UPDATED TRAUMA FISDAP - QUESTIONS AND ANSWERS 2024 LATEST EXAM

53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished lung sounds on L side. You should? - ANSWER Immobilize long backboard 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? - ANSWER 02 with positive pressure ventilations What is the most likely cause of periorbital echymosis? - ANSWER Basilar skull fracture 30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should? - ANSWER Tourniqet 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. ANOTHER most appropriate action? - ANSWER Jaw thrust without head tilt M fell while water skiing. Unconsciouse. Suspect? - ANSWER Head and spine injury Appropriate care for amputated extremity? - ANSWER Wrap in dry gauze, seal in plastic bag, and place in cool water 28 yo pt driving 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? - ANSWER Control bleeding 18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present. You should? - ANSWER Apply board splint in position found 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% SP02. You should? - ANSWER BVM 81 yo F helthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should concern you the most? - ANSWER Coumadin 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? - ANSWER Asses a carotid pulse and assist ventilations a 45 year old male fell asleep outisde while doing yard work. His face and lower legs are bright red with blisters and painful on examination. You should suspect - ANSWER Both superficial and partial thickness burns a 35 year old patient has fallen and has a deformed right lower leg. The distal extremity is pulsless and the skin is cool and cyanotic. You should - ANSWER Realign the injured extremity 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? - ANSWER Rapidly extricate onto a long spinal board and transport 47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You should suspect - ANSWER Spinal cord injury Injury that is most likely to require routine assessment and transport - ANSWER Deformed Wrist Injury After securing pt on long board, you should immediately assess - ANSWER PMS 23 yo 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? - ANSWER Non Rebreather 25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2 cm laceration to L chest wall. Lung sounds diminished on L side. You should? - ANSWER Apply occlusive dressing Early signs of decompensated shock? - ANSWER Low blood pressure Pt stabbed in RUQ. What organ is injured? - ANSWER Liver Pt with chemical burn on eye and is wearing contact lenses. You should? - ANSWER Remove contact lenses and administer irrigation solutions A baseball player was hit by a baseball in the left eye and complains for double vision. What should you do? - ANSWER Restrict spinal movement First concern with conscious pt who received partial thick burns to the face is treating? - ANSWER airway problems 22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing helmet. You should? - ANSWER Leave helmet in place while she is stabilized 32 yo M is unconscious after being struck in the head by a baseball bat. Has pulse but breathing is slow. Minor bleeding from a laceration at the left temple. Partner is maintaining manual C-spine stabilization. You should? - ANSWER Measure and apply a rigid c collar 28 yo M is fleeing from police and sustained 1 cm laceration shallow on forearm while climbing a rusted chain link fence. Refusing transport. What should you be concerned with? - ANSWER Infection Which is an open wound? - ANSWER abrasion Woman struck in face with softball bat. Unconscious. BP 74/50, P 60, R 8. What do you do? - ANSWER Insert an oral airway and admin 02 via BVM 21 yo football player hit from the side and landed head first onto the ground. Was ambulatory on scene and oriented to name only. Refusing transport and care. What should you do? - ANSWER Ask the team coach for assistance Pt is bruising around the eyes and behind ears. What should you suspect? - ANSWER Brasilar skull fracture Pt cut wrist. Wound is bleeding rapidly and is spurting with each heartbeat. Pt most likely severed? - ANSWER Artery Pt presents with pain and bruising to RUQ following motor vehicle collision. You should suspect injury to the? - ANSWER Liver 50 yo M has obvious deformed right lower leg after falling from the roof. You notice a tear in the skin over the deformity. What should you do? - ANSWER Realign and splint the leg 35 yo driver collided into telephone pole and is unconscious and unresponsive with severe bleeding in the mouth. You should? - ANSWER rapid extrication to long spine board Most important factor with person struck in chest with baseball - ANSWER Speed of the ball 75 yo is involved in motor vehicle collision and can't feel legs. BP is 80/40, P 60, R 24, you should suspect? - ANSWER Neurogenic Shock Pt was stabbed in chest and knife was removed prior to arrival. You notice blood and bubbles leaking from the wound. You cannot find occlusive dressing. You should? - ANSWER Cover wound with plastic wrapper sealed on 3 sides Chest wound, crackling sensation produced by air blowing into surrounding tissues is called subcutaneous ______? - ANSWER Emphysema