Trauma fisdap with answers
Trauma fisdap
1. 53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished
lung sounds on L side. You should?
o *Perform detailed physical assessment/stabilize left femur with traction splint/immobilize
long backboard/transport to nearest emergency room
2. 28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to verbal. R 38
and shallow with paradoxical movement. What should you do?
o ALS back up/02 non rebreather/stabilize chest with bulky dressing/02 with positive
pressure ventilations
3. What is the most likely cause of periorbital ecchymosis?
o Basicular skull fracture/ blow out fracture/ subdermal hematoma/ epidural hematoma
4. 30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should?
o Tourniquet/ continue pressure and transport rapidly/ elevate leg and place pressure
dressing/ check for PMS
5. 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with
copious amount of blood around face. Gurgling and R 4 per min. Most appropriate?
o Jaw thrust without head tilt/ head tilt and jaw thrust/ chin lift without head tilt/ head lift with
chin lift
6. M fell while water skiing. Unconscious. Suspect?
o Head and spine injury/ hypothermia/anaphylaxis/heat related injury
7. Appropriate care for amputated extremity?
o Wrap in dry gauze, seal in plastic bag, and place in cool water/ice cooler and
immediate trans/moist gauze keep cool with cold packs/immerse in cool water for
improved tissue preservation
8. 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with
copious amount of blood around face. Gurgling and R 4 per min. Most appropriate?
o Suction airway/ BVM/ C-collar/ control bleeding
9. 18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present.
You should?
o Apply board splint in position found/ stabilize limb at hip and ankle/ traction, realign limb/
ice pack and elevate limb
10. Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has difficulty
breathing. BP 80/40, P 120, R 28 and shallow. 90% SPO2. You should?
o BVM/ nonrebreather/ NPA/ long backboard
11. 81 yo F healthcare facility fell out of bed. Nurse suspects hip fracture. Which medication
should concern you the most?
o Coumadin/ albuterol/ nitro/ insulin
12. You are treating a patient with agonal respirations and gunshot wound to the chest. You notice
an open skull fracture leaking brain matter. There is no radial pulse, you should?
o Discontinue treatment and protect crime scene/ collect the brain matter and transport
rapidly/ assess a carotid pulse and assist ventilations / begin CPR and place airway adjunct
, Trauma fisdap with answers
13. A 45 year old male fell asleep outside while doing yard work. His face and lower legs are bright
red with small blisters and painful on examination. You should suspect?
o Both superficial and partial thickness burns/ allergic reaction due to insect bite/ both
partial and full thickness burns/ alcohol intoxication lead to prolonged exposure
14. A 35 year old patient has fallen and has a deformed right lower leg. The distal extremity is
pulseless and the skin is cool and cyanotic. You should?
o Realign the injured extremity/ apply a traction splint/ apply an elastic bandage/ splint
the extremity as it is
15. You arrive on scene of a car crash. The driver is alert and complaining of severe chest and
abdominal pain. His radial is weak and rapid. skin is cool, pale and moist. The patient has a history of
cardiac problems. You should?
o Remove pt from vehicle and place in shock position/ assist the pt in self admin their
nitro/ check lung sounds and BP/ rapidly extricate onto a long spinal board and transport
16. 47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24.
You should suspect?
o Spinal cord injury/
17. Injury that is most likely to require routine assessment and transport?
o Deformed Wrist injury
18. After securing pt on longboard, you should immediately assess:
o PMS
19. 23 year old soccer player was kicked in the chest. He is alert with rapid, shallow R and complains
of chest pain. Pale, cool and wet. You should?
o Rapid trauma assessment/ NPA/ non rebreather/ palpate chest for tenderness
20. 25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2cm laceration to L
chest wall. Lung sounds diminished on L side. You should?
o Apply occlusive dressing
21. Early signs of decompensated shock?
o Low blood pressure
22. Pt stabbed in RUQ. What organ is injured?
o Liver
23. Pt with chemical burn on eye and is wearing contact lenses. You should?
o Remove contact lenses and administer irrigation solutions/ remove contact lenses and
apply cool saline soaked gauze to eye/ leave contact lenses in and apply saline soaked
gauze to eye/ leave contact lenses in and administer irrigation solution
24. A baseball player was hit by a baseball in the left eye and complains for double vision. What
should you do?
o *Perform detailed exam/ c spine
25. First concern with conscious pt who received partial thick burns to the face is treating?
o Airway problems/
26. 22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing helmet.
You should?
Trauma fisdap
1. 53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished
lung sounds on L side. You should?
o *Perform detailed physical assessment/stabilize left femur with traction splint/immobilize
long backboard/transport to nearest emergency room
2. 28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to verbal. R 38
and shallow with paradoxical movement. What should you do?
o ALS back up/02 non rebreather/stabilize chest with bulky dressing/02 with positive
pressure ventilations
3. What is the most likely cause of periorbital ecchymosis?
o Basicular skull fracture/ blow out fracture/ subdermal hematoma/ epidural hematoma
4. 30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should?
o Tourniquet/ continue pressure and transport rapidly/ elevate leg and place pressure
dressing/ check for PMS
5. 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with
copious amount of blood around face. Gurgling and R 4 per min. Most appropriate?
o Jaw thrust without head tilt/ head tilt and jaw thrust/ chin lift without head tilt/ head lift with
chin lift
6. M fell while water skiing. Unconscious. Suspect?
o Head and spine injury/ hypothermia/anaphylaxis/heat related injury
7. Appropriate care for amputated extremity?
o Wrap in dry gauze, seal in plastic bag, and place in cool water/ice cooler and
immediate trans/moist gauze keep cool with cold packs/immerse in cool water for
improved tissue preservation
8. 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with
copious amount of blood around face. Gurgling and R 4 per min. Most appropriate?
o Suction airway/ BVM/ C-collar/ control bleeding
9. 18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present.
You should?
o Apply board splint in position found/ stabilize limb at hip and ankle/ traction, realign limb/
ice pack and elevate limb
10. Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has difficulty
breathing. BP 80/40, P 120, R 28 and shallow. 90% SPO2. You should?
o BVM/ nonrebreather/ NPA/ long backboard
11. 81 yo F healthcare facility fell out of bed. Nurse suspects hip fracture. Which medication
should concern you the most?
o Coumadin/ albuterol/ nitro/ insulin
12. You are treating a patient with agonal respirations and gunshot wound to the chest. You notice
an open skull fracture leaking brain matter. There is no radial pulse, you should?
o Discontinue treatment and protect crime scene/ collect the brain matter and transport
rapidly/ assess a carotid pulse and assist ventilations / begin CPR and place airway adjunct
, Trauma fisdap with answers
13. A 45 year old male fell asleep outside while doing yard work. His face and lower legs are bright
red with small blisters and painful on examination. You should suspect?
o Both superficial and partial thickness burns/ allergic reaction due to insect bite/ both
partial and full thickness burns/ alcohol intoxication lead to prolonged exposure
14. A 35 year old patient has fallen and has a deformed right lower leg. The distal extremity is
pulseless and the skin is cool and cyanotic. You should?
o Realign the injured extremity/ apply a traction splint/ apply an elastic bandage/ splint
the extremity as it is
15. You arrive on scene of a car crash. The driver is alert and complaining of severe chest and
abdominal pain. His radial is weak and rapid. skin is cool, pale and moist. The patient has a history of
cardiac problems. You should?
o Remove pt from vehicle and place in shock position/ assist the pt in self admin their
nitro/ check lung sounds and BP/ rapidly extricate onto a long spinal board and transport
16. 47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24.
You should suspect?
o Spinal cord injury/
17. Injury that is most likely to require routine assessment and transport?
o Deformed Wrist injury
18. After securing pt on longboard, you should immediately assess:
o PMS
19. 23 year old soccer player was kicked in the chest. He is alert with rapid, shallow R and complains
of chest pain. Pale, cool and wet. You should?
o Rapid trauma assessment/ NPA/ non rebreather/ palpate chest for tenderness
20. 25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2cm laceration to L
chest wall. Lung sounds diminished on L side. You should?
o Apply occlusive dressing
21. Early signs of decompensated shock?
o Low blood pressure
22. Pt stabbed in RUQ. What organ is injured?
o Liver
23. Pt with chemical burn on eye and is wearing contact lenses. You should?
o Remove contact lenses and administer irrigation solutions/ remove contact lenses and
apply cool saline soaked gauze to eye/ leave contact lenses in and apply saline soaked
gauze to eye/ leave contact lenses in and administer irrigation solution
24. A baseball player was hit by a baseball in the left eye and complains for double vision. What
should you do?
o *Perform detailed exam/ c spine
25. First concern with conscious pt who received partial thick burns to the face is treating?
o Airway problems/
26. 22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing helmet.
You should?
