Field Internship Student Data Acquisition Project (FISDAP) Trauma Practice Exam

Question: 1 / 400

Which patient would it be appropriate to perform only a focused physical examination instead of a rapid trauma assessment?

A 42 year old male who complains of neck "stiffness" after a moderate speed collision

An 82 year old male who is unconscious with minor scrapes and scratches after a 2-foot fall

An alert 13-year-old male who fell off his skateboard and is now presenting with a deformed lower leg

A 22 year old female who complains of severe wrist pain after tripping in her kitchen

The appropriate scenario for conducting only a focused physical examination involves a patient who presents with an isolated injury and is stable enough that a rapid trauma assessment, which involves a head-to-toe evaluation often reserved for patients with potential life-threatening conditions, is unnecessary.

In this case, the 22-year-old female with severe wrist pain after tripping in her kitchen is likely dealing with a specific injury that does not suggest significant trauma to other critical areas of the body. The mechanism of injury (tripping) and the presence of a single area of concern (the wrist) allow for a focused examination. Such an examination can efficiently assess the injury and determine the appropriate treatment without unnecessary delays that might occur during a more extensive assessment.

In contrast, the other patients have more complex situations that warrant a rapid trauma assessment. The 42-year-old male with neck stiffness after a collision presents the possibility of spinal injuries, requiring a thorough evaluation. The 82-year-old male, being unconscious even after a minor fall, indicates potential systemic issues or hidden injuries that need immediate attention. Finally, the 13-year-old male with a deformed lower leg raises concerns about serious injuries, possibly including fractures or other complications that might affect overall stability. Hence, their conditions necessitate a

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