FISDAP TRAUMA EXAM REAL AND LATEST
QUESTIONS WITH VERIFIED COMPLETE AND
CORRECT ANSWERS 2023/A+ GRADE
If you see a cracked windshield in a MVC... what ... [Show More] will the pt represent with? - Answer -
Bruised or lacerated head or face. Brain injury, *cervical spine injury (always until
proven otherwise), tracheal injury.
If you see a deformed steering column in a MVC... what will the pt represent with? -
Answer - Bruised neck, bruised chest. Sternal or rib fracture, flail chest, myocardial
contusion, *pericardial tamponade, pneumo/hemothorax, aortic tear.
If you see a deformed dashboard in a MVC... what will the pt represent with? - Answer -
Bruised abdomen, bruised knee, misplaced kneecap. Ruptured spleen, liver, bowel,
diaphragm. Fractured patella, dislocated knee, *femoral fracture, dislocated hip.
If you see the rear end of the vehicle is damaged in a MVC... what will the pt represent
with? - Answer - Secondary anterior injuries, esp if the pt wasn't restrained. "Wiplash"
injuries, *coup contrecoup injury.
Phases of Deceleration - Answer - 1) Deceleration of the vehicle, occurs when the
vehicle strikes another object & comes to a stop. 2) Deceleration of occupant, which
starts during sudden braking & continues through the whole crash. 3) Deceleration of
internal organs, that consist of internal organs that continue forward momentum until
they're stopped by anatomical restraints. 4) Secondary collisions, which occur when a
vehicle occupant is hit by objects moving within the vehicle (loose objects). 5) Additional
impacts, that the vehicle may receive when it is hit by a second vehicle or is deflected
into another.
Velocity - Answer - "Speed kills"- causes more damage than mass.
Seat Belt Use - Answer - All arguments against seat belt use are unfounded.
Airbag Injuries - Answer - Common injuries include abrasions to the face, chest and
arms. Minor corrosive effects can occur because of the cornstarch on the airbag, and it
may irritate the skin.
Down and Under Pathway - Answer - Occupant slides under the steering wheel or the
dash. The knees hit the dashboard, and transmit energy up the leg, to the femur/pelvis.
If the feet are locked in place, it can cause femur fractures.
Up and Over Pathway - Answer - Chest hits the steering wheel, head hits the windshield
and anterior portion of the throat hits the top of the steering wheel. Can cause
significant head and neck injuries.
FISDAP TRAUMA EXAM REAL AND LATEST
QUESTIONS WITH VERIFIED COMPLETE AND
CORRECT ANSWERS 2023/A+ GRADE
Head on Impact in Motorcycle Crashes - Answer - Head on impact- motorcycle strikes
another object and stops its forward motion, while the rider continues forward motion
until stopped by outside force. This causes the rider to go over the handlebars, which
causes femur fractures, and tib fractures.
Angular Impact in Motorcycle Crashes - Answer - The motorcycle strikes an object, or
another vehicle at an angel so that the rider sustains direct crushing injuries to the lower
extremity between the object and motorcycle.
Motorcycle Crashes - Answer - With any motorcycle crash, the helmet should be
removed carefully if airway management techniques cannot be performed with the
helmet in place or the helmet doesn't fit properly on the riders head.
Pedestrian Injuries - Answer - Most pedestrian injuries occur at an intersection, at night.
First, the pedestrian is hit in the lower extremities with the cars bumpers. Second, the
pedestrian is thrown on the top of the car (resulting in brain injuries, and pelvic
fractures. Third, the pedestrian hits the ground or some other object after rolling off the
top or the side of the vehicle.
Waddell Triad - Answer - Refers to the pattern of automobile pedestrian injuries in
children and people of short stature; 1) bumper hits the pelvis/femur instead of the
knees, 2) the chest & abdomen hit the grill or low on the hood of the car (sternal & rib
fractures), 3) the pt's face hits the hood, then flies back, and hits the ground.
Fall Severity Factors - Answer - 1) Height- determines the velocity of the fall. A fall
greater than 15 feet or 2.5-3 times the pt's height will have a greater injury & higher rate
of death. 2) Position- children usually land on their heads (more mass), and adults tend
to try to land on their feet, cause spinal injuries "Don Juan Syndrome or Lovers Leap".
3) Surface- Snow vs. Concrete.
Blunt Trauma - Answer - Refers to injuries in which the tissues are not penetrated by an
external object.
Penetrating Trauma - Answer - Involves a disruption of the skin and underlying tissues
in a small, focused area. Most common cause of penetrating trauma- GSW.
Stab Wounds - Answer - Severity of the stab wound depends on the anatomic area
involved, depth of penetration, blade length and angle of penetration.
FISDAP TRAUMA EXAM REAL AND LATEST
QUESTIONS WITH VERIFIED COMPLETE AND
CORRECT ANSWERS 2023/A+ GRADE
GSW - Answer - The most important factor for the seriousness of a gunshot wound is
the type of tissue through which the projectile passes. Tissues of high elasticity like
muscle, is better able to tolerate stretch, rather than the liver.
Entry Wound - Answer - Characterized by the effects of initial contact & implosion. *As a
general rule, the entrance wound (usually funnel shaped), is always smaller than the
exit wound.
Exit Wound - Answer - Occur when the projectile has sufficient energy that is not
entirely dissipated along its trajectory through the body.
Ricochet - Answer - *Don't assume that a bullet followed a straight path between the
entrance & exit sights, it may ricochet inside the body, esp off bones, and travel in diff
directions.
Primary Blast Injury - Answer - Injuries due to the wave blast itself, usually causing
damage to the lungs, eardrums and other compressible organs (air filled cavities).
Burns also may occur.
Secondary Blast Injury - Answer - Injuries due [Show Less]