Trauma FISDAP Fall 2020 Exam. 75 Q&A

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Trauma FISDAP Exam SAMPLE QUESTIONS 1. 53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished lung sounds on L side. You should? o *Perform detailed phy... sical assessment/stabilize left femur with traction splint/immobilize long backboard/transport to nearest emergency room 2. 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? o ALS back up/02 non rebreather/stabilize chest with bulky dressing/02 with positive pressure ventilations 3. What is the most likely cause of periorbital ecchymosis? o Basicular skull fracture/ blow out fracture/ subdermal hematoma/ epidural hematoma 4. 30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should? o Tourniquet/ continue pressure and transport rapidly/ elevate leg and place pressure dressing/ check for PMS 5. 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? o Jaw thrust without head tilt/ head tilt and jaw thrust/ chin lift without head tilt/ head lift with chin lift 6. M fell while water skiing. Unconscious. Suspect? o Head and spine injury/ hypothermia/anaphylaxis/heat related injury 7. Appropriate care for amputated extremity? o 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 8. 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? o Suction airway/ BVM/ C-collar/ control bleeding 9. 18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present. You should? o Apply board splint in position found/ stabilize limb at hip and ankle/ traction, realign limb/ ice pack and elevate limb 10. 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? o BVM/ nonrebreather/ NPA/ long backboard 11. 81 yo F healthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should concern you the most? o Coumadin/ albuterol/ nitro/ insulin 12. 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? o 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 13. 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? o Both superficial and partial thickness burns/ allergic reaction due to insect bite/ both partial and full thickness burns/ alcohol intoxication lead to prolonged exposure 14. 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? o Realign the injured extremity/ apply a traction splint/ apply an elastic bandage/ splint the extremity as it is 15. 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? o 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 16. 47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You should suspect? o Spinal cord injury/ 17. Injury that is most likely to require routine assessment and transport? o Deformed Wrist injury 18. After securing pt on longboard, you should immediately assess: o PMS 19. 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? o Rapid trauma assessment/ NPA/ non rebreather/ palpate chest for tenderness 20. 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? o Apply occlusive dressing 21. Early signs of decompensated shock? o Low blood pressure 22. Pt stabbed in RUQ. What organ is injured? o Liver 23. Pt with chemical burn on eye and is wearing contact lenses. You should? o 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 24. A baseball player was hit by a baseball in the left eye and complains for double vision. What should you do? o *Perform detailed exam/ c spine 25. First concern with conscious pt who received partial thick burns to the face is treating? o Airway problems/ [Show More]

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