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PRACTICE QUESTIONS AND 100% VERIFIED CORRECT
ANSWERS | COMPLETE EXAM PREP TESTBANK |
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ore Domains
C
Hemorrhage Control and Shock Management
Soft Tissue Injuries and Burns
Thoracic and Abdominal Trauma
Head, Facial, and Spinal Trauma
Orthopedic and Musculoskeletal Injuries
Environmental Emergencies
Special Populations in Trauma
Kinematics and Mechanisms of Injury
I ntroduction
his comprehensive practice assessment is designed to prepare EMT candidates
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for the FISDAP Trauma Exam. The exam evaluates a candidate’s ability to rapidly
assess trauma patients, prioritize life-threatening injuries, and apply clinical
interventions according to national EMS standards. Consisting of 200
multiple-choice questions, the test focuses on foundational pathophysiology,
scenario-based decision-making, and the mastery of trauma care protocols.
Candidates are expected to demonstrate proficiency in identifying mechanisms of
injury, managing airway and circulation in trauma settings, and making critical
transport decisions. This assessment mirrors the rigor and format of professional
licensing exams to ensure academic and field readiness.
SECTION 1: QUESTIONS
,A 24-year-old male has been stabbed in the right chest. He is restless, gasping for
air, and has jugular venous distention. What is the most likely diagnosis?
A. Hemothorax
🔴 B. Tension pneumothorax
C. Cardiac tamponade
D. Simple pneumothorax
🔵 Explanation: Tension pneumothorax is characterized by respiratory distress,
JVD, and obstructive shock due to air trapping in the pleural space.
Which of the following is the most reliable early sign of hypovolemic shock in an
adult?
A. Narrowing pulse pressure
B. Hypotension
🔴 C. Restlessness and anxiety
D. Bradycardia
🔵 Explanation: Altered mental status, such as anxiety or restlessness, is one of
the earliest signs of compensated shock as the brain receives less oxygen.
An 80-year-old female fell and sustained a hip fracture. She has a history of
osteoporosis. This type of fracture is best described as:
🔴 A. Pathologic fracture
B. Greenstick fracture
C. Comminuted fracture
D. Epiphyseal fracture
🔵 Explanation: A pathologic fracture occurs when a bone weakened by disease
(like osteoporosis) breaks under minimal stress.
,When managing an open pneumothorax, what is the primary purpose of an
occlusive dressing taped on three sides?
A. To prevent any air from entering or leaving the wound
🔴 B. To allow air to escape while preventing it from entering
C. To provide pressure to stop internal bleeding
D. To stabilize the chest wall and prevent paradoxical movement
🔵 Explanation: A three-sided dressing acts as a one-way valve, allowing air to
escape the pleural space during exhalation and preventing air entry during
inhalation.
A patient has sustained a 20% partial-thickness burn. How should the EMT
initially manage the burn area?
A. Apply antibiotic ointment
B. Apply ice packs to reduce pain
🔴 C. Cover with a dry, sterile dressing
D. Break blisters to allow drainage
🔵 Explanation: Large burns should be covered with dry, sterile dressings to
prevent heat loss and infection; wet dressings may cause hypothermia.
Which mechanism of injury is most likely to cause a coup-contrecoup injury?
A. Penetrating trauma from a bullet
B. A low-speed lateral impact collision
🔴 C. A high-speed frontal impact collision
D. A fall from a standing position onto soft grass
🔵 Explanation: Coup-contrecoup occurs when the brain strikes the front of the
skull (coup) and then rebounds to strike the back (contrecoup) during rapid
deceleration.
, Which of the following is considered a "late" sign of a head injury?
🔴 A. Cushing’s triad
B. Combativeness
C. Nausea and vomiting
D. Tachycardia
🔵 Explanation: Cushing’s triad (hypertension, bradycardia, irregular respirations)
indicates significantly increased intracranial pressure and impending herniation.
A patient has an impaled object in the left thigh with active venous bleeding. What
is the appropriate management?
A. Remove the object and apply a tourniquet
B. Remove the object and apply direct pressure
🔴 C. Stabilize the object in place with bulky dressings
D. Shorten the object to make transport easier
🔵 Explanation: Impaled objects should be stabilized in place unless they interfere
with airway management or CPR.
What is the rule of nines percentage for an adult patient with burns to the entire
anterior trunk and the entire right arm?
A. 18%
🔴 B. 27%
C. 36%
D. 45%
🔵 Explanation: The anterior trunk is 18% and the entire arm is 9%, totaling 27%.