TRAUMA FISDAP 138 QUESTIONS AND
ANSWERS CERTIFICATION EVALUATION
PRACTICE SET 2026 EXPERT REVIEW
GRADED A+
⩥ If you see a deformed steering column in a MVC... what will the pt
represent with?
Answer: Bruised neck, bruised chest. Sternal or rib fracture, flail chest,
myocardial contusion, *pericardial tamponade, pneumo/hemothorax,
aortic tear.
⩥ If you see a deformed dashboard in a MVC... what will the pt
represent with?
Answer: Bruised abdomen, bruised knee, misplaced kneecap. Ruptured
spleen, liver, bowel, diaphragm. Fractured patella, dislocated knee,
*femoral fracture, dislocated hip.
⩥ If you see the rear end of the vehicle is damaged in a MVC... what
will the pt represent with?
Answer: Secondary anterior injuries, esp if the pt wasn't restrained.
"Wiplash" injuries, *coup contrecoup injury.
⩥ Phases of Deceleration
,Answer: 1) Deceleration of the vehicle, occurs when the vehicle strikes
another object & comes to a stop. 2) Deceleration of occupant, which
starts during sudden braking & continues through the whole crash. 3)
Deceleration of internal organs, that consist of internal organs that
continue forward momentum until they're stopped by anatomical
restraints. 4) Secondary collisions, which occur when a vehicle occupant
is hit by objects moving within the vehicle (loose objects). 5) Additional
impacts, that the vehicle may receive when it is hit by a second vehicle
or is deflected into another.
⩥ Velocity
Answer: "Speed kills"- causes more damage than mass.
⩥ Seat Belt Use
Answer: All arguments against seat belt use are unfounded.
⩥ Airbag Injuries
Answer: Common injuries include abrasions to the face, chest and arms.
Minor corrosive effects can occur because of the cornstarch on the
airbag, and it may irritate the skin.
⩥ Down and Under Pathway
Answer: Occupant slides under the steering wheel or the dash. The
knees hit the dashboard, and transmit energy up the leg, to the
femur/pelvis. If the feet are locked in place, it can cause femur fractures.
, ⩥ Up and Over Pathway
Answer: Chest hits the steering wheel, head hits the windshield and
anterior portion of the throat hits the top of the steering wheel. Can
cause significant head and neck injuries.
⩥ Head on Impact in Motorcycle Crashes
Answer: Head on impact- motorcycle strikes another object and stops its
forward motion, while the rider continues forward motion until stopped
by outside force. This causes the rider to go over the handlebars, which
causes femur fractures, and tib fractures.
⩥ Angular Impact in Motorcycle Crashes
Answer: The motorcycle strikes an object, or another vehicle at an angel
so that the rider sustains direct crushing injuries to the lower extremity
between the object and motorcycle.
⩥ Motorcycle Crashes
Answer: With any motorcycle crash, the helmet should be removed
carefully if airway management techniques cannot be performed with
the helmet in place or the helmet doesn't fit properly on the riders head.
⩥ Pedestrian Injuries
Answer: Most pedestrian injuries occur at an intersection, at night. First,
the pedestrian is hit in the lower extremities with the cars bumpers.
ANSWERS CERTIFICATION EVALUATION
PRACTICE SET 2026 EXPERT REVIEW
GRADED A+
⩥ If you see a deformed steering column in a MVC... what will the pt
represent with?
Answer: Bruised neck, bruised chest. Sternal or rib fracture, flail chest,
myocardial contusion, *pericardial tamponade, pneumo/hemothorax,
aortic tear.
⩥ If you see a deformed dashboard in a MVC... what will the pt
represent with?
Answer: Bruised abdomen, bruised knee, misplaced kneecap. Ruptured
spleen, liver, bowel, diaphragm. Fractured patella, dislocated knee,
*femoral fracture, dislocated hip.
⩥ If you see the rear end of the vehicle is damaged in a MVC... what
will the pt represent with?
Answer: Secondary anterior injuries, esp if the pt wasn't restrained.
"Wiplash" injuries, *coup contrecoup injury.
⩥ Phases of Deceleration
,Answer: 1) Deceleration of the vehicle, occurs when the vehicle strikes
another object & comes to a stop. 2) Deceleration of occupant, which
starts during sudden braking & continues through the whole crash. 3)
Deceleration of internal organs, that consist of internal organs that
continue forward momentum until they're stopped by anatomical
restraints. 4) Secondary collisions, which occur when a vehicle occupant
is hit by objects moving within the vehicle (loose objects). 5) Additional
impacts, that the vehicle may receive when it is hit by a second vehicle
or is deflected into another.
⩥ Velocity
Answer: "Speed kills"- causes more damage than mass.
⩥ Seat Belt Use
Answer: All arguments against seat belt use are unfounded.
⩥ Airbag Injuries
Answer: Common injuries include abrasions to the face, chest and arms.
Minor corrosive effects can occur because of the cornstarch on the
airbag, and it may irritate the skin.
⩥ Down and Under Pathway
Answer: Occupant slides under the steering wheel or the dash. The
knees hit the dashboard, and transmit energy up the leg, to the
femur/pelvis. If the feet are locked in place, it can cause femur fractures.
, ⩥ Up and Over Pathway
Answer: Chest hits the steering wheel, head hits the windshield and
anterior portion of the throat hits the top of the steering wheel. Can
cause significant head and neck injuries.
⩥ Head on Impact in Motorcycle Crashes
Answer: Head on impact- motorcycle strikes another object and stops its
forward motion, while the rider continues forward motion until stopped
by outside force. This causes the rider to go over the handlebars, which
causes femur fractures, and tib fractures.
⩥ Angular Impact in Motorcycle Crashes
Answer: The motorcycle strikes an object, or another vehicle at an angel
so that the rider sustains direct crushing injuries to the lower extremity
between the object and motorcycle.
⩥ Motorcycle Crashes
Answer: With any motorcycle crash, the helmet should be removed
carefully if airway management techniques cannot be performed with
the helmet in place or the helmet doesn't fit properly on the riders head.
⩥ Pedestrian Injuries
Answer: Most pedestrian injuries occur at an intersection, at night. First,
the pedestrian is hit in the lower extremities with the cars bumpers.
