Paramedic Trauma FISDAP Exam
Questions and Answers Graded A+
If you see a cracked windshield in a MVC... what will the pt represent with? -
Correct answer-Bruised or lacerated head or face. Brain injury, *cervical spine
injury (always until proven otherwise), tracheal injury.
If you see a deformed steering column in a MVC... what will the pt represent with?
- Correct answer-Bruised neck, bruised chest. Sternal or rib fracture, flail chest,
myocardial contusion, *pericardial tamponade, pneumo/hemothorax, aortic tear.
If you see a deformed dashboard in a MVC... what will the pt represent with? -
Correct answer-Bruised abdomen, bruised knee, misplaced kneecap. Ruptured
spleen, liver, bowel, diaphragm. Fractured patella, dislocated knee, *femoral
fracture, dislocated hip.
If you see the rear end of the vehicle is damaged in a MVC... what will the pt
represent with? - Correct answer-Secondary anterior injuries, esp if the pt wasn't
restrained. "Wiplash" injuries, *coup contrecoup injury.
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,Phases of Deceleration - Correct 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.
Velocity - Correct answer-"Speed kills"- causes more damage than mass.
Seat Belt Use - Correct answer-All arguments against seat belt use are unfounded.
Airbag Injuries - Correct 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.
Down and Under Pathway - Correct answer-Occupant slides under the steering
wheel or the dash. The knees hit the dashboard, and transmit energy up the leg, to
the femur/pelvis. If the feet are locked in place, it can cause femur fractures.
Up and Over Pathway - Correct 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.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, Head on Impact in Motorcycle Crashes - Correct 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.
Angular Impact in Motorcycle Crashes - Correct 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.
Motorcycle Crashes - Correct answer-With any motorcycle crash, the helmet
should be removed carefully if airway management techniques cannot be
performed with the helmet in place or the helmet doesn't fit properly on the riders
head.
Pedestrian Injuries - Correct answer-Most pedestrian injuries occur at an
intersection, at night. First, the pedestrian is hit in the lower extremities with the
cars bumpers. Second, the pedestrian is thrown on the top of the car (resulting in
brain injuries, and pelvic fractures. Third, the pedestrian hits the ground or some
other object after rolling off the top or the side of the vehicle.
Waddell Triad - Correct answer-Refers to the pattern of automobile pedestrian
injuries in children and people of short stature; 1) bumper hits the pelvis/femur
instead of the knees, 2) the chest & abdomen hit the grill or low on the hood of the
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
Questions and Answers Graded A+
If you see a cracked windshield in a MVC... what will the pt represent with? -
Correct answer-Bruised or lacerated head or face. Brain injury, *cervical spine
injury (always until proven otherwise), tracheal injury.
If you see a deformed steering column in a MVC... what will the pt represent with?
- Correct answer-Bruised neck, bruised chest. Sternal or rib fracture, flail chest,
myocardial contusion, *pericardial tamponade, pneumo/hemothorax, aortic tear.
If you see a deformed dashboard in a MVC... what will the pt represent with? -
Correct answer-Bruised abdomen, bruised knee, misplaced kneecap. Ruptured
spleen, liver, bowel, diaphragm. Fractured patella, dislocated knee, *femoral
fracture, dislocated hip.
If you see the rear end of the vehicle is damaged in a MVC... what will the pt
represent with? - Correct answer-Secondary anterior injuries, esp if the pt wasn't
restrained. "Wiplash" injuries, *coup contrecoup injury.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Phases of Deceleration - Correct 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.
Velocity - Correct answer-"Speed kills"- causes more damage than mass.
Seat Belt Use - Correct answer-All arguments against seat belt use are unfounded.
Airbag Injuries - Correct 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.
Down and Under Pathway - Correct answer-Occupant slides under the steering
wheel or the dash. The knees hit the dashboard, and transmit energy up the leg, to
the femur/pelvis. If the feet are locked in place, it can cause femur fractures.
Up and Over Pathway - Correct 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.
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
, Head on Impact in Motorcycle Crashes - Correct 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.
Angular Impact in Motorcycle Crashes - Correct 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.
Motorcycle Crashes - Correct answer-With any motorcycle crash, the helmet
should be removed carefully if airway management techniques cannot be
performed with the helmet in place or the helmet doesn't fit properly on the riders
head.
Pedestrian Injuries - Correct answer-Most pedestrian injuries occur at an
intersection, at night. First, the pedestrian is hit in the lower extremities with the
cars bumpers. Second, the pedestrian is thrown on the top of the car (resulting in
brain injuries, and pelvic fractures. Third, the pedestrian hits the ground or some
other object after rolling off the top or the side of the vehicle.
Waddell Triad - Correct answer-Refers to the pattern of automobile pedestrian
injuries in children and people of short stature; 1) bumper hits the pelvis/femur
instead of the knees, 2) the chest & abdomen hit the grill or low on the hood of the
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3