Trauma fisdap Questions and Answers 2022

Trauma fisdap Questions and Answers 2022

• 53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished lung

sounds on L side. You should?

• *Perform detailed physical assessment/stabilize left femur with traction splint/immobilize long

backboard/transport to nearest emergency room

• 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?

• ALS back up/02 non rebreather/stabilize chest with bulky dressing/02 with positive pressure

ventilations

• What is the most likely cause of periorbital ecchymosis?
• Basicular skull fracture/ blow out fracture/ subdermal hematoma/ epidural hematoma

• 30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should?
• Tourniquet/ continue pressure and transport rapidly/ elevate leg and place pressure dressing/

check for PMS

• 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?

• Jaw thrust without head tilt/ head tilt and jaw thrust/ chin lift without head tilt/ head lift with chin

lift

• M fell while water skiing. Unconscious. Suspect?
• Head and spine injury/ hypothermia/anaphylaxis/heat related injury

• Appropriate care for amputated extremity?
• 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

• 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?

• Suction airway/ BVM/ C-collar/ control bleeding

• 18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present. You

should?

• Apply board splint in position found/ stabilize limb at hip and ankle/ traction, realign limb/ ice

pack and elevate limb

• 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?

• BVM/ nonrebreather/ NPA/ long backboard

• 81 yo F healthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should

concern you the most?

• Coumadin/ albuterol/ nitro/ insulin

• 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?

• 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 1 / 2

• 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?

• Both superficial and partial thickness burns/ allergic reaction due to insect bite/ both partial

and full thickness burns/ alcohol intoxication lead to prolonged exposure

• 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?

• Realign the injured extremity/ apply a traction splint/ apply an elastic bandage/ splint the

extremity as it is

• 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?

• 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

• 47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You

should suspect?

• Spinal cord injury/

• Injury that is most likely to require routine assessment and transport?
• Deformed Wrist injury

18. After securing pt on longboard, you should immediately assess:

• PMS

• 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?

• Rapid trauma assessment/ NPA/ non rebreather/ palpate chest for tenderness

• 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?

• Apply occlusive dressing

• Early signs of decompensated shock?
• Low blood pressure

• Pt stabbed in RUQ. What organ is injured?
• Liver

• Pt with chemical burn on eye and is wearing contact lenses. You should?
• 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

• A baseball player was hit by a baseball in the left eye and complains for double vision. What should

you do?

• *Perform detailed exam/ c spine

• First concern with conscious pt who received partial thick burns to the face is treating?
• Airway problems/

• 22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing helmet. You

should?

• / 2