Trauma - Fisdap 138 questions and answers 100%
correct
Course
Trauma Fisdap
Question 1:
A 25-year-old male is brought to the emergency department after a motorcycle
accident. He is conscious but agitated and has a blood pressure of 90/60 mmHg. What
should be your immediate concern?
A) Head injury
B) Internal bleeding
C) Fractured ribs
D) Spinal injury
Answer: B) Internal bleeding
Rationale: The patient's hypotension (low blood pressure) is indicative of possible internal
bleeding, which is a critical concern in trauma cases. Immediate assessment and intervention
are necessary to stabilize the patient.
Question 2:
What is the primary purpose of the primary survey in trauma assessment?
A) To identify and treat all injuries
B) To determine the mechanism of injury
C) To establish a treatment plan
D) To identify life-threatening conditions
Answer: D) To identify life-threatening conditions
Rationale: The primary survey (ABCDE approach: Airway, Breathing, Circulation,
Disability, Exposure) is focused on quickly identifying and addressing any life-threatening
conditions to stabilize the patient before further assessment.
Question 3:
Which type of shock is characterized by a decrease in blood volume?
A) Distributive shock
B) Hypovolemic shock
C) Cardiogenic shock
D) Obstructive shock
,Answer: B) Hypovolemic shock
Rationale: Hypovolemic shock occurs when there is a significant loss of blood volume, often
due to trauma, leading to decreased perfusion and oxygen delivery to tissues.
Question 4:
In trauma patients, which of the following vital signs is most indicative of shock?
A) Bradycardia
B) Hypotension
C) Elevated temperature
D) Hyperventilation
Answer: B) Hypotension
Rationale: Hypotension (low blood pressure) is a key indicator of shock, suggesting that the
body is not adequately perfused and that immediate medical intervention is necessary.
Question 5:
A patient presents with paradoxical movement of the chest wall after a motor vehicle
collision. What condition should you suspect?
A) Pneumothorax
B) Flail chest
C) Hemothorax
D) Pulmonary contusion
Answer: B) Flail chest
Rationale: Paradoxical movement of the chest wall indicates flail chest, a condition where
multiple adjacent ribs are fractured, leading to a section of the chest wall moving in the
opposite direction during respiration.
Question 6:
What is the most appropriate initial intervention for a patient with a suspected tension
pneumothorax?
A) Administer oxygen
B) Perform needle decompression
C) Obtain a chest X-ray
D) Place the patient in the Trendelenburg position
Answer: B) Perform needle decompression
Rationale: In cases of suspected tension pneumothorax, immediate needle decompression is
,crucial to relieve pressure in the pleural space, allowing the lungs to re-expand and improving
respiratory function.
Question 7:
A patient with severe abdominal trauma presents with a rigid, distended abdomen.
What is the likely condition?
A) Splenic rupture
B) Bowel perforation
C) Hemorrhagic shock
D) Peritonitis
Answer: D) Peritonitis
Rationale: A rigid and distended abdomen often indicates peritonitis, which can occur due to
internal bleeding or organ perforation, leading to inflammation of the peritoneum.
Question 8:
What is the primary goal of fluid resuscitation in trauma patients?
A) To correct electrolyte imbalances
B) To restore blood volume and perfusion
C) To prevent hypothermia
D) To achieve hemostasis
Answer: B) To restore blood volume and perfusion
Rationale: The primary goal of fluid resuscitation in trauma patients is to restore blood
volume and improve perfusion to vital organs, which is critical in managing shock and
preventing further complications.
Question 9:
In a trauma setting, which of the following is a contraindication for the use of
nitroglycerin?
A) Chest pain
B) Hypotension
C) History of myocardial infarction
D) Diabetic patient
Answer: B) Hypotension
Rationale: Nitroglycerin is contraindicated in patients with hypotension, as it can further
decrease blood pressure and exacerbate the patient’s condition.
, Question 10:
What is the appropriate method for assessing a patient's level of consciousness in a
trauma scenario?
A) AVPU scale (Alert, Verbal, Pain, Unresponsive)
B) GCS (Glasgow Coma Scale)
C) Finger-to-nose test
D) Pupil reaction assessment
Answer: B) GCS (Glasgow Coma Scale)
Rationale: The Glasgow Coma Scale is the standard method for assessing a patient’s level of
consciousness in trauma situations, providing a quantitative measure of responsiveness based
on eye, verbal, and motor responses.
Question 11:
Which of the following is a common sign of a pelvic fracture?
A) Abdominal rigidity
B) Groin pain
C) Lower extremity swelling
D) All of the above
Answer: D) All of the above
Rationale: A pelvic fracture can cause a variety of signs, including abdominal rigidity due to
internal bleeding, groin pain from muscle or ligament injury, and lower extremity swelling
due to vascular injury or edema.
Question 12:
In the event of a gunshot wound to the abdomen, which organ is most likely to be
injured?
A) Liver
B) Kidney
C) Spleen
D) Pancreas
Answer: A) Liver
Rationale: The liver is the most commonly injured organ in gunshot wounds to the abdomen
due to its size and location. Injuries to the liver can lead to significant hemorrhage.
correct
Course
Trauma Fisdap
Question 1:
A 25-year-old male is brought to the emergency department after a motorcycle
accident. He is conscious but agitated and has a blood pressure of 90/60 mmHg. What
should be your immediate concern?
A) Head injury
B) Internal bleeding
C) Fractured ribs
D) Spinal injury
Answer: B) Internal bleeding
Rationale: The patient's hypotension (low blood pressure) is indicative of possible internal
bleeding, which is a critical concern in trauma cases. Immediate assessment and intervention
are necessary to stabilize the patient.
Question 2:
What is the primary purpose of the primary survey in trauma assessment?
A) To identify and treat all injuries
B) To determine the mechanism of injury
C) To establish a treatment plan
D) To identify life-threatening conditions
Answer: D) To identify life-threatening conditions
Rationale: The primary survey (ABCDE approach: Airway, Breathing, Circulation,
Disability, Exposure) is focused on quickly identifying and addressing any life-threatening
conditions to stabilize the patient before further assessment.
Question 3:
Which type of shock is characterized by a decrease in blood volume?
A) Distributive shock
B) Hypovolemic shock
C) Cardiogenic shock
D) Obstructive shock
,Answer: B) Hypovolemic shock
Rationale: Hypovolemic shock occurs when there is a significant loss of blood volume, often
due to trauma, leading to decreased perfusion and oxygen delivery to tissues.
Question 4:
In trauma patients, which of the following vital signs is most indicative of shock?
A) Bradycardia
B) Hypotension
C) Elevated temperature
D) Hyperventilation
Answer: B) Hypotension
Rationale: Hypotension (low blood pressure) is a key indicator of shock, suggesting that the
body is not adequately perfused and that immediate medical intervention is necessary.
Question 5:
A patient presents with paradoxical movement of the chest wall after a motor vehicle
collision. What condition should you suspect?
A) Pneumothorax
B) Flail chest
C) Hemothorax
D) Pulmonary contusion
Answer: B) Flail chest
Rationale: Paradoxical movement of the chest wall indicates flail chest, a condition where
multiple adjacent ribs are fractured, leading to a section of the chest wall moving in the
opposite direction during respiration.
Question 6:
What is the most appropriate initial intervention for a patient with a suspected tension
pneumothorax?
A) Administer oxygen
B) Perform needle decompression
C) Obtain a chest X-ray
D) Place the patient in the Trendelenburg position
Answer: B) Perform needle decompression
Rationale: In cases of suspected tension pneumothorax, immediate needle decompression is
,crucial to relieve pressure in the pleural space, allowing the lungs to re-expand and improving
respiratory function.
Question 7:
A patient with severe abdominal trauma presents with a rigid, distended abdomen.
What is the likely condition?
A) Splenic rupture
B) Bowel perforation
C) Hemorrhagic shock
D) Peritonitis
Answer: D) Peritonitis
Rationale: A rigid and distended abdomen often indicates peritonitis, which can occur due to
internal bleeding or organ perforation, leading to inflammation of the peritoneum.
Question 8:
What is the primary goal of fluid resuscitation in trauma patients?
A) To correct electrolyte imbalances
B) To restore blood volume and perfusion
C) To prevent hypothermia
D) To achieve hemostasis
Answer: B) To restore blood volume and perfusion
Rationale: The primary goal of fluid resuscitation in trauma patients is to restore blood
volume and improve perfusion to vital organs, which is critical in managing shock and
preventing further complications.
Question 9:
In a trauma setting, which of the following is a contraindication for the use of
nitroglycerin?
A) Chest pain
B) Hypotension
C) History of myocardial infarction
D) Diabetic patient
Answer: B) Hypotension
Rationale: Nitroglycerin is contraindicated in patients with hypotension, as it can further
decrease blood pressure and exacerbate the patient’s condition.
, Question 10:
What is the appropriate method for assessing a patient's level of consciousness in a
trauma scenario?
A) AVPU scale (Alert, Verbal, Pain, Unresponsive)
B) GCS (Glasgow Coma Scale)
C) Finger-to-nose test
D) Pupil reaction assessment
Answer: B) GCS (Glasgow Coma Scale)
Rationale: The Glasgow Coma Scale is the standard method for assessing a patient’s level of
consciousness in trauma situations, providing a quantitative measure of responsiveness based
on eye, verbal, and motor responses.
Question 11:
Which of the following is a common sign of a pelvic fracture?
A) Abdominal rigidity
B) Groin pain
C) Lower extremity swelling
D) All of the above
Answer: D) All of the above
Rationale: A pelvic fracture can cause a variety of signs, including abdominal rigidity due to
internal bleeding, groin pain from muscle or ligament injury, and lower extremity swelling
due to vascular injury or edema.
Question 12:
In the event of a gunshot wound to the abdomen, which organ is most likely to be
injured?
A) Liver
B) Kidney
C) Spleen
D) Pancreas
Answer: A) Liver
Rationale: The liver is the most commonly injured organ in gunshot wounds to the abdomen
due to its size and location. Injuries to the liver can lead to significant hemorrhage.
