FISDAP Trauma Management 2

Question 1

A motorcyclist is found unresponsive after a high-speed crash. Which mechanism of injury pattern should alert you to potential spinal injury?

Accepted Answer

Ejection from the vehicle with unknown landing

Answer

Ejection from a vehicle is a high-risk mechanism because the patient can sustain significant deceleration forces and impact injuries to the spine.

Question 2

During a mass casualty incident, a patient with a femur fracture, open airway, and weak radial pulse is classified as which triage category using START?

Accepted Answer

Yellow (delayed)

Answer

In START triage, a patient who is walking or has a patent airway, adequate respirations, and a radial pulse with only a long-bone fracture is classified Yellow (delayed).

Question 3

You are managing a patient with suspected tension pneumothorax. After needle decompression in the 2nd intercostal space, midclavicular line, there is no improvement. What is your next action?

Accepted Answer

Perform needle decompression at the 4th or 5th ICS, anterior axillary line

Answer

If the first decompression fails, the second attempt should be performed at the 4th–5th intercostal space at the anterior axillary line, which may be more effective in obese or muscular patients.

Question 4

A patient sustains a crush injury to the forearm for 45 minutes. Upon extrication, which systemic complication is the highest priority concern?

Accepted Answer

Hyperkalemia causing cardiac dysrhythmia

Answer

Crush syndrome releases intracellular potassium into the bloodstream, causing life-threatening hyperkalemia and potentially fatal cardiac dysrhythmias upon reperfusion.

Question 5

Which finding on assessment is MOST consistent with a cardiac tamponade after penetrating chest trauma?

Accepted Answer

Hypotension, muffled heart tones, JVD (Beck's Triad)

Answer

Beck's Triad — hypotension, muffled heart tones, and jugular venous distension — is the classic presentation of cardiac tamponade.

(FISDAP) Field Internship Student Data Acquisition Project Practice Test

(FISDAP) Field Internship Student Data Acquisition Project Practice Test

FISDAP Trauma Management 2