NREMT FISDAP Trauma Exam Practice Questions and
Answers () (Verified Answers)
An alert 18 y/o female is found trapped in her car after a single-car MVC. The
airbag deployed, and she denies any head or neck pain, but she complains of hip
and left leg pain. When she is finally extricated from the car, her vital signs begin
to collapse. What shock is she transitioning from?
A) neurogenic shock to hypovolemic shock
B) decompensated shock to compensated shock
C) compensated shock to decompensated shock
D) decompensated shock to hypovolemic shock
C) compensated shock to decompensated shock
Which of the following MOIs would NOT be significant for an adult?
A) death in the same passenger compartment
B) fall from more than 10 feet
C) ejection from vehicle
D) altered mental status
B) fall from more than 10 feet
A 20 y/o female has burns on her chest, abdomen, and on the anterior side of her
right arm. What percentage of her body is burned?
A) 22.5%
B) 27%
C) 40.5%
D) 18%
A) 22.5%
Before placing an unconscious 6 y/o on a backboard, what should you do?
A) place padding directly underneath the head
B) place padding underneath the shoulders
C) contact the parents for consent
D) assess vital signs
B) place padding underneath the shoulders
What best defines shock?
A) lack of adequate perfusion to the tissues
B) hemorrhage exceeding 50% of total blood volume
C) deficiency of vascular tone due to hemorrhage
D) inadequate cerebral blood flow
A) lack of adequate perfusion to the tissues
Your patient's vehicle was struck by another motorist from behind. What should
you do?
A) perform a head-to-toe examination
B) stabilize the c-spine
C) administer high-flow oxygen
D) apply a half-spine immobilization device
B) stabilize the c-spine
,An 18 y/o female was hit and has 4 teeth pushed into the upper gums of her jaw.
She complains of severe pain and discomfort. Bleeding is minimal. BP is 120/90,
HR is 88 bpm, RR is 16/min, and SpO2 is 96%. What should you do?
A) administer aspirin for pain
B) insert an OPA to maintain patency
C) apply oxygen by NRB at 15 L/min
D) monitor her bleeding and ensure a patent airway
D) monitor her bleeding and ensure a patent airway
An injury produced by wounding forces of compression and change of speed,
both of which can disrupt tissue, is defined as:
A) third degree trauma
B) penetrating trauma
C) blunt trauma
D) cavitation
C) blunt trauma
A 34 y/o female has been bleeding vaginally for 2 hours. She is anxious, alert, and
oriented. Her skin is cool, pale, and diaphoretic. BP is 116/70, HR 118 bpm, and
RR 20/min. What should you suspect?
A) hypotensive shock
B) hypertensive shock
C) decompensated shock
D) compensated shock
D) compensated shock
What is a contraindication of a traction splint?
A) signs of hypoperfusion
B) swelling or deformity to the thigh
C) pelvic fracture
D) potential spinal injury
C) pelvic fracture
A 56 y/o male involved in a car accident complains of chest and abdominal pain.
Pulses differ by 10 mmHg systolic bilaterally and lung sounds are muffled. To
which artery should you suspect a rupture?
A) subclavian
B) carotid
C) iliac
D) radial
A) subclavian
A 32 y/o female attempted suicide by taking sleeping pills and cutting her wrists.
She has dark red blood oozing from the wrist lacerations. BP is 90/52, HR 130
bpm and weak, RR 18/min. What type of bleeding and shock is she experiencing?
A) venous bleeding with hypovolemic shock
B) capillary bleeding with cardiogenic shock
C) arterial bleeding with hypovolemic shock
D) venous bleeding with neurogenic shock
A) venous bleeding with hypovolemic shock
, Unequal pupils are a result of pressure on which structure?
A) oculomotor nerve
B) central medulla
C) trochlear membrane
D) vagus nerve
A) oculomotor nerve
A 41 y/o male has been injured in an explosion at a chemical lab. He has ruptured
TMs and sinus injuries. At what phase of the blast did the patient sustain the
injuries?
A) primary
B) ultimate
C) tertiary
D) secondary
A) primary
When protecting the cervical spine of a suspected trauma patient, what should
you do?
A) place gentle traction to straighten the c-spine
B) hold the c-spine in the position found
C) place a rigid collar on the neck prior to continuing with the rest of the
assessment
D) hold the neck in a neutral, in-line position
D) hold the neck in a neutral, in-line position
What is a mechanism of obstructive shock?
A) MI
B) spinal cord injury
C) acute fluid loss
D) tension PTX
D) tension PTX
Which of the following is the first sign of shock that usually appears in patients?
A) changes in vitals
B) pale, cool, and clammy skin
C) AMS
D) nausea and vomiting
C) AMS
Which of the following describes bruising or discoloration behind the ears as a
result of a fractured skull?
A) Babinski's sign
B) silver fork sign
C) Cushing's sign
D) Battle's sign
D) Battle's sign
What is the correct technique for splinting a suspected finger fracture?
A) apply a straight, flat, and rigid splint to the finger
B) place an arm board under the wrist and wrap with Curlex
C) tape the fractured finger to a neighboring finger only
D) immobilize the hand and finger in a pillow and apply ice
Answers () (Verified Answers)
An alert 18 y/o female is found trapped in her car after a single-car MVC. The
airbag deployed, and she denies any head or neck pain, but she complains of hip
and left leg pain. When she is finally extricated from the car, her vital signs begin
to collapse. What shock is she transitioning from?
A) neurogenic shock to hypovolemic shock
B) decompensated shock to compensated shock
C) compensated shock to decompensated shock
D) decompensated shock to hypovolemic shock
C) compensated shock to decompensated shock
Which of the following MOIs would NOT be significant for an adult?
A) death in the same passenger compartment
B) fall from more than 10 feet
C) ejection from vehicle
D) altered mental status
B) fall from more than 10 feet
A 20 y/o female has burns on her chest, abdomen, and on the anterior side of her
right arm. What percentage of her body is burned?
A) 22.5%
B) 27%
C) 40.5%
D) 18%
A) 22.5%
Before placing an unconscious 6 y/o on a backboard, what should you do?
A) place padding directly underneath the head
B) place padding underneath the shoulders
C) contact the parents for consent
D) assess vital signs
B) place padding underneath the shoulders
What best defines shock?
A) lack of adequate perfusion to the tissues
B) hemorrhage exceeding 50% of total blood volume
C) deficiency of vascular tone due to hemorrhage
D) inadequate cerebral blood flow
A) lack of adequate perfusion to the tissues
Your patient's vehicle was struck by another motorist from behind. What should
you do?
A) perform a head-to-toe examination
B) stabilize the c-spine
C) administer high-flow oxygen
D) apply a half-spine immobilization device
B) stabilize the c-spine
,An 18 y/o female was hit and has 4 teeth pushed into the upper gums of her jaw.
She complains of severe pain and discomfort. Bleeding is minimal. BP is 120/90,
HR is 88 bpm, RR is 16/min, and SpO2 is 96%. What should you do?
A) administer aspirin for pain
B) insert an OPA to maintain patency
C) apply oxygen by NRB at 15 L/min
D) monitor her bleeding and ensure a patent airway
D) monitor her bleeding and ensure a patent airway
An injury produced by wounding forces of compression and change of speed,
both of which can disrupt tissue, is defined as:
A) third degree trauma
B) penetrating trauma
C) blunt trauma
D) cavitation
C) blunt trauma
A 34 y/o female has been bleeding vaginally for 2 hours. She is anxious, alert, and
oriented. Her skin is cool, pale, and diaphoretic. BP is 116/70, HR 118 bpm, and
RR 20/min. What should you suspect?
A) hypotensive shock
B) hypertensive shock
C) decompensated shock
D) compensated shock
D) compensated shock
What is a contraindication of a traction splint?
A) signs of hypoperfusion
B) swelling or deformity to the thigh
C) pelvic fracture
D) potential spinal injury
C) pelvic fracture
A 56 y/o male involved in a car accident complains of chest and abdominal pain.
Pulses differ by 10 mmHg systolic bilaterally and lung sounds are muffled. To
which artery should you suspect a rupture?
A) subclavian
B) carotid
C) iliac
D) radial
A) subclavian
A 32 y/o female attempted suicide by taking sleeping pills and cutting her wrists.
She has dark red blood oozing from the wrist lacerations. BP is 90/52, HR 130
bpm and weak, RR 18/min. What type of bleeding and shock is she experiencing?
A) venous bleeding with hypovolemic shock
B) capillary bleeding with cardiogenic shock
C) arterial bleeding with hypovolemic shock
D) venous bleeding with neurogenic shock
A) venous bleeding with hypovolemic shock
, Unequal pupils are a result of pressure on which structure?
A) oculomotor nerve
B) central medulla
C) trochlear membrane
D) vagus nerve
A) oculomotor nerve
A 41 y/o male has been injured in an explosion at a chemical lab. He has ruptured
TMs and sinus injuries. At what phase of the blast did the patient sustain the
injuries?
A) primary
B) ultimate
C) tertiary
D) secondary
A) primary
When protecting the cervical spine of a suspected trauma patient, what should
you do?
A) place gentle traction to straighten the c-spine
B) hold the c-spine in the position found
C) place a rigid collar on the neck prior to continuing with the rest of the
assessment
D) hold the neck in a neutral, in-line position
D) hold the neck in a neutral, in-line position
What is a mechanism of obstructive shock?
A) MI
B) spinal cord injury
C) acute fluid loss
D) tension PTX
D) tension PTX
Which of the following is the first sign of shock that usually appears in patients?
A) changes in vitals
B) pale, cool, and clammy skin
C) AMS
D) nausea and vomiting
C) AMS
Which of the following describes bruising or discoloration behind the ears as a
result of a fractured skull?
A) Babinski's sign
B) silver fork sign
C) Cushing's sign
D) Battle's sign
D) Battle's sign
What is the correct technique for splinting a suspected finger fracture?
A) apply a straight, flat, and rigid splint to the finger
B) place an arm board under the wrist and wrap with Curlex
C) tape the fractured finger to a neighboring finger only
D) immobilize the hand and finger in a pillow and apply ice
