FISDAP TEST Group 1

Question 1

A 30 yo climber is experiencing severe shortness of breath after reaching an elevation of 12000ft. The pt is very anxious and has rales noted to all quadrants but is otherwise healthy. He is not accustomed to high altitudes. What should you do?

Answer 1

Administer Oxygen while descending to a lower altitude

Question 2

A 26 yo female does not respond to verbal stimuli but moans in response to pain. A friend states that the pt has ingested approx. 150 Amitriptyline tablets. Her vitals are BP 88/50 R16. You establish IV access and administer a fluid challenge. En route to the hospital her ECG shows a widening QRS. You should administer

Answer 2

Sodium Bicarbonate

Question 3

Your pt experienced trauma yesterday and you are transferring her to a larger facility. She has been experiencing progressive hypoxia. You notice coarse crackles in all lung fields on ventilation. Vial signs are BP 90/50 and SPO2 90%. You should

Answer 3

Transport emergency and continue ventilations

Question 4

An alert 22 yo male was just detangled from debris in a house collapse. He denies head or neck pain, but complains of severe hip pain. Vital signs are BP 88/40 P120 R16, you should administer

Answer 4

Sodium Bicarb

Question 5

Braxton Hicks Contractions

Answer 5

occur in the second trimester and are false labor

Question 6

A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke up and walked home. You find him 2 hours later at home unconscious. You should suspect

Answer 6

Epidural Hematoma

Question 7

A 47 yo male who was found unconscious on the side of the road responds only to painful stimuli. When you attempt to establish IV access he stiffens his arms and legs. He has minor abrasions all over his body. Vital Signs are BP 178/122, P56, R irregular, ETCO2 30. What should you do

Answer 7

Assist ventilations at 12 breaths per mmHg

Question 8

A 28yo female has a sudden onset of tightness in her chest and severe difficulty breathing. Her tongue, face, and neck appear swollen and she has red itchy hives on her torso. Her signs are BP 80/40 P130. You should administer

Answer 8

0.3 Epi

Question 9

You are asked to set up a pt treatment area after a box labeled “radio active” was found unattended in a park. Which of the following would be the best location

Answer 9

Building in the park

Question 10

You are at a house fire with multiple patients. Which pt should be transported First to a burn center?

Answer 10

52yo with 2nd degree burns to the face and right hand

Question 11

What is the most common cause of status epilepticus in adults

Answer 11

Failure to take prescribed meds

Question 12

A 58yo male with a history of renal failure complains of dizziness lethargy and difficulty breathing. He says he missed his last dialysis appointment. Vital signs are BP 160/90 P100 R26 with rales heard in the basses SPO2 90%. You should suspect

Answer 12

Fluid Overload

Question 13

A 12yo girl is seizing. her mom tells you that her daughter has been feeling tired for days. Her skin is dry and she has been very thirsty. Vital Signs are BP 110/80 P115 R26. You should suspect

Answer 13

Diabetic Ketoacidosis

Question 14

A 42 yo female has fallen down a flight of stairs. She appears anxious, her skin is cool and clammy, her radial pulses are weak at 112 bpm and she complains of abdominal pain in the left upper quadrant with radiation to the left scapula. You should suspect

Answer 14

Torn or lacerated spleen

Question 15

Emergency medical responders are ventilating an apneic medical pt with a BVM. You note abdominal distention and minimal chest rise. What should you do

Answer 15

Reposition the head

Question 16

A 6month old male was found lying face down in the crib. He is cyanotic and apneic. A weak brachial pulse is present. You are unable to see a chest rise with your second attempt at rescue breathing after repositioning the head. What should you do

Answer 16

Start CPR

Question 17

You have just been called to a dialysis clinic for a 58yo male in cardiac arrest. The online physician may order you to administer which of the following meds?

Answer 17

Sodium Bicarbonate

Question 18

A 27yo male has just been assaulted with a pen in the supraventricular area. He is anxious and pale and his vital signs are BP 80/42 P128 R32 and shallow. First responders have sealed the wound with a bandage. Assessment reveals lung sounds on the right and poor chest rise what should you do

Answer 18

Burp Dressing

Question 19

A 50lb child is unresponsive, pulseless, and apneic. The cardiac monitor displays ventricular fibrillations. CPR is in progress. The initial defibrillator should be at

Answer 19

50J

Question 20

An 11yo male has been skateboarding in 100 degrees temp and has been drinking caffeinated soft drinks. He complains of palpitations. The monitor displays a narrow QRS tachycardia at a rate of 160bpm. Vital signs BP110/60 P160 R20, what should you do

Answer 20

Transport the pt by ambulance, monitor closely, and admin fluids

Question 21

An 80yo male is in severe respiratory distress. He has a history of hypertension and breathing problems. He takes Inderal daily. Vital signs are BP 170/70 P72 and irregular, R40 and extremely labored, skin warm and diaphoretic. Lung sounds are diffuse bilateral crackles and wheezing. He coughs up blood tinged sputum. Which of the following is most important.

Answer 21

Decreasing Preload

Question 22

A 50yo pt is found lying outside on the ground. The ambient temp is 40F. Your thermometer reads 20C - 86F. He is in V-Fib and pulseless and apneic. You should

Answer 22

Defibrillate once, perform CPR, intubate, and transport rapidly

Question 23

To successfully accomplish naso-tracheal intubation you should advance the ET through the glottic opening to coincide with the pt

Answer 23

Inhaling

Question 24

An alert 23yo male presents with sudden onset of shortness of breath and chest pain after running upstairs. Breath sounds are diminished in the right side. The most likely cause is

Answer 24

Spontaneous Pneumothorax

Question 25

First responders are treating an apneic adult female. You notice that they are applying frequent long ventilations with an oxygen resuscitator. What effects will their actions create.

Answer 25

Increased capillary elasticity

Question 26

You are called to a nursing home on a hot summer day for an 88yo male. The nurse tells you he missed dialysis appointment b/c he was complaining of nausea, vomiting, headache, and running a fever. Which differential diagnosis should you consider first.

Answer 26

Sepsis and hyperkalemia

Question 27

You have just administered adenosine to a 62yo pt with a narrow complex tachy. The ECG shows an irregular rate of 50 then steadily climbs back to a rate of 169. What should you suspect

Answer 27

Rapid Atrial Fibrillation

Question 28

A 63yo male is having a diabetic emergency. He is unresponsive, R12, Glucometer 28. You cannot establish IV access. You should

Answer 28

Administer glucagon IM

Question 29

When setting up a night time landing zone for a helicopter what is the recommended area needed

Answer 29

100x100

Question 30

A 67yo with hypotension and bradycardia has not responded to pacing or atropine. You should

Answer 30

Administer Dopamine Infusion

Question 31

A 19yo male has suffered blunt trauma on his left chest. He complains of severe dyspnea and pain over the affected area. Vital signs are BP 90/60 P128 R32. Breath sounds are very diminished over the left chest. You should

Answer 31

Perform a Needle Thoracostomy

Question 32

A 44yo pt has a persistent cough and occasional spits of bloody sputum. He has been living in a shelter for the past 3 weeks and he smells like alcohol, you should

Answer 32

Put on N95 mask and eye protection

Question 33

While treating a pt with suspected TB. What type of personal protective equipment is essential

Answer 33

HEPA respirator

Question 34

A 2 yo male has been sick over the last 48 hours with a low grade fever, runny nose, and upper resp tract infection. He has a seal bark cough. The pt is using accessory muscles to breath and appears fatigued, his upper airway has stridorous sounds. His lung sounds appear clear. SPO2 92%. How would you treat this pt

Answer 34

Oxygen, nebulized racemic epi, transport

Question 35

78yo male lying unresponsive in his bed. Vital signs are BP unobtainable R12 and normal depth, radial pulse rate matches below ECG (Bradycardia) What should you do?

Answer 35

Perform Transcutaneous pacing

Question 36

A 48yo pt is choking on a hot dog. He is unresponsive, apneic, and has a strong pulse. Chest compressions are ineffective at relieving the obstruction. You should

Answer 36

Use laryngoscopy and magill forceps to remove the object

Question 37

87yo male is complaining of dizziness. Physical exam reveals pale, cool, diaphoretic skin. Pulse matches ECG bradycardia. You should

Answer 37

Administer Atropine

Question 38

A 14yo pt was pulled from an indoor pool. She is pulseless and apneic. You should

Answer 38

Perform CPR, endotracheal intubation, establish IV, and admin epi

Question 39

A truama pt has lost approx 500ml of blood, the amount of crystalloid solution needed to replace this blood is

Answer 39

1500ml of saline (3-1 rule)

Question 40

A 43yo female has been struck in the chest with a baseball bat. There is a bruise over her sternum. She is obviously in pain and states that her heart feels like it is beating funny. Vital signs are BP 109/80 P124 and irregular R22. The ECG shows sinus tachycardia with ST elevation and frequent PVCs. You suspect

Answer 40

Myocardial Contusion

Question 41

28yo female is speaking very quickly and stating that she is going to see the president after she buys all her family members a new car. She has not slept in 4 days b/c she does not need sleep. She usually takes lithium but ran out of her prescription a week ago. Vitals 144/88 P128 R28 you suspect

Answer 41

Manic phase of bipolar disorder

Question 42

A restrained 23yo pregnant female in her 3rd trimester was involved in a head on MVC. She complains of abdominal pain, initial vitals 110/70 P90 R20. After rapid extrication and spinal immobilization via long board her vitals are now 90/40 P110 R28. What is the most likely cause for her change in vitals?

Answer 42

Supine Hypotensive syndrome

Question 43

A 3month old infant who weighs 6kg has a history of congenital heart disease. Vitals are R60 and the ECG shows a narrow complex tachy at a rate of 240, cyanotic nail beds, and SPO2 at 88%, what should you administer

Answer 43

0.6mg of Adenosine IV

Question 44

A 44yo male fell from a ladder and is now complaining of pain the middle of his back at the level of his shoulder blades. He responds to verbal stimulus and vital signs are BP70/50 P64 R20. The pt is most likely suffering from

Answer 44

Neurogenic Shock

Question 45

A 63yo female choked on a piece of steak and is apneic. Your partner has visualized a partial obstruction in the trachea. He has been trying to grab it with forceps for more than 2 minutes. What should you do now?

Answer 45

Remove the blade and attempt to ventilate

Question 46

An unconscious 13yo pt has minor abrasion on his torso after being struck by a vehicle. The child’s parents are not on scene, but Law Enforcement and EMS supervisor are on scene, you should

Answer 46

Transport the pt to the hospital

Question 47

A 38yo female is crowning. You note amniotic fluid contains substance resembling pee soup. An apneic, blue, limp infant with a heart rate of 80bpm delivers. How should you treat the infant

Answer 47

Suction with a bulb syringe and ventilate

Question 48

A 56yo female has a sudden onset of substernal chest pressure. She denies any SOB or nausea. She has a history of arthrosporic heart disease and is taking verapamil. Vital signs are BP 160/90, pulse matches the ECG below R16, skin warm and dry and lungs clear bilaterally. What should you do

Answer 48

Nitroglycerin

Question 49

A 64yo is sitting in his living room in moderate distress. He is able to speak to you in full sentences but claims he is not feeling right. Vital signs are 110/64 R16. Pulse matches monitor (SVT) what should you do?

Answer 49

Vagal, fluids, and adenosine