FISDAP Flashcards
1
Q
How many lobes are in the lungs?
A
5
2
Q
What is the name of the passageway shared by the digestive and respiratory systems for air and food?
A
Pharynx
3
Q
What leaf-shaped structure closes during swallowing to prevent foods and foreign objects from entering the trachea?
A
Epiglottis
4
Q
What part of the respiratory system contains the vocal cords?
A
Larynx
5
Q
What is The most common location for an airway obstruction
A
Pharynx
6
Q
What is the name of the hollow, semi-flexible tube that carries inhaled air front eh larynx to the lungs?
A
Trachea
7
Q
What happens to your diaphragm during inhalation?
A
Contracts
8
Q
Where is Sellick’s Maneuver applied?
A
Cricoid cartilage
9
Q
What is the name of the muscular structure that divides the chest cavity front eh abdominal cavity?
A
A) Diaphragm
10
Q
What is directly posterior to the nose?
A
Nasopharynx
11
Q
What are the small sacs in the lungs that are responsible for gas exchange?
A
Alveoli
12
Q
What area is directly posterior to the mouth?
A
Oropharynx
13
Q
What is the name of the cartilaginous ridge in the trachea at which the right and left lungs split?
A
Carina
14
Q
What is the normal respiratory rate for an adult?
A
12-20
15
Q
What ring-shaped structure forms the lower portion of the larynx?
A
Cricoid cartilage
16
Q
A 33 year old male is lying supine on the floor after falling off a ladder. He has an obvious head injury and bleeding. What should you do?
A
Assess his level of consciousness
17
Q
A 35 year old female’s husband meets you at their front door for an “unknown emergency.” He tells you that his wife is depressed, and she has locked herself in the bedroom where he keeps his handgun. What should you do?
A
Move to a safe place and request law enforcement
18
Q
What should you do to determine if your patient is breathing?
A
Put your ear to his mouth
19
Q
In which position should you hold the patient while applying manual stabilization?
A
Neutral position
20
Q
A 78 year old male is unresponsive and lying supine on his bed. What should you do?
A
Assess him for respiratory efforts
21
Q
During your primary assessment you palpate the chest and note crepitus to the left lateral ribs. What should you do?
A
Listen to lung sounds
22
Q
A 38 year old female was in a car crash and is unresponsive. Her head is slumped forward against the steering wheel and she has snoring respirations. What should you do?
A
Open her airway
23
Q
An 18 year old male has a deep laceration to his wrist that is squirting bright red blood. What should you do?
A
Place a gloved hand over the wound
24
Q
What should you do after completing the scene size-up and primary survey for a trauma patient?
A
reconsider the mechanism of injury
25
A 39 year old female is lying supine in her yard next to a 25 foot ladder. She has an obvious leg fracture. What should you do?
Manually stabilize the c-Spine
26
A car is flipped over on to its roof, and 2 people are trapped inside the car. They are suspended upside down because they were strapped in with seat belts. Several different fluids are leaking front eh vehicle. What should you do?
Ensure scene safety
27
A 20 year old male has a strong odor of alcohol on his breath. He is cutting his arm with a knife and the bleeding is severe. You should?
Call law enforcement
28
You are the first to arrive at the scene of a multiple vehicle collision. What should you do?
Perform a scene size-up
29
You have approached your patient and formed a general impression. What should you do?
Assess the level of consciousness
30
A 14 year old male is lying supine at a high school football game. He is unresponsive, cyanotic, and has snoring respirations. What should you do?
Open the airway with a manual maneuver
31
What is the intention of the primary survey?
Find and treat life threats
32
Which mental status is the most life-threatening
Unresponsive
33
How should a properly sized cervical collar fit?
the collar rests on the clavicles
34
An unresponsive 43 year old male was hit by a car and is lying supine in the street. You can hear loud, snoring respirations. What should you suspect?
Airway obstructions
35
A 64 year old male is not breathing. What should you do after initiating ventilations with a bag valve mask?
Look for the rise and fall of his chest
36
A 42 year old male complains of shortness of breath after being sprayed with super-heated steam. He has burns to his face, neck and upper chest. Vital signs are BP 112/66, P 124, R 28 shallow and labored. What should you do?
Assist his ventilations
37
A 67 year old male complains of mild respiratory distress. He smokes 4 packs of cigarettes a day and reports a consistent cough and frequent respiratory infections. Chest sounds reveal bilateral rhonchi. What should you suspect?
Chronic bronchitis
38
What is the amount of air that normally reaches the alveoli in an adult?
350 mL
39
What ist he normal range of breaths per minute for an adult?
12-20
40
What are the small air sacs at the end of the airway that are responsible for gas exchange?
Alveoli
41
A 56 year old female has a complete airway obstruction from a piece of food. She becomes unconscious while your assess her. What should you do?
Begin chest compressions
42
How should you insert a nasopharyngeal airway?
Face the bevel towards the septum
43
An 18 year old male is cyanotic and complains of sharp chest pain and difficulty breathing after lifting weights. Vital signs are BP 110/66, P88, R22. What is the most likely cause?
Spontaneous pneumothorax
44
What is the term for high-pitched whistling sounds heard during expiration?
Wheezing
45
What are the structures that branch off the trachea into the lower airway?
Bronchi
46
A 75 year old female complains of a sudden onset of right-sided chest pain and dyspnea. She is recovering from a recent hip surgery. What should you suspect?
Pulmonary embolism
47
A 53 year old male is sleepy, diaphoretic, difficult to arouse, and breathing 8 times a minute. What should you suspect?
Respiratory failure
48
A 77 year old female has dyspnea, speaks in short word bursts, and breathes with pursed lips. Lung sounds are diminished, distant, and clear. Vital signs are BP 152/86 and irregular, R 23. What should you suspect?
Emphysema
49
An 82 year old female complains of difficulty breathing. Before you assist her with her prescribed inhaler, who will you need permission form?
Online medical control
50
The use of accessory muscles and nasal flaring are signs of what ape of breathing
Labored
51
What is the term for abnormal breath sounds that result from an obstructed airway?
Stridor
52
An alert 32 year old female complains of difficulty breathing. She can only speak in 2 to 3 word sentences. What should you do?
Administer high-flow oxygen
53
A febrile 44 year old male complains of shortness of breath and has dull chest pain. He has been coughing up "rusty" septum for the last 3 days. what is the most likely cause?
Pneumonia
54
An unresponsive 43 year old male is cool, pale, diaphoretic, and breathing 6 times a minute. Which device should you use to administer oxygen?
Bag-valve mask
55
A 45 year old female complains of weakness, shortness of breath, back pain, and pressure in her chest. What should you suspect?
Myocardial infarction
56
A 56 year old m ale complains of epigastric pain that started an hour ago. He is diaphoretic and the pain is radiating into his left arm. What should you suspect?
Myocardial infarction
57
The following patients are refusing your care. Which is at the highest risk of a negative outcome?
A 75 year old male taking Coumadin who del on the sidewalk
58
What is the term for a pulse rate about 100?
Tachycardia
59
A 61 year old male with chest pain took one dose of nitroglycerin prior to your arrival. He has experienced no relief. Vital signs are BP 88/44, R22. What should you do?
assist with the administration of aspirin
60
An uresponsive 72 year old female is pale with peripheral cyanosis. She has a pulse of 20 hearts per minute. What should you do?
transport rapidly
61
What respiratory condition can be directly caused by congestive heart failure?
pulmonary edema
62
A 55 year old female's skin is cool, clammy, and ashen. Her level of consciousness begins to decrease, and you can no longer palpate a radial pulse. What should you do?
assess the carotid pulse
63
Where does the heart receives its nutrition from the blood passing through?
Coronary artery
64
A 57 year old male with chest pain news assistance taking his medication. What should you do?
Assess his vital signs
65
A 42 year old map dis unresponsive. He was found behind a restaurant and bystanders are unsure how long he has been there. What should you do?
check for carotid pulse
66
A diaphoretic 65 year old male is experiencing a sudden onset of left jaw pain. Vital signs are BP 118/80, P 70, R 18. What should you suspect?
Acute coronary syndrome
67
Which of the following signs is most indicative of hypo perfusion?
altered mental status
68
When assessing an extremely hypothermic patient, what should you do?
expect eh pulse check will take more time than normal
69
A 48 year old male suddenly becomes confused after taking nitroglycerin. He is sitting upright but is unable to follow your directions. What should you do?
place him in a supine position
70
An AED delivers a "no shock indicated" message for a patient with no palpable carotid pulse. What should you suspect?
Pulseless electrical activity
71
A 66 year old female complains of severe shortness of breath that started during the night. She denies chess pain. Vital signs are BP 180/92, P 110 and irregular, R 24 with crackles. What is the most likely cause?
Congestive heart failure
72
Which of the following would suggest a syncopal episode?
brief period of unconsciousness
73
A 42 year old female has a pulse and is breathing adequately after a single shock from the AED. in which position should you place her?
recovery position
74
A 92 year old male complains of a headache, difficulty breathing, slurred speech, and loss of grip in his left hand. What should you suspect?
Stroke
75
What artery supplies the heart muscle with blood?
Coronary
76
What is the chamber of the heart that pumps blood into the lungs?
Right ventricle
77
What chamber of the heart receives blood from the venue cavae?
right atrium
78
What is considered a central pulse?
femoral
79
What element of the blood is affected by sickle cell anemia?
erythrocytes
80
What chamber of the heart pumps blood into the aorta?
left ventricle
81
What is hypo perfusion?
inadequacy of cellular gas exchange
82
Which artery is located in the neck?
Carotid
83
What pressure is created when the heart contracts and forces blood into the arteries?
Systolic
84
What is the name for the chambers of the heart that contract simultaneously to pump blood out of the heart?
Ventricles
85
What is the term for adequate circulation of blood through the body's tissue?
Perfusion
86
What chamber of the heart is the most muscular?
left ventricle
87
What component of the blood helps the body resist infection by killing germs and producing antibodies?
white blood cells
88
What are the 2 upper chambers of the heart?
atria
89
A 44 year old male has a partial airway obstruction. He is leaning forward and drooling. What should you do?
prefrom an abdominal thrust
90
Where is the radial pulse located?
wrist
91
A 61 year old female is in respiratory arrest with a bradycardic heart rate. What should you do?
Assist her ventilations
92
A 4 year old male is choking on a piece of food. He has stridor and is drooling. What should you do?
Perform abdominal thrusts
93
A 48 year old male is in cardiac arrest. An ALS crew has intubated him with an endotracheal tube. What is the ratio of ventilations to compressions?
continuous compressions with 8 breaths per minute
94
A 78 year old male is unresponsive and lying supine on the his bed. What should you do?
assess him for respiratory efforts
95
Where should you place your palms when you perform chest compressions?
middle section of the sternum
96
A 6 month old female is unresponsive and she has a pulse of 40. What should you do?
Start chest compressions
97
What vessel returns oxygen-deleped blood to the heart?
vena cava
98
A 56 year old male is having a stoke. what is the most important question to ask his family members before making a transportation decision?
What time did the patient last appear normal?
99
What condition has stoke-like symptoms and resolves within 24 hours?
Transient ischeimic attack
100
What is the correct compression-to- breath ratio for a pulseless patient with an unsecured airway?
30:2
101
While transporting a 90 year old female on hospice care to her doctor's office she becomes apneic and pulseless. What should you do?
begin CPR
102
Where is the carotid pulse located?
Neck
103
A 44 year old female is unresponsive and has atonal respirations. What should you do?
assess the radial and carotid pulse
104
A 54 year female was in cardiac arrest. After two shocks with an AED, she is currently breathing adequately and has a stron carotid pulse. Vital signs are BP 88/40, P 90, R18, SpO2 66% on room air. What should you do?
apply high flow oxygen by non rebreather mask
105
A 12 year old female is pulseless and apneic immediately after being removed from a frozen lake. She was submerged under water for 15 minutes. What should you do?
start chest compressions
106
A 62 year old female complains of chest pain. While assessing her she suddenly goes pulseless and apneic. What should you do?
start chest compressions
107
How long will it take for irreversible brain damage to occur if the brain is not receiving adequate blood flow?
4-6 minutes
108
What should you do after attaching the AED and administering the 1st shock to a patient in cardiac arrest?
begin chest compressions
109
During cleanup operations after a house fire, a firefighter complains of a headache, dizziness and slight difficulty breathing, he reports not having worn his breathing apparatus for the past 30 minutes. what should you suspect?
carbon monoxide poisoning
110
A 14 year old male is shouting obscenities and not following your directions. HIs friend tells you, "he has a few beers." Vital sigsna re BP 118/66, P 100, R24, GCS 14, SpO2 94% on room air. What you should do?
Transport him on his side
111
A 49 year old male complains of severe right upper quadrant abdominal pain and nausea. He has jaundice and is febrile. Vital signs are BP 89/60, P92, R16. What should you suspect?
hepatitis
112
A 43 year old female was bitten by a rattlesnake on her lower leg. you see swelling and redness at the injection site. She feels cool, pale and clammy. What should you do?
splint her leg
113
An 83 year old female is diaphoretic and has an altered mental status. Her caregiver states,"she is more out of it than normal, she slapped me "what should you suspect?
hypoglycemia
114
A 19 year old male was stuns by a bee and the stinger is still embedded in his skin. He is allergic to bees. Vitals signs are BP 124/76, P 92, R 18, SpO2 98% what should you do?
remover the stinger by scraping the skin with a card
115
A 20 year old male is agitated and complains of nausea. he tells you " i feel like my heart is going to jump out of my chest. "vital signs are BP 142/90, P140, R24 and warm moist skin. Which drug should you suspect?
amphetamines
116
A febrile 24 year old male complains of sharp abdominal pain. HE states that he pain worsened when you lift your hands from his abdomen after palpation. How should you transport him?
in the fetal position
117
A 41 year old male brings to shake violently while you administer oral glucose to him. What should you do?
abandon glucose administration
118
An unresponsive 19 year old female has overdosed on an unknown medication. She has pinpoint pupils and cool skin. Vital signs are BP 84/50, P 72, R 8, SpO2 82% what class of medication should you suspect ?
narcotic
119
A 40 year old male with a history of bipolar depression is hearing voices, and throwing clothing. Law enforcement is on scene. He has several large lacerations to his forearms that are actively bleeding. What should you do?
destain the patient and treat his injuries
120
A confused 56 year old female is complaint of a headache and presents with pale diaphoretic skin. She has had diarrhea for 2 days. Vital signs are BP 80/40, P120, R16. What is the most likely cause
Dehydration
121
A confused 62 year old diabetic man sayshe has not been feeling well for several days. Vital signs are BP 140/90 P120 R34 and deep. what should you suspect?
hyperglycemia
122
Dispatch sends you to a possible seizure. As you arrive, you are advised the seizure has stopped. which phase is the patient most likely in?
postictal
123
A 15 year old female is sitting in a chair with left-sided facial droop and slurred speech. She has an acetone odor on her breath. what should you suspect?
hyperglycemia
124
A 32 year old male is lying supine and responding to voice commands with unintelligible gurgling noises. His wife tells you he is an epileptic and had a seizure during which she was able to assist him to the ground. What should you do?
roll him onto his side and suction his airway
125
An unresponsive 22 year old male was found outside on a hot and humid day. His skin is hot and moist what should you do?
move him to eh air conditioned ambulance
126
A 10 year old male is allergic to peanuts. Shortly after sharing some food with his classmates, he began to complain that his throat felt "itchy". his teacher tells you that she thinks his "face looks swollen" what should you do?
Help him self-administer his epinephrine auto injector
127
an 18 year old female complains of pain in he lower right quadrant with rebound tenderness. What should you suspect?
appendicitis
128
A 50 year old male complains of a sudden onset of abdominal pain and appears pale and weak. Vitals are BP 84/50, P110, and R22. What should you suspect?
gastrointestinal bleed
129
A newborn is pink all over and has a pulse of 130. As you dry her off, she begins to cry vigorously and kick her legs. What is her APGAR score?
10
130
A newborn has a weak cry and is curling his arms and legs. His extremities are blue and his body is pink. He has a pulse of 90 and week reparations. What is his APGAR score?
5
131
A newborn has a pink torso, but his hands and feet are blue. He has a weak cry when stimulated and can straighten his legs. Vital signs are P 110 and R40 and irregular. what is his APGAR score?
6
132
A baby girl was born 2 minutes ago. Her arms and torso are pink. She is wiggling around and has a strong cry. Vital signs are P 120, R 28. What is her APGAR score?
9
133
what is a typical one minute APGAR score for a newborn?
8-10
134
Beginning at which Apgar school should you start aggressive resuscitation efforts?
6
135
A newborn has a blue torso with pale extremities. She grimaces in response to stimuli and has limited muscle movement. Vital signs are P 88, R30. What is her APGAR score?
4
136
A newborn has a strong cry and is actively moving his blue extremities when stimulated. Vital signs are P 140, R 48. what is his APGAR score?
9
137
A newborn is pale and lump with a sunken abdomen. She has bradycardic pulse and shows little respiratory effort. What is her APGAR score
2
138
A newborn is actively crying in response to your bulb syringe. His body is pink dn her is moving his extremities, which are blue. vital signs are P 110. what is his APGAR score ?
9
139
A newborn has a pink torso and blue extremities. She is limp and does not respond to your attempts to stimulate her. She has a heart rate of 60 and is taking slow, gasping breaths. What is her APGAR score?
3
