EMT Trauma Exam FISDAP Exam 3 Latest
2026/2027 | 300 Questions with Verified Answers
& Rationales | INSTANT PDF DOWNLOAD
1. A patient with a femur fracture is receiving permissive hypotension fluid resuscitation. Which
systolic blood pressure range best reflects the target for this strategy?
A) 60-70 mmHg
B) 80-90 mmHg
C) 100-110 mmHg
D) 120-130 mmHg
Answer B: 80-90 mmHg
Rationale: Permissive hypotension targets SBP 80-90 mmHg to limit clot disruption while maintaining
vital organ perfusion until definitive hemorrhage control.
2. During the primary survey, which step should be performed immediately after establishing a
patent airway in a trauma patient with severe hypotension?
A) Obtain a full set of vitals
B) Apply a cervical collar
C) Control external hemorrhage
D) Perform a focused neurological exam
Answer C: Control external hemorrhage
Rationale: Controlling life-threatening external bleeding is the priority after airway management, as
hemorrhagic shock from exsanguination is rapidly fatal.
3. Which best describes the "Golden Period" in trauma care?
,A) The first 30 minutes after injury for rapid transport
B) The first 60 minutes after injury for definitive care decisions
C) The first 10 minutes on scene for assessment
D) The time from injury to hospital discharge
Answer B: The first 60 minutes after injury for definitive care decisions
Rationale: The Golden Period refers to the first 60 minutes after injury in which definitive surgical or
trauma care decisions must be made to improve outcomes.
4. Which finding is most indicative of a tension pneumothorax?
A) Dullness to percussion over the left hemithorax
B) Tracheal deviation to the right
C) Bilateral equal breath sounds
D) Presence of subcutaneous emphysema only
Answer B: Tracheal deviation to the right
Rationale: Tension pneumothorax increases intrathoracic pressure, pushing the mediastinum away from
the affected side and causing tracheal deviation to the contralateral side.
5. A patient with a gunshot wound to the abdomen presents with hypotension and tachycardia.
The most important factor in determining the severity of injury is:
A) The caliber of the bullet
B) The type of tissue through which the projectile passes
C) The distance from which the shot was fired
D) The number of wounds
Answer B: The type of tissue through which the projectile passes
Rationale: The most important factor for gunshot wound severity is the type of tissue through which the
projectile passes; high-elasticity tissues tolerate stretch better than solid organs like the liver.
6. A cracked windshield in a motor vehicle collision suggests which injuries?
,A) Lower extremity fractures
B) Head/face trauma, brain injury, and cervical spine injury
C) Chest trauma only
D) Abdominal bruising and pelvic fractures
Answer B: Head/face trauma, brain injury, and cervical spine injury
Rationale: A cracked windshield indicates the occupant's head struck it, suggesting head/face trauma,
brain injury, and cervical spine injury until proven otherwise.
7. A deformed steering column in a motor vehicle collision suggests which injuries?
A) Cervical spine fractures
B) Sternal or rib fractures, flail chest, myocardial contusion, and pericardial tamponade
C) Pelvic fractures and abdominal injuries
D) Lower extremity fractures
Answer B: Sternal or rib fractures, flail chest, myocardial contusion, and pericardial tamponade
Rationale: Deformed steering column indicates chest impact, causing sternal/rib fractures, flail chest,
myocardial contusion, pericardial tamponade, pneumo/hemothorax, or aortic tear.
8. A deformed dashboard in a motor vehicle collision indicates which injuries?
A) Head and neck injuries
B) Chest and cardiac injuries
C) Ruptured spleen, liver, bowel, femur fracture, and dislocated hip
D) Isolated spinal injuries
Answer C: Ruptured spleen, liver, bowel, femur fracture, and dislocated hip
Rationale: Dashboard deformation indicates knee/abdominal impact, causing ruptured spleen, liver,
bowel, diaphragm injuries, femoral fracture, and dislocated hip.
9. Which organ is a solid organ that releases blood into the abdominal cavity after trauma?
A) Stomach
, B) Liver
C) Small intestine
D) Bladder
Answer B: Liver
Rationale: Solid organs like the liver and spleen release blood into the abdominal cavity after sustaining
trauma, causing hypotension and tachycardia.
10. A patient with a ruptured spleen most commonly complains of:
A) Right upper quadrant pain
B) Left shoulder pain (Kehr's sign)
C) Midline abdominal pain
D) Back pain
Answer B: Left shoulder pain (Kehr's sign)
Rationale: Kehr's sign (left shoulder pain) is a classic symptom of splenic rupture, caused by
diaphragmatic irritation from blood in the peritoneal cavity.
11. Which finding is characteristic of an entry wound from a gunshot?
A) Generally larger than the exit wound
B) Usually funnel-shaped and smaller than the exit wound
C) Has irregular, torn edges
D) Always located on the posterior aspect of the body
Answer B: Usually funnel-shaped and smaller than the exit wound
Rationale: The entrance wound is generally smaller than the exit wound and is often funnel-shaped, with
the narrow portion at the skin surface.
12. An alert 18-year-old female is found trapped in her car after a single-car MVC. The airbag
deployed, and she denies head or neck pain, but complains of hip and left leg pain. When she is
finally extricated, her vital signs begin to collapse. What shock is she transitioning from?
2026/2027 | 300 Questions with Verified Answers
& Rationales | INSTANT PDF DOWNLOAD
1. A patient with a femur fracture is receiving permissive hypotension fluid resuscitation. Which
systolic blood pressure range best reflects the target for this strategy?
A) 60-70 mmHg
B) 80-90 mmHg
C) 100-110 mmHg
D) 120-130 mmHg
Answer B: 80-90 mmHg
Rationale: Permissive hypotension targets SBP 80-90 mmHg to limit clot disruption while maintaining
vital organ perfusion until definitive hemorrhage control.
2. During the primary survey, which step should be performed immediately after establishing a
patent airway in a trauma patient with severe hypotension?
A) Obtain a full set of vitals
B) Apply a cervical collar
C) Control external hemorrhage
D) Perform a focused neurological exam
Answer C: Control external hemorrhage
Rationale: Controlling life-threatening external bleeding is the priority after airway management, as
hemorrhagic shock from exsanguination is rapidly fatal.
3. Which best describes the "Golden Period" in trauma care?
,A) The first 30 minutes after injury for rapid transport
B) The first 60 minutes after injury for definitive care decisions
C) The first 10 minutes on scene for assessment
D) The time from injury to hospital discharge
Answer B: The first 60 minutes after injury for definitive care decisions
Rationale: The Golden Period refers to the first 60 minutes after injury in which definitive surgical or
trauma care decisions must be made to improve outcomes.
4. Which finding is most indicative of a tension pneumothorax?
A) Dullness to percussion over the left hemithorax
B) Tracheal deviation to the right
C) Bilateral equal breath sounds
D) Presence of subcutaneous emphysema only
Answer B: Tracheal deviation to the right
Rationale: Tension pneumothorax increases intrathoracic pressure, pushing the mediastinum away from
the affected side and causing tracheal deviation to the contralateral side.
5. A patient with a gunshot wound to the abdomen presents with hypotension and tachycardia.
The most important factor in determining the severity of injury is:
A) The caliber of the bullet
B) The type of tissue through which the projectile passes
C) The distance from which the shot was fired
D) The number of wounds
Answer B: The type of tissue through which the projectile passes
Rationale: The most important factor for gunshot wound severity is the type of tissue through which the
projectile passes; high-elasticity tissues tolerate stretch better than solid organs like the liver.
6. A cracked windshield in a motor vehicle collision suggests which injuries?
,A) Lower extremity fractures
B) Head/face trauma, brain injury, and cervical spine injury
C) Chest trauma only
D) Abdominal bruising and pelvic fractures
Answer B: Head/face trauma, brain injury, and cervical spine injury
Rationale: A cracked windshield indicates the occupant's head struck it, suggesting head/face trauma,
brain injury, and cervical spine injury until proven otherwise.
7. A deformed steering column in a motor vehicle collision suggests which injuries?
A) Cervical spine fractures
B) Sternal or rib fractures, flail chest, myocardial contusion, and pericardial tamponade
C) Pelvic fractures and abdominal injuries
D) Lower extremity fractures
Answer B: Sternal or rib fractures, flail chest, myocardial contusion, and pericardial tamponade
Rationale: Deformed steering column indicates chest impact, causing sternal/rib fractures, flail chest,
myocardial contusion, pericardial tamponade, pneumo/hemothorax, or aortic tear.
8. A deformed dashboard in a motor vehicle collision indicates which injuries?
A) Head and neck injuries
B) Chest and cardiac injuries
C) Ruptured spleen, liver, bowel, femur fracture, and dislocated hip
D) Isolated spinal injuries
Answer C: Ruptured spleen, liver, bowel, femur fracture, and dislocated hip
Rationale: Dashboard deformation indicates knee/abdominal impact, causing ruptured spleen, liver,
bowel, diaphragm injuries, femoral fracture, and dislocated hip.
9. Which organ is a solid organ that releases blood into the abdominal cavity after trauma?
A) Stomach
, B) Liver
C) Small intestine
D) Bladder
Answer B: Liver
Rationale: Solid organs like the liver and spleen release blood into the abdominal cavity after sustaining
trauma, causing hypotension and tachycardia.
10. A patient with a ruptured spleen most commonly complains of:
A) Right upper quadrant pain
B) Left shoulder pain (Kehr's sign)
C) Midline abdominal pain
D) Back pain
Answer B: Left shoulder pain (Kehr's sign)
Rationale: Kehr's sign (left shoulder pain) is a classic symptom of splenic rupture, caused by
diaphragmatic irritation from blood in the peritoneal cavity.
11. Which finding is characteristic of an entry wound from a gunshot?
A) Generally larger than the exit wound
B) Usually funnel-shaped and smaller than the exit wound
C) Has irregular, torn edges
D) Always located on the posterior aspect of the body
Answer B: Usually funnel-shaped and smaller than the exit wound
Rationale: The entrance wound is generally smaller than the exit wound and is often funnel-shaped, with
the narrow portion at the skin surface.
12. An alert 18-year-old female is found trapped in her car after a single-car MVC. The airbag
deployed, and she denies head or neck pain, but complains of hip and left leg pain. When she is
finally extricated, her vital signs begin to collapse. What shock is she transitioning from?
