EMT FISDAP TRAUMA EXAM LATEST EXAM 2025 | ALL
QUESTIONS AND CORRECT ANSWERS WITH
EXPLANATIONS | ALREADY GRADED A+ | VERIFIED
ANSWERS
Emergency Trauma Care & Assessment | Key Domains: Scene Size-Up & Safety, Primary &
Secondary Trauma Assessment (ITLS/ PHTLS), Management of Specific Injuries (Head, Neck, Chest,
Abdominal, Musculoskeletal), Shock Recognition & Management, Pediatric & Geriatric Trauma
Considerations, Triage (START/JumpSTART), Mechanism of Injury (MOI) Analysis, and
Immobilization & Extrication Techniques | Expert-Aligned Structure | Exam-Ready Format
Introduction
This structured EMT FISDAP Trauma Exam for 2025 provides 120 high-quality exam-style
questions with correct answers and detailed rationales. It emphasizes systematic patient
assessment, critical decision-making based on mechanism of injury and presentation, immediate
life-saving interventions for traumatic injuries, and adherence to national EMS education standards
and trauma protocols.
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the assessment finding, pathophysiological principle, appropriate intervention sequence
(e.g., C-spine, airway, breathing, circulation), and why alternative options deviate from standard
trauma care protocols or represent a lower priority.
Scene Size-Up
1.
Upon arriving at a motor vehicle collision, you see downed power lines near the vehicle. What is
your first action?
,A. Approach the vehicle to assess patients
B. Establish a danger zone and call the electric company
C. Begin extrication immediately
D. Ignore the lines if no sparks are visible
B. Establish a danger zone and call the electric company
Downed power lines pose an electrocution hazard—even if not sparking. The scene is unsafe until
utility confirms lines are de-energized. Never approach within 30–50 feet. Patient care cannot
begin until scene safety is ensured (Step 1 of trauma protocol).
Primary Assessment
2.
During primary assessment of a trauma patient, you find the patient is unresponsive with snoring
respirations. What should you do first?
A. Apply a non-rebreather mask
B. Perform a head-tilt chin-lift
C. Administer high-flow oxygen
D. Check for a carotid pulse
B. Perform a head-tilt chin-lift
Snoring indicates upper airway obstruction by the tongue. The immediate intervention is airway
opening via head-tilt chin-lift (or jaw thrust if spinal injury suspected). Oxygen (A, C) is ineffective
if the airway is blocked. Circulation (D) follows airway and breathing.
C-Spine Immobilization
3.
When should manual in-line stabilization of the cervical spine be initiated?
,A. Only after a spinal injury is confirmed
B. During the primary assessment if MOI suggests potential spinal injury
C. After applying a cervical collar
D. Only in pediatric patients
B. During the primary assessment if MOI suggests potential spinal injury
C-spine stabilization begins during initial contact if mechanism (e.g., MVC, fall >3x height) or
signs/symptoms suggest injury. It is maintained until spinal clearance or full immobilization.
Waiting for confirmation (A) risks secondary injury.
Head Trauma
4.
A patient with a head injury has clear fluid draining from the nose. What does this suggest?
A. Sinus infection
B. Cerebrospinal fluid (CSF) leak
C. Allergic rhinitis
D. Normal post-trauma drainage
B. Cerebrospinal fluid (CSF) leak
Clear, watery fluid from the nose (or ears) after head trauma may be CSF, indicating a basilar
skull fracture. Do not pack the nose; allow drainage to prevent increased intracranial pressure.
CSF may form a "halo" sign on gauze.
Chest Trauma
5.
A patient with a stab wound to the left chest has absent breath sounds on the left and tracheal
deviation to the right. What condition is most likely?
, A. Hemothorax
B. Pneumothorax
C. Tension pneumothorax
D. Flail chest
C. Tension pneumothorax
Tension pneumothorax causes air to accumulate under pressure, collapsing the lung and shifting
the mediastinum (tracheal deviation)—a life-threatening emergency. Immediate needle
decompression is required. Simple pneumothorax (B) does not cause tracheal shift.
Abdominal Trauma
6.
Which sign is most indicative of intra-abdominal bleeding?
A. Abdominal distension
B. Rebound tenderness
C. Hypotension and tachycardia
D. Nausea and vomiting
C. Hypotension and tachycardia
Hypotension and tachycardia are signs of hemorrhagic shock from internal bleeding. Abdominal
signs (A, B, D) may be present but are unreliable; up to 1.5 L of blood can be lost before distension
occurs. Shock is the earliest reliable systemic sign.
Shock Management
7.
What is the primary treatment for hemorrhagic shock in the prehospital setting?
QUESTIONS AND CORRECT ANSWERS WITH
EXPLANATIONS | ALREADY GRADED A+ | VERIFIED
ANSWERS
Emergency Trauma Care & Assessment | Key Domains: Scene Size-Up & Safety, Primary &
Secondary Trauma Assessment (ITLS/ PHTLS), Management of Specific Injuries (Head, Neck, Chest,
Abdominal, Musculoskeletal), Shock Recognition & Management, Pediatric & Geriatric Trauma
Considerations, Triage (START/JumpSTART), Mechanism of Injury (MOI) Analysis, and
Immobilization & Extrication Techniques | Expert-Aligned Structure | Exam-Ready Format
Introduction
This structured EMT FISDAP Trauma Exam for 2025 provides 120 high-quality exam-style
questions with correct answers and detailed rationales. It emphasizes systematic patient
assessment, critical decision-making based on mechanism of injury and presentation, immediate
life-saving interventions for traumatic injuries, and adherence to national EMS education standards
and trauma protocols.
Answer Format
All correct answers must appear in bold and cyan blue, accompanied by concise rationales
explaining the assessment finding, pathophysiological principle, appropriate intervention sequence
(e.g., C-spine, airway, breathing, circulation), and why alternative options deviate from standard
trauma care protocols or represent a lower priority.
Scene Size-Up
1.
Upon arriving at a motor vehicle collision, you see downed power lines near the vehicle. What is
your first action?
,A. Approach the vehicle to assess patients
B. Establish a danger zone and call the electric company
C. Begin extrication immediately
D. Ignore the lines if no sparks are visible
B. Establish a danger zone and call the electric company
Downed power lines pose an electrocution hazard—even if not sparking. The scene is unsafe until
utility confirms lines are de-energized. Never approach within 30–50 feet. Patient care cannot
begin until scene safety is ensured (Step 1 of trauma protocol).
Primary Assessment
2.
During primary assessment of a trauma patient, you find the patient is unresponsive with snoring
respirations. What should you do first?
A. Apply a non-rebreather mask
B. Perform a head-tilt chin-lift
C. Administer high-flow oxygen
D. Check for a carotid pulse
B. Perform a head-tilt chin-lift
Snoring indicates upper airway obstruction by the tongue. The immediate intervention is airway
opening via head-tilt chin-lift (or jaw thrust if spinal injury suspected). Oxygen (A, C) is ineffective
if the airway is blocked. Circulation (D) follows airway and breathing.
C-Spine Immobilization
3.
When should manual in-line stabilization of the cervical spine be initiated?
,A. Only after a spinal injury is confirmed
B. During the primary assessment if MOI suggests potential spinal injury
C. After applying a cervical collar
D. Only in pediatric patients
B. During the primary assessment if MOI suggests potential spinal injury
C-spine stabilization begins during initial contact if mechanism (e.g., MVC, fall >3x height) or
signs/symptoms suggest injury. It is maintained until spinal clearance or full immobilization.
Waiting for confirmation (A) risks secondary injury.
Head Trauma
4.
A patient with a head injury has clear fluid draining from the nose. What does this suggest?
A. Sinus infection
B. Cerebrospinal fluid (CSF) leak
C. Allergic rhinitis
D. Normal post-trauma drainage
B. Cerebrospinal fluid (CSF) leak
Clear, watery fluid from the nose (or ears) after head trauma may be CSF, indicating a basilar
skull fracture. Do not pack the nose; allow drainage to prevent increased intracranial pressure.
CSF may form a "halo" sign on gauze.
Chest Trauma
5.
A patient with a stab wound to the left chest has absent breath sounds on the left and tracheal
deviation to the right. What condition is most likely?
, A. Hemothorax
B. Pneumothorax
C. Tension pneumothorax
D. Flail chest
C. Tension pneumothorax
Tension pneumothorax causes air to accumulate under pressure, collapsing the lung and shifting
the mediastinum (tracheal deviation)—a life-threatening emergency. Immediate needle
decompression is required. Simple pneumothorax (B) does not cause tracheal shift.
Abdominal Trauma
6.
Which sign is most indicative of intra-abdominal bleeding?
A. Abdominal distension
B. Rebound tenderness
C. Hypotension and tachycardia
D. Nausea and vomiting
C. Hypotension and tachycardia
Hypotension and tachycardia are signs of hemorrhagic shock from internal bleeding. Abdominal
signs (A, B, D) may be present but are unreliable; up to 1.5 L of blood can be lost before distension
occurs. Shock is the earliest reliable systemic sign.
Shock Management
7.
What is the primary treatment for hemorrhagic shock in the prehospital setting?
