FISDAP Paramedic Trauma Exam Questions with 100% Correct
Answers | Verified | Latest Update 2025
Injuries to Solid Organs - ANSWER-Liver, spleen, kidneys, and
pancreas. The organ will release blood into the abdominal cavity
after sustaining trauma. Causes hypotension and tachycardia.
Spleen Injuries - ANSWER-Most common complaint is left shoulder
pain, when the spleen has ruptured. This is known as Kehr Sign.
Femur Fractures - ANSWER-Shortening is a common sign of a
femur fracture. You would use a traction splint, if time allows.
Femur fractures can lead to hypovolemia if the femoral artery was
ruptured.
Deformities in Fractures - ANSWER-Obvious deformities can be
seen in different types of fractures. The limb may be found in a
unnatural position.
,Splinting - ANSWER-When splinting an extremity, if it is a FRACTURE,
you must immobilize the two adjacent joints to the fracture. For
dislocations, you must immobilize the bone above and below the
joint.
How to Treat Heat Exhaustion - ANSWER-Move the Pt to a cooler
area. Remove excess clothing. Sponge, spray, or drip tepid water
on the Pt. If anuses and vomiting are present, start a saline line.
May want to consider an anti nausea medication (zofran). Pt will
still be alert and oriented.
Heatstroke - ANSWER-Involves elevated temp above *104. and AMS.
One of the earliest signs in changes in behavior (irritable,
combative, etc). Pt may have a seizure. Pt will be tachycardia,
hyperventilating. Manage the ABC's. Move the Pt to a cool
environment. Cooling efforts should continue until temp reaches
below *102. Cool as rapidly as possible. Consider ice water
immersion, placed ice packs in groin, armpits, etc. Start a line and
administer saline. Monitor cardiac rhythm.
,Frostbite/Frostnip - ANSWER-Get the Pt out of the cold. Do not rub
or massage the area. Administer pain medication. Cover blisters
with dry, sterile dressing. *Do not attempt rewarming in the field if
there is any possibility of refreezing or if the Pt must walk on the
frostbitten foot. Frotstbitten parts are usually hard and waxy.
Gangrene can occur if the area was frozen.
Treating a Pt with Hypothermia - ANSWER-Strip all the wet or cold
clothes, and move Pt to a warm place. Begin to rewarm the Pt, with
blankets (mild hypothermia less than 95 degrees), heat packs if
necessary (moderate hypothermia 87 degrees to 93 degrees), and
lastly warm IV fluids for severe hypothermia.
Basilar Skull Fracture - ANSWER-Periorbital ecchymosis (racoon
eyes), battle sign (ecchymosis behind the ears).
Cushing Reflex/Response/Syndrome - ANSWER-Due to ICP. Signs
are- increased BP, decreased HR & irregular respirations (Biots
breathing!).
, 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.
Answers | Verified | Latest Update 2025
Injuries to Solid Organs - ANSWER-Liver, spleen, kidneys, and
pancreas. The organ will release blood into the abdominal cavity
after sustaining trauma. Causes hypotension and tachycardia.
Spleen Injuries - ANSWER-Most common complaint is left shoulder
pain, when the spleen has ruptured. This is known as Kehr Sign.
Femur Fractures - ANSWER-Shortening is a common sign of a
femur fracture. You would use a traction splint, if time allows.
Femur fractures can lead to hypovolemia if the femoral artery was
ruptured.
Deformities in Fractures - ANSWER-Obvious deformities can be
seen in different types of fractures. The limb may be found in a
unnatural position.
,Splinting - ANSWER-When splinting an extremity, if it is a FRACTURE,
you must immobilize the two adjacent joints to the fracture. For
dislocations, you must immobilize the bone above and below the
joint.
How to Treat Heat Exhaustion - ANSWER-Move the Pt to a cooler
area. Remove excess clothing. Sponge, spray, or drip tepid water
on the Pt. If anuses and vomiting are present, start a saline line.
May want to consider an anti nausea medication (zofran). Pt will
still be alert and oriented.
Heatstroke - ANSWER-Involves elevated temp above *104. and AMS.
One of the earliest signs in changes in behavior (irritable,
combative, etc). Pt may have a seizure. Pt will be tachycardia,
hyperventilating. Manage the ABC's. Move the Pt to a cool
environment. Cooling efforts should continue until temp reaches
below *102. Cool as rapidly as possible. Consider ice water
immersion, placed ice packs in groin, armpits, etc. Start a line and
administer saline. Monitor cardiac rhythm.
,Frostbite/Frostnip - ANSWER-Get the Pt out of the cold. Do not rub
or massage the area. Administer pain medication. Cover blisters
with dry, sterile dressing. *Do not attempt rewarming in the field if
there is any possibility of refreezing or if the Pt must walk on the
frostbitten foot. Frotstbitten parts are usually hard and waxy.
Gangrene can occur if the area was frozen.
Treating a Pt with Hypothermia - ANSWER-Strip all the wet or cold
clothes, and move Pt to a warm place. Begin to rewarm the Pt, with
blankets (mild hypothermia less than 95 degrees), heat packs if
necessary (moderate hypothermia 87 degrees to 93 degrees), and
lastly warm IV fluids for severe hypothermia.
Basilar Skull Fracture - ANSWER-Periorbital ecchymosis (racoon
eyes), battle sign (ecchymosis behind the ears).
Cushing Reflex/Response/Syndrome - ANSWER-Due to ICP. Signs
are- increased BP, decreased HR & irregular respirations (Biots
breathing!).
, 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.
