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