lung sounds on L side. You should?
o *Perform detailed physical assessment/stabilize left femur with traction
splint/immobilize long backboard/transport to nearest emergency room
2) 28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to
verbal. R 38 and shallow with paradoxical movement. What should you do?
o ALS back up/02 non rebreather/stabilize chest with bulky dressing/02 with
positive pressure ventilations
3) What is the most likely cause of periorbital ecchymosis?
o Basicular skull fracture/ blow out fracture/ subdermal hematoma/ epidural
hematoma
4) 30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You
should?
o Tourniquet/ continue pressure and transport rapidly/ elevate leg and place
pressure dressing/ check for PMS
5) 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet.
Supine with copious amount of blood around face. Gurgling and R 4 per min. Most
appropriate?
o Jaw thrust without head tilt/ head tilt and jaw thrust/ chin lift without head tilt/
head lift with chin lift
6) M fell while water skiing. Unconscious. Suspect?
o Head and spine injury/ hypothermia/anaphylaxis/heat related injury
7) Appropriate care for amputated extremity?
o Wrap in dry gauze, seal in plastic bag, and place in cool water/ice cooler and
immediate trans/moist gauze keep cool with cold packs/immerse in cool
water for improved tissue preservation
8) 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet.
Supine with copious amount of blood around face. Gurgling and R 4 per min. Most
appropriate?
o Suction airway/ BVM/ C-collar/ control bleeding
9) 18 yo M holding right shin after sports related injury. Deformity and swelling; pedal
pulse present. You should?
o Apply board splint in position found/ stabilize limb at hip and ankle/ traction,
realign limb/ ice pack and elevate limb
10) Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has
difficulty breathing. BP 80/40, P 120, R 28 and shallow. 90% SPO2. You should?
o BVM/ nonrebreather/ NPA/ long backboard
11) 81 yo F healthcare facility fell out of bed. Nurse suspects hip fracture. Which
medication should concern you the most?
o Coumadin/ albuterol/ nitro/ insulin
12) You are treating a patient with agonal respirations and gunshot wound to the chest.
You notice an open skull fracture leaking brain matter. There is no radial pulse, you
,should?
o Discontinue treatment and protect crime scene/ collect the brain matter and
transport rapidly/ assess a carotid pulse and assist ventilations / begin CPR and
place airway adjunct
, 13) A 45 year old male fell asleep outside while doing yard work. His face and lower legs
are bright red with small blisters and painful on examination. You should suspect?
o Both superficial and partial thickness burns/ allergic reaction due to insect bite/
both partial and full thickness burns/ alcohol intoxication lead to prolonged
exposure
14) A 35 year old patient has fallen and has a deformed right lower leg. The distal
extremity is pulseless and the skin is cool and cyanotic. You should?
o Realign the injured extremity/ apply a traction splint/ apply an elastic
bandage/ splint the extremity as it is
15) You arrive on scene of a car crash. The driver is alert and complaining of severe chest
and abdominal pain. His radial is weak and rapid. skin is cool, pale and moist. The
patient has a history of cardiac problems. You should?
o Remove pt from vehicle and place in shock position/ assist the pt in self
admin their nitro/ check lung sounds and BP/ rapidly extricate onto a long
spinal board and transport
16) 47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P
76, R 24. You should suspect?
o Spinal cord injury/
17) Injury that is most likely to require routine assessment and transport?
o Deformed Wrist injury
18) After securing pt on longboard, you should immediately assess:
o PMS
19) 23 year old soccer player was kicked in the chest. He is alert with rapid, shallow R and
complains of chest pain. Pale, cool and wet. You should?
o Rapid trauma assessment/ NPA/ non rebreather/ palpate chest for tenderness
20) 25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2cm
laceration to L chest wall. Lung sounds diminished on L side. You should?
o Apply occlusive dressing
21) Early signs of decompensated shock?
o Low blood pressure
22) Pt stabbed in RUQ. What organ is injured?
o Liver
23) Pt with chemical burn on eye and is wearing contact lenses. You should?
o Remove contact lenses and administer irrigation solutions/ remove contact
lenses and apply cool saline soaked gauze to eye/ leave contact lenses in and
apply saline soaked gauze to eye/ leave contact lenses in and administer
irrigation solution
24) A baseball player was hit by a baseball in the left eye and complains for double vision.
What should you do?
o *Perform detailed exam/ c spine
25) First concern with conscious pt who received partial thick burns to the face is treating?
o Airway problems/
26) 22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing
helmet. You should?
