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Trauma Management Flashcards

7 cards from real FISDAP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. A 28-year-old male sustains a stab wound to the right upper quadrant. Which organ is MOST likely injured?

    Answer: Liver

    The liver occupies most of the right upper quadrant and is the most commonly injured solid organ in penetrating abdominal trauma to that region.

  2. During spinal motion restriction of a standing patient with suspected cervical spine injury, which sequence is correct?

    Answer: Apply cervical collar, move to long board, apply head immobilizer

    The correct sequence is to apply the cervical collar first to stabilize the cervical spine, then transfer to the long board, and finally apply the head immobilizer.

  3. A trauma patient has an SpO2 of 88% despite a high-flow non-rebreather mask. You suspect a tension pneumothorax. Which assessment finding would BEST confirm this?

    Answer: Absent breath sounds on one side with tracheal deviation away from that side

    Absent unilateral breath sounds with tracheal deviation away from the affected side is the classic presentation of tension pneumothorax, indicating mediastinal shift from air accumulation.

  4. Which type of hemorrhage is characterized by dark red blood that flows steadily and does not pulsate?

    Answer: Venous hemorrhage

    Venous blood is dark red and flows steadily due to lower pressure in veins, unlike arterial hemorrhage which is bright red and pulsatile.

  5. A patient in Class III hemorrhagic shock (30–40% blood loss) will MOST likely present with which combination of findings?

    Answer: HR >120, decreased BP, confused, decreased urine output

    Class III shock (30–40% blood loss) produces tachycardia over 120, decreased blood pressure, confusion, and markedly decreased urine output due to severe volume loss.

  6. An impaled object is found in a patient's left chest. What is the appropriate prehospital management?

    Answer: Stabilize the object in place and transport immediately

    Impaled objects should be stabilized in place to prevent further injury, as removal can cause uncontrolled hemorrhage or worsen injury.

  7. Which pediatric anatomical difference makes airway management more challenging during trauma resuscitation?

    Answer: A proportionally larger occiput causing natural neck flexion when supine

    A child's larger occiput causes the neck to flex forward when supine, which can obstruct the airway; a folded towel under the shoulders helps achieve a neutral position.