FISDAP PREP QUIZZES Flashcards
What cartilage is an important visual landmark for endotracheal intubation?
Select one:
a. tracheal
b. thyroid
c. arytenoid
d. cricoid
C
A 19 year old female complains of difficulty breathing. She is sitting upright and leaning forward in respiratory distress. Lung sounds are diminished in the distal lobes. Her father states that her asthma inhaler has not helped. What should you do?
Select one:
a. administer albuterol nebulizer
b. assist her ventilations
c. apply CPAP
d. prepare for intubation
A
A 52 year old male complains of difficulty breathing after a long flight. He has bilateral chest rise but he complains of pinpoint chest pain on the right lateral aspect of his chest wall. What is the most likely cause?
Select one:
a. Asthma exacerbation
b. Anxiety attack
c. Pulmonary embolism
d. Myocardial infarction
C
A 50 year old male complains of shortness of breath that awoke him in the middle of the night. His medications are furosemide, lisinopril, and digoxin. Vital signs are BP 150/80, P 88 and irregular, R 24 with crackles. What should you suspect?
Select one:
a. Pneumonia
b. Pulmonary edema
c. Upper airway obstruction
d. Bronchospasm
B
A 30 year old male has overdosed on codeine. Vital signs are P 60, R 6 and shallow. What condition is developing?
Select one:
a. Respiratory acidosis
b. Metabolic acidosis
c. Respiratory alkalosis
d. Metabolic alkalosis
A
Following placement of a dual lumen airway device your assessment reveals absent epigastric sounds. You note chest rise with each assisted ventilation. Where is the location of the airway device?
Select one:
a. Trachea
b. Hypopharynx
c. Right bronchus
d. Esophagus
D
An 18 year old male is having an asthma exacerbation. He is becoming tired and drowsy. What finding should concern you the most about the severity of his exacerbation?
Select one:
a. High-pitched expiratory wheezing
b. Absence of breath sounds
c. Inspiratory and expiratory wheezing
d. Diffuse bilateral rhonchi and rales
B
An 18 year old female had been on a carnival ride and became panic stricken when the ride stalled for 15 minutes at a high altitude. Now she complains of muscle pain in her fingers and toes. Vitals are BP 140/90, P 108, R 38. What should you suspect;
Select one:
a. Hypocarbia
b. Pulmonary embolism
c. Hypoxemia
d. Asthma attack
A
A febrile 72 year old male complains of gradual onset of difficulty breathing. Lungs sounds reveal crackles in the left base. What is the most likely cause?
Select one:
a. Pneumonia
b. Pulmonary embolism
c. Cor pulmonale
d. Asthma
A
A 56 year old female can only speak in 1 - 2 word sentences. She is on low-flow oxygen for congestive heart failure. Her shortness of breath started while cleaning the house. Vital signs are BP 180/102, P 126, R 28 with crackles, SpO2 82%. What should you do?
Select one:
a. Obtain IV access.
b. Apply high-flow oxygen.
c. Apply CPAP.
d. Apply a 3 lead ECG.
C
A 49 year old female has a complete airway obstruction and just became unconscious. With a laryngoscope, you visualize the obstruction at the level of the glottic opening. What should you do?
Select one:
a. Perform needle cricothyrotomy.
b. Push the obstruction deeper with an endotracheal tube.
c. Remove the obstruction with Magill forceps.
d. Place an endotracheal tube around the obstruction.
C
A 28 year old unconscious male had his torso trapped for 3 hours under heavy debris. His jaw is clenched and your hear gurgling in his airway. What medication should you administer to facilitate securing the airway?
Select one:
a. Ketamine
b. Vecuronium
c. Midazolam
d. Succinylcholine
B
A 54 year old female is unconscious and unresponsive. She has a faint carotid pulse and snoring respirations. What should you do?
Select one:
a. Perform a head tilt chin-lift.
b. Determine a blood glucose level.
c. Start an IV of normal saline.
d. Establish an advanced airway.
A
What causes a loss of lung elasticity and air to be trapped within the lobes?
Select one:
a. Pulmonary edema
b. Asthma
c. Emphysema
d. Chronic bronchitis
C
A 4 year old male was hit by a car. He has unilateral lung sounds with asymmetrical chest rise. He is unconscious. Which of the following BEST indicates effective ventilation?
Select one:
a. SpO2 95%
b. Capillary refill
c. Mental status
d. ETCO2 37 mmHg
D
A 59 year old male became ill while shopping. His eyes are open, but he does not respond to verbal stimulus. He has peripheral cyanosis with rapid and shallow respirations. What should you do?
Select one:
a. Administer oxygen and check the radial pulse.
b. Assist ventilations with high-flow oxygen by bag-valve mask.
c. Apply a 3 lead ECG and determine the heart rhythm.
d. Apply pulse oximetry to determine oxygen saturation.
B
What patient would most likely have an ETCO2 of 20 mm Hg?
Select one:
a. A 22 year old male being hyperventilated by bag-valve mask
b. An unresponsive 81 year old female after a narcotic overdose
c. A 41 year old diabetic male with Kussmaul’s respirations
d. A 35 year old obese male who complains of angina
A
A 56 year old male is supine in bed and is responsive only to painful stimulus. Vital signs are BP 108/64, P 52, R 6 and shallow, Sp02 78%. What should you do?
Select one:
a. Position him upright and reassess ventilations.
b. Assist ventilations with a bag-valve mask.
c. Perform endotracheal intubation.
d. Apply high-flow oxygen by non-rebreather mask
B
An unresponsive 54 year old male is found slumped over the steering wheel in a parking lot. You can see empty medicine and alcohol containers in the front seat. Vital signs are P 130, R 6 and snoring. What should you do?
Select one:
a. Manually open his airway.
b. Insert an oropharyngeal airway.
c. Perform endotracheal intubation.
d. Apply high-flow oxygen.
A
An 18 year old female is unconscious after an assault. Respirations are 4 and shallow. After inserting an airway adjunct she develops gurgling respirations. What should you do?
Select one:
a. Remove the airway adjunct.
b. Perform endotracheal intubation.
c. Suction the airway.
d. Continue to assist ventilations.
C
What secondary method should you use to confirm correct endotracheal intubation placement?
Select one:
a. Positive epigastric sounds
b. ETCO2
c. Moisture within ET tube
d. SpO2%
B
A barrel-chested, 59 year old male with a history of lung disease is in respiratory distress with diffuse expiratory wheezes. His complexion is still pink. What is the explanation for his complexion while being in respiratory distress?
Select one:
a. Atrial fibrillation
b. Cor pulmonale
c. Increased carbon dioxide levels
d. Polycythemia
D
What respiratory problem is caused by bacterial infection?
Select one:
a. Emphysema
b. Cystic fibrosis
c. RSV
d. Epiglottitis
D
An unresponsive 60 year old man has soot around his mouth following a house fire. He has a weak cough with minimal chest wall movement when he breathes. What should you do?
Select one:
a. Obtain IV access.
b. Support ventilations with CPAP.
c. Prepare for intubation.
d. Transport in position of comfort.
C
Immediately after successful endotracheal intubation of a 66 year old female, you can only hear lung sounds on the right side. What should you do?
Select one:
a. Re-visualize tube placement through the vocal cords.
b. Pull the tube back slightly.
c. Insert the tube a little deeper.
d. Pull the tube out and reattempt intubation.
B
During ventricular systole, what is the blood pumped through?
Select one:
a. Tricuspid and bicuspid valves
b. Pulmonary and aortic semilunar valve
c. Superior vena cava
d. Ductus arteriosis
B
A 71 year old male with a history of Alzheimer’s was found lying outside. He is apneic and pulseless. The overnight temperature was 12 degrees F, and his core temperature is 79 degrees F. What should you do?
Select one:
a. Withhold initiating resuscitative efforts.
b. Provide basic resuscitative efforts.
c. Administer epinephrine every 5 minutes.
d. Double the dose of IV medications.
B
What other condition is commonly associated with atrial fibrillation?
Select one:
a. Chronic bronchitis
b. Renal failure
c. Peripheral vascular disease
d. Congestive heart failure
D
What does ST-elevation indicate?
Select one:
a. Myocardial ischemia
b. Cardiac tamponade
c. Hypercarbia
d. Hypokalemia
A
What type of p-waves should you expect to see with atrial flutter?
Select one:
a. Normal
b. Sawtooth
c. Rounded
d. Absent
B
A 75 year old man complains of weakness and fatigue. He has dependent edema and jugular venous distension. Last year, he had 3 cardiac stents implanted. What should you suspect?
Select one:
a. Right ventricular failure
b. Acute renal failure
c. Tension pneumothorax
d. Pulmonary edema
A
An ECG shows a wide complex rhythm at a rate of 36 beats per minute. What part of the heart’s conduction system is acting as the pacemaker for this patient?
Select one:
a. Atrioventricular node
b. Bachman’s bundle
c. Purkinje fibers
d. Internodal tract
C
A 72 year old male complains of “heaviness” in the chest, generalized weakness, and epigastric pain. He is pale, cool and diaphoretic. Vital signs are BP 92/60, P 54, R 24. What should you suspect?
Select one:
a. Gastric-esophageal reflux
b. Costochondritis
c. Cerebrovascular accident
d. Myocardial infarction
D
A 56 year old male complains of dizziness and weakness after 2 syncopal episode. He is pale, cool and diaphoretic. When he stands up his dizziness increases and he almost passes out. Vital signs are BP 98/48, P 104 and irregular, R 18. What should you do?
Select one:
a. Administer nitroglycerin.
b. Obtain IV access.
c. Obtain a 12 lead ECG.
d. Begin transcutaneous pacing.
C
A 59 year old male complains of a severe headache and blurred vision. The symptoms have increased in the last 3 hours. He tells you, “I ran out of my heart medication last month and couldn’t buy any more.” Vital signs are BP 210/110, P 90, R 24. What should be your primary concern?
Select one:
a. Increasing cardiac output
b. Relieving his headache
c. Reducing his blood pressure
d. Social services referral
C
What is the definitive treatment for ventricular fibrillation (v-fib) or pulseless ventricular tachycardia (v-tach)?
Select one:
a. Defibrillation
b. Oxygenation
c. Amiodarone
d. Chest compressions
A
What medication should be administered to patients with mild symptoms due to bradycardia?
Select one:
a. Aspirin
b. Adenosine
c. Atropine
d. Albuterol
C
During atrial systole, what is the blood pushed through?
Select one:
a. Right and left coronary arteries
b. Tricuspid and bicuspid valves
c. Aortic semilunar valve
d. Inferior vena cava
B
What is the most common cause of premature ventricular contractions?
Select one:
a. Hypovolemia
b. Hypoxia
c. Hypertension
d. Hypoglycemia
B
When are coronary arteries perfused?
Select one:
a. Atrial diastole
b. Ventricular systole
c. Atrial systole
d. Ventricular diastole
D
What ion is responsible for depolarization of the myocardium?
Select one:
a. Calcium
b. Chlorine
c. Potassium
d. Sodium
D
A 43 year old female complains of 8/10 chest pressure that started while playing tennis. The pressure is substernal, non-radiating, and decreases to 6/10 with rest. Vital signs are BP 150/88, P 96, R 18. She is reluctant to go to the hospital. What should you do?
Select one:
a. Arrange for private transportation and document her refusal carefully.
b. Recheck vital signs and thoroughly document her refusal.
c. Convince her to accept transport and administer aspirin.
d. Ask her to accept an albuterol nebulizer then recheck her vital signs.
C
What characteristic of chest pain is distinct to a myocardial infarction?
Select one:
a. Increased on palpation
b. Unrelieved with rest
c. Associated with leg pain
d. Decreased when leaning forward
B
A 52 year old male complains of chest pain after mowing his lawn. He took 3 nitroglycerin tablets without relief prior to EMS arrival. Vital signs are BP 94/48, P 92, R 18, SpO2 97%. What should you do?
Select one:
a. Obtain IV access.
b. Administer an additional nitroglycerin.
c. Obtain a 12 lead ECG.
d. Administer morphine sulfate.
C
A 51 year old male is in cardiac arrest. Bystander CPR is in progress and 1 shock from the AED was administered prior to your arrival. The second shock is indicated by the AED, but your monitor is not yet set up. What should you do?
Select one:
a. Continue CPR while the monitor is setup.
b. Obtain IV access.
c. Deliver the next shock using the AED.
d. Perform endotracheal intubation.
C
A 62 year old female is in cardiac arrest and has just been intubated. She has bilateral breath sounds and absent epigastric sounds. What should you do?
Select one:
a. Ventilate with more force and confirm placement.
b. Attach the quantitative end tidal CO2 monitor.
c. Check for moisture on the inside of the endotracheal tube.
d. Deflate the cuff and remove the endotracheal tube.
B
A 54 year old male pale and diaphoretic. The ECG monitor shows a narrow complex tachycardia at 180. What should you do?
Select one:
a. Administer epinephrine.
b. Obtain a 12 lead ECG
c. Administer adenosine.
d. Perform unsynchronized cardioversion.
C
While transporting a 44 year old female, her heart rate suddenly rises to 200 beats per minute. She is talking in full sentences and denies chest pain. What should you do?
Select one:
a. Prepare to sedate the patient.
b. Attempt vagal maneuvers.
c. Administer adenosine.
d. Perform synchronized cardioversion.
B
A 51 year old male is unresponsive and apneic. What should you do?
Select one:
a. Open the airway.
b. Assess for breathing.
c. Start compressions.
d. Check his pulse.
D
Which patient meets the criteria for therapeutic hypothermia?
Select one:
a. An unresponsive 65 year old male with adequate perfusion
b. An unconscious 78 year old male with hypotension and traumatic injuries
c. A semi-conscious 45 year old female with hypotension
d. A conscious 51 year old female with adequate perfusion
A
An 83 year old female was found submerged in a bath tub. She is pulseless and apneic. A nursing home attendant stated that she last saw her 1 hour ago taking a bath. Her heart rhythm is asystolic after 20 minutes resuscitation efforts. What should you do?
Select one:
a. Provide transcutaneous pacing.
b. Administer 1 mg of Atropine.
c. Discontinue resuscitation efforts.
d. Check for loose ECG leads.
D
A 63 year old female complains of “funny heart beats” and dizziness when she stands. Vital signs are BP 122/82, P 188 and regular, R 20, SpO2 98%. What should you do?
Select one:
a. Obtain orthostatic blood pressure.
b. Administer 12 mg adenosine.
c. Perform synchronized cardioversion.
d. Attempt a vagal maneuver.
D
A bariatric 42 year old female is in cardiac arrest. The EMR is having a hard time locating the correct landmarks for chest compressions. Vital signs are BP 0/0, P 0, R assisted, ETCO2 8 mmHg. What should you do?
Select one:
a. Discontinue resuscitative efforts.
b. Perform endotracheal intubation.
c. Obtain intraosseous access.
d. Assess the quality of chest compressions.
D
A 66 year old female has refractory ventricular fibrillation after two shocks and 1 mg 1:10,000 epinephrine. What medication should you administer?
Select one:
a. 1 mg 1:1,000 Epinephrine
b. 100 meq Sodium Bicarbonate
c. 100 g Lidocaine
d. 300 mg Amiodarone
D
What is the longest amount of time that fibrinolytic treatment can be provided after the initial onset of a stroke?
Select one:
a. 4.5 hours
b. 1 hour
c. 24 hours
d. 9.5 hours
A
A 35 year old female is unresponsive after having a return of spontaneous circulation. Vital signs are BP 96/50, P 66, R assisted, blood glucose analysis 40 mg/dL. What should you do?
Select one:
a. Administer 25 g dextrose.
b. Suction the endotracheal tube.
c. Obtain a 12 lead ECG.
d. Administer 5 mcg/kg dopamine.
A
A 56 year old male had a syncopal episode. He is hypotensive and responsive to verbal stimulus only. The ECG shows a third-degree block with a rate of 32 bpm. What should you do?
Select one:
a. Administer atropine 0.5 mg.
b. Initiate transcutaneous pacing.
c. Administer epinephrine 5 mcg/min.
d. Provide a fluid bolus.
B
An 82 year old male is in ventricular fibrillation. What should you administer?
Select one:
a. Atropine 1mg
b. Epinephrine 1 mg
c. Furosemide 40mg
d. Amiodarone 300 mg
B
A 50 year old female is in cardiac arrest. CPR is in progress, and the monitor shows a pulseless electrical activity at a rate of 70. What medication should you administer?
Select one:
a. Epinephrine 1 mg
b. Amiodarone 300 mg
c. Atropine 1 mg
d. Magnesium sulfate 2 g
A
How does adenosine work?
Select one:
a. Increases parasympathetic effects on the heart
b. Slows the firing rate of the SA node
c. Competes for beta-1 receptor sites
d. Slows conduction through the AV node
D
A 55 year old male complains of heart palpitations. While obtaining a history he becomes unresponsive. He is pulseless and apneic and the ECG monitor shows ventricular fibrillation. What should you do?
Select one:
a. Defibrillate immediately
b. Perform CPR for 2 minutes
c. Perform endotracheal intubation
d. Obtain IV access and administer amiodarone
A
A 51 year old female is in cardiac arrest and CPR is being administered. What does an ETCO2 reading of less than 10 mmHg indicate?
Select one:
a. Hypoventilation
b. Poor perfusion
c. Return of spontaneous circulation
d. Inadequate tidal volume
B
A 9 month old, 8 kg male remains in ventricular fibrillation after 5 min of ALS care. You are preparing to initiate a second defibrillation. What should you charge your cardiac monitor to?
Select one:
a. 24
b. 32
c. 38
d. 16
B
A confused 55 year old female complains of chest pain. Her ECG shows sinus bradycardia. Vital signs are BP 82/40, P 46, R 20. What should you administer?
Select one:
a. Epinephrine
b. Dopamine
c. Atropine
d. Albuterol
C
A 62 year old male complains of shortness of breath. He has a history of congestive heart failure. Vital signs are BP 166/108, P 56, R 26, SpO2 64%. What should you do?
Select one:
a. Apply CPAP.
b. Apply a 3 lead ECG.
c. Obtain IV access.
d. Assist his ventilations.
A
A 76 year old male is in cardiac arrest. Emergency Medical Responders have been performing high-quality CPR for 6 minutes. The ECG monitor shows monomorphic ventricular tachycardia. What is should you do?
Select one:
a. Deliver an unsynchronized shock at 200J.
b. Administer amiodarone 300mg.
c. Administer a round of epinephrine 1:10,000.
d. Perform endotracheal intubation.
A
A 24 year old male with a history of sickle cell anemia complains of leg and lower abdominal pain. He is lying in the fetal position. Vital signs are BP 140/92, P 114, R 18, SpO2 98% with 15 lpm. What should you do?
Select one:
a. Administer a hypertonic saline solution.
b. Administer morphine sulfate intravenously.
c. Obtain a 12 lead ECG.
d. Monitor vital signs and transport.
B
A febrile 54 year old female complains of nausea and vomiting with pain around her umbilicus. Her abdominal tenderness increases on palpation. Vital signs are BP 80/40 and P 130. What should you suspect?
Select one:
a. Acute pancreatitis
b. Severe gastroenteritis
c. Ectopic pregnancy
d. Ruptured appendix
D
While transferring a 34 year old male receiving a blood transfusion, he begins to complain of difficulty breathing. His skin is red and warm with urticaria. Vital signs are BP 70/40, P120, R 24. What should you do?
Select one:
a. Establish an additional IV.
b. Administer high-flow oxygen.
c. Discontinue the blood transfusion.
d. Administer a heparin infusion.
C
A 43 year old male tells you that he is a chronic alcoholic but that he quit drinking 3 days ago. He now complains of sweating, trembling, anxiety, and hallucinations. What is the most likely cause?
Select one:
a. Tremens syndrome
b. Diaphoresis
c. Status epilepticus
d. Delirium tremens
D
A confused 39 year old male was found after being lost in the woods for 24 hours. His clothing is damp and he is shivering. He has blisters on his feet and hands. What should you do?
Select one:
a. Remove his clothing and cover him with blankets.
b. Obtain IV access and administer a normal saline bolus.
c. Obtain a full set of vital signs.
d. Get him to drink warm fluids.
A
A 42 year old female complains of left sided facial weakness with slurred speech that started the day before. She is concerned because she has lost her sense of taste. What is the most likely cause?
Select one:
a. Cerebral vascular accident
b. Trigeminal neuralgia
c. Lyme disease
d. Bell’s palsy
D
A mother of a 17 year old male called EMS because her son has a depressed affect. While assessing him, he states, “I’m not sure if I can take this anymore.” What should you do?
Select one:
a. Physically restrain him.
b. Inquire about his suicidal ideations.
c. Contact law enforcement.
d. Obtain a list of his medications.
B
A 27 year old female complains of general weakness. She tells you that she feels “unstable” when she walks so she lay down in bed. She is supine in bed and was incontinent. She is out of her prescribed methylprednisolone. What should you suspect?
Select one:
a. Parkinson’s disease
b. Multiple sclerosis
c. Huntington’s disease
d. Muscular dystrophy
B
An 80 year old male complains of a headache and nausea. He is confused with hot, dry skin. His house is hot and humid. Vital signs are BP 90/55, P 96, R 18, SpO2 88%, blood glucose analysis 88 mg/dL. What should you do?
Select one:
a. Initiate passive cooling measures.
b. Check the blood glucose level.
c. Begin active cooling measures.
d. Administer a fluid challenge.
C
A 39 year old female complains of chronic left-sided flank pain that radiates to her hip. She called EMS because the pain is “unbearable.” Vital signs are BP 133/86, P 104, R 16. What should you do?
Select one:
a. Administer 4 mg morphine sulfate.
b. Listen to her bowel sounds.
c. Assess for rebound tenderness.
d. Administer 500 mg acetaminophen.
A
A 26 year old male complains of chest pain and hemoptysis. He has a productive cough with purulent discharge and a low-grade fever. What should you suspect?
Select one:
a. Tuberculosis
b. Acute bronchitis
c. Pulmonary embolism
d. Cor pulmonale
A
What is a potential risk for patients who are delinquent for renal dialysis?
Select one:
a. Hyponatremia
b. Hypocalcemia
c. Hypermagnesiemia
d. Hyperkalemia
D
A 31 year old female complains of diplopia and nausea with vomiting. She has a well-developed goiter and is sweating profusely. Vital signs are BP 132/92, P 104, R 18. What should you suspect?
Select one:
a. Organophosphate poisoning
b. Hypothyroidism
c. Radiation exposure
d. Thyrotoxic crisis
D
A 46 year old female is vomiting blood. She is holding a bucket of approximately 1500 mL dark, purple blood by her bed. She has a history of peptic ulcer disease, reflux, and alcoholism. Her upper right quadrant is tender on palpation. Vital signs are BP 90/50, P 130, R 18, skin pale, cool, and moist. What should you suspect?
Select one:
a. Esophageal varices
b. Acute gastroenteritis
c. Hemorrhagic pancreatitis
d. Gastric ulcer perforation
A
A 61 year old male is confused about the amount of atenolol he has taken. Which is a sign of an overdose?
Select one:
a. Hyperglycemia
b. Productive cough
c. Tachycardia
d. Hypotension
D
A 48 year old male complains of right upper quadrant pain. He is malnourished with a general malaise. He tells you that he is an alcoholic and rarely has enough money for food. Vital signs are BP 112/66, P 112, R 24, blood glucose analysis 55 mg/dL. What should you suspect?
Select one:
a. Hepatitis
b. Pancreatitis
c. Esophageal varices
d. Sickle cell crisis
A
Which drug causes a patient’s pupils to constrict?
Select one:
a. Amphetamine
b. Opiate
c. Marijuana
d. Barbiturate
B
A 25 year old male complains of watery eyes and localized edema to his eyelids. He has a peanut allergy and his friends had been eating peanuts. Vitals signs are BP 130/80, P 90, R 18. What should you administer?
Select one:
a. Epinephrine
b. Diphenhydramine
c. Terbutaline
d. Albuterol
B
A 36 year old male complains of flank pain that radiates to his groin. He tells you that his “urine has been darker than normal.” Vital signs are BP 136/86, P 100, R 16. What should you suspect?
Select one:
a. Aneurysm
b. Gall stones
c. Renal calculi
d. Appendicitis
C
A 24 year old female is sitting in a chair slumped to one side. She has slurred speech and her skin is clammy. Vital signs are BP 118/70, P 80, R 20, blood glucose analysis 40 mg/dL. What should you administer?
Select one:
a. Naloxone
b. Oral glucose
c. Dextrose 50%
d. Glucagon
C
A 20 year old female is postictal after having a 10 minute seizure. Her family states that the she had a traumatic brain injury 8 months ago. Vital signs are BP 144/82, P 92, R 16, SpO2 90%, blood glucose analysis 66 mg/dL. What should you do?
Select one:
a. Administer a benzodiazepine.
b. Administer 50% dextrose.
c. Perform a stroke scale assessment .
d. Apply supplemental oxygen.
D
A 56 year old male is unconscious and jaundiced. He has peripheral edema and a shunt in his left upper arm. What should you suspect?
Select one:
a. Renal failure
b. Hyperglycemia crisis
c. Septicemia
d. Chronic pancreatitis
A
A 52 year old male complains of sharp abdominal pain that radiates to his back for the past 5 days. He is nauseated with vomiting and diarrhea. He has right upper quadrant, mid-abdominal tenderness and Cullen’s sign. He tells you that he has a history of alcoholism. What should you suspect?
Select one:
a. Gastroenteritis
b. Hepatitis
c. Pancreatitis
d. Peptic ulcer disease
C
A 41 year old male returned from a scuba diving trip 12 hours ago. He complains of a gradual onset of stiff joints and a headache. His skin is mottled and his vital signs are BP 110/74, P 112, R 22, SpO2 82% on high-flow oxygen. What should you do?
Select one:
a. Assist his ventilations.
b. Transport him to the closest hospital.
c. Place him into the Trendelenburg position.
d. Transport him to a hyperbaric facility.
D
A 68 year old female is confused, and her husband states that she has had a general malaise and loose stools. She has a history of diabetes for which she takes metformin. Vital signs are BP 82/54, P 98, R 18, blood glucose analysis 720 mg/dL. What should you suspect?
Select one:
a. HHNS
b. Hyperglycemia
c. DKA
d. Hypoglycemia
A
A 46 year old female complains of shortness of breath. She has a history of alcohol abuse and presents with severe ascites. Her vital signs are BP 142/84, P 102, R 24 with crackles. What should you suspect?
Select one:
a. Gastroenteritis
b. Congestive heart failure
c. Liver failure
d. Cholecystitis
C
A 28 year old female complains of a sudden onset of dyspnea while eating in a restaurant. Her tongue is swelling and she has urticaria on her neck. Vital signs are BP 86/44, P 116, R 18 with wheezing. What should you administer?
Select one:
a. Epinephrine
b. Terbutaline
c. Diphenhydramine
d. Albuterol
A
While spraying pesticide on his crops, a 51 year old male started to feel lightheaded and had trouble breathing with excessive saliva production. What should you administer?
Select one:
a. Amyl nitrite
b. Sodium nitrite
c. Atropine
d. Albuterol
C
Which condition would make a patient more prone to thyroid storm?
Select one:
a. Addison’s disease
b. Cushing’s syndrome
c. Graves’ disease
d. Myxedema coma
C
Why do patients with hyperglycemia have Kussmaul respirations?
Select one:
a. Excessive ketones
b. Respiratory acidosis
c. Insulin shock
d. Hyperventilation syndrome
B
A 35 year old male is a diabetic. He is acting strangely and is unable to follow your commands. Vital signs are BP 140/88, P 102, R 18, blood glucose level 36 mg/dL. What should you do?
Select one:
a. Perform a prehospital stroke scale.
b. Administer glucagon 1 mg.
c. Obtain a 12 lead ECG.
d. Administer dextrose 25 g.
D
A 52 year old male tells you that he took sildenafil within the last 12 hours. What medication is contraindicated?
Select one:
a. Dextrose
b. Vasopressin
c. Nitroglycerin
d. Atropine
C
A 36 year old female is lethargic and has cool, clammy skin. She tells you that she took her diabetes medication that day but did not eat. Vital signs are BP 116/78, P 116, R 24, SpO2 98%, blood glucose analysis 36 mg/dL. What should you do?
Select one:
a. Administer a tube of oral glucose.
b. Obtain IV access and administer dextrose.
c. Administer glucagon.
d. Obtain IV access and administer a normal saline bolus.
B
What is the effect of diltiazem?
Select one:
a. Suppresses phase 0 of cardiac cell
b. Increases AV nodal conduction
c. Increases intracellular calcium
d. Decrease intracellular calcium
D
A 59 year old male complains of chest pain with shortness of breath. Vital signs are BP 88/48, P 60, R 22, SpO2 88% with 15 lpm. What should you do?
Select one:
a. Administer morphine 2 mg.
b. Apply CPAP.
c. Obtain a blood glucose analysis.
d. Administer aspirin 325 mg.
D
A 40 year old female was found pulseless and apneic. The ECG shows ventricular tachycardia. After 3 cycles of CPR (6 minutes), there has been no change in the patient’s condition. What should you do?
Select one:
a. Perform synchronized cardioversion
b. Administer vasopressin.
c. Administer adenosine.
d. Administer amiodarone.
D
What long-acting medication should you administer for status asthmaticus that is refractory to initial medications?
Select one:
a. Methylprednisolone
b. Albuterol
c. Epinephrine
d. Ipratropium bromide
A
How does amiodarone work within the cardiac system?
Select one:
a. Increases intracellular sodium
b. Prolongs phase 3 of the cardiac action potential
c. Inhibits actin and myosin receptors
d. Decreases skeletal muscle electrical excitability
B
A 56 year old female is pulseless and apneic. After the first cycle of CPR and a defibrillation, her ECG is ventricular tachycardia. What should you administer?
Select one:
a. Epinephrine 1 mg
b. Adenosine 6 mg
c. Atropine 1 mg
d. Amiodarone 300 mg
A
A 22 year old female is unresponsive after overdosing on heroin. What medication should you administer?
Select one:
a. Flumazenil
b. Naloxone
c. Dextrose
d. Glucagon
B