FISDAP FINAL, EMT Final Practice Fisdap, emt readiness exam 2
A 56 yr old male complains of tearing chest pain that radiates to his back. He was the restrained
driver involved in a car-crash at high-way speeds. What should your secondary assessment
include? - correct answer Bilateral upper extermity blood pressures
A 34 yr old male has a fractured left elbow and his arm is cyanotic and pulse less. What should
you do. - correct answer Align with gentle traction until restiance is met.
A 23 yr old male was stabbed in the lower left quadrant. He was minor bleeding from the
wound. What should you do. - correct answer Apply an occlusive dressing
Which injury is most likely to develop compartment syndrome. - correct answer Closed tibia
fracture.
A 21 yr old female has an open femur fracture after falling off a horse. What should you do. -
correct answer Apply manual stabilization to her femur.
An altered 19 yr old male was musty extricated from a burning building by the fire department.
He has soot around his mouth and nose. What should you do? - correct answer Remove and
smoldering clothing
A 41 yr old male was kicked in the chest by a horse. He is short of breath and he has a contusion
to his sternum. Vital signs are BP 96/78, P 124, R 24 and shallow. What should you suspect. -
correct answer Cardiac tamponade
A 21 yr old male is semi conscious and lying kiddywampus at the bottom of 2 flights of stairs.
What should you do? - correct answer Manually stabilize c-spine
Which injury or condition should be managed first in a patient with multi-system trauma? -
correct answer Bleeding within the oral cavity
A 22 yr old male has a knife impaled in the upper right quadrant of his abdomen. He complains
of the painful when he inhales and shortness of breathing. What should you suspect. - correct
answer Diaphragmatic tear
A 21 year old male has a large piece of glass impaled in his eye. What should you do? - correct
answer Stabilize the glass with a paper cup
What is the the term for the injury in which the epidermis remains intact, but cells and blood
vessels in the dermis may be damaged. - correct answer contusion, bruise
An unresponsive 49 yer old male is supine on the road next to a crashed motorcycle. What
should you do? - correct answer Hold c-spine
,Wha type of injury results from prolonged compression forces applied to soft tissue? - correct
answer Crush injury
A 20 yr old male was the unrestrained driver in a car crash. He is anxious, pale and has absent
lung sounds on the left side. Vitals signs are BP 80/48, P 132, R 31 and shallow. What should
you suspect. - correct answer Tension pneumothorax
What is most life threatening for an adult patient? - correct answer Bubbling wound to the
chest
What is the best care for a suspected hemothorax? - correct answer transporting rapidly
A 46 yr old female was in a car crash at highway speeds. She is unconscious, breathing deep and
fast with an abrasion to the lateral aspect of her neck. What should you do? - correct answer
Take c-spine precautions
A 23 yr old male was stabbed in the shoulder and blood is spurting from the wound. What
should do you? - correct answer Apply direct pressure
A 25 yr old male has a deep laceration on his right forearm. You are applying direct pressure
with a trauma dressing, but the wound continues to bleed. What should you do? - correct
answer Apply a tourniquet proximal the laceration.
A patient fell while water skiing. Unconscious. Suspect? - correct answer Head and spine injury
A patient riding a 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 should?
- correct answer Suction airway
A patient at a healthcare facility fell out of bed. Nurse suspects hip fracture. Which medication
should concern you the most? - correct answer Coumadin (which is a blood thinner
- correct answer assess a carotid pulse and assist ventilations
Pt stabbed in RUQ. What organ could be injured? - correct answer Liver
A patient has fallen and has a deformed right lower leg. The extremity is pulseless and the skin
is cool and cyanotic. You should? - correct 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? - correct answer Rapidly extricate onto a long spinal
board and transport
A patient shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You
should suspect? - correct answer Spinal cord injury
,A patient is in distress after being stabbed in the chest. Blood is bubbling from a laceration to L
chest wall. Lung sounds diminished on L side. You should? - correct answer Apply occlusive
dressing
What is an early sign of decompensated shock? - correct answer Cold and clammy extremities;
a feeble or absent peripheral pulse; server tachycardia.
A patient with chemical burn on eye and is wearing contact lenses. You should? - correct
answer Remove the contact lenses
A patient had an accident on moped. She is lying on ground, breathing well. Still wearing
helmet. You should? - correct answer Leave helmet is place where she is stable
A patient who was fleeing from police and sustained a laceration shallow on forearm while
climbing a rusted chain link fence. Refusing transport. What should you be concerned with? -
correct answer Infection
A patient who was fleeing from police and sustained a laceration shallow on forearm while
climbing a rusted chain link fence. Refusing transport. What should you be concerned with? -
correct answer Basilar skull fracture
Most important factor with person struck in chest with baseball? - correct answer Speed of the
ball
A patient has metal impaled in lower right leg. Obvious open fracture and no pulse in R foot,
what should you do? - correct answer Stabilize the object before transporting
A patient has received burns to feet while stomping fire. He is still wearing the shoes. The
rubber soles and laces melted together. What do you do? - correct answer Cut shoelace and
remove shoes
A MAN HAS A KNIFE IMPALED AT THE FOURTH INTERCOSTAL SPACE, LEFT STERNAL BORDER. HE
IS PULSELESS AND NOT BREATHING. YOU SHOULD: - correct answer Remove the knife from the
chest
AN ADULT WAS PINNED BETWEEN TWO VEHICLES. HE IS CONSCIOUS BUT CONFUSED AND
UNABLE TO FOLLOW COMMANDS. HE HAS BRUISING ON BOTH SIDES OF HIS ANTERIOR CHEST.
HE HAS A WEAK CAROTID PULSE, NO PERIPHERAL PULSES, CLEAR BREATH SOUNDS IN ALL
FIELDS, AND DISTENDED NECK VEINS. YOU SHOULD SUSPECT: - correct answer Pericardial
tamponade
A PATIENT RECEIVED A SEVERE STEAM BURN TO HIS HAND AND WRIST. YOU SHOULD: - correct
answer Apply a dry sterile dressing.
PROPER MANAGEMENT FOR AN AVULSION OF THE EAR INCLUDES: - correct answer PACKING
THE WOUND WITH DRESSING
, A PATIENT HAS A STAB WOUND TO THE UPPER LEFT QUADRANT. WHICH ORGAN WOULD MOST
LIKELY BE INJURED? - correct answer pancreas
A 47 YEAR OLD MALE WAS SHOT IN THE BACK. HE IS COOL AND CLAMMY AND HAS ARM
WEAKNESS. VITAL SIGNS ARE BP 130/90, P 76, R 24. YOU SHOULD SUSPECT: - correct answer
spinal cord injury
A 32 YEAR OLD MALE SUSTAINED FACIAL TRAUMA AFTER FALLING FROM A ROOF. HE HAS
SNORING RESPIRATION. WHAT SHOULD YOU DO? - correct answer Perform a modified jaw-
thrust
A 50 YEAR OLD MALE HAS AN OBVIOUSLY DEFORMED RIGHT LOWER LEG AFTER FALLING OFF A
ROOF. AS YOU APPROACH YOU NOTICE A TEAR IN THE SKIN OVER THE DEFORMITY. WHAT
SHOULD YOU DO? - correct answer Realign and splint the leg
A 53 YEAR OLD FEMALE WAS HIT BY A CAR. SHE IS UNRESPONSIVE WITH DEFORMITY TO THE
LEFT FEMUR AND PELVIC INSTABILITY WITH DEFORMITY TO THE LEFT FEMUR AND PELVIC
INSTABILITY. SHE HAS DIMINISHED LUNG SOUNDS ON THE LEFT SIDE. YOU SHOULD: - correct
answer RAPIDLY TRANSPORT TO THE NEAREST EMERGENCY ROOM
WHICH OF THE FOLLOWING TRAUMA PATIENT IS SUFFERING FROM THE MOST SEVERE BRAIN
INJURY? - correct answer A semi-conscious 34 year old with decerebrate posturing
A SNOWMOBILE RIDER WAS THROWN 15 FEET FROM HIS VEHICLE. FINGER IS DEFORMED AND
HIS STERNUM IS TENDER TO PALPATION. HE SAYS, "I THINK I"LL BE OKAY", AND REFUSES
TRANSPORT. WHAT SHOULD YOU DO? - correct answer Ask him if you can perform a detail
assessment
A PATIENT HAS A 4 INCH STICK LODGED IN HER EYE. YOU SHOULD: - correct answer Stabilize
the stick with gauze, place a paper cup over the affected eye, and dress the unaffected eye.
A 32 YEAR OLD MALE IS UNCONSCIOUS AFTER BEING STRUCK IN THE HEAD BY A BASEBALL BAT.
HIS PULSE AND BREATHING ARE SLOW AND YOU SEE MINOR BLEEDING FROM A LACERATION
AT HIS LEFT TEMPLE. YOUR PARTNER IS MAINTAINING MANUAL C-SPINE STABILIZATION. YOU
SHOULD: - correct answer Measure and apply a rigid c-collar
A FOUR YEAR OLD MALE HAS SUFFERED AN ARM AMPUTATION DURING A FARMING ACCIDENT.
HOW SHOULD YOU MANAGE THE AMPUTATION LIMB? - correct answer SEAL IN A PLASTIC BAG
AND PLACE IN A CONTAINER OF COOL WATER
A PATIENT HAS DIMINISHED BREATH SOUNDS ON ONE SIDE. CHEST RISE IS UNEQUAL. YOU
SHOULD SUSPECT: - correct answer pneumothorax
A 16 YEAR OLD MALE COMPLAINS OF EXTREME PAIN TO HIS CHEST. YOU NOTE HIS SHIRT IS
SPLASHED WITH BATTERY ACID. VITALS ARE BP 150/100, P 100, R 24. YOU SHOULD: - correct
answer Remove his shirt and flush skin with water