FISDAP/NREMT TRAUMA PRACTICE QUESTIONS AND
ANSWERS WITH RATIONALES COMPLETE GUIDE 2024
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 - CORRECT ANSWER a)Height of the ladder
You are at the scene of an MVA, in which there are three patients, all of which
have minor visible injuries. Two are refusing treatment and the last is complaining
of neckand back pain. How should you proceed?
a)Treat all three patients, they are visibly injured and need medical
attention b)Obtain signed refusals from the first two patients then proceed
to the third c)Treat the third patient, nothing else is needed for the other
two
d)Have your partner obtain refusals from the two patients who refused treatment,
whileyou treat the last patient. - CORRECT ANSWER
d)Have your partner obtain refusals from the two patients who refused treatment,
while you treat the last patient.
Your patient is a 17 year old male found face down in a swimming pool. He is
currently being held face up at the surface of the water. He is unconscious but
breathing and hasa pulse. What is the best course of action for this patient?
• Jump into the pool and begin CPR
• Remove the patient from the pool, immobilize, and transport.
• Apply cervical and spinal immobilization while the patient is still in the pool
• d)Wait for a trained water rescue team - CORRECT ANSWER c)Apply cervical
andspinal immobilization while the patient is still in the pool
A laceration, spurting bright laceration, spurting bright red blood, most likely
meanswhat type of injury? what red blood most likely means
a)Venous
b)Arterial
c)Capillary
d)Amputation - CORRECT ANSWER b)Arterial
Your patient has a laceration to the right leg which has intersected the femoral artery.
You have applied direct pressure to the wound, but it continues to soak through the
bandages. What should you do next?
a)Apply a tourniquet
b)Elevate the leg
• Remove the old bandage and apply new ones
• Apply pressure to point just above the injury - CORRECT ANSWER b)Elevate the leg
,Of the two types of energy, which type of energy transfer in a motor vehicle crash
(MVC) with frontal impact, non-restrained driver with bent steering wheel, and
spideredwindshield?
a)High velocity penetrating
b)Decelerating
• Low velocity penetrating
• Blunt - CORRECT ANSWER d)Blunt
Any penetrating missile traveling over 2,000 ft/sec would be classified
as?
a)Low velocity
b)Medium velocity
c)High velocity
d)Decelerating - CORRECT ANSWER c)High velocity
When there is penetrating trauma there is a permanent cavity which is formed by the
projectile contacting the tissues. How is a temporary cavity formed?
• By the twisting of the projectile
• By energy scrubbing off of the projectile
• c)The wadding entering the body
d)Unspent gun powder - CORRECT ANSWER b)By energy scrubbing off of the
projectile
The way a patient is injured is often referred to as the ?a)Mechanism of injury
b)Nature of
illnessc)Injury
pattern
d)Energy transfer - CORRECT ANSWER a)Mechanism of injury
When approaching a scene of trauma incident, what is your first order of business?
a)Airway
• C-Spine control
• Body substance Isolation
• Scene safety - CORRECT ANSWER
• d)Scene safety
A large collection of blood under the skin is known
as?
a)Contusion
b)Abrasion c)Hematoma
d)Bruise - CORRECT ANSWER c)Hematoma
, Your trauma patient has her left hand caught between rollers on a conveyor belt.
Extrication takes 30 minutes. Evaluation of the injury during extrication showed
delayedcapillary refill distal to the injury. Post extrication shows rapid capillary refill
distal to the injury deformity mid-palm. There are no obvious fractures, no
lacerations, and minor swelling. Knowing that crush injuries can cause many other
problems, which is NOT considered a crush injury complication?
a)Compression of tissues
b)Fractures
• No injury at all
• Compartment syndrome - CORRECT ANSWER c)No injury at all
Loss of tissue in a traumatic event can be: just soft tissue, a portion of an extremity,
or an entire extremity. If your patient has lost the distal one-third of a lower extremity,
whatwould that injury be called?
a)Amplitude
b)Avulsion
c)Extremity exodus
d)Amputation - CORRECT ANSWER d)Amputation
In any traumatic event where there is tissue damage that caused bleeding, the bleeding
needs to be controlled. What are the proper steps to bleeding control?
a)Direct pressure, elevation, tourniquet, digital pressure
b)Direct pressure, digital pressure, elevation, tourniquet
c)Tourniquet, elevation, pressure dressing, direct
pressure
d)Direct pressure, pressure dressing, tourniquet - CORRECT ANSWER b)Direct
pressure, digital pressure, elevation, tourniquet
Your 16 year old trauma patient has what appears to be a mid-shaft femur fracture.
Younotice that there is a laceration directly over the suspected fracture. Bleeding is
controlled. What type of fracture would this be?
a)Greenstick
b)Comminuted
c)Closed
d)Open - CORRECT ANSWER d)Open
En route to the hospital, you intubate the patient. During your assessment of tube
placement, you hear wheezing in the upper lung fields. What is most likely causing this
wheezing?
a)Inhalation injury to the upper
airway
b)Inhalation induced cardiac
wheezing
c)Inhalation induced asthma attack
d)Inhalation injury to the lower airway - CORRECT ANSWER d)Inhalation injury to
thelower airway
ANSWERS WITH RATIONALES COMPLETE GUIDE 2024
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 - CORRECT ANSWER a)Height of the ladder
You are at the scene of an MVA, in which there are three patients, all of which
have minor visible injuries. Two are refusing treatment and the last is complaining
of neckand back pain. How should you proceed?
a)Treat all three patients, they are visibly injured and need medical
attention b)Obtain signed refusals from the first two patients then proceed
to the third c)Treat the third patient, nothing else is needed for the other
two
d)Have your partner obtain refusals from the two patients who refused treatment,
whileyou treat the last patient. - CORRECT ANSWER
d)Have your partner obtain refusals from the two patients who refused treatment,
while you treat the last patient.
Your patient is a 17 year old male found face down in a swimming pool. He is
currently being held face up at the surface of the water. He is unconscious but
breathing and hasa pulse. What is the best course of action for this patient?
• Jump into the pool and begin CPR
• Remove the patient from the pool, immobilize, and transport.
• Apply cervical and spinal immobilization while the patient is still in the pool
• d)Wait for a trained water rescue team - CORRECT ANSWER c)Apply cervical
andspinal immobilization while the patient is still in the pool
A laceration, spurting bright laceration, spurting bright red blood, most likely
meanswhat type of injury? what red blood most likely means
a)Venous
b)Arterial
c)Capillary
d)Amputation - CORRECT ANSWER b)Arterial
Your patient has a laceration to the right leg which has intersected the femoral artery.
You have applied direct pressure to the wound, but it continues to soak through the
bandages. What should you do next?
a)Apply a tourniquet
b)Elevate the leg
• Remove the old bandage and apply new ones
• Apply pressure to point just above the injury - CORRECT ANSWER b)Elevate the leg
,Of the two types of energy, which type of energy transfer in a motor vehicle crash
(MVC) with frontal impact, non-restrained driver with bent steering wheel, and
spideredwindshield?
a)High velocity penetrating
b)Decelerating
• Low velocity penetrating
• Blunt - CORRECT ANSWER d)Blunt
Any penetrating missile traveling over 2,000 ft/sec would be classified
as?
a)Low velocity
b)Medium velocity
c)High velocity
d)Decelerating - CORRECT ANSWER c)High velocity
When there is penetrating trauma there is a permanent cavity which is formed by the
projectile contacting the tissues. How is a temporary cavity formed?
• By the twisting of the projectile
• By energy scrubbing off of the projectile
• c)The wadding entering the body
d)Unspent gun powder - CORRECT ANSWER b)By energy scrubbing off of the
projectile
The way a patient is injured is often referred to as the ?a)Mechanism of injury
b)Nature of
illnessc)Injury
pattern
d)Energy transfer - CORRECT ANSWER a)Mechanism of injury
When approaching a scene of trauma incident, what is your first order of business?
a)Airway
• C-Spine control
• Body substance Isolation
• Scene safety - CORRECT ANSWER
• d)Scene safety
A large collection of blood under the skin is known
as?
a)Contusion
b)Abrasion c)Hematoma
d)Bruise - CORRECT ANSWER c)Hematoma
, Your trauma patient has her left hand caught between rollers on a conveyor belt.
Extrication takes 30 minutes. Evaluation of the injury during extrication showed
delayedcapillary refill distal to the injury. Post extrication shows rapid capillary refill
distal to the injury deformity mid-palm. There are no obvious fractures, no
lacerations, and minor swelling. Knowing that crush injuries can cause many other
problems, which is NOT considered a crush injury complication?
a)Compression of tissues
b)Fractures
• No injury at all
• Compartment syndrome - CORRECT ANSWER c)No injury at all
Loss of tissue in a traumatic event can be: just soft tissue, a portion of an extremity,
or an entire extremity. If your patient has lost the distal one-third of a lower extremity,
whatwould that injury be called?
a)Amplitude
b)Avulsion
c)Extremity exodus
d)Amputation - CORRECT ANSWER d)Amputation
In any traumatic event where there is tissue damage that caused bleeding, the bleeding
needs to be controlled. What are the proper steps to bleeding control?
a)Direct pressure, elevation, tourniquet, digital pressure
b)Direct pressure, digital pressure, elevation, tourniquet
c)Tourniquet, elevation, pressure dressing, direct
pressure
d)Direct pressure, pressure dressing, tourniquet - CORRECT ANSWER b)Direct
pressure, digital pressure, elevation, tourniquet
Your 16 year old trauma patient has what appears to be a mid-shaft femur fracture.
Younotice that there is a laceration directly over the suspected fracture. Bleeding is
controlled. What type of fracture would this be?
a)Greenstick
b)Comminuted
c)Closed
d)Open - CORRECT ANSWER d)Open
En route to the hospital, you intubate the patient. During your assessment of tube
placement, you hear wheezing in the upper lung fields. What is most likely causing this
wheezing?
a)Inhalation injury to the upper
airway
b)Inhalation induced cardiac
wheezing
c)Inhalation induced asthma attack
d)Inhalation injury to the lower airway - CORRECT ANSWER d)Inhalation injury to
thelower airway
