EMT FISDAP TRAUMA | Practice Set with
Questions and Answers | Question and
Answer | Grade A+
• What emergency care should be avoided for a 68-year-old man with partial- and full-
thickness burns to his chest and upper extremities? -✓✓Flushing the burns with cool
water for 10 minutes.
• What is the correct action after covering a large open chest wound with an occlusive
dressing and needing to ventilate the patient? -✓✓Ensure the dressing remains sealed
while ventilating with a bag-mask device.
• What should you do after covering a large open chest wound with an occlusive
dressing and needing to ventilate the patient? -✓✓Remove the occlusive dressing.
• Which factor would reduce the blood's natural ability to clot, worsening bleeding? -
✓✓Hypothermia.
• In which patient would internal or external bleeding be especially severe? -✓✓A
patient with hemophilia.
• What does it indicate if a patient's chest collapses and abdomen rises during
inhalation? -✓✓Spinal cord injury.
• What should you do for a man bleeding heavily from a cut on the left side of the neck
with a patent airway? -✓✓Cover the wound with an occlusive dressing and apply direct
pressure.
• What is the most likely cause of collapse in a baseball player struck in the chest who is
unresponsive and pulseless? -✓✓Ventricular fibrillation.
• What does the presence of a hyphema indicate in a patient with blunt facial trauma? -
✓✓Direct trauma to the eyeball.
• What assessment finding indicates a patient with a closed lower extremity fracture
may be developing compartment syndrome? -✓✓The pain is greater than one would
expect for the injury.
• Which assessment finding provides the most information regarding a head-injured
patient's condition? -✓✓Mental status.
,• What should you do if a patient with an open chest wound covered with an occlusive
dressing shows signs of increased heart rate and decreased oxygen saturation? -
✓✓Remove the occlusive dressing.
• What is the recommended ventilation rate for a patient needing assistance with a bag-
mask device? -✓✓Ventilate at 24 breaths/min.
• What is the first step in managing a patient with a neck wound who is bleeding heavily
but has an adequate airway? -✓✓Apply high-flow oxygen via a nonrebreathing mask at
15 L/min.
• What is a common complication in patients with hemophilia when experiencing
bleeding? -✓✓Severe internal or external bleeding.
• What should an EMT suspect if a patient shows abnormal chest and abdominal
movement during inhalation? -✓✓Ruptured diaphragm.
• What is the immediate action for a patient with a neck wound and adequate breathing?
-✓✓Apply a tight pressure dressing and secure it in place.
• What condition is indicated by a patient being apneic and pulseless after chest
trauma? -✓✓Possible myocardial contusion.
• What is a sign of compartment syndrome in a limb? -✓✓Increased pain compared to
expected injury.
• What does a change in mental status indicate in a head-injured patient? -✓✓Potential
deterioration in condition.
• What should be monitored in a patient with an open chest wound during transport? -
✓✓Heart rate, oxygen saturation, and signs of shock.
• What is the significance of a patient becoming pale and diaphoretic during transport? -
✓✓Possible hypovolemic shock.
• What is the purpose of applying an occlusive dressing to a chest wound? -✓✓To
prevent air from entering the chest cavity.
• What is the primary concern when managing a patient with a significant neck injury? -
✓✓Maintaining airway patency.
• What vital signs indicate a patient may be experiencing pericardiac tamponade? -✓✓A
blood pressure of 90/74 mm Hg, pulse of 120 beats/min, and jugular venous distention.
,• What is the most reliable indicator of a fractured spinal vertebra? -✓✓Palpable pain at
the site of the injury.
• What should be suspected in a patient with a stab wound to the chest, cool clammy
skin, and distended jugular veins? -✓✓A pneumothorax.
• What is the Glasgow Coma Scale (GCS) score for a patient who opens his eyes
slightly, moans to painful stimuli, and pulls his arm away when palpated? -✓✓8
• What assessment finding is most concerning in a patient with significant burns? -
✓✓Dry cough and a hoarse voice.
• What should be done for a young woman with a head injury who is semiconscious and
bleeding from the nose and ear? -✓✓Cover her ear and nose with a loose gauze pad to
collect the blood.
• What is the pathophysiology of a hiker who fell and presents with hypotension,
bradycardia, and pale cool skin? -✓✓Loss of nervous system control over the systemic
vasculature.
• What is the appropriate action for a trauma patient with paradoxical movement of the
chest? -✓✓Ventilate the patient with a bag-mask device.
• What is the significance of jugular venous distention in a trauma patient? -✓✓It may
indicate increased intrathoracic pressure or fluid overload, often seen in conditions like
pericardiac tamponade.
• What vital signs are indicative of shock in a trauma patient? -✓✓Blood pressure of
60/40 mm Hg and a pulse of 50 beats/min.
• What should be the immediate management for a patient with a stab wound to the
chest and signs of shock? -✓✓Cover the wound, administer oxygen, and transport.
• What does a pulse rate of 120 beats/min suggest in a trauma patient? -✓✓It may
indicate compensatory tachycardia due to shock.
• What does cool and clammy skin indicate in a trauma patient? -✓✓It can indicate
shock or poor perfusion.
• What is the significance of a patient being pale and cool while having pink and warm
lower extremities? -✓✓It suggests possible neurogenic shock or peripheral vasodilation.
• What is the first step in managing a patient with a suspected traumatic aortic rupture? -
✓✓Immediate transport to a trauma center.
, • What does a respiratory rate of 26 breaths/min indicate in a trauma patient? -✓✓It may
indicate respiratory distress or compensation for metabolic acidosis.
• What is the importance of monitoring jugular venous distention in trauma patients? -
✓✓It helps assess fluid status and potential cardiac issues.
• What does paradoxical movement of the chest indicate? -✓✓It suggests a flail chest or
severe thoracic injury.
• What is the expected management for a patient with significant burns and respiratory
distress? -✓✓Airway management and oxygen administration.
• What does a blood pressure of 90/60 mm Hg indicate in a trauma patient? -✓✓It
suggests possible hypovolemic shock.
• What is the appropriate response for a patient with a large laceration on the forehead
and spinal injury? -✓✓Stabilize the spine and control any bleeding.
• What is the significance of a patient pulling away from painful stimuli? -✓✓It indicates
some level of consciousness and responsiveness.
• What should be monitored in a patient with a suspected spinal injury? -✓✓Neurological
status and motor function.
• What should be done to stabilize an unstable chest wall? -✓✓Use bulky dressings.
• What is the first step in managing a patient with a suspected chest injury? -✓✓Position
the patient on the injured side and transport.
• Where should distal circulation be assessed in a patient with a forearm injury? -✓✓At
the radial pulse.
• Which patient would require a rapid head-to-toe assessment? -✓✓A responsive 22-
year-old man with a small-caliber gunshot wound to the abdomen.
• What is the Glasgow Coma Scale (GCS) score for a patient who opens his eyes in
response to pain, mumbles words, and pushes your hand away? -✓✓9
• What condition is most likely indicated by a patient who is conscious, coughing up
blood, and has rapid, shallow breathing? -✓✓Internal hemorrhage.
• What is the most immediate threat to a patient experiencing significant respiratory
distress after being rescued from a fire? -✓✓Airway swelling.
Questions and Answers | Question and
Answer | Grade A+
• What emergency care should be avoided for a 68-year-old man with partial- and full-
thickness burns to his chest and upper extremities? -✓✓Flushing the burns with cool
water for 10 minutes.
• What is the correct action after covering a large open chest wound with an occlusive
dressing and needing to ventilate the patient? -✓✓Ensure the dressing remains sealed
while ventilating with a bag-mask device.
• What should you do after covering a large open chest wound with an occlusive
dressing and needing to ventilate the patient? -✓✓Remove the occlusive dressing.
• Which factor would reduce the blood's natural ability to clot, worsening bleeding? -
✓✓Hypothermia.
• In which patient would internal or external bleeding be especially severe? -✓✓A
patient with hemophilia.
• What does it indicate if a patient's chest collapses and abdomen rises during
inhalation? -✓✓Spinal cord injury.
• What should you do for a man bleeding heavily from a cut on the left side of the neck
with a patent airway? -✓✓Cover the wound with an occlusive dressing and apply direct
pressure.
• What is the most likely cause of collapse in a baseball player struck in the chest who is
unresponsive and pulseless? -✓✓Ventricular fibrillation.
• What does the presence of a hyphema indicate in a patient with blunt facial trauma? -
✓✓Direct trauma to the eyeball.
• What assessment finding indicates a patient with a closed lower extremity fracture
may be developing compartment syndrome? -✓✓The pain is greater than one would
expect for the injury.
• Which assessment finding provides the most information regarding a head-injured
patient's condition? -✓✓Mental status.
,• What should you do if a patient with an open chest wound covered with an occlusive
dressing shows signs of increased heart rate and decreased oxygen saturation? -
✓✓Remove the occlusive dressing.
• What is the recommended ventilation rate for a patient needing assistance with a bag-
mask device? -✓✓Ventilate at 24 breaths/min.
• What is the first step in managing a patient with a neck wound who is bleeding heavily
but has an adequate airway? -✓✓Apply high-flow oxygen via a nonrebreathing mask at
15 L/min.
• What is a common complication in patients with hemophilia when experiencing
bleeding? -✓✓Severe internal or external bleeding.
• What should an EMT suspect if a patient shows abnormal chest and abdominal
movement during inhalation? -✓✓Ruptured diaphragm.
• What is the immediate action for a patient with a neck wound and adequate breathing?
-✓✓Apply a tight pressure dressing and secure it in place.
• What condition is indicated by a patient being apneic and pulseless after chest
trauma? -✓✓Possible myocardial contusion.
• What is a sign of compartment syndrome in a limb? -✓✓Increased pain compared to
expected injury.
• What does a change in mental status indicate in a head-injured patient? -✓✓Potential
deterioration in condition.
• What should be monitored in a patient with an open chest wound during transport? -
✓✓Heart rate, oxygen saturation, and signs of shock.
• What is the significance of a patient becoming pale and diaphoretic during transport? -
✓✓Possible hypovolemic shock.
• What is the purpose of applying an occlusive dressing to a chest wound? -✓✓To
prevent air from entering the chest cavity.
• What is the primary concern when managing a patient with a significant neck injury? -
✓✓Maintaining airway patency.
• What vital signs indicate a patient may be experiencing pericardiac tamponade? -✓✓A
blood pressure of 90/74 mm Hg, pulse of 120 beats/min, and jugular venous distention.
,• What is the most reliable indicator of a fractured spinal vertebra? -✓✓Palpable pain at
the site of the injury.
• What should be suspected in a patient with a stab wound to the chest, cool clammy
skin, and distended jugular veins? -✓✓A pneumothorax.
• What is the Glasgow Coma Scale (GCS) score for a patient who opens his eyes
slightly, moans to painful stimuli, and pulls his arm away when palpated? -✓✓8
• What assessment finding is most concerning in a patient with significant burns? -
✓✓Dry cough and a hoarse voice.
• What should be done for a young woman with a head injury who is semiconscious and
bleeding from the nose and ear? -✓✓Cover her ear and nose with a loose gauze pad to
collect the blood.
• What is the pathophysiology of a hiker who fell and presents with hypotension,
bradycardia, and pale cool skin? -✓✓Loss of nervous system control over the systemic
vasculature.
• What is the appropriate action for a trauma patient with paradoxical movement of the
chest? -✓✓Ventilate the patient with a bag-mask device.
• What is the significance of jugular venous distention in a trauma patient? -✓✓It may
indicate increased intrathoracic pressure or fluid overload, often seen in conditions like
pericardiac tamponade.
• What vital signs are indicative of shock in a trauma patient? -✓✓Blood pressure of
60/40 mm Hg and a pulse of 50 beats/min.
• What should be the immediate management for a patient with a stab wound to the
chest and signs of shock? -✓✓Cover the wound, administer oxygen, and transport.
• What does a pulse rate of 120 beats/min suggest in a trauma patient? -✓✓It may
indicate compensatory tachycardia due to shock.
• What does cool and clammy skin indicate in a trauma patient? -✓✓It can indicate
shock or poor perfusion.
• What is the significance of a patient being pale and cool while having pink and warm
lower extremities? -✓✓It suggests possible neurogenic shock or peripheral vasodilation.
• What is the first step in managing a patient with a suspected traumatic aortic rupture? -
✓✓Immediate transport to a trauma center.
, • What does a respiratory rate of 26 breaths/min indicate in a trauma patient? -✓✓It may
indicate respiratory distress or compensation for metabolic acidosis.
• What is the importance of monitoring jugular venous distention in trauma patients? -
✓✓It helps assess fluid status and potential cardiac issues.
• What does paradoxical movement of the chest indicate? -✓✓It suggests a flail chest or
severe thoracic injury.
• What is the expected management for a patient with significant burns and respiratory
distress? -✓✓Airway management and oxygen administration.
• What does a blood pressure of 90/60 mm Hg indicate in a trauma patient? -✓✓It
suggests possible hypovolemic shock.
• What is the appropriate response for a patient with a large laceration on the forehead
and spinal injury? -✓✓Stabilize the spine and control any bleeding.
• What is the significance of a patient pulling away from painful stimuli? -✓✓It indicates
some level of consciousness and responsiveness.
• What should be monitored in a patient with a suspected spinal injury? -✓✓Neurological
status and motor function.
• What should be done to stabilize an unstable chest wall? -✓✓Use bulky dressings.
• What is the first step in managing a patient with a suspected chest injury? -✓✓Position
the patient on the injured side and transport.
• Where should distal circulation be assessed in a patient with a forearm injury? -✓✓At
the radial pulse.
• Which patient would require a rapid head-to-toe assessment? -✓✓A responsive 22-
year-old man with a small-caliber gunshot wound to the abdomen.
• What is the Glasgow Coma Scale (GCS) score for a patient who opens his eyes in
response to pain, mumbles words, and pushes your hand away? -✓✓9
• What condition is most likely indicated by a patient who is conscious, coughing up
blood, and has rapid, shallow breathing? -✓✓Internal hemorrhage.
• What is the most immediate threat to a patient experiencing significant respiratory
distress after being rescued from a fire? -✓✓Airway swelling.
