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FISDAP Trauma Exam – 165 NREMT-Style Questions with Rationales (Mechanism of Injury, Hemorrhage Control, Chest/Abdominal Trauma, Burns, Multi-System Trauma)

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Complete FISDAP Trauma Exam question bank with 165 NREMT-style practice questions, verified answers, and detailed rationales. Covers Mechanism of Injury & Scene Assessment (fall distance 15+ feet high-energy, rollover flail chest/spinal injury, up-and-over pedestrian vs vehicle, downed power lines safe distance, scene safety priority), Airway & Breathing (flail chest BVM, gurgling suction first, manual C-spine first, soot inhalation smoldering clothing, snoring jaw thrust, sucking chest wound occlusive dressing three sides, tension pneumothorax needle decompression 2nd ICS MCL, tracheostomy obstructed inner cannula, stridor laryngeal fracture), Hemorrhage Control & Shock (tourniquet for uncontrolled extremity bleed, wound packing hemostatic gauze junctional area, amputated part dry gauze bag ice, compensated vs decompensated shock, neurogenic shock spinal cord bradycardia, pelvic binder retroperitoneal hemorrhage, scalp laceration temporal artery pressure, delayed capillary refill pediatric shock), Head & Spinal Trauma (raccoon eyes/battle sign basilar skull fracture, impaled eye object paper cup, decerebrate posturing brainstem injury, GCS 8 severe, NPA contraindication basilar skull fracture, depressed skull fracture moist sterile dressing), Chest & Abdominal Trauma (Beck’s triad cardiac tamponade, flat neck veins hemorrhagic shock, simple vs tension pneumothorax, subcutaneous emphysema, Kehr sign spleen, diaphragmatic rupture bowel sounds chest, needle decompression site, Parkland formula), Musculoskeletal Trauma (pulseless fracture gentle traction, open fracture moist sterile dressing splint position found, compartment syndrome 5 Ps, traction splint femur fracture, pelvic binder scoop stretcher, crush syndrome rhabdomyolysis), Burns & Soft Tissue (chemical burn dry lime brush then irrigate, superficial burn cool water dry dressing, rule of nines adult, circumferential full-thickness eschar compartment syndrome, hoarseness stridor airway burn, full-thickness white waxy charred painless), Multi-System Trauma & Triage (START triage RR30 immediate red, traumatic cardiac arrest black tag, trauma center criteria GCS14 fall20 feet penetrating, golden hour platinum 10 minutes scoop and run, multi-system trauma 2 body systems), and Special Populations (pediatric shock delayed cap refill, pregnant supine hypotensive syndrome left tilt, abruptio placentae painful dark bleeding, elderly fall ground-level anticoagulation CT head, pediatric fall 2-3x height trauma activation, priapism spinal cord injury). Perfect for FISDAP trauma exam, NREMT cognitive exam, paramedic school, and EMT trauma certification.

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FISDAP TRAUMA EXAM 2026-2027 – COMPLETE
QUESTION BANK ## 165 PRACTICE QUESTIONS
WITH VERIFIED ANSWERS & RATIONALES



# PART 1: MECHANISM OF INJURY & SCENE ASSESSMENT (15
QUESTIONS)


**Question 1**
You arrive on the scene of a patient who fell from a ladder. Which of the
following information is NOT an important factor in care of the patient?
A. Height of the ladder
B. Distance the patient fell from
C. Surface the patient landed on
D. What part of the body hit first


**Answer: A – Height of the ladder**


**Rationale:** The actual height of the ladder matters less than the
distance fallen, the landing surface, and which body part absorbed the
impact. For example, a fall from 6 feet onto concrete versus a fall from
12 feet onto grass—the mechanism of injury is determined by fall
distance, surface, and landing point, not the ladder's height specification.

,2|Page


---


**Question 2**
An unrestrained driver in a motor vehicle crash at highway speeds has a
bent steering wheel and a spidered windshield. What type of energy
transfer occurred?
A. High-velocity penetrating
B. Decelerating
C. Low-velocity penetrating
D. Blunt


**Answer: D – Blunt**


**Rationale:** The bent steering wheel and spidered windshield
indicate the driver struck the steering wheel and windshield, causing
blunt force trauma. "Blunt" refers to energy transferred over a broad
surface area rather than penetrating (sharp object). Decelerating is the
mechanism, but blunt describes the type of injury.


---


**Question 3**

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You are at the scene of an MVA with three patients, all with minor
visible injuries. Two are refusing treatment and the last is complaining of
neck and back pain. How should you proceed?
A. Treat all three patients
B. Obtain signed refusals from the first two patients then proceed to the
third
C. Treat the third patient only
D. Have your partner obtain refusals from the two patients who refused
treatment, while you treat the last patient


**Answer: D – Have your partner obtain refusals while you treat the last
patient**


**Rationale:** The third patient has a potentially serious injury
(neck/back pain after MVA). Your partner can handle the refusals while
you assess and treat the priority patient. This is efficient and safe. Never
abandon an injured patient to obtain signatures, but also do not neglect
the refusals entirely.


---


**Question 4**
A patient fell while water skiing and is unconscious. You should suspect:
A. Only head injury

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B. Only spine injury
C. Head and spine injury
D. Drowning-related injury


**Answer: C – Head and spine injury**


**Rationale:** High-velocity water sports with unconsciousness =
assume both head AND spinal injury. The mechanism (fall at speed) can
cause both. Always suspect spinal injury in any unconscious trauma
patient unless proven otherwise.


---


**Question 5**
What is the term for the injury in which the epidermis remains intact but
cells and blood vessels in the dermis are damaged?
A. Abrasion
B. Laceration
C. Contusion (bruise)
D. Avulsion


**Answer: C – Contusion (bruise)**

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