TRAUMA FISDAP CERTIFICATION EVALUATION
TEST PAPER 2026 COMPLETE STUDY
QUESTIONS WITH CORRECT ANSWERS
◉ retrograde amnesia. Answer: before event
◉ anterograde amnesia. Answer: after event
◉ Treating a pt with Head Trauma. Answer: Lidocaine to reduce ICP,
maintain O2 sats above 95%, administer high flow O2 if pt is
breathing on their own, avoid hyperventilation, restrict your use of
IV fluids (unless hypotensive, then give fluid to keep systolic above
80-90), and do not give dextrose.
◉ Diaphragm. Answer: Phrenic nerve (C3-C5). Injury occurring at or
above C3-C4 may cause diaphragmatic paralysis, that is seen with
abdominal breathing and accessory muscle use.
◉ GCS Scale. Answer: Eyes, Motor, Speech. EYES (4): Spontaneous- 4,
To voice- 3, To pain- 2, None- 1.
MOTOR (6): Obeys commands- 6, Localizes pain- 5, Withdraws from
pain- 4, Decorticate- 3, Decerebrate- 2, None- 1.
,SPEECH (5): Oriented- 5, Confused- 4, Inappropriate- 3, Sounds
(garbled, mumbling, etc)- 2, None, 1. *Your pt will always be 3 or
more.
◉ trauma score. Answer: A score calculated from 1 to 16, with 16
being the best possible score. It relates to the likelihood of patient
survival with the exception of a severe head injury. It takes into
account the Glasgow Coma Scale (GCS) score, respiratory rate,
respiratory expansion, systolic blood pressure, and capillary refill.
◉ Levels of ICP. Answer: 1)Mild- cheyne-stokes, increased BP,
decreased HR, pupils stil reactive, AMS, vomiting.
2)Moderate- widening pulse pressure w/ bradycardia, pupils are
non-reactive, hyperventilation, posturing. 3)Severe- blown pupil,
biot's respirations, flaccid paralysis, irregular pulse rate, fluctuating
BP (usually hypotension).
◉ Cheyne- Stokes Respirations. Answer: Respirations that are fast
and then become slow, with intervening periods of apnea. Common
in people with head injuries/ICP.
◉ Biots Respirations. Answer: Characterized by irregular rate,
pattern, and volume of breathing with intermittent periods of apnea.
,◉ Babinkski Reflex. Answer: Occurs when the toes move upward in
response to stimulation of the sole of the foot. Under normal
circumstances, the toes move downward.
◉ Coup. Answer: directly at point of impact (frontal)
◉ countrecoup injury. Answer: damage opposite the site of impact
◉ CPP. Answer: Cerebral perfusion pressure. The pressure of blood
flow through the brain, is the difference between the MAP, and ICP.
The minimum CCP should be 60.
◉ Autoregulation. Answer: The body responds to a decrease in CPP
by increasing the MAP. Resulting in cerebral vasodilation and
increased cerebral blood flow. However, this is a vicious cycle cause
it actually increases ICP.
◉ If ICP doesn't resolve... this could happen?. Answer: Herniation.
The brain is forced through the cranial vault, either through the
foramen magnum or over the tentorium.
◉ Decorticate. Answer: Flexor posturing. Pt's limbs will be facing
toward their core, involving flexion of the arms and legs.
, ◉ Decerebrate. Answer: Extensor posturing. Pt's limbs will be
extending away from the body.
◉ Epidural Hematoma. Answer: Accumulation of the blood between
the skull and dura matter. Usually caused by blunt trauma. Often the
Pt loses consciousness immediately after.
◉ Subdural Hematoma. Answer: Accumulation of blood beneath the
dura matter. Usually occurs after falls, and are more common than
epidural hematomas. This bleeding is from venous bleeding, so it is
more gradual and can take anywhere between 24hrs to 2 weeks.
Common in elderly Pt's, Pt's with bleeding diseases, and alcoholics.
◉ Intracerebral Hematoma. Answer: Involves bleeding within the
brain tissue itself. Can follow a penetrating injury to the head. Have a
high mortality rate.
◉ Hyperpyrexia. Answer: Patients with a head injury can develop a
high body temperature, which can worsen the condition of the brain.
◉ Pneumothorax. Answer: Occurs when air leaks into the space
between the pleural surfaces from an opening in the chest or the
surface of the lung. The lung collapses as the air fills the pleural
space.
TEST PAPER 2026 COMPLETE STUDY
QUESTIONS WITH CORRECT ANSWERS
◉ retrograde amnesia. Answer: before event
◉ anterograde amnesia. Answer: after event
◉ Treating a pt with Head Trauma. Answer: Lidocaine to reduce ICP,
maintain O2 sats above 95%, administer high flow O2 if pt is
breathing on their own, avoid hyperventilation, restrict your use of
IV fluids (unless hypotensive, then give fluid to keep systolic above
80-90), and do not give dextrose.
◉ Diaphragm. Answer: Phrenic nerve (C3-C5). Injury occurring at or
above C3-C4 may cause diaphragmatic paralysis, that is seen with
abdominal breathing and accessory muscle use.
◉ GCS Scale. Answer: Eyes, Motor, Speech. EYES (4): Spontaneous- 4,
To voice- 3, To pain- 2, None- 1.
MOTOR (6): Obeys commands- 6, Localizes pain- 5, Withdraws from
pain- 4, Decorticate- 3, Decerebrate- 2, None- 1.
,SPEECH (5): Oriented- 5, Confused- 4, Inappropriate- 3, Sounds
(garbled, mumbling, etc)- 2, None, 1. *Your pt will always be 3 or
more.
◉ trauma score. Answer: A score calculated from 1 to 16, with 16
being the best possible score. It relates to the likelihood of patient
survival with the exception of a severe head injury. It takes into
account the Glasgow Coma Scale (GCS) score, respiratory rate,
respiratory expansion, systolic blood pressure, and capillary refill.
◉ Levels of ICP. Answer: 1)Mild- cheyne-stokes, increased BP,
decreased HR, pupils stil reactive, AMS, vomiting.
2)Moderate- widening pulse pressure w/ bradycardia, pupils are
non-reactive, hyperventilation, posturing. 3)Severe- blown pupil,
biot's respirations, flaccid paralysis, irregular pulse rate, fluctuating
BP (usually hypotension).
◉ Cheyne- Stokes Respirations. Answer: Respirations that are fast
and then become slow, with intervening periods of apnea. Common
in people with head injuries/ICP.
◉ Biots Respirations. Answer: Characterized by irregular rate,
pattern, and volume of breathing with intermittent periods of apnea.
,◉ Babinkski Reflex. Answer: Occurs when the toes move upward in
response to stimulation of the sole of the foot. Under normal
circumstances, the toes move downward.
◉ Coup. Answer: directly at point of impact (frontal)
◉ countrecoup injury. Answer: damage opposite the site of impact
◉ CPP. Answer: Cerebral perfusion pressure. The pressure of blood
flow through the brain, is the difference between the MAP, and ICP.
The minimum CCP should be 60.
◉ Autoregulation. Answer: The body responds to a decrease in CPP
by increasing the MAP. Resulting in cerebral vasodilation and
increased cerebral blood flow. However, this is a vicious cycle cause
it actually increases ICP.
◉ If ICP doesn't resolve... this could happen?. Answer: Herniation.
The brain is forced through the cranial vault, either through the
foramen magnum or over the tentorium.
◉ Decorticate. Answer: Flexor posturing. Pt's limbs will be facing
toward their core, involving flexion of the arms and legs.
, ◉ Decerebrate. Answer: Extensor posturing. Pt's limbs will be
extending away from the body.
◉ Epidural Hematoma. Answer: Accumulation of the blood between
the skull and dura matter. Usually caused by blunt trauma. Often the
Pt loses consciousness immediately after.
◉ Subdural Hematoma. Answer: Accumulation of blood beneath the
dura matter. Usually occurs after falls, and are more common than
epidural hematomas. This bleeding is from venous bleeding, so it is
more gradual and can take anywhere between 24hrs to 2 weeks.
Common in elderly Pt's, Pt's with bleeding diseases, and alcoholics.
◉ Intracerebral Hematoma. Answer: Involves bleeding within the
brain tissue itself. Can follow a penetrating injury to the head. Have a
high mortality rate.
◉ Hyperpyrexia. Answer: Patients with a head injury can develop a
high body temperature, which can worsen the condition of the brain.
◉ Pneumothorax. Answer: Occurs when air leaks into the space
between the pleural surfaces from an opening in the chest or the
surface of the lung. The lung collapses as the air fills the pleural
space.
