TRAUMA FISDAP COMPREHENSIVE STUDY
GUIDE 2026 PRACTICE QUESTIONS AND
ACCURATE ANSWERS GRADED A+
◉ Le Fort 1 Fracture. Answer: From the bottom of the nose down.
Involves the mandible and the maxilla.
◉ Le Fort 2 Fracture. Answer: Involving the nasal bone and the
maxilla.
◉ Le Fort 3 Fracture. Answer: A fracture of all midfacial bones,
seperating the entire midface from the cranium. Includes the eyes.
◉ Management of Someone with Facial Trauma. Answer: Inspect the
mouth for fragments of teeth, dentures, or any other foreign bodies.
Suction the oropharynx as needed. Do not nasally intubate someone
with evidence of nasal trauma, CSF leaking, blood in the nose, or any
other midline facial trauma.
◉ Open neck wound should be covered with...?. Answer: An
occlusive dressing. For fear of air entering the neck.
,◉ When an impaled object is in the neck... you should?. Answer: Not
remove the object, but try to stabilize it and control the bleeding
from it. The ONLY exception for removing the object is if it interferes
with your ability to manage the airway. In some cases, an emergency
cric may be necessary.
◉ atlas. Answer: C1
atlatooccipital joint: affixed to occipital bone and permits nodding
but does not accommodate any twisting or turning
◉ axis. Answer: C2
provides pivotal point - rotate side to side
◉ Frontal Lobe. Answer: (Forehead) Important for voluntary motor
action and personality traits. Injury to the frontal lobe may result in
seizures or placid reactions (flat affect).
◉ Parietal Lobe. Answer: Controls the somatic or voluntary sensory
and motor functions for the opposite side of the body, as well as
memory and emotions.
◉ Occipital Lobe. Answer: (Back of the head) Responsible for
processing visual information.
,◉ Temporal Lobe. Answer: (Side of the head) Speech area, hearing,
taste and smell.
◉ Meningeal Layers. Answer: PAD- pia, arachnoid, dura (from inside
to out).
◉ Anterior Cord Syndrome. Answer: - caused by flexion injuries
- occurs when 2/3 of the anterior cord is lost
- *motor function, pain, and temperature sensation lost bilaterally
below the lesion* (*flaccidity* below the lesion)
◉ Central Cord Syndrome. Answer: occurs with hyperextension of
the cervical area. Symptoms include weakness or paresthesia in the
upper extremities but normal strength in lower.
◉ Brown-Sequard Syndrome. Answer: Hemi-section of the cord
- ipsilateral (same side) spastic paralysis and loss of position sense
- contralateral (opposite side) loss of pain and thermal sense
◉ Cuada Equina Syndrome. Answer: Involves peripheral nerves,
usually occurring with fractures below L2 resulting flaccid type
paralysis
, ◉ Spinal Injuries. Answer: C1-C5 : paralysis of muscles used for
breathing and of all arm and leg muscles (usually fatal)
C5-C6: legs paralyzed, slight ability to flex arms
C6-C7: paralysis of legs and part of wrist and hands; shoulder
movement and elbow bending
C8-T1: legs and trunk paralyzed; eyelids droop; loss of sweating to
forehead; arms relatively normal; hands paralyzed
T2-T4: legs and trunk paralyzed; loss of feeling below nipples
T5-T8: legs and lower trunk paralyzed loss of feeling below ribs
T9-T11: legs paralyzed, loss of feeling below groin
T12-L1: paralysis and loss of feeling below groin
L2-L5: different patterns of leg weakness and numbness
S1-S2: different patterns of leg weakness and numbness
S3-S5: loss of bladder control; numbness in perineum
◉ Cranial Nerves. Answer: CN-1: olfactory - responsible for sense of
smell
CN-2: optic - responsible for image transmission
CN-3: occulomotor - eyeball motion, iris constriction, movement of
upper eyelid
CN-4: trochlear - conjugate gaze
CN-5: trigeminal - innervates and receives sensation from facial
region and the gums, teeth and palate and controls muscles of
chewing
GUIDE 2026 PRACTICE QUESTIONS AND
ACCURATE ANSWERS GRADED A+
◉ Le Fort 1 Fracture. Answer: From the bottom of the nose down.
Involves the mandible and the maxilla.
◉ Le Fort 2 Fracture. Answer: Involving the nasal bone and the
maxilla.
◉ Le Fort 3 Fracture. Answer: A fracture of all midfacial bones,
seperating the entire midface from the cranium. Includes the eyes.
◉ Management of Someone with Facial Trauma. Answer: Inspect the
mouth for fragments of teeth, dentures, or any other foreign bodies.
Suction the oropharynx as needed. Do not nasally intubate someone
with evidence of nasal trauma, CSF leaking, blood in the nose, or any
other midline facial trauma.
◉ Open neck wound should be covered with...?. Answer: An
occlusive dressing. For fear of air entering the neck.
,◉ When an impaled object is in the neck... you should?. Answer: Not
remove the object, but try to stabilize it and control the bleeding
from it. The ONLY exception for removing the object is if it interferes
with your ability to manage the airway. In some cases, an emergency
cric may be necessary.
◉ atlas. Answer: C1
atlatooccipital joint: affixed to occipital bone and permits nodding
but does not accommodate any twisting or turning
◉ axis. Answer: C2
provides pivotal point - rotate side to side
◉ Frontal Lobe. Answer: (Forehead) Important for voluntary motor
action and personality traits. Injury to the frontal lobe may result in
seizures or placid reactions (flat affect).
◉ Parietal Lobe. Answer: Controls the somatic or voluntary sensory
and motor functions for the opposite side of the body, as well as
memory and emotions.
◉ Occipital Lobe. Answer: (Back of the head) Responsible for
processing visual information.
,◉ Temporal Lobe. Answer: (Side of the head) Speech area, hearing,
taste and smell.
◉ Meningeal Layers. Answer: PAD- pia, arachnoid, dura (from inside
to out).
◉ Anterior Cord Syndrome. Answer: - caused by flexion injuries
- occurs when 2/3 of the anterior cord is lost
- *motor function, pain, and temperature sensation lost bilaterally
below the lesion* (*flaccidity* below the lesion)
◉ Central Cord Syndrome. Answer: occurs with hyperextension of
the cervical area. Symptoms include weakness or paresthesia in the
upper extremities but normal strength in lower.
◉ Brown-Sequard Syndrome. Answer: Hemi-section of the cord
- ipsilateral (same side) spastic paralysis and loss of position sense
- contralateral (opposite side) loss of pain and thermal sense
◉ Cuada Equina Syndrome. Answer: Involves peripheral nerves,
usually occurring with fractures below L2 resulting flaccid type
paralysis
, ◉ Spinal Injuries. Answer: C1-C5 : paralysis of muscles used for
breathing and of all arm and leg muscles (usually fatal)
C5-C6: legs paralyzed, slight ability to flex arms
C6-C7: paralysis of legs and part of wrist and hands; shoulder
movement and elbow bending
C8-T1: legs and trunk paralyzed; eyelids droop; loss of sweating to
forehead; arms relatively normal; hands paralyzed
T2-T4: legs and trunk paralyzed; loss of feeling below nipples
T5-T8: legs and lower trunk paralyzed loss of feeling below ribs
T9-T11: legs paralyzed, loss of feeling below groin
T12-L1: paralysis and loss of feeling below groin
L2-L5: different patterns of leg weakness and numbness
S1-S2: different patterns of leg weakness and numbness
S3-S5: loss of bladder control; numbness in perineum
◉ Cranial Nerves. Answer: CN-1: olfactory - responsible for sense of
smell
CN-2: optic - responsible for image transmission
CN-3: occulomotor - eyeball motion, iris constriction, movement of
upper eyelid
CN-4: trochlear - conjugate gaze
CN-5: trigeminal - innervates and receives sensation from facial
region and the gums, teeth and palate and controls muscles of
chewing
