Trauma - Fisdap
You arrive on the scene of a patient who fell from a ladder. Which of the following information is NOT an
important factor in care of the patient?
a)Height of the ladder
b)Distance the patient fell from
c)Surface the patient landed on
d)What part of the body hit first - (correct Answer) - a)Height of the ladder
You are at the scene of an MVA, in which there are three patients, all of which have minor visible
injuries. Two are refusing treatment and the last is complaining of neck and back pain. How should you
proceed?
a)Treat all three patients, they are visibly injured and need medical attention
b)Obtain signed refusals from the first two patients then proceed to the third
c)Treat the third patient, nothing else is needed for the other two
d)Have your partner obtain refusals from the two patients who refused treatment, while you treat the
last patient. - (correct Answer) - d)Have your partner obtain refusals from the two patients who refused
treatment, while you treat the last patient.
Your patient is a 17 year old male found face down in a swimming pool. He is currently being held face
up at the surface of the water. He is unconscious but breathing and has a pulse. What is the best course
of action for this patient?
a)Jump into the pool and begin CPR
b)Remove the patient from the pool, immobilize, and transport.
c)Apply cervical and spinal immobilization while the patient is still in the pool
d)Wait for a trained water rescue team - (correct Answer) - c)Apply cervical and spinal immobilization
while the patient is still in the pool
A laceration, spurting bright laceration, spurting bright red blood, most likely means what type of injury?
what red blood most likely means
a)Venous
b)Arterial
c)Capillary
d)Amputation - (correct Answer) - b)Arterial
,Your patient has a laceration to the right leg which has intersected the femoral artery. You have applied
direct pressure to the wound, but it continues to soak through the bandages. What should you do next?
a)Apply a tourniquet
b)Elevate the leg
c)Remove the old bandage and apply new ones
d)Apply pressure to point just above the injury - (correct Answer) - b)Elevate the leg
Of the two types of energy, which type of energy transfer in a motor vehicle crash (MVC) with frontal
impact, non-restrained driver with bent steering wheel, and spidered windshield?
a)High velocity penetrating
b)Decelerating
c)Low velocity penetrating
d)Blunt - (correct Answer) - d)Blunt
Any penetrating missile traveling over 2,000 ft/sec would be classified as?
a)Low velocity
b)Medium velocity
c)High velocity
d)Decelerating - (correct Answer) - c)High velocity
When there is penetrating trauma there is a permanent cavity which is formed by the projectile
contacting the tissues. How is a temporary cavity formed?
a)By the twisting of the projectile
b)By energy scrubbing off of the projectile
c)The wadding entering the body
d)Unspent gun powder - (correct Answer) - b)By energy scrubbing off of the projectile
The way a patient is injured is often referred to as the _______________?
a)Mechanism of injury
b)Nature of illness
c)Injury pattern
d)Energy transfer - (correct Answer) - a)Mechanism of injury
,When approaching a scene of trauma incident, what is your first order of business?
a)Airway
b)C-Spine control
c)Body substance Isolation
d)Scene safety - (correct Answer) - d)Scene safety
A large collection of blood under the skin is known as?
a)Contusion
b)Abrasion
c)Hematoma
d)Bruise - (correct Answer) - c)Hematoma
Your trauma patient has her left hand caught between rollers on a conveyor belt. Extrication takes 30
minutes. Evaluation of the injury during extrication showed delayed capillary refill distal to the injury.
Post extrication shows rapid capillary refill distal to the injury deformity mid-palm. There are no obvious
fractures, no lacerations, and minor swelling. Knowing that crush injuries can cause many other
problems, which is NOT considered a crush injury complication?
a)Compression of tissues
b)Fractures
c)No injury at all
d)Compartment syndrome - (correct Answer) - c)No injury at all
Loss of tissue in a traumatic event can be: just soft tissue, a portion of an extremity, or an entire
extremity. If your patient has lost the distal one-third of a lower extremity, what would that injury be
called?
a)Amplitude
b)Avulsion
c)Extremity exodus
d)Amputation - (correct Answer) - d)Amputation
In any traumatic event where there is tissue damage that caused bleeding, the bleeding needs to be
controlled. What are the proper steps to bleeding control?
a)Direct pressure, elevation, tourniquet, digital pressure
b)Direct pressure, digital pressure, elevation, tourniquet
, c)Tourniquet, elevation, pressure dressing, direct pressure
d)Direct pressure, pressure dressing, tourniquet - (correct Answer) - b)Direct pressure, digital pressure,
elevation, tourniquet
Your 16 year old trauma patient has what appears to be a mid-shaft femur fracture. You notice that there
is a laceration directly over the suspected fracture. Bleeding is controlled. What type of fracture would
this be?
a)Greenstick
b)Comminuted
c)Closed
d)Open - (correct Answer) - d)Open
En route to the hospital, you intubate the patient. During your assessment of tube placement, you hear
wheezing in the upper lung fields. What is most likely causing this wheezing?
a)Inhalation injury to the upper airway
b)Inhalation induced cardiac wheezing
c)Inhalation induced asthma attack
d)Inhalation injury to the lower airway - (correct Answer) - d)Inhalation injury to the lower airway
Following the immobilization of an extremity fracture to the lower right arm, the paramedic should
perform what step last?
a)Ensuring the splint is applied tightly.
b)Placing the hand in the position of function.
c)Assessing presence of distal motor, sensory, and perfusion.
d)Placing the immobilized extremity below the level of the heart - (correct Answer) - c)Assessing
presence of distal motor, sensory, and perfusion.
You are treating a 24-year-old female with a gunshot wound to the right side of the back. No exit wound
is visible. She is awake but confused. Her skin is pale and diaphoretic with cyanosis noted to the oral
mucosa. Breath sounds are clear and equal bilaterally. Jugular vein distention is present. Blood pressure
is 90/78 mmHg, heart rate is 124 beats per minute, and respiratory rate is 28 per minute and labored.
Sinus tachycardia is seen on the cardiac monitor. What condition do you think is most likely present with
this patient?
a)Hemothorax
b)Tension pneumothorax
c)Pericardial tamponade
You arrive on the scene of a patient who fell from a ladder. Which of the following information is NOT an
important factor in care of the patient?
a)Height of the ladder
b)Distance the patient fell from
c)Surface the patient landed on
d)What part of the body hit first - (correct Answer) - a)Height of the ladder
You are at the scene of an MVA, in which there are three patients, all of which have minor visible
injuries. Two are refusing treatment and the last is complaining of neck and back pain. How should you
proceed?
a)Treat all three patients, they are visibly injured and need medical attention
b)Obtain signed refusals from the first two patients then proceed to the third
c)Treat the third patient, nothing else is needed for the other two
d)Have your partner obtain refusals from the two patients who refused treatment, while you treat the
last patient. - (correct Answer) - d)Have your partner obtain refusals from the two patients who refused
treatment, while you treat the last patient.
Your patient is a 17 year old male found face down in a swimming pool. He is currently being held face
up at the surface of the water. He is unconscious but breathing and has a pulse. What is the best course
of action for this patient?
a)Jump into the pool and begin CPR
b)Remove the patient from the pool, immobilize, and transport.
c)Apply cervical and spinal immobilization while the patient is still in the pool
d)Wait for a trained water rescue team - (correct Answer) - c)Apply cervical and spinal immobilization
while the patient is still in the pool
A laceration, spurting bright laceration, spurting bright red blood, most likely means what type of injury?
what red blood most likely means
a)Venous
b)Arterial
c)Capillary
d)Amputation - (correct Answer) - b)Arterial
,Your patient has a laceration to the right leg which has intersected the femoral artery. You have applied
direct pressure to the wound, but it continues to soak through the bandages. What should you do next?
a)Apply a tourniquet
b)Elevate the leg
c)Remove the old bandage and apply new ones
d)Apply pressure to point just above the injury - (correct Answer) - b)Elevate the leg
Of the two types of energy, which type of energy transfer in a motor vehicle crash (MVC) with frontal
impact, non-restrained driver with bent steering wheel, and spidered windshield?
a)High velocity penetrating
b)Decelerating
c)Low velocity penetrating
d)Blunt - (correct Answer) - d)Blunt
Any penetrating missile traveling over 2,000 ft/sec would be classified as?
a)Low velocity
b)Medium velocity
c)High velocity
d)Decelerating - (correct Answer) - c)High velocity
When there is penetrating trauma there is a permanent cavity which is formed by the projectile
contacting the tissues. How is a temporary cavity formed?
a)By the twisting of the projectile
b)By energy scrubbing off of the projectile
c)The wadding entering the body
d)Unspent gun powder - (correct Answer) - b)By energy scrubbing off of the projectile
The way a patient is injured is often referred to as the _______________?
a)Mechanism of injury
b)Nature of illness
c)Injury pattern
d)Energy transfer - (correct Answer) - a)Mechanism of injury
,When approaching a scene of trauma incident, what is your first order of business?
a)Airway
b)C-Spine control
c)Body substance Isolation
d)Scene safety - (correct Answer) - d)Scene safety
A large collection of blood under the skin is known as?
a)Contusion
b)Abrasion
c)Hematoma
d)Bruise - (correct Answer) - c)Hematoma
Your trauma patient has her left hand caught between rollers on a conveyor belt. Extrication takes 30
minutes. Evaluation of the injury during extrication showed delayed capillary refill distal to the injury.
Post extrication shows rapid capillary refill distal to the injury deformity mid-palm. There are no obvious
fractures, no lacerations, and minor swelling. Knowing that crush injuries can cause many other
problems, which is NOT considered a crush injury complication?
a)Compression of tissues
b)Fractures
c)No injury at all
d)Compartment syndrome - (correct Answer) - c)No injury at all
Loss of tissue in a traumatic event can be: just soft tissue, a portion of an extremity, or an entire
extremity. If your patient has lost the distal one-third of a lower extremity, what would that injury be
called?
a)Amplitude
b)Avulsion
c)Extremity exodus
d)Amputation - (correct Answer) - d)Amputation
In any traumatic event where there is tissue damage that caused bleeding, the bleeding needs to be
controlled. What are the proper steps to bleeding control?
a)Direct pressure, elevation, tourniquet, digital pressure
b)Direct pressure, digital pressure, elevation, tourniquet
, c)Tourniquet, elevation, pressure dressing, direct pressure
d)Direct pressure, pressure dressing, tourniquet - (correct Answer) - b)Direct pressure, digital pressure,
elevation, tourniquet
Your 16 year old trauma patient has what appears to be a mid-shaft femur fracture. You notice that there
is a laceration directly over the suspected fracture. Bleeding is controlled. What type of fracture would
this be?
a)Greenstick
b)Comminuted
c)Closed
d)Open - (correct Answer) - d)Open
En route to the hospital, you intubate the patient. During your assessment of tube placement, you hear
wheezing in the upper lung fields. What is most likely causing this wheezing?
a)Inhalation injury to the upper airway
b)Inhalation induced cardiac wheezing
c)Inhalation induced asthma attack
d)Inhalation injury to the lower airway - (correct Answer) - d)Inhalation injury to the lower airway
Following the immobilization of an extremity fracture to the lower right arm, the paramedic should
perform what step last?
a)Ensuring the splint is applied tightly.
b)Placing the hand in the position of function.
c)Assessing presence of distal motor, sensory, and perfusion.
d)Placing the immobilized extremity below the level of the heart - (correct Answer) - c)Assessing
presence of distal motor, sensory, and perfusion.
You are treating a 24-year-old female with a gunshot wound to the right side of the back. No exit wound
is visible. She is awake but confused. Her skin is pale and diaphoretic with cyanosis noted to the oral
mucosa. Breath sounds are clear and equal bilaterally. Jugular vein distention is present. Blood pressure
is 90/78 mmHg, heart rate is 124 beats per minute, and respiratory rate is 28 per minute and labored.
Sinus tachycardia is seen on the cardiac monitor. What condition do you think is most likely present with
this patient?
a)Hemothorax
b)Tension pneumothorax
c)Pericardial tamponade
