Paramedic Trauma FISDAP Exam
Certified Questions and Correct answers
1. 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.
2. 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.
3. 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.
4. 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.
5. Phases of Deceleration
Answer> 1) Deceleration of the vehicle, occurs when the vehicle strikes another
object & comes to a stop. 2) Deceleration of occupant, which starts during sudden
braking & continues through the whole crash. 3) Deceleration of internal organs, that
consist of internal organs that continue forward momentum until they're stopped by
anatomical restraints. 4) Secondary collisions, which occur when a vehicle occupant is
hit by objects moving within the vehicle (loose objects).
5) Additional impacts, that the vehicle may receive when it is hit by a second vehicle or
is deflected into another.
6. Velocity
Answer> "Speed kills"- causes more damage than mass.
7. Seat Belt Use
Answer> All arguments against seat belt use are unfounded.
8. Airbag Injuries
,Answer> Common injuries include abrasions to the face, chest and arms. Minor
corrosive effects can occur because of the cornstarch on the airbag, and it may irritate
the skin.
9. Down and Under Pathway
Answer> Occupant slides under the steering wheel or the dash. The knees hit the
dashboard, and transmit energy up the leg, to the fe- mur/pelvis. If the feet are
locked in place, it can cause femur fractures.
10. Up and Over Pathway
Answer> Chest hits the steering wheel, head hits the windshield and anterior portion
of the throat hits the top of the steering wheel. Can cause significant head and neck
injuries.
11. Head on Impact in Motorcycle Crashes
Answer> Head on impact- motorcycle strikes another object and stops its forward
motion, while the rider continues forward motion until stopped by outside force.This
causes the rider to go over the handlebars, which causes femur fractures, and tib
fractures.
12. Angular Impact in Motorcycle Crashes
, Answer> The motorcycle strikes an object, or another vehicle at an angel so that the
rider sustains direct crushing injuries to the lower extremity between the object and
motorcycle.
13. Motorcycle Crashes
Answer> With any motorcycle crash, the helmet should be re- moved carefully if
airway management techniques cannot be performed with the helmet in place or
the helmet doesn't fit properly on the riders head.
14. Pedestrian Injuries
Answer> Most pedestrian injuries occur at an intersection, at night. First, the
pedestrian is hit in the lower extremities with the cars bumpers. Second, iesthein children
f the knees,
rnal & rib
pedestrian is thrown on the top of the car (resulting in brain injuries, and pelvic
ground.
fractures. Third, the pedestrian hits the ground or some other object after rolling off
the top or the side of the vehicle.
15. WaddellTriad
Answer> Refers to the pattern of automobile pedestrian injur and
people of short stature; 1) bumper hits the pelvis/femur instead o
Certified Questions and Correct answers
1. 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.
2. 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.
3. 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.
4. 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.
5. Phases of Deceleration
Answer> 1) Deceleration of the vehicle, occurs when the vehicle strikes another
object & comes to a stop. 2) Deceleration of occupant, which starts during sudden
braking & continues through the whole crash. 3) Deceleration of internal organs, that
consist of internal organs that continue forward momentum until they're stopped by
anatomical restraints. 4) Secondary collisions, which occur when a vehicle occupant is
hit by objects moving within the vehicle (loose objects).
5) Additional impacts, that the vehicle may receive when it is hit by a second vehicle or
is deflected into another.
6. Velocity
Answer> "Speed kills"- causes more damage than mass.
7. Seat Belt Use
Answer> All arguments against seat belt use are unfounded.
8. Airbag Injuries
,Answer> Common injuries include abrasions to the face, chest and arms. Minor
corrosive effects can occur because of the cornstarch on the airbag, and it may irritate
the skin.
9. Down and Under Pathway
Answer> Occupant slides under the steering wheel or the dash. The knees hit the
dashboard, and transmit energy up the leg, to the fe- mur/pelvis. If the feet are
locked in place, it can cause femur fractures.
10. Up and Over Pathway
Answer> Chest hits the steering wheel, head hits the windshield and anterior portion
of the throat hits the top of the steering wheel. Can cause significant head and neck
injuries.
11. Head on Impact in Motorcycle Crashes
Answer> Head on impact- motorcycle strikes another object and stops its forward
motion, while the rider continues forward motion until stopped by outside force.This
causes the rider to go over the handlebars, which causes femur fractures, and tib
fractures.
12. Angular Impact in Motorcycle Crashes
, Answer> The motorcycle strikes an object, or another vehicle at an angel so that the
rider sustains direct crushing injuries to the lower extremity between the object and
motorcycle.
13. Motorcycle Crashes
Answer> With any motorcycle crash, the helmet should be re- moved carefully if
airway management techniques cannot be performed with the helmet in place or
the helmet doesn't fit properly on the riders head.
14. Pedestrian Injuries
Answer> Most pedestrian injuries occur at an intersection, at night. First, the
pedestrian is hit in the lower extremities with the cars bumpers. Second, iesthein children
f the knees,
rnal & rib
pedestrian is thrown on the top of the car (resulting in brain injuries, and pelvic
ground.
fractures. Third, the pedestrian hits the ground or some other object after rolling off
the top or the side of the vehicle.
15. WaddellTriad
Answer> Refers to the pattern of automobile pedestrian injur and
people of short stature; 1) bumper hits the pelvis/femur instead o
