FISDAP/NREMT Trauma Practice Questions With Correct Answers

An alert 18 y/o female is found trapped in her car after a single-car MVC. The airbag deployed, and she denies any head or neck pain, but she complains of hip and left leg pain. When she is finally extricated from the car, her vital signs begin to collapse. What shock is she transitioning from? A) neurogenic shock to hypovolemic shock B) decompensated shock to compensated shock C) compensated shock to decompensated shock D) decompensated shock to hypovolemic shock - Answer C) compensated shock to decompensated shock Which of the following MOIs would NOT be significant for an adult? A) death in the same passenger compartment B) fall from more than 10 feet C) ejection from vehicle D) altered mental status - Answer B) fall from more than 10 feet A 20 y/o female has burns on her chest, abdomen, and on the anterior side of her right arm. What percentage of her body is burned? A) 22.5% B) 27% C) 40.5% D) 18% - Answer A) 22.5% Before placing an unconscious 6 y/o on a backboard, what should you do? A) place padding directly underneath the head B) place padding underneath the shoulders C) contact the parents for consent D) assess vital signs - Answer B) place padding underneath the shoulders What best defines shock? A) lack of adequate perfusion to the tissues B) hemorrhage exceeding 50% of total blood volume C) deficiency of vascular tone due to hemorrhage D) inadequate cerebral blood flow - Answer A) lack of adequate perfusion to the tissues Your patient's vehicle was struck by another motorist from behind. What should you do? A) perform a head-to-toe examination B) stabilize the c-spine C) administer high-flow oxygen D) apply a half-spine immobilization device - Answer B) stabilize the c-spine An 18 y/o female was hit and has 4 teeth pushed into the upper gums of her jaw. She complains of severe pain and discomfort. Bleeding is minimal. BP is 120/90, HR is 88 bpm, RR is 16/min, and SpO2 is 96%. What should you do? A) administer aspirin for pain B) insert an OPA to maintain patency C) apply oxygen by NRB at 15 L/min D) monitor her bleeding and ensure a patent airway - Answer D) monitor her bleeding and ensure a patent airway An injury produced by wounding forces of compression and change of speed, both of which can disrupt tissue, is defined as: A) third degree trauma B) penetrating trauma C) blunt trauma D) cavitation - Answer C) blunt trauma A 34 y/o female has been bleeding vaginally for 2 hours. She is anxious, alert, and oriented. Her skin is cool, pale, and diaphoretic. BP is 116/70, HR 118 bpm, and RR 20/min. What should you suspect? A) hypotensive shock B) hypertensive shock C) decompensated shock D) compensated shock - Answer D) compensated shock What is a contraindication of a traction splint? A) signs of hypoperfusion B) swelling or deformity to the thigh C) pelvic fracture D) potential spinal injury - Answer C) pelvic fracture A 56 y/o male involved in a car accident complains of chest and abdominal pain. Pulses differ by 10 mmHg systolic bilaterally and lung sounds are muffled. To which artery should you suspect a rupture? A) subclavian B) carotid C) iliac D) radial - Answer A) subclavian A 32 y/o female attempted suicide by taking sleeping pills and cutting her wrists. She has dark red blood oozing from the wrist lacerations. BP is 90/52, HR 130 bpm and weak, RR 18/min. What type of bleeding and shock is she experiencing? A) venous bleeding with hypovolemic shock B) capillary bleeding with cardiogenic shock C) arterial bleeding with hypovolemic shock D) venous bleeding with neurogenic shock - Answer A) venous bleeding with hypovolemic shock Unequal pupils are a result of pressure on which structure? A) oculomotor nerve B) central medulla C) trochlear membrane D) vagus nerve - Answer A) oculomotor nerve A 41 y/o male has been injured in an explosion at a chemical lab. He has ruptured TMs and sinus injuries. At what phase of the blast did the patient sustain the injuries? A) primary B) ultimate C) tertiary D) secondary - Answer A) primary When protecting the cervical spine of a suspected trauma patient, what should you do? A) place gentle traction to straighten the c-spine B) hold the c-spine in the position found C) place a rigid collar on the neck prior to continuing with the rest of the assessment D) hold the neck in a neutral, in-line position - Answer D) hold the neck in a neutral, in-line position What is a mechanism of obstructive shock? A) MI B) spinal cord injury C) acute fluid loss D) tension PTX - Answer D) tension PTX Which of the following is the first sign of shock that usually appears in patients? A) changes in vitals B) pale, cool, and clammy skin C) AMS D) nausea and vomiting - Answer C) AMS Which of the following describes bruising or discoloration behind the ears as a result of a fractured skull? A) Babinski's sign B) silver fork sign C) Cushing's sign D) Battle's sign - Answer D) Battle's sign What is the correct technique for splinting a suspected finger fracture? A) apply a straight, flat, and rigid splint to the finger B) place an arm board under the wrist and wrap with Curlex C) tape the fractured finger to a neighboring finger only D) immobilize the hand and finger in a pillow and apply ice - Answer A) apply a straight, flat, and rigid splint to the finger After initial treatments of an arterial bleed in the left forearm are unsuccessful, what should you do? A) apply a tourniquet B) lower the extremity C) apply pressure to the radial artery D) apply pressure to the subclavian artery - Answer A) apply a tourniquet A 12 y/o male has suffered a blast injury. In what phase would projectiles have caused injury to the patient? A) secondary B) primary C) tertiary D) quaternary - Answer A) secondary When the vascular container enlarges without proportional increase in the fluid volume, what type of shock should you suspect? A) decompensated B) hypovolemic C) cardiogenic D) distributive - Answer D) distributive A 26 y/o female complains of chest pain after an MVC. Auscultation of lung sounds reveals distant heart tones. Vitals are BP 160/70, HR 56 bpm, RR 22/min. She has distended neck veins. What should you suspect? A) hemothorax B) AAA C) congestive heart failure D) pericardial tamponade - Answer D) pericardial tamponade A 34 y/o male involved in a motorcycle crash presents with tachycardia, hypotension, and muffled heart tones. What should you suspect? A) pericardial tamponade B) hemopneumothorax C) traumatic asphyxia D) tension PTX - Answer A) pericardial tamponade What organ is located in the RUQ? A) spleen B) liver C) kidney D) pancreas - Answer B) liver An alert and ambulatory 26 y/o female admits to laying her motorcycle down at 25 mph to avoid a crash. She has extreme pain to her left side where you note severe abrasions. She denies any neck or back pain. What should you do? A) c-collar and immobilize her fully in the standing position B) oxygen and transport in a semi-sitting position of comfort C) c-collar and transport on her left side D) sterile dressings and treat her pain with ice - Answer A) c-collar and immobilize her fully in the standing position A 20 y/o female was involved in an MVC. She complains of midline neck pain and is unable to move her extremities. What secondary injury should you suspect? A) difficulty breathing B) ruptured vertebrae C) vertebral swelling D) subluxation - Answer C) vertebral swelling An unrestrained 24 y/o female driver hit an electrical pole and struck the steering wheel. She appears pale and complains of nausea and abdominal pain. What organ is LEAST likely to suffer injury as a result of this impact? A) liver B) stomach C) spleen D) diaphragm - Answer B) stomach A 28 y/o female has full thickness burns to her hands and arms after being shocked by an electrical outlet. BP is 150/90, RR 20/min, HR 84 bpm. What should you do? A) cover her wounds with moist sterile dressings B) irrigate her burns with normal saline C) apply dry sterile dressings to her wounds D) administer ice to her burns - Answer C) apply dry sterile dressings to her wounds A 38 y/o male has been struck with a brick. His words are incomprehensible, and he has no eye opening or motor response. He has unequal pupils, and has blood draining from his left ear. BP is 178/110, HR 58 bpm, RR 8/min. What should you suspect? A) a narcotic overdose B) a basilar skull fracture C) hypovolemic shock D) subdural hematoma - Answer B) a basilar skull fracture What is an injury to ligaments around a joint called? A) fracture B) strain C) sprain D) dislocation - Answer C) sprain A 16 y/o male has a broken nose. He is bleeding heavily from both nostrils. What should you do? A) pinch his nose and lean him forward B) pinch his nose and lean him back C) gently pack both nostrils with sterile gauze D) apply direct pressure to his nostrils - Answer A) pinch his nose and lean him forward An 18 y/o male has hypotension, bradycardia, and warm dry skin following a hard hit during a football game. What should you suspect? A) septic shock B) neurogenic shock C) hypovolemic shock D) cardiogenic shock - Answer B) neurogenic shock An 80 y/o male complains of leg pain. His left foot is pulseless, discolored, and cool to the touch. He had surgery two days prior with no complications. What should you suspect? A) diabetes B) normal post-surgery occurrence C) medication overdose D) a DVT - Answer D) a DVT A 29 y/o female fell from an 18 foot roof. During your rapid trauma assessment, where are you most likely to find life-threatening injuries? A) abdomen, pelvis, arms B) head, chest, abdomen C) head, neck, extremities D) chest, pelvis, extremities - Answer B) head, chest, abdomen How quickly should you expect a clot to form from a venous laceration? A) 11-14 mins B) 7-10 mins C) 4-6 mins D) 1 min - Answer C) 4-6 mins A 60 y/o male fell onto a coffee table yesterday, and he woke up this morning complaining of dull abdominal pain. You note periumbulical bruising. What is this known as? A) Grey-Turner's sign B) Kehr's sign C) Crohn's sign D) Cullen's sign - Answer D) Cullen's sign A 56 y/o female has an arm injury with arterial bleeding. The dressing becomes soaked with blood. What should you do? A) apply additional dressing material with direct pressure B) remove and replace the dressing with a thicker dressing C) wrap an elastic bandage around the blood-soaked dressing D) cover the existing dressing with an occlusive dressing - Answer A) apply additional dressing material with direct pressure A 19 y/o female has a pencil impaled in her left eye. BP is 130/90, HR 84 bpm, RR 18/min. What should you do? A) assess her ability to track movement with her right eye B) apply oxygen by NRB at 15 L/min C) stabilize the pencil and cover her other eye in a dressing D) stabilize the pencil with a plastic cup - Answer C) stabilize the pencil and cover her other eye in a dressing