FISDAP Trauma - Questions and Verified Answers

FISDAP Trauma - Questions and Verified Answers

1. An alert 18 year old female is found trapped in her car after a single motor vehicle crash. The air bag 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.

2. Which of the following mechanism of injuries would NOT be significant for an adult?

A. Death in the same passenger compartment.

B. Fall from more than ten feet.

C. Ejection from vehicle.

D. Altered mental status.

3. A 20 year old female has burns on her chest, abdomen, and on the anterior side of her right arm. What percentage of body is burned?

A. 22.5%

B. 27%

C. 40.5%

D. 18%

4. Before placing an unconscious 6 year old on a long 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. Asses vital signs.

5. 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.

6. 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 cervical spine.

C. Administer high-flow oxygen. D. Apply a half-spine immobilization device.

7. An 18 year old 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 and vital signs are BP 120/90, R 16, P 88, SpO2 96%. What should you do? A. Administer aspirin for pain.

B. Insert an oropharyngeal airway to maintain patency. C. Apply oxygen by nonrebreather mask at 15 lpm.

D. Monitor her bleeding and ensure a patent airway.

8. 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.

9. A 34 year old female has been bleeding vaginally for two hours. She is anxious, alert, and oriented. Her skin is cool, pale, and diaphoretic. Vital signs are BP 116/70, P 118, R 20. What should you suspect? A. Hypotensive shock

B. Hypertensive shock C. Decompensated shock D. Compensated shock

10. 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

11. A 56 year old 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 artery

B. Carotid artery C. Iliac artery D. Radial artery

Scenario: 12. A 32 year old female attempted to commit suicide by taking sleeping pills and cutting her wrists. She has dark red blood oozing from the wrist lacerations. Vital signs are BP 90/52, P 130 and weak, R 18. 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.

13. Unequal pupils are a result of pressure on which structure? A. Occulomotor nerve B. Central medulla C. Trochlear membrane

D. Vagus nerve

14. A 41 year old male has been injured in an explosion at a chemical laboratory. He has a ruptured tympanic membranes and sinus injuries. At what phase of the blast did the patient sustain the sinus injuries? A. Primary B. Ultimate C. Tertiary D. Secondary

15. When protecting the cervical spine of a suspected trauma patient, what should you do? A. Place gentile traction to straighten the cervical spine. B. Hold the cervical 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.

16. What is a mechanism of obstructive shock? A. Myocardial infarction B. Spinal cord injury

C. Acute fluid loss D. Tension pneumothorax

17. Which of the following is the first sign of shock that usually appears in patients? A. Changes in vital signs B. Pale, cool, and clammy skin

C. Altered mental status D. Nausea and vomiting

18. Which of the following describes bruising or discoloration behind the ears as a result of a fractured skull? A. Babinski's B. Silver fork

C. Cushing's D. Battle's

19. What is the correct technique when 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.

20. 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.

21. A 12 year old male has suffered a blast injury. What phase would projectiles have caused injury to the patient? A. Secondary B. Primary

C. Tertiary D. Quaternary

22. 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

23. A 26 year old female complains of chest pain after a motor vehicle accident. Auscultation of lung sounds reveals distant heart tones. Vital signs are BP 160/70, P 56, R 22 and she has distended neck veins. What should you suspect? A. Hemothorax B. Abdominal aortic aneurysm C. Congestive heart failure D. Pericardial tamponade

24. A 34 year old 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 pneumothorax

25. What organ is located in the upper right quadrant? A. Spleen B. Liver C. Kidney

D. Pancreas

26. An alert, ambulatory, 26 year old 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 her on his left side. D. Sterile dressings and treat her pain with ice.

27. A 20 year old female was involved in a car crash. 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

28. A unrestrained 24 year old 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 an injury as a result of this impact?

A. Liver B. Stomach C. Spleen D. Diagphram

29. A 28 year old female has full thickness burns to her hands and arms after being shocked by an electrical outlet. Vital signs are BP 150/90, R 20, P 84. 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.

Scenario: 30. A 38 year old 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. Vital signs are BP 178/110, P 58, R 8. What should you suspect? A. A narcotic overdose B. A basal skull fracture C. Hypovolemic shock D. Subdural hematoma

31. What is an injury to ligaments around a joint called? A. Fracture B. Strain C. Sprain

D. Dislocation

32. A 16 year old 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.

33. A 18 year old 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

Scenario: 34. An 80 year old 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 blood clot

35. A 29 year old 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

36. How quickly should you expect a clot to form from a venous laceration? A. 11-14 minutes B. 7-10 minutes C. 4-6 minutes

D. 1 minute

37. A 60 year old male fell onto a coffee table yesterday and he woke up this morning complaining of diffuse, dull abdominal pain. You note periumbilical bruising. What is this known as? A. Grey-Turner's sign

B. Kehr's sign C. Crohn's sign D. Cullen's sign

38. A 56 year old 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.

39. A 19 year old female has a pencil impaled in her left eye. Vital signs are BP 130/90, R 18, P 84. Â What should you do? A. Assess her ability to track movement with her right eye. B. Apply oxygen by non-rebreather mask at 15 lpm.

C. Stabilize the pencil and cover her other eye in a dressing. D. Stabilize the pencil with a plastic cup.

Continues.....Overall 110 Questions and Answers
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