FISDAP TEST Group 3 Flashcards
A pt involved in a fist fight, he is complaining of point tenderness in the right upper abdominal quadrant. You should suspect injury to the
liver
Successful intubation of a newborn is more successful by placing padding under the
Shoulders
For the past 5 minutes you have been providing ventilations to an intubated pt and performing CPR, it becomes increasingly more difficult to ventilate and the chest is moving less during inspiration. What should you suspect
tension pneumothorax
An elderly pt is complaining of dyspnea that woke her from sleep about an hour ago. She denies chest pain. Auscultation reveals wheezing and crackles in both lower lobes of her lungs. Vitals signs are 158/108 P128 and irregular R32 and slightly labored. What should you administer
Albuterol
A 59yo pt is lethargic with shallow respiration, he has a valid DNR order, and during transport his respiratory rate diminishes to 8 breaths a min, you should
begin assisting with a BVM
An 89yo nursing home pt is in respiratory distress. She is on 3lpm of O2 by NC. She has a history of COPD, asthma, and diabetes. You note wheezing in all fields. Vital are BP 146/84 P114 R24 you should
Place her on 15lpm or oxygenate via NRB mask
You are performing Orotracheal Intubation with a mac blade. You can see the cords when you notice the top of the blade is in the vallecula, you should
Pass an ET through the cords
A confused 34yo male is ambulatory after crashing his car. Airbags were deployed, he complains of extreme wrist pain and double vision. You note deformity and superficial burns on his wrist, what should you do
C-Spine
A pt with severe closed head injury vitals 180/112 P48 R8 and irregular, immediate treatment should include
intubate and ventilate at 20bpm
A 22yo pregnant pt is experiencing a significant amount of painless bleeding shortly after sexual intercourse. The most likely cause is
placenta previa
An elderly pt has been ill for the last few days and has been vomiting. He reports chest discomfort and is now pale and diaphoretic. Vital BP 130/70 R24 ECG shows (afib RVR) you should administer oxygen and now you have an IV established, you should
Fluid bolus
A pt complains of severe right upper quadrant pain, right scapula pain, and nausea after easting a cheeseburger. You should suspect
Cholecystitis
Your pt is suffering from exacerbated emphysema which of the following meds is least likely to be a part of his standard therapy
nitrates
A 7yo has a suspected broken arm and numerous bruises. What finding would lead you to suspect that a mothers account of the injuries may not be true
You note purple, yellow, and green bruises
A 19 yo female collapsed in the top bleachers during a concert. She is unresponsive and does not appear to be breathing. How should you assess her respiratory status
place a hand on the chest
Following a cardioversion of a 72yo female. She converts to the rhythm below (3 degree) you identify this as
3rd degree heart block
A 13yo has been found unresponsive. Her mother provides you with a prescription bottle of Oxycontin. What should you give?
Narcan
A man was involved in a lateral impact auto accident that deformed the vehicle. The pt could have sustained a
traumatic aortic dissection
You are assisting with vaginal delivery. The infant head has been delivered and the mouth and nose suctioned. To deliver the anterior shoulder you should
gently guide the infants head downward
A 22yo female is 22 weeks pregnant and experiencing abdominal discomfort, during evaluation you notice the umbilical cord is presenting through the vaginal canal. How should the pt be positioned
Supine with legs open
Which of the following situations constitutes abandonment?
A pt is unattended in the ambulance while loading a second pt
A pt is arching his back and rolling his eyes upward. He was recently prescribed Compazine. How should you treat the pt?
25mg of Benadryl IVP
A 38yo male has been sick for a few days, he is now complaining of sharp mid chest pain. Vitals 118/69 P124 and irregular R24 and slightly labored Temp 102F. You should suspect
Pericarditis
A 46yo male is alert and oriented and complains of a headache. He has tremors in his hands he has been in detox until for 3 hours. Vitals are BP 210/100 P100 R25. He has a history of alcoholism and seizures. He takes Tegretol, you should administer
20mg Diazepam
You are releasing a crew from a 24hr shift, before you complete the ambulance check off you are dispatched to a cardiac arrest with CPR in progress. What should you do before leaving for the call?
Ensure essential equipment is present and the ECG monitor is functional
A pregnant pt is experiencing contractions, upon examination you notice that the infants head is bulging from the perinium and the pt has the urge to push, what stage of labor is this?
2
You are dispatched to a playground for a pt with difficulty breathing. Upon arrival you find a 5yo male who appears anxious with noted cyanosis and intercostal retractions BP 85/palp P112 R24 with swelling of the upper airway. You should suspect
Anaphylaxis
A 28yo female is 34 wks pregnant and experiences sudden sharp tearing pain in her abdomen and develops a rigid abdomen, what should you suspect
Abruptio Placenta
After a prehospital deliver the mother should be allowed to breastfeed her newborn because
breast feeding helps constrict the uterus and reduce bleeding
A 2yo male has been ill for several days with respiratory tract infection. Yesterday he developed a severe headache, high fever, and extreme lethargy. You should suspect
Meningitis
When starting an external jugular IV the needle should point
towards the feet
While using the backwards upright pressure BURP maneuver during an orotracheal intubation your pt begins to vomit. What should you do?
Stop the intubation attempt and suction
You have just assisted with the delivery of a 32wk old infant. She is apneic and has a pulse of 64. What should you do?
Open the airway, ventilate with a BVM for 30seconds and reassess
During a yearly health screening a clinic discovered your pt has the heart rhythm shown below (bradycardia). She is alert and oriented but scared b/c the clinic called for an ambulance. Vital signs BP 114/50 R12 SPO299%. You should administer
Atropine
An 18yo male was 40 miles into a long distance bike race when he had a syncopal episode and fell off his bike. He responds to painful stimulation BP60/40 P160 skin cool and diaphoretic. You should administer?
Lactated Ringers
An 18yo male suffered second degree burns to his entire head and neck, anterior chest, and both arms while removing a radiator cap from his overheated engine. Using the rule of 9s what % of his body is burned?
36%
You are unable to ventilate a trauma pt with extreme facial trauma using advanced airway maneuvers. You should
insert a 14g needle in cricothyroid membrane at a 45degree angle
Which of the following is a prehospital medication given for compartment syndrome
Sodium Bicarb
Which of the following would be an indication for the use of a needle cricothyrotomy?
Inability to Ventilate
A pale diaphoretic pt complains of chest pain at a level of 6 on 1-10 BP 132/88 you see the following ECG (ST Elevation). You have established O2 and an IV, what should you give
ASA and Nitro
Identify This rhythm
Paced Rhythm
A 25yo female was bitten by something while hiking 12 hours ago. She has slurred speech, double vision, and excessive salivation, her boyfriend states she had a seizure about 20 minutes ago. You should
Thoroughly wash and immobilize the wound and start and IV
An obese 77yo female called EMS complaining of dyspnea, cough with hemoptysis, and diaphoresis. You note tachypnea, crackles, and wheezing. She also has varicose veins. Find significant differences in BP between the R and L arms. You should suspect
Aortic Aneurysm
A 76yo pt is lying in soiled sheets with diarrhea and vomit. Both stool and emesis look black and tarry similar to coffee grounds. What should you suspect?
Upper GI Bleed
Your 3 lead ECG is shown below. You correctly identify the rhythm as?
1st degree
A 6yo female has suffered blunt trauma to her right upper quadrant. She responds to painful stimuli. Vitals BP 50/30 P132 R32, she is in?
Hypovolemic Shock
You are first on scene of a crash. Where should you park your vehicle?
Place the ambulance to block traffic
A 50yo male at a mountain resort has begun to experience shortness of breath, headache, and dizziness. Lung sounds reveal inspiratory crackles. You suspect?
High Altitude Pulmonary Edema
A 7yo is having difficulty breathing. He is lethargic with central cyanosis and poor muscle tone. Vitals P70 and R10. You should suspect?
Respiratory Failure
An 84yo male has extreme difficulty breathing, apprehension, cyanosis, and diaphoresis. Assessment findings include elevated pulse and BP and rales and rhonchi, you should treat this pt for?
Left Ventricular Failure
Online Medical Direction has ordered you to administer 13mcg/kg/min of dopamine to a ptt who weighs 190lbs. Your concentration of Dopamine is 1600mcg/ml you are going to administer this through a Micro-drop set. At how many drops per minute should you set the IV infusion
42gtts/min
You have just given a bolus of Dextrose to an unconscious female pt with a BGL of 30. The repeat BGL is now 120. She is now alert and oriented and she refuses further treatment or transport. What should you do?
Ask a neighbor to monitor the pt after you leave
10 workers were exposed to fluorine gas fumes but only 2 exhibit symptoms. One additional worker was exposed to hydrofluoric acid on his skin. He is being decontaminated with water by the company’s response team. 2 ambulances are on scene. You should plan and prepare to?
Order a full scale MCI including eleven ambulances and additional fire and law enforcement agencies
A 54yo male has fallen and is holding pressure on his abdomen with a bloody kitchen rag. He has had abdominal surgery last week and his incision has ruptured and the contents are protruding. Vital BP 100/68 P124 R20. What should you do?
Remove the rag and apply a moist sterile dressing
You have just been stuck with a blood contaminated needle. You should immediately deal with the exposure by
wash the affected area with soap and water
A container of hydrofluoric acid has spilled at a local metal plant. The hazmat team is responding and you are asked to stage at the front gate of the business where the company safety manager is waiting for you. What info would you expect the manager to have?
Material Safety Data Sheet (MSDA)
A 33lb child is experiencing fever, poor appetite, purpura, and vomiting. His cap refill is 3 seconds, he is tachycardic so you should administer
300mL of Crystalloid solution
Your crew is the first unit to arrive on scene for a suspected radiation emergency after a box labeled radioactive material was found unattended in a park. What 3 principals should you know?
Time
Distance
Shielding
A 19yo male has suffered a significant blunt trauma to his left anterior chest. He is in obvious respiratory distress. Vital signs BP 80/P P140 R32, lung sounds are diminished and there is dullness to percussion over the left side of the chest. You should suspect
Hemothorax
