EMT FISDAP TRAUMA EXAM 3 LATEST VERSIONS (VERSION A, B AND C) NEWEST 2024 ACTUAL EXAM COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

1 | P a g e EMT FISDAP TRAUMA EXAM 3 LATEST VERSIONS (VERSION A, B AND C) NEWEST 2024 ACTUAL EXAM COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ EMT FISDAP TRAUMA VERSION A A 40-year-old man was hit in the nose during a fight. He has bruising under his left eye and a nosebleed. What should you do? A) Place a chemical ice pack over his nose. B) Determine if he has any visual disturbances. C) Ensure that he is sitting up and leaning forward. D) Apply direct pressure by pinching his nostrils together. - ANSWERC) Ensure that he is sitting up and leaning forward. Rationale: During a nosebleed (epistaxis), much of the blood may pass down the throat into the stomach as the patient swallows; this is especially true if the patient is lying supine. Blood is a gastric irritant; a person who swallows a large amount of blood may become nauseated and vomit, which increases the risk of aspiration. Therefore, your first action should be to ensure that the patient is sitting up and leaning forward. This will prevent blood from draining down the 2 | P a g e back of the throat. Next, apply direct pressure by pinching the fleshy part of the nostrils together; you or the patient may do this. Placing a chemical ice pack over the nose may further help control the bleeding by constricting the nasal vasculature. After controlling the nosebleed, continue your assessment, which includes assessing for facial deformities and visual disturbances. The presence of subcutaneous emphysema following blunt trauma to the anterior neck should make you MOST suspicious for a: A) pneumothorax. B) fractured larynx. C) ruptured esophagus. D) carotid artery injury. - ANSWER- B) fractured larynx. Rationale: Crushing or blunt trauma to the anterior neck can injure the trachea or larynx. Once the cartilages of the upper airway and larynx are fractured, they do not spring back to their normal position. Such a fracture can lead to loss of voice, airway obstruction, and leakage of air into the soft tissues of the neck. Air leakage into the soft tissues is called subcutaneous emphysema. Subcutaneous emphysema may also be observed in patients with a tension pneumothorax, although it is typically located in the chest. Esophageal rupture would likely present with difficulty swallowing (dysphagia) and vomiting blood (hematemesis). You should suspect injury to a carotid artery or 3 | P a g e jugular vein if you observe a rapidly expanding hematoma to the neck following blunt trauma. A 22-year-old man had a strong acid chemical splashed into both of his eyes. He is conscious and alert, is experiencing intense pain, and states that he is wearing contact lenses. Treatment should include: A) leaving the contact lenses in and beginning irrigation of both eyes. B) removing the contact lenses and beginning irrigation of both eyes. C) leaving the contact lenses in and covering both eyes with sterile gauze. D) removing the contact lenses and covering both eyes with sterile gauze. - ANSWER- B) removing the contact lenses and beginning irrigation of both eyes. Rationale: As a general rule, contact lenses should be left in place. Chemical eye burns are an exception to this rule. If left in place, the chemical could get behind the contact lens and continue to cause injury. Therefore, you should remove the contact lenses and immediately irrigate the eyes with sterile saline or water. If needed, continue to irrigate the eyes throughout transport. Following blunt force trauma to the anterior chest, a man presents with difficulty breathing, distended jugular veins, absent breath soundsover the left side of the chest, and hypotension. Which of the following BEST describes the pathophysiology of this patient's injury? 4 | P a g e A) Increased pressure in the pleural space is compressing the great vessels B) Blood is filling the pleural space and is collapsing the lung on the left side C) Blood is filling the pericardia! sac and is restricting cardiac relaxation D) The aorta has been injured and blood is rapidly filling the thoracic cavity - ANSWER- A) Increased pressure in the pleural space is compressing the great vessels Rationale: The patient is experiencing a tension pneumothorax. This type of injury occurs when air fills the pleural space and progressively collapses the lung. In the process, the vena cavae are compressed and blood return to the heart is reduced; clinically, this manifests as jugular vein distention because blood is backing up into the systemic venous system. If blood return to the heart is reduced, the amount of blood that leaves the heart will also be reduced; as a result, cardiac output falls and the patient becomes hypotensive. Breath sounds are markedly decreased or absent on the affected side of the chest because the lung is being collapsed. In a hemothorax, blood fills the pleural space instead of air. Breath sounds are decreased or absent on the affected side; however, because the patient is losing blood volume into the chest, the jugular veins would be collapsed, not distended as they are with a tension pneumothorax. Pericardia! https://learnexams.com/search/study?query=