FISDAP TEST Group 4

Question 1

Side effect of oral contraceptives include

Answer 1

PE and Stroke

Question 2

You are first on scene of a car crash. Your partner stops the ambulance a safe distance from a single vehicle that crashed into a concrete barrier. Black smoke is coming from underneath the hood. The vehicles only occupant screams for assistance, you should?

Answer 2

Rapidly extricate the occupant without a cervical collar

Question 3

A 50yo female is experiencing chest pressure, her ECG is (Sinus tach) she becomes unresponsive while you are obtaining IV access, her ECG changes to the rhythm below. What should you do?

Answer 3

assess for a pulse

Question 4

A 50yo female is experiencing chest pain then goes into V-Fib. What should you do?

Answer 4

Defibrillate

Question 5

The medications propranolol, atenolol, and metoprolol are examples of?

Answer 5

Beta Blockers

Question 6

A 17yo male alert, was struck in the abdomen with large wrench. Vitals BP 90/78 P128 weak R22, skin is pale and cool and diaphoretic. The abdomen is bruising and rigid you should?

Answer 6

rapidly transport to a level one

Question 7

A 14yo male is found in an intoxicated condition. His friends report he admitted to drinking alcohol taken from his fathers workshop. The container is marked methanol, not for human consumption. Definitive treatment for his condition is administration of

Answer 7

Ethanol

Question 8

A 74yo pt is short of breath, he has had a slight fever since yesterday and he suffers from frequent urinary track infections. Lung sounds are present with rhonchi and slight crackles in all fields. Vitals BP 110/80 P100 R20 temp102F, you should suspect?

Answer 8

Pneumonia

Question 9

The ECG of a post cardiac arrest adult shows sinus tachy at a rate of 120 with BP of 60/40 you should give?

Answer 9

Dopamine 5-20

Question 10

One year old has been ill with multiple episodes of emesis and diarrhea. Assessment shows a lethargic 35lb child who has mottled skin, dry mucous membrane, cap >2, sounds P 220. After securing airway you providing high concentration oxygen and establishing an IV you should?

Answer 10

Give 320 CC fluid bolus

Question 11

A 79yo female complains of labored respirations she is cyanotic and has a history of CHF, identify the following rhythm (sinus tach) and appropriate treatment

Answer 11

Sinus Tachy Admin Nitro

Question 12

A pt who complains of pain in left upper quadrant is most likely suffering from

Answer 12

Pancreatitis

Question 13

A 28yo female complains of sudden onset severe abdominal pain that radiates to her shoulder 88/60 P100 R20 skin cool, pale, and clammy, states that her last menstrual period was 8-10wks ago, you should suspect?

Answer 13

Ectopic Pregnancy

Question 14

You have just finished a stressful shift, you are frustrated and angry with how some of your calls resolved, you should

Answer 14

talk to an internal critical incident stress counselor

Question 15

A 78yo female is lying supine in a nursing home bed with labored respiration she is semi-conscious, cyanotic, and the nurse tells you she has a history of CHF BP 80/40 SPO2 90%, P is ventricular tachy, you should

Answer 15

Perform Sync Cardiovert

Question 16

An adult has a foot laceration from a farming accident he is alert and refusing treatment, his religious beliefs do not permit medical care, you should

Answer 16

Document pts wishes

Question 17

A 50yo female tripped down 4 steps. Her airway is patent, radial pulse 100, R16, what other initial information do you need to decide if she is unstable?

Answer 17

Mental Status

Question 18

Management of all newborns includes

Answer 18

Prevent heat loss, opening the airway and evaluating the infant

Question 19

A 12 lead shows 4mm of ST elevation in leads II, III, and aVF, you should suspect?

Answer 19

Inferior MI

Question 20

A 58yo male is complaining of swollen legs and feet and increased heart rate, you note distended neck veins and abdominal distention, you should suspect

Answer 20

Right sided heart failure

Question 21

In what hazardous material zones does triage and treatment occur?

Answer 21

Cold

Question 22

An 87yo pt with recent history of hematuria and lower abdominal pain now presents with AMS, her physical exam is otherwise unremarkable. She is resident of adult foster home. A likely cause is?

Answer 22

UTI

Question 23

A 26yo male is experiencing dyspnea after being struck in the chest during a bar fight. He has a history of asthma and has taken his inhaler without relief, he has bruising to the right side of the rib cage with crepitus, P128 R24 with clear bilateral lung sounds SPO2 86%, what should you do?

Answer 23

Assist ventilations with a BVM

Question 24

You have just intubated an adult and you have been successful, you hear no sounds in the epigastric and equal lung sounds, you should?

Answer 24

Attach ETCO2 monitor

Question 25

A 50yo female has just been struck by a car, she is alert and complains of shortness of breath. You note crepitus and paradoxical movement in her right chest R26 SPO2 89%, you should

Answer 25

Augment ventilation with positive pressure

Question 26

While treating a pt for a cardiac event, you forget to administer aspirin. The pt suffers an MI and subsequently dies. The family is suing you for negligence, which element of negligence still needs to be proven?

Answer 26

Proximate Cause

Question 27

A pt has sustained a soft tissue injury to the face, your main concern is?

Answer 27

Managing the airway

Question 28

Your partner started an IV and dropped the needle. The exposed needle is wedged between the stretcher bracket and a crack on the tile, you should?

Answer 28

Use a needle nose clamp to properly dispose of the needle

Question 29

Which of the following medications is most likely to be prescribed for a severe resp condition

Answer 29

Ipratropium

Question 30

You should use lactated ringers and normal saline if your goal is to deliver a

Answer 30

Isotonic that will remain in the intravascular space longer than other crystalloids

Question 31

You have been assigned to triage at an MCI, a pt complains of a small laceration on his forearm, R24, and absent radial pulses, using START triage you should assign this person as?

Answer 31

Immediate

Question 32

A 26yo female has been involved in an explosion at a chem lab. She has 1st and 2nd degree burns to her face. Witnesses state that her shirt had been on fire and stopped burning, you should suspect?

Answer 32

Extensive airway burns

Question 33

A 3yo female has surface burns to both her hands after grabbing a hot exhaust pipe, the injured area shows dark chard skin. These burns would be considered?

Answer 33

Critical

Question 34

A 200lb woman is having difficulty breathing, which of the following devices is most appropriate for carrying her down stairs?

Answer 34

Stair Chair

Question 35

A pt has polymorphic V-Fib, you would give?

Answer 35

Mag

Question 36

A 65yo female is short of breath, clear lung sounds, no JVD, she has significant cardiac history, you should admin?

Answer 36

O2 and 12lead

Question 37

An 18month old has started seizing for the first time, and according to the parents she has become increasingly ill over the last few hours and her current temp is 104, they describe the pt arms curing toward her chest and legs straightening and pointing together. The parents do not want to go tot he hospital tonight, you should?

Answer 37

Have the parents speak with an online physician

Question 38

A 44yo female has sustained severe blunt trauma to the chest, she responds to painful stimulation and her vitals are 88/76 P130 R24, muffled heart sounds and flat neck veins. The definitive treatment for this pt is?

Answer 38

Pericardiocentesis

Question 39

A 12yo becomes ill yesterday and has become progressively sicker. His temp is 103F and he has small specks on his chest, the pt appears to be unable to turn his head, you should suspect?

Answer 39

Meningitis

Question 40

A 65yo male with emphysema is sitting in a chair, he is lethargic and struggling to keep his head up, his skin is ashen, Vital signs are P134 R30 and shallow, what should you do?

Answer 40

Assist ventilation with a BVM