EMT Trauma Exam FISDAP Final Exam 2026/2027
| 300 Questions with Verified Answers &
Rationales | INSTANT PDF DOWNLOAD
1. A multi-system trauma patient is currently stable. He has an open fracture of the right humerus.
The closest hospital is 10 minutes away; a trauma center is 20 minutes away. A helicopter has a 15-
minute ETA. How should you transport this patient?
A) By ground to the closest hospital
B) By ground to the trauma center
C) By helicopter to the closest hospital
D) By helicopter to the trauma center
Answer B: By ground to the trauma center
Rationale: A trauma patient with stable vital signs should be transported to a trauma center; ground
transport is faster than waiting for a helicopter .
2. A 53-year-old female was hit by a car. She is unresponsive with deformity to the left femur and
pelvic instability. Diminished lung sounds on the left side. You should:
A) Immobilize on a long backboard
B) Apply a traction splint to the left femur
C) Perform rapid extrication
D) Stabilize the pelvis with a sheet
Answer A: Immobilize on a long backboard
Rationale: Unresponsive trauma with pelvic instability and possible spine injury requires full spinal
motion restriction on a long backboard .
,3. A 28-year-old male, blunt trauma to the right anterior chest. Pale, cool, diaphoretic, and
responsive to verbal. Respiratory rate 38 and shallow with paradoxical movement. What should
you do?
A) Apply high-flow oxygen
B) Provide positive pressure ventilations
C) Apply a flail chest dressing
D) Perform a needle decompression
Answer B: Provide positive pressure ventilations
Rationale: Paradoxical chest movement indicates flail chest with respiratory failure; positive pressure
ventilation stabilizes the flail segment and improves oxygenation .
4. What is the most likely cause of periorbital ecchymosis?
A) Orbital blowout fracture
B) Basilar skull fracture
C) Facial contusion
D) Sinus fracture
Answer B: Basilar skull fracture
Rationale: Periorbital ecchymosis (raccoon eyes) is a classic sign of basilar skull fracture .
5. What is the first concern with a conscious patient who received partial-thickness burns to the
face?
A) Pain control
B) Airway compromise from edema
C) Fluid resuscitation
D) Infection prevention
Answer B: Airway compromise from edema
Rationale: Facial burns can cause rapid airway edema; airway patency is the priority .
,6. A 30-year-old female was in a minor motor vehicle accident. She is standing outside the vehicle
and complains of lower back pain. You should immobilize her using a:
A) Short spine board
B) Vest-type extrication device
C) Long spine board
D) Scoop stretcher
Answer C: Long spine board
Rationale: Lower back pain after a crash requires full spinal motion restriction on a long spine board .
7. A 23-year-old male received burns to his feet while stomping a fire. He is still wearing his shoes,
and the rubber soles and laces have melted together. You should:
A) Leave the shoes on
B) Apply cold packs to the shoes
C) Cut the shoe laces and remove the shoes
D) Transport immediately
Answer C: Cut the shoe laces and remove the shoes
Rationale: Burning synthetic materials can continue to burn and cause deep tissue damage; shoes must
be removed to stop the burning process .
8. A 40-year-old male fell off a ladder and has a broken leg where the left knee now bends the
wrong way. You should first:
A) Apply a traction splint
B) Realign the leg to anatomical position
C) Check for pulse, motor, and sensory function in the leg
D) Immobilize in the position found
Answer C: Check for pulse, motor, and sensory function in the leg
Rationale: Before any intervention, perform a neurovascular assessment to establish a baseline for distal
circulation and motor function .
, 9. A 24-year-old female is unconscious after being struck by a car. She has ineffective breathing
and bloody secretions in her mouth. Your priority is:
A) Apply a cervical collar
B) Immediate suction of the oropharynx
C) Insert an oral airway
D) Provide high-flow oxygen
Answer B: Immediate suction of the oropharynx
Rationale: The priority is to clear the airway of blood and secretions to maintain a patent airway and
allow effective ventilation .
10. A 24-year-old male has burns to the eyes, nose, and mouth when the radiator cap on his car
blew off. What should you treat for?
A) Corneal abrasions
B) Respiratory swelling
C) Chemical burns
D) Thermal burns
Answer B: Respiratory swelling
Rationale: Burns to the face, especially around the mouth and nose, can cause respiratory swelling and
airway compromise from steam inhalation .
11. A 4-year-old male has an arm amputated from a farming accident. How should you manage
the amputated limb?
A) Wrap it in dry gauze and place on ice
B) Place it directly in a container of ice water
C) Seal it in a plastic bag and place it in a container of cool water
D) Wrap it in a moistened sterile dressing and place on ice
Answer C: Seal it in a plastic bag and place it in a container of cool water
| 300 Questions with Verified Answers &
Rationales | INSTANT PDF DOWNLOAD
1. A multi-system trauma patient is currently stable. He has an open fracture of the right humerus.
The closest hospital is 10 minutes away; a trauma center is 20 minutes away. A helicopter has a 15-
minute ETA. How should you transport this patient?
A) By ground to the closest hospital
B) By ground to the trauma center
C) By helicopter to the closest hospital
D) By helicopter to the trauma center
Answer B: By ground to the trauma center
Rationale: A trauma patient with stable vital signs should be transported to a trauma center; ground
transport is faster than waiting for a helicopter .
2. A 53-year-old female was hit by a car. She is unresponsive with deformity to the left femur and
pelvic instability. Diminished lung sounds on the left side. You should:
A) Immobilize on a long backboard
B) Apply a traction splint to the left femur
C) Perform rapid extrication
D) Stabilize the pelvis with a sheet
Answer A: Immobilize on a long backboard
Rationale: Unresponsive trauma with pelvic instability and possible spine injury requires full spinal
motion restriction on a long backboard .
,3. A 28-year-old male, blunt trauma to the right anterior chest. Pale, cool, diaphoretic, and
responsive to verbal. Respiratory rate 38 and shallow with paradoxical movement. What should
you do?
A) Apply high-flow oxygen
B) Provide positive pressure ventilations
C) Apply a flail chest dressing
D) Perform a needle decompression
Answer B: Provide positive pressure ventilations
Rationale: Paradoxical chest movement indicates flail chest with respiratory failure; positive pressure
ventilation stabilizes the flail segment and improves oxygenation .
4. What is the most likely cause of periorbital ecchymosis?
A) Orbital blowout fracture
B) Basilar skull fracture
C) Facial contusion
D) Sinus fracture
Answer B: Basilar skull fracture
Rationale: Periorbital ecchymosis (raccoon eyes) is a classic sign of basilar skull fracture .
5. What is the first concern with a conscious patient who received partial-thickness burns to the
face?
A) Pain control
B) Airway compromise from edema
C) Fluid resuscitation
D) Infection prevention
Answer B: Airway compromise from edema
Rationale: Facial burns can cause rapid airway edema; airway patency is the priority .
,6. A 30-year-old female was in a minor motor vehicle accident. She is standing outside the vehicle
and complains of lower back pain. You should immobilize her using a:
A) Short spine board
B) Vest-type extrication device
C) Long spine board
D) Scoop stretcher
Answer C: Long spine board
Rationale: Lower back pain after a crash requires full spinal motion restriction on a long spine board .
7. A 23-year-old male received burns to his feet while stomping a fire. He is still wearing his shoes,
and the rubber soles and laces have melted together. You should:
A) Leave the shoes on
B) Apply cold packs to the shoes
C) Cut the shoe laces and remove the shoes
D) Transport immediately
Answer C: Cut the shoe laces and remove the shoes
Rationale: Burning synthetic materials can continue to burn and cause deep tissue damage; shoes must
be removed to stop the burning process .
8. A 40-year-old male fell off a ladder and has a broken leg where the left knee now bends the
wrong way. You should first:
A) Apply a traction splint
B) Realign the leg to anatomical position
C) Check for pulse, motor, and sensory function in the leg
D) Immobilize in the position found
Answer C: Check for pulse, motor, and sensory function in the leg
Rationale: Before any intervention, perform a neurovascular assessment to establish a baseline for distal
circulation and motor function .
, 9. A 24-year-old female is unconscious after being struck by a car. She has ineffective breathing
and bloody secretions in her mouth. Your priority is:
A) Apply a cervical collar
B) Immediate suction of the oropharynx
C) Insert an oral airway
D) Provide high-flow oxygen
Answer B: Immediate suction of the oropharynx
Rationale: The priority is to clear the airway of blood and secretions to maintain a patent airway and
allow effective ventilation .
10. A 24-year-old male has burns to the eyes, nose, and mouth when the radiator cap on his car
blew off. What should you treat for?
A) Corneal abrasions
B) Respiratory swelling
C) Chemical burns
D) Thermal burns
Answer B: Respiratory swelling
Rationale: Burns to the face, especially around the mouth and nose, can cause respiratory swelling and
airway compromise from steam inhalation .
11. A 4-year-old male has an arm amputated from a farming accident. How should you manage
the amputated limb?
A) Wrap it in dry gauze and place on ice
B) Place it directly in a container of ice water
C) Seal it in a plastic bag and place it in a container of cool water
D) Wrap it in a moistened sterile dressing and place on ice
Answer C: Seal it in a plastic bag and place it in a container of cool water
