FISDAP TEST Group 2 Flashcards
Which IV will be able to administer the most fluids in the least amount of time
14G 1/2in
A 30yo man is breathing fast and deep. He works at a preschool and believes that the children plan to harm him. Which of the following statements is most helpful when treating the pt
“I understand that you are concerned. Can you tell me more about why you feel this way?”
A 67yo man has collapsed and is on the floor. He is pale, clammy, and moaning with vomit around his mouth. Vital signs are BP 180/30 P110 and weak R28 and shallow. Oropharynx is clear and lungs are clear bilaterally. His ECG shows V-Tach. What should you do?
Synchronized Cardiovert 100J
You arrive at the scene of a single vehicle crash. A woman walks up to your ambulance with a cut on her forehead. You should
Determine if she is the only victim
A 73yo male has several fractured ribs on his right side with unequal chest wall movement. He has dyspnea and diminished breath sounds on the right. Vital signs are BP 124/76 P124 R26 and shallow. His trachea is midline and neck veins are flat. He most likely has
A flail chest segment
You have just converted a 318lb cardiac arrest pt into a NSR. She is hypotensive and you have been ordered to start with an epi drip at 3mcg/min using a 60drop set. You mixed a 4:1 concentration of epi and should set the drip rate at
4.5 drops/min (clock)
You are assisting with delivery and the infants head has been delivered. You notice the umbilical cord is wrapped around the infants neck. You should
Gently slip the cord over the infants head or clamp the cord in 2 places and cut between the clamps to release the cord (i dont think its the second)
A 50yo male is complaining of a chronic cough. He has lost his appetite and has had hot flashes and periods of sweating during the night. He has noticed some red specks in his sputum when he coughs . You should suspect
Tuberculosis
A patient has surfaced rapidly from a deep dive and is now complaining of difficulty breathing and extreme muscle and joint pain. You should
Transport rapidly to the nearest hyperbaric chamber
It is mid-December and a 13month old child is awakened in the middle of the night with barking cough and inspiratory stridor. The child has been ill for a few days with chills and congestion. You should suspect
Croup
An 80 year old male has just collapsed. Vital signs are BP 90/40 pulse matches ECG (3 degree block) R20. What should you do?
Apply transcutaneous pacing
A pt involved in a motor vehicle crash has an obvious open femur fracture and an angulated right forearm. He is bleeding severely from a scalp laceration. His left arm is guarding his chest and he gasps “I can’t breath”. You should be MOST concerned by the
Respiratory Difficulty
A 37yo male is choking and has become unconscious. Attempts to ventilate are unsuccessful. You should
Perform chest compressions
An unconscious 78yo male post cardiac arrest is being actively ventilated with BVM. Initial vitals are BP 98/40 P82 and irregular. After several minutes reassessment of vital signs are ETCO 22 BP 68/28 and irregular SPO2 92 you should
Decrease the rate of respirations
An 86yo female presents with a rhythm in the ECG she is immobile due to severe arthritis and has a history of atherosclerosis and hypertension. What should you suspect
Left Ventricular Hypertrophy
A 37yo suicidal male is being violent. Police has pinned him in a prone position but he continues to struggle and fight. you should
Sedate the pt and place him supine on the stretcher in soft restraints
The termination of pregnancy for maternal health reasons is called a
Therapeutic Abortion
While using the START system at a major incident you encounter a pt not breathing. After positioning the airway the pt breaths 16xmin. You should categorize him as
Immediate
You are transporting the victim of a major trauma which occurred yesterday to a larger facility. This pt has been experiencing progressive hypoxemia. You hear coarse crackles bilaterally during auscultation of the lungs and the pulse ox reading is falling in spite of the pt being intubated. You should suspect
that acute respiratory distress syndrome has developed
A 19yo female is 25weeks pregnant. She has severe headache blurred vision and edema she has not regularly seen a doctor during her pregnancy. What other symptom should you expect.
Hypertension
Which of the following is a cause of multifocal atrial tachycardia
Electrolyte imbalance
After receiving Narcan a pt is waking up quickly and pulling at the airway you have placed. Before removing it you should
prepare to begin suctioning
A 66yo male complains of severe dyspnea. He has breath sounds on the right and diminished on the left. He has a long history of cigarette smoking. Vital signs are BP 80/30 P124 R26 and shallow SPO2 88% on 4lmp. What should you suspect?
Emphysema exacerbation
A pt is complaining of left calf pain. The left leg is cool to the touch and paler than the right led. You should suspect
Arterial Occlusion
After placing a combitube bilateral breath sounds are present and chest rise is equal. You notice quite gurgling in the stomach with each ventilation. You should
add air to the distal cuff
A 7 month old is breathing at a rate of 60/min. He has nasal flaring and intercostal retractions. You hear stridorous noises on inspiration. This is most likely
FBOA of the upper airway
A 28yo suffered a head injury. Vital signs are BP 140/120 P55 R30 and irregular. Which of the following signs would you expect to see in this pt
Decerebrate posturing
During transportation your PT becomes very upset complaining about her medical expenses. How should you respond?
You seem angry, is there any way that I can help
Which of the following pharmacological agents are most likely to cause premature arterial contractions
stimulants
You are dispatched to a house early on the morning for a family complaining of headaches and nausea. You should
evacuate the house
A pt is threatening suicide b/c his wife left him. Which of the following statements would be appropriate
What method had you intended to use to kill yourself
A 44yo male complains of extreme fatigue, headache, and fever with pain in his upper quadrant and joints. He admits to a history of alcoholism and smoking two packs per day for the past 20 years, his skin and sclera are yellow in color. You should suspect
Hepatitis
A pt was just pulled from a burning building. You have started oxygen and initiated transport. While en route to the hospital you notice singed hairs around his face and a spot around his nose and mouth. He is coughing up black sputum mixed with blood and shows signs of increasing hypoxia. Which developing condition is your biggest concern
Laryngeal Edema
A 65yo female complains of sudden onset of severe migraine headache. Vital signs are BP 140/90 P120 R22. She has been noncompliant with her prescribed Imitrex. You should administer
Morphine
Which of the following will cause a pt with a tension pneumothorax to become hypotensive
an increase in intrathoracic pressure
A 23yo male complains of chills and headache. He was sleeping outside before waking up with these symptoms. He has a reddish ring with a small fluid filled vesicle in the center on his arm. What should you suspect?
Spider Bite
Which of the following is most important when documenting a pt refusal
The pts mental status
You have orally intubated an adult pt and are evaluating the tube placement. you hear auscultation sounds over the epigastrium and an absence of breath sounds over the right and left chest. You should
Remove the ET and ventilate the pt with a BVM
Your elderly pt is supine. She complains of labored respirations. She is cyanotic and has a history of CHF. Vitals are BP 230/100 P120 R36. What lung sounds would you expect to hear
Crackles
You are treating an unresponsive elderly male from a nursing home. He has a surgical incision on his right hip that is red and warm to the touch. you notice widespread deep purple bruising on his body. Vitals are BP 80/40 P116 R10 SPO2 89%. You should suspect
Disseminated intravascular coagulation
When arriving on a potential HAZMAT incident on the highway you should stage the vehicle
Uphill and Upwind
After delivery of a newborn she cries weakly with stimulation and moves all extremities P140 R18 and irregular her body is pink but the extremities are blue. What is her APGAR.
7-8
A 21yo male is intoxicated he was struck in the head with a baseball bat 3 hours prior to arrival. He has suddenly began acting aggressive towards his friends. A police officer on scene states “I want to arrest him” you should
Suspect hypoxia and head injury and transport the pt to a hospital
A 5yo has sudden onset of high fever, sore throat, and pain on swallowing. His voice is muffled and he is drooling. You should suspect
Epiglottitis
A 19yo intoxicated female is distraught after being involved in a MVC she is complaining of pain in her head and multiple superficial facial laceration. Vitals 88/40 P128 R28 you should suspect
Neurogenic shock or hypovolemia do to bleeding from other injuries
You are working during inclement weather in a remote location. The nearest hospital is more than 2 hours away. Your pt just delivered a healthy baby boy but has inverted her uterus. What orders do you suspect from an online physician
Replace the inverted uterus with a gloved hand
A 67yo female with a history of diabetes complaining of nausea and began vomiting an hour ago. She denies any pain, her blood glucose is 208, her skin is cool and pale, vital signs are BP 146/88 R24 P126 and irregular. What should you suspect
Myocardial Infarction
A 34yo female crashed her motorcycle while wearing an open face helmet. She is unconscious, her facial bones and soft tissue are missing from the nose to the upper part of her neck. You are having difficulty ventilating her and you can see bubbles coming from the center of a large mass of tissue when she exhales. You should
insert an ET at the site of the bubbles
A 14yo female is crying and complaining of knee pain after a soccer injury. The knee is deformed and obviously angulated. Distal pulses are intact. You should
apply ice, splint in position found, transport
A 53yo man fell from a ladder. He has multiple abrasions and localized swelling on his head. You have oratorically intubated him. His ETCO2 is 30, his pupils are midpoint and reactive how many times per minute should you ventilate
10
