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.
Read the first 7 Trauma Management flashcards as text
A patient is found after being thrown from a horse. She has midline thoracic spine pain but is neurologically intact. Which action is MOST appropriate?
Answer: Apply full spinal motion restriction and transport
Midline spinal tenderness after a significant MOI requires full spinal motion restriction regardless of neurological status, as cord injury can occur at any point after the initial event.
You arrive to find a patient with an open abdominal evisceration. Which dressing is MOST appropriate?
Answer: Moist sterile dressings covered with an occlusive dressing
Eviscerated organs should be covered with moist sterile dressings to prevent drying and tissue death, then covered with an occlusive dressing to maintain moisture.
During a vehicle rescue, a patient has a positive Seat Belt Sign (bruising across the abdomen). This finding is associated with which injury pattern?
Answer: Hollow organ injury, lumbar spine fracture (Chance fracture)
The Seat Belt Sign indicates significant deceleration force transmitted through the lap belt, commonly causing hollow organ rupture and Chance fractures of the lumbar spine.
In permissive hypotension strategy for penetrating trauma patients without TBI, what is the target systolic BP during transport?
Answer: 70–90 mmHg
Permissive hypotension targets a systolic BP of 70–90 mmHg to maintain minimal organ perfusion while avoiding aggressive fluid resuscitation that can worsen coagulopathy and clot disruption.
A 45-year-old male sustains blunt chest trauma and presents with paradoxical chest wall movement. Which condition does this indicate?
Answer: Flail chest
Flail chest occurs when three or more consecutive ribs are fractured in two or more places, causing a free-floating segment that moves paradoxically (inward on inspiration, outward on expiration).
Which finding would MOST suggest a diaphragmatic rupture in a trauma patient?
Answer: Bowel sounds auscultated in the chest
Bowel sounds heard in the chest cavity indicate herniation of abdominal contents through a ruptured diaphragm, a classic but late finding.
When using the AVPU scale to assess a trauma patient, a patient who responds only to painful stimuli is classified as which level?
Answer: Pain
AVPU: A=Alert, V=responds to Verbal stimuli, P=responds only to Pain, U=Unresponsive; this patient falls in the P category.