stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
Trauma FISDAP Prep Flashcards | StudBud
Explore
/
Trauma FISDAP Prep
Trauma FISDAP Prep
75 terms
·
StudBud Administration
·
60 plays
Let this quiz inspire your own quiz for formative assessment.
Flashcards
75 cards
F
Practice quiz
P
Host live
L
Questions
75
Answers
1
Which of these closed fracture sites will MOST likely result in the largest amount of blood loss?
Single femur fracture.
Bilateral humerus fracture
Pelvic ring fracture.
Iliac crest fracture.
2
A rapid secondary (rapid trauma) assessment should be immediately performed on which patient?
An ice skater complaining of a twisted ankle
An unresponsive patient found on the sidewalk.
A restaurant worker with a burned hand
A medical patient in cardiac arrest
3
Pregnant pt on backboard, V/S=tachycardia, hypotension, and pale, cool and clammy skin. MOST likely cause?
Hemorrhagic shock.
Supine hypotensive syndrome
Toxemia of pregnancy
Neurogenic shock
4
Which of the organs, if fractured & integrity of visceral peritoneum lost would cause the greatest collateral damage?
Kidney v
Spleen
Pancreas
Liver
5
Which of the following best explains the benefit of using mechanical CPR devices?These devices:
Can perform more accurate ventilations.
Provide for more consistent compressions longer.
Are able to compress deeper
Recognize the return of spontaneous circulation earlier.
6
Why do we apply a cervical collar to a patient with a suspected spinal injury?
To fully immobilize the cervical spine
To place patient in slightly hyper-extended position for airway management.
To remind the patient and us not to move the patient’s head and neck.
To secure the head and neck in a neutral position to maximize the airway.
7
A pt with a superficial burn to his neck and back; states pain is 6 on a scale of 1-10. How should you treat his injury?
Have patient rinse the area with cool water until burn is no longer painful
Dress his wound with a sterile dressing and simple first aid ointment
Remove any jewelry or clothing from injured area; wrap in sterile dressing
Clean the wound with soap and water, cover the wound with sterile dressings
8
PT fell down 1-6 steps, fallen and unable to get up. It is Important to give this elderly a thorough exam because?
Perceive pain differently.
Are poor historians.
Take multiple medications.
Do not wish to be transported.
9
27 Year old pt involved in a running event; sudden leg and abdominal pain present. Which best describes this situation?
: Heat cramps secondary to an electrolyte imbalance
Heat exhaustion secondary to an electrolyte imbalance.
Heat cramps secondary to a loss of fluids
Heat exhaustion secondary to a loss of fluids.
10
What is the reason that the systolic blood pressure increases in the patient with a major head injury?
This is a common sympathetic nervous system reaction.
The area of the brain that controls BP must be injured
This is a typical sign of shock due to the trauma
Peripheral vasoconstriction occurs and more blood is sent to the brain.
11
When a flap of skin is torn away during a traumatic injury, it is most often called a(n)
Amputation.
Puncture
Avulsion
Laceration
12
Avulsions are best defined by which description?
Open wounds to the skin with a partially attached flap of tissue
A laceration caused by a blunt object like a baseball bat.
All open and closed wounds to the abdomen and/or genitalia
Any wounds in which bleeding is impossible to control.
13
Which of the following is a late sign of hemorrhagic shock?
Pale, cool, and clammy skin
A decreasing blood pressure.
An altered mental status
Nausea and vomiting.
14
Fallen off bicycle and scraped the knee on the ground. Bleeding ismild and easy to control. Which matches the scenario
Laceration
Hematoma.
Crush injury
Abrasion.
15
Which initial hemorrhage assessment finding should concern you the MOST?
A lacerated femoral artery with a weak spurting of bright red blood
A lacerated face with dark, flowing blood
A lacerated radial artery with a strong spurting of bright red blood.
:A lacerated saphenous vein with flowing, dark red blood.
16
Burn damage to the skin that is full thickness is also called:
Dermal.
Epidermal.
Third degree
Second degree.
17
. Which of the following best explains why we avoid rubbing a frostbitten extremity?
Ice crystals within the tissue may cause further injury
Rubbing will increase the release of toxins into the circulation.
Ice crystals within the tissue may become dislodged and enter circulation.
Rubbing will increase the likelihood of systemic hypothermia.
18
What is the best definition of a Multiple Casualty Incident?
When there are more patients than your unit can handle.
When the number of victims overwhelms the EMS system.
When there are more than four patients.
When the scenario is unusual and different.
19
No light besides campfire You are trying to determine the extent of any third degree burns. What method would be BEST?
Move pt away from fire using reduced light, look for black areas and pain
Move pt away from fire, use gloved hand to look for pain free burns
Skip assessment, wrap foot loosely in steriledressing, and transport
Move patient closer to fire so that you can examine the foot more clearly.
20
13 year old- broken stick impaled; minor bleeding with no c-spine needed. What should you do next?
apply direct pressure to injury site while stabalizing stick in his arm
contact med control by radio or phone to ask for advice on how to treat
Attempt to control the bleeding by applying pressure to the brachial artery
remove stick immediately, control bleeding w/ direct pressure; elevate
21
What water temperature is utilized when a frostbitten part must be rewarmed?
98-100 F
108-112 F
94-96 F
102-106 F
22
Swollen, discolored left hand and fingers; stepped on during a concert. Which treatment would be MOST beneficial?
Applying a sling and swath to the extremity
Immobilizing and applying an ice pack to the area
Assuring the hand is splinted securely to the body
Soaking the hand in warm salt water.
23
Choose the BEST reason for leaving a snug-fitting helmet in place on a professionalfootball player who injured his neck.
Removing football helmets can only be done by certified sports trainers.
EMTs are not trained to remove helmets in these types of scenarios
Removing a snug-fitting helmet can make the situation worse.
Helmet removal will increase the risk of swelling within the skull.
24
Head-on motor vehicle accident,unresponsive due to a head injury; BP: 128/88 to 96/42 ;pulse is slowing. indictive of?
chest injury
abdominal injury
spinal cord injury
pelvic fracture
25
Which of the following would be the best way to reduce the likelihood of becoming frostbitten?
Eat at regular intervals
Get plenty of rest.
Dress warmly.
Eat appropriately
26
Which of the following would be the MOST expected assessment finding with a dislocated joint?
Crepitus.
Absent distal pulses
Fixed in place
Swelling.
27
Patient has a wound that is bleedingprofusely after being hit with a golf club. How do you treat this type of bleeding
Apply a large trauma dressing and secure it in place.
Direct firm pressure at the wound site
Apply ice to the laceration site
Direct, but gentle pressure on the wound.
28
From the following list of water rescue methods, which one should be used LAST?
Throw
Go
Reach
Row
29
In which of the following scenarios would you MOST likely expect a patient to have a spinal injury?
A patient who twisted his ankle while stepping off of a sidewalk
A patient with a stab wound to the abdomen.
A patient who dislocated his patella after twisting his knee.
A patient with anterior depressed skull fracture from a strike to the head
30
Which of the following is correct regarding the sizing of a cervical collar?
A no-neck fits everyone.
A properly-sized c-collar will prevent any neck movement.
You typically measure a collar from the trapezius tobottom of the chin.
You cannot properly immobilize the cervical spine without a c-collar.
31
Injured football player at a major sporting event; Who would be the MOST knowledgeable about safely removing the helmet?
The coach.
The sports trainer
A physician at the game.
You
32
A major concept continued throughout the trauma patient assessment process is of:
Protecting the rescuers and others from harm
Providing most of the assessment en route to the hospital.
Beginning transport before any form of treatment is started
Investigating the mechanism of injury before assessing the patient.
33
44-year-old patient, 50 percent of body covered in partial thickness burns. Burn: wet and painful.method of treatment?
Remove all clothing and begin irrigating burns to clear away any debris
Dress the injuries with sterile, wet dressings to reduce discomfort.
Cover with a dry, sterile burn sheet and transport rapidly to a burn unit
Apply sterile burn gel to largest burn sites and transport emergency mode.
34
Which of the following blood vessels are unable to vasoconstrict?
Capillaries
Venules.
Arterioles
Veins.
35
You are treating a hunter who broke his leg. An increase in wind chill cause an increase in heat loss by which method?
Respiration.
Conduction
Convection.
Radiation.
36
PT with fractured right femur & possible cervical spine injury. How should you transfer the patient to a long board?
Lift the patient onto the backboard.
Log roll the patient onto his right side
Slide the patient over onto the board.
Log roll the patient onto his left side.
37
Which of these devices would be the MOST appropriate for immobilizing a closed midshaft femur fracture?
Pneumatic leg splint.
Traction splint.
Long backboard.
Long board splints.
38
Unresponsive 48 y/o pt; unconscious, apneic, weak pulse, and cyanosis. Which is a contraindication for AED application?
Apnea
Cyanosis
Unconsciousness
Weak pulse
39
One of the most common reasons for CPR to be unsuccessful is when:
The interruptions are too frequent
The compressions are too deep
The compressions are too fast
The ventilations are too shallow
40
Which patient BEST meets the requirement for AED application?
80-year-old in cardiac arrest.
16-year-old traumatic asphyxiation
26-year-old with dyspnea.
3-month-old obviously dead SIDS patient
41
Struck on left side of abdomen; complaint:abdominal pain, left shoulder pain, signs of hypoperfusion. Injured body part?
Liver
Spleen
Descending Colon
Small Intestine
42
Third trimester; after assessment chosen to not lay supine on backboard. What is the correct position for transport?
long spine board flat on stretcher
foot of long spine board elevated 12 degrees
head of long spine board elevated 15 degrees
tilted 10 degrees to left, padding underneath; right side of long board
43
The preferred way to handle an amputated part is to
Apply a sterile dressing and place the part on a cold pack
Apply a tourniquet to the distal end of the injured extremity
Transport the amputated part in a plastic bag while keeping it cool.
Wrap amputated part in wet, sterile dressing; keep it at room temperature.
44
When a patient has a history of developing hives following a bee sting, concern with a new sting incident that:
The patient will itch the skin open increasing risk of infection
The patient will adjust to the reaction and not care for it
More hives will develop each time.
Each reaction is worse than the last and could develop into anaphylaxis.
45
You are assessing a patient who is obviously hypothermic. Which would you LEAST likely find while assessing?
Red, warm skin
Drowsiness.
Shivering.
Confusion
46
Suspected pneumothorax (collapsed left lung). What would you expect to obtain upon percussion of the left chest?
Hyperresonance.
Hyporesonance.
Flat
Dull
47
You have splinted a lower leg fracture. The distal pulse is now absent. Which of the following best describes the cause?
The bones have lacerated the blood vessel
The splint is too tight.
The splint is too loose
You have used an improper splint.
48
Strainers are present in which type of rescue scene?
Moving water.
Low head dams
Trench.
Flat water.
49
Partial thickness burn around chest. Which BEST describes your findings if you were to explain it to a family member?
Black and blue with raised red bumps.
Black and blue with raised red bumps.
Charred, gray, wax-like appearance that may not be painful
Painful, swollen injury with a mottled appearance.
50
Balcony has collapsed;estimate of ten victims. What information would you request from that would be the most useful?
What age are the victims?
How high up was the balcony?
Will the fire department arrive there first?
How long ago did this happen?
51
Victim of a snowmobile accident, patient begins to shiver. After immobilizing the patient to a backboard, you should:
Apply an automated external defibrillator
Allow the patient to drink warm liquid slowly
Rub the extremities to improve circulation.
Actively warm the patient with heat packs
52
suspected head injury,pupils are unresponsive to light and have changed unequally. How would you verbally relay this?
Pupils are constricted yet dilated
Pupils are unequal and reactive to light.
Pupils are equal and dilated.
Pupils are unequal and non-reactive
53
A 33-year-old sitting upright near a pool of blood;A & O x 4 with a deep wound to the stomach. Best Postion for Pt?
Supine with knees flexed.
High fowlers.
Recovery position.
Prone
54
Trauma patient with pale, cool, clammy skin and a stable BP of 120/80. P and R: Rapid. Which BEST classify this patient?
Compensated shock with aerobic metabolism.
Decompensated shock with aerobic metabolism.
Compensated shock with anaerobic metabolism.
Decompensated shock with anaerobic metabolism.
55
You are preparing to use an AED for a pt in cardiac arrest. After pressing analyze, what should you do NEXT?
Continue compressions
Provide ventilations
Verify no pulse
Shock the patient
56
You are going to backboard pt, decided to leave helmet in place. Which of the following is true regarding the situation?
Kling will work better than tape to secure the helmet to the board
You will need to use larger head blocks to secure the head
You will need to pad under the shoulders.
The head will be immobilized first in this instance
57
In which of the following cases would you leave a helmet on your patient?
The patient is in arrest
The helmet interferes with the management of the airway
Taking the helmet off would do more damage than good.
The helmet fits improperly
58
In the patient with head and spinal injuries, what is true regarding airway management?
All of the above are true
A cervical spine injury can cause patient to lose the ability to breathe
A cervical spine injury can cause a patient to lose their gag reflex
A head injury can cause a patient to lose their gag reflex.
59
You are discussing the rules for treating burns caused by liquid acids with your partner. How do you recommed treating?
Dilution of the chemical with water is the key
EMS must attempt to neutralize the acid with another chemical
EMS can do little to reduce the effects of these types of burns
Base agents are applied to reduce the acid damage
60
70 year old; history of hypertension experiencing hemorrhagic shock. Which will interfere with ability to compensate?
The body does not sense the loss of blood
No stored energy to speed up the heart
Tough, non-elastic blood vessels
Medications such as beta-blockers
61
Significant trauma has caused injury to a patient in a car crash, the type of packaging provided for transport would be:
Cervical spine immobilization
In-line spinal stabilization
Position of comfort
In a slight Trendelenburg position
62
What's the BEST explanation for why we don't rapidly extricate every patient instead of wasting time using a short board
The standard of care is to use a short spine board.
The extra equipment calms and reassures the patient
It is company policy in order to avoid lawsuits.
Short board does a better job at immobilizing cervical and thoracic spine
63
Airway is partially obstructed with blood and you observe an obvious sucking chest wound. What is your FIRST priority?
Look for possible internal bleeding.
Look for possible internal bleeding.
Seal the sucking chest wound.
Control minor external bleeding.
64
During transport of assault victim, you discover a fist-sized hematoma has formed over left leg. Method of treatment?
Elevate the leg 6-12 inches immediately.
Start emergency mode transport.
Apply a sterile dressing to the site.
Splint the limb to reduce damage
65
Which of the following injuries would MOST likely require an occlusive dressing?
A lacerated vein of an extremity.
A puncture wound to the chest.
A lacerated artery of an extremity.
An abdominal evisceration.
66
Identify which steps are modified if you are alone when treating an adult patient who is unresponsive and apneic
The rescuer should summon an AED and activate EMS
Compressions can be omitted and just use ventilations
CPR is done at a different compression to ventilation ratio.
Single rescuers do not attempt BVM ventilations
67
What is the purpose of checking vital signs every five minutes in the head injuredpatient?
To follow standard protocol.
To determine whether any scarring will be present
To decide what type of head injury is present.
To evaluate any signs of increasing intracranial pressure
68
Adult victim of an unwitnessed cardiac arrest in accordance with AHA Guidelines. How can you increase defibrillation?
Deliver shock immediately, if available, prior to performing compressions.
Compressions & ventilations performed for 2 mins prior to defibrillation
Insert an airway before shocking the patient.
Train on the defibrillator every two years to assure efficiency
69
Laceration to the right arm. After direct pressurehas failed to control bleeding in the extremity, next treatment is?
Applying pressure to the pressure point.
Splinting the injured extremity
Applying ice to the injury.
Applying a tourniquet
70
Hand was exposed to the cold, initially red;now blanched;Complaint: diminished sensation in hand. What do you suspect?
Superficial frostbite involving the epidermis
Superficial frostbite involving the dermis and subcutaneous layers
Deep frostbite involving the epidermis.
Deep frostbite involving the dermis and subcutaneous layers
71
Which of the following is the method used to open the airway of a patient with a spinal injury?
Head-tilt, chin-lift.
: Tongue and jaw lift
Jaw thrust while holding the neck.
Jaw thrust while holding the head
72
Victim with serious bleeding from a stab wound;pulse is thready and difficult to palpate. Findings of pulse should be?
pulse is irregular
pulse is regular
pulse is weak
pulse is strong
73
Which of the following assessments are the MOST important when performing the complete secondary assessment?
Assessing the cervical spine
Identifying any life-threatening injuries not previously identified
Identifying any non life-threatening injuries
The complete secondary assessment should not be interrupted for treatment
74
Pt. sitting upright near pool of blood, awake and alert, deep wound. Best position for patient if possible evisceration
high fowlers
prone
recovery position
supine with knees flexed
75
Where should you place your hands to manually stabilize a cervical spine?
On the facial bones and mandible.
On the head and shoulders
On the neck
On the cranium and facial bones
