Field Internship Student Data Acquisition Project (FISDAP) Trauma Practice Exam

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• What is the primary indication for using a KED in extrication?
• Which vital sign is least reliable for assessing a patient's immediate trauma condition?
• In a severe frontal impact collision, which injury is likely from the second collision in the three collision rule?
• What is the recommended course of action when managing an open fracture?
• What type of injury does a hematoma represent?
• A 20-year-old male in a car crash is anxious, pale, and has absent lung sounds on the left side. What should you suspect?
• In situations of airway obstruction, which technique is recommended if a trauma patient has a compromised airway?
• For a patient with a broken nose and active bleeding, which treatment sequence is best?
• A 56 year old male complains of tearing chest pain radiating to his back after a high-speed crash. What should your secondary assessment include?
• If a patient has lost the distal one-third of a lower extremity, what is the injury called?
• How should you manage a knife wound to the abdomen with the knife still embedded in a patient's body?
• A 60 year old male was burned in a house fire. He has partial and full thickness burns to the anterior surface of his neck, chest, and abdomen. What percentage of burns did he receive?
• Which patient should receive a rapid trauma assessment to determine possible hidden injuries?
• A 23-year-old male was stabbed in the lower left quadrant. What is the appropriate action to take?
• Why is immediate treatment crucial after a patient has suffered a traumatic injury from a collapse?
• Which of the following is a sign of potential hypovolemic shock?
• In penetrating trauma, a permanent cavity is formed by the projectile contacting tissues. How is a temporary cavity formed?
• What are common signs and symptoms of shock?
• What vital sign could indicate potential shock in a trauma patient?
• In the acronym DCAPBTLS, what does the letter P represent?
• Upon finding a weak and rapid carotid pulse with absent peripheral pulses in an unresponsive patient, what other finding is likely?
• When managing an open fracture, what is the priority while awaiting transport?
• What is a common treatment for a cardiac arrest situation in a patient?
• What is the recommended treatment for a suspected fracture of the talus bone?
• What is typically the earliest and most prominent finding in a crush injury?
• In a motor vehicle crash involving a frontal impact, which type of energy transfer occurs for a non-restrained driver?
• What is the best care for a patient with a flail chest?
• A 3 year old male has full thickness burns covering his arms, posterior trunk and right leg. What percentage of burns did he receive?
• What should you suspect if a patient shows signs of hypovolemic shock after blunt abdominal trauma?
• When performing a log roll to place a patient with suspected spinal injury on a backboard, what should you maintain?
• Your patient is a 17-year-old male found face down in a swimming pool. He is unconscious but breathing. What is the best course of action?
• You arrive at the scene of a gunshot victim with optimal breathing. What is the first step in treating this patient?
• A 25 year old male has a deep laceration on his right forearm and continues to bleed despite direct pressure. What should you do?
• A 3 year old female has circumferential second degree burns reaching up to her knees on both legs. What percentage of her body is burned?
• In a trauma assessment, what should be checked alongside pulse in the PMS assessment?
• What does dullness upon percussion indicate in a trauma patient?
• A large laceration with protruding abdominal organs is called what?
• A fall greater than ______ would be considered significant in a patient under age 8.
• To properly immobilize a forearm fracture, what should the EMT splint?
• How are circumferential burns typically treated?
• When assessing the motor function of the lower extremities in a patient with a sprained ankle, what should you ask the patient to do?
• When managing a gunshot wound, what is critical in ensuring proper blood flow management?
• What condition is most likely if a patient exhibits rapid and weak pulse, shallow breathing, decreased lung sounds on one side, and dullness upon percussion?
• What is the primary reason for applying spinal immobilization to a patient found face down in the water?
• What does the presence of clear fluid leaking from a patient's ear indicate?
• What is an appropriate precaution to take with a patient who has significant bleeding from a traumatic injury?
• A 41 year old male has shortness of breath and a contusion to the sternum after being kicked by a horse. What should you suspect?
• What is the body surface area percentage burned for a 17-year-old female with a second degree circumferential burn on her left lower leg and foot?
• A 42 year old male has circumferential burns on both legs and his genitals. What percentage of his body is burned?
• In trauma care, what does the presence of cool, clammy skin typically suggest?
• Any penetrating missile traveling over 2,000 ft/sec would be classified as?
• What is the appropriate oxygen treatment for a patient with pale, cool, clammy skin after being struck in the lower right quadrant with a baseball bat?
• When is it appropriate to splint a leg before extricating a patient?
• What is a common indicator of a significant torso injury in trauma patients?
• You arrive on the scene of a patient who fell from a ladder. Which of the following information is NOT an important factor in care of the patient?
• During your assessment of a patient's lower extremity, what does PMS stand for?
• How does a full thickness burn present?
• What is most life threatening for an adult patient?
• What should be your immediate response when assessing a patient with a weak radial pulse and a strong carotid pulse?
• After immobilizing an extremity fracture, which step should a paramedic perform last?
• What type of bleeding is indicated by a steady stream of dark red blood?
• In a situation of multiple trauma patients, what factor should influence triage decisions?
• A 16-year old male fell approximately 15 feet. How should this call be considered?
• In treating trauma, what is the main risk associated with a fracture of the femur?
• A large collection of blood under the skin is known as?
• What is one of the initial assessments to be performed in trauma patients?
• What is the primary concern with partial thickness burns?
• In managing a patient with a laceration from a chainsaw, what should be prioritized in addition to oxygen therapy?
• A 19-year-old male falls out of a tree and presents with cool, pale, clammy skin, and decreased breath sounds on the right side. What condition is he most likely suffering from?
• Your patient is suffering from Epistaxis. What is the most appropriate action to take?
• In a severe motor vehicle rollover, which situation could most easily lead to death?
• What should be suspected in a patient with signs of severe head injury accompanied by clear fluid draining from the ear?
• Which patient would it be appropriate to perform only a focused physical examination instead of a rapid trauma assessment?
• In a case of choking, which action should be taken if the patient is conscious?
• When treating a patient with a laceration and possible arterial bleeding, which approach is crucial?
• The way a patient is injured is often referred to as the _____________?
• If a patient has paradoxical breathing and equal breath sounds, what condition is most likely present?
• When is the detailed physical exam typically performed?
• How often should you check the vitals of an unconscious patient during transport?
• A 49 year old male has burns on the front of both arms and his entire chest above the costal margin. What percentage of burns did he receive?
• What is the most appropriate action to definitively manage the airway of an unresponsive patient with facial trauma?
• Regarding pedestrian versus motor vehicle collisions, which statement is typically true?
• What major complication can arise from applying a tourniquet improperly?
• Which patient is most appropriate for triage to a non-trauma center?
• What are the most critical factors in determining injuries from a fall?
• In the case of a crush injury, what symptom might indicate severe compromise to the muscle and tissue?
• What makes brain swelling particularly dangerous?
• What should be the immediate action for a patient presenting with both chest trauma and unstable vital signs?
• What is the most appropriate initial treatment for a patient with severe bleeding from his right forearm after falling off a roof?
• What is the characteristic of a subdural hematoma?
• A 21-year-old male tripped and fell into a campfire, resulting in burns to his hands, anterior forearms, and upper chest. What percentage of his body has been burned?
• A 21 year old male has a large piece of glass impaled in his eye. What should you do?
• Which of the following is NOT considered a high priority condition?
• Which injury is most likely to develop compartment syndrome?
• What condition might indicate the need for a tourniquet application on a traumatic limb injury?
• What is the best way to handle an amputated extremity?
• A 22-year-old male has an object impaled in his chest. What is the best treatment option for his injury?
• What should be the initial treatment order for a patient with a soft tissue injury and significant swelling?
• A 2-year-old female has second degree burns on both palms and third degree burns on her chest and abdomen. What percentage of her body is burned?
• What type of injury results from prolonged compression forces applied to soft tissue?
• You are at the scene of an MVA, with three patients showing minor injuries. One is in pain, the others refuse treatment. How should you proceed?
• What is the term for the injury where the epidermis is intact, but the dermis may be damaged?
• In the event of a chemical eye exposure, why is it important to wait for a hazmat team before intervention?
• Which classification method should be used to determine body area percentage burned for a 22-year-old male with isolated and patchy third degree burns?
• If a patient has suffered an injury to the back of the head, which part of the brain is likely affected?
• What vital sign should be most closely monitored in a patient experiencing severe hemorrhagic shock?
• A 46 year old female was in a car crash and has an abrasion to the lateral neck. What should you do?
• Which of the following presentation indicates a superficial burn?
• Burn percentage for an adult male is determined by which body area classification?
• What is the most appropriate immediate action if initial direct pressure does not control severe bleeding?
• A 23 year old male was stabbed in the shoulder with spurting blood. What should you do?
• In the case of a diabetic patient, what is important to assess for in terms of their blood sugar levels during trauma evaluation?
• The KED is most commonly used for which type of scenario?
• Which of the following is a characteristic feature of second degree burns?
• When applying a splint, when should you assess for pulse, motor, and sensory functions?
• In trauma patients, when is it appropriate to perform a head-tilt/chin-lift?
• In a stabbing incident, which patient is most likely to have low blood pressure?
• A 6-month-old male has full thickness burns to his head, right arm, and back. What percentage of his body is burned?
• What is the primary treatment for an evisceration?
• What is the difference between a symptom and a sign in medical terms?
• Which emergency procedure involves placing a device to assist the airway in obstructed patients?
• What is the significance of a second degree burn?
• What is the purpose of Sellick's maneuver?
• Which spinal injury is most commonly associated with improper lifting techniques?
• What is the mnemonic for determining level of consciousness?
• When transporting a trauma patient, what should you do if their condition deteriorates?
• In a rear-impact motor vehicle collision, which area of the spine is most susceptible to injury?
• Which patient is showing early signs and symptoms of shock?
• What is the most critical step when dealing with a patient who is unconscious but breathing?
• What is the best care for a suspected hemothorax?
• During shock, how does the blood vessel contraction affect the skin?
• After immobilizing a suspected spinal cord injury patient to a backboard, what should you do if the patient vomits?
• In the context of a rapid trauma assessment, what does crepitation refer to?
• Which of the following symptoms is least indicative of pneumothorax?
• What is the definition of a hemorrhage?
• What is considered a life-threatening fracture due to the risk of excessive blood loss?
• After an explosion, if a patient suffers crush injuries to the lower extremities, how should these injuries be classified?
• What occurs in a patient who is in shock?
• In cases of traumatic tissue damage, what is the primary goal for managing bleeding?
• What symptom is a common indicator of pericardial tamponade?
• Upon arriving at a crash scene, how should you manage two alert and oriented occupants with front-end damage to their vehicle?
• Which condition is the most likely cause of pulsus paradoxus observed in an MVC patient?
• What percentage of body surface area is burned for a 21-year-old male who burned his neck and down to his ankles after falling asleep by the pool for 5 hours?
• Which injury or condition should be managed first in a patient with multi-system trauma?
• Which assessment factor is most important in determining the condition of a patient who has suffered head trauma?
• A 21 year old male is semi-conscious at the bottom of two flights of stairs. What is the first step you should take?
• In spinal immobilization of a child who has fallen from a height, which action should you take?
• What is an important factor when managing a patient with severe bleeding?
• A patient from a natural gas explosion shows symptoms of diminished hearing and dyspnea. What mechanism is likely responsible?
• What type of burn involves the epidermis and the dermis but no underlying tissue?
• Which vital signs most likely indicate internal bleeding?
• What should be your initial step when assessing an elderly fall patient to ensure proper treatment?
• Which scenario would classify as a "load and go" situation in trauma care?
• What should be your first action if a patient shows signs of a significant head injury?
• A 27 year old male has burns on his entire anterior chest and to the left upper extremity, circumferentially. What percentage of burns did he receive?
• When approaching a scene of a trauma incident, what is your first order of business?
• A patient with a gunshot wound is presenting with pale skin and jugular vein distention. What condition is most likely present?
• A 21 year old female has an open femur fracture after falling off a horse. What should you do?
• How does a superficial burn present?
• A laceration spurting bright red blood most likely indicates which type of injury?
• What is an effective first-line intervention for an avulsed tooth?
• What is the indication of bright red blood that is pulsating from a wound?
• What would be the most appropriate treatment for a patient with a gunshot wound and confusion?
• What is the most preventable cause of trauma death for adults?
• What is a critical first step when assessing a trauma patient?
• In the context of SAMPLE history, a patient's pale skin is considered:
• What type of injury do overstretched and torn ligaments indicate?
• Which sign indicates the need for immediate intervention in a trauma patient with abdominal injuries?
• For a 23-year-old male with blunt abdominal trauma, what condition should be prioritized in treatment?
• A mid-shaft femur fracture with a laceration directly over it would be classified as what type of fracture?
• Which of the following is NOT considered a complication of crush injuries?
• Your patient has a laceration to the right leg that has intersected the femoral artery. After applying direct pressure, what should you do next?
• A 23-year-old male has partial thickness burns to his anterior thighs and full thickness burns to his perineum. What percent of his body surface area is burned?
• A patient has gotten an unknown chemical in his eyes. What should be the first action?
• What are the correct steps to control bleeding in a trauma situation?
• Which mechanism of injury indicates the highest likelihood of spinal injury?
• How would you classify burns on a 26-year-old female patient who was pulled from a house fire with charred skin and little pain?
• After sustaining a chainsaw vs. leg injury, how much blood can a patient lose before being in real danger?
• What percentage of the total body surface area does the anterior chest typically correspond to in the rule of nines?
• Which spinal cord injury mechanism is most commonly associated with hangings?
• What is the definition of an avulsion?
• Which group of patients typically require a more comprehensive trauma assessment?
• A 34 year old male has a fractured left elbow that is cyanotic and pulseless. What should you do?
• Which bone, if fractured, poses the greatest risk for severe internal bleeding?
• A 22 year old male has a knife impaled in the abdomen and complains of inhalation pain. What should you suspect?
• Which vital sign change occurs last when a patient goes into shock?
• When should you initiate transport for a trauma patient?
• When assessing a patient after intubation, the presence of wheezing in the upper lung fields could indicate what?
• When treating traumatic injuries, what is the initial priority before transport?
• Which type of shock is characterized by inadequate blood volume leading to organ failure?