TRAUMA FISDAP - QUESTIONS AND ANSWERS 2024 LATEST EXAM

3 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished lung sounds on L side. You should? - ANSWER Immobilize long backboard 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? - ANSWER 02 with positive pressure ventilations What is the most likely cause of periorbital echymosis? - ANSWER Basilar skull fracture 30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should? - ANSWER Tourniqet 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. ANOTHER most appropriate action? - ANSWER Jaw thrust without head tilt M fell while water skiing. Unconsciouse. Suspect? - ANSWER Head and spine injury Appropriate care for amputated extremity? - ANSWER Wrap in dry gauze, seal in plastic bag, and place in cool water 28 yo pt driving 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? - ANSWER Control bleeding 18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present. You should? - ANSWER Apply board splint in position found 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% SP02. You should? - ANSWER BVM 81 yo F helthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should concern you the most? - ANSWER Coumadin 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? - ANSWER Asses a carotid pulse and assist ventilations a 45 year old male fell asleep outisde while doing yard work. His face and lower legs are bright red with blisters and painful on examination. You should suspect - ANSWER Both superficial and partial thickness burns a 35 year old patient has fallen and has a deformed right lower leg. The distal extremity is pulsless and the skin is cool and cyanotic. You should - ANSWER Realign the injured extremity 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? - ANSWER Rapidly extricate onto a long spinal board and transport 47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You should suspect - ANSWER Spinal cord injury Injury that is most likely to require routine assessment and transport - ANSWER Deformed Wrist Injury After securing pt on long board, you should immediately assess - ANSWER PMS 23 yo 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? - ANSWER Non Rebreather 25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2 cm laceration to L chest wall. Lung sounds diminished on L side. You should? - ANSWER Apply occlusive dressing Early signs of decompensated shock? - ANSWER Low blood pressure Pt stabbed in RUQ. What organ is injured? - ANSWER Liver Pt with chemical burn on eye and is wearing contact lenses. You should? - ANSWER Remove contact lenses and administer irrigation solutions A baseball player was hit by a baseball in the left eye and complains for double vision. What should you do? - ANSWER Restrict spinal movement First concern with conscious pt who received partial thick burns to the face is treating? - ANSWER airway problems 22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing helmet. You should? - ANSWER Leave helmet in place while she is stabilized 32 yo M is unconscious after being struck in the head by a baseball bat. Has pulse but breathing is slow. Minor bleeding from a laceration at the left temple. Partner is