Download AEMT FISDAP Comprehensive Exam-with 100% verified solutions.docx and more Exams Nursing in PDF only on Docsity! AEMT FISDAP Comprehensive Exam-with 100% verified solutions An 18 year old male was kicked in the left side of his face. He tells you that he cannot look up or feel his cheek, nose, or upper lip. Which type of fracture should you suspect? Zygomatic A 26 year old has been stabbed in the left side of his chest. He presents with pale, cool skin and JVD. Vital signs are BP: 140/120, P: 140, R 32 breath sounds equal bilateral. What should you suspect? Cardiac Tamponade A 42 year old male has a sucking chest wound to his right anterior chest. What should you do? Apply a non porous dressing A 35 year old patient is unresponsive after a motor vehicle collision. You observe paradoxical movement during respiration. Vital signs are BP: 104/72, P: 120, R: 32 and shallow and a SPO2 of 89%. What should you do? Assist the patients ventilations A 19 year old female was hit in her left flank with a baseball bat. She has bruising to her left upper quadrant and complains of left shoulder pain. Vital signs are BP: 84/50, P: 130, R: 22 and labored. What should you suspect? Spleen Injury A 17 year old male was struck in the chest by a baseball. He is apneic and pulseless. What should you suspect? Commotio Cordis A 24 year old female was shot in the chest. She is cyanotic and diaphoretic. She has normal breath sounds with equal rise and is tachycardia. What should you suspect? Cardiac Tamponade A 42 year old female presents with jugular vein distention, unequal breath sounds, and asymmetrical chest rise. What is the most likely cause? Tension Pneumothorax A 25 year old male is unresponsive and apneic. His chest was trapped under a car for 5 minutes. He has petechiae to his face and a weak carotid pulse. What should you do? Ventilate him with a bag-valve mask A 65 year old male fell down a flight of concrete steps. He has tingling in both legs and denies neck or back pain. What should you do? Hold C-spine and immobilize A 45 year old male fell down the stairs and is unresponsive and apneic. When you ventilate him, you notice his neck is swelling and he has minimal chest rise. What should you suspect? Tracheal Disruption A 30 year old male was stabbed in the stomach with a knife and has an evisceration. What should you do? Apply a moist dressing and cover with an occlusive dressing. A 39 year old female was in a car crash and is hemorrhaging from her neck. Vital signs are BP: 72/40, P: 120, R: 24. What should you do? Establish 2 large bore IVs Bronchitis You are first arriving to a single car MVC on the shoulder of the interstate, where should park your ambulance? Behind the accident A 33-year-old female complains of acute intense pain in both lower abdominal quadrants. She is conscious and alert, tachycardic, and has a fever of 102.5ºF. You should suspect? Pelvic Inflammatory Disease A 67 year old male is unresponsive and has agonal respirations. What should you do? Palpate for carotid pulse A 56 year old female is lethargic and responds inappropriately to commands. She has pink frothy sputum in the corners of her mouth. Vital signs are P 98 and irregular, R 28 and shallow. What should you do? Administer high-flow oxygen by non-rebreather mask A 72 year old male complains of increased weakness over the past few days. His skin is pink, warm, and dry. You note jugular vein distention and bilateral crackles on auscultation. Vitals are a BP 192/100, P 106, R 26. What should you suspect? CHF A 47 year old male is sitting in the Fowlers position on your stretcher. After administration of one nitroglycerin, he complains of a headache and no longer speaks clearly. Vital signs are BP 76/38, P 90, R 16, Sp02 99%. What should you do? Lay him supine A diaphoretic 45 year old male complains of shortness of breath and chest pain. Vital signs are BP 106/58, P 64, R 18, Sp02 88%. What medication should be administered? Oxygen A 56 year old male complains of chest pain and shortness of breath. He is anxious and has pale, cool, and clammy skin. Vital signs areBP 66/40, P 98 and irregular, R 24 with crackles. What should you suspect? Cardiogenic Shock A 57 year old female complains of a headache, dizziness and difficulty speaking. This began 45 minutes ago. Vital signs are BP 148/52, P 60, R 12, Sp02 96%. What should you do? Obtain a blood glucose level A 62 year old female complains of "fluttering" in her chest that started 10 minutes ago. Vital signs BP 90/40, P 190, R 18, SpO2 92%.What should you suspect? Rhythm Disturbance A 72 year old female complains of shortness of breath that awoke her in the middle of the night. Vital signs are BP 182/102, P 92 and irregular, R 26 with crackles, Sp02 86%. What should you suspect? Pulmonary Edema A 55 year old male complains of epigastric pain and shortness of breath. He tells you that he takes insulin and has a cardiac history. Vital signs are BP 110/56, P 50, R 14, Sp02 98%, blood glucose analysis 88 mg/dL. What should you administer? Aspirin Where does the electrical impulse travel after it leaves the sinoatrial node? Atrioventricular Node What 2 electrolytes are primarily responsible for creating cardiac action potential? Sodium and Potassium A 60 year old female lost consciousness. Her friend reports that she was only unconscious for a few seconds, and she is now alert and oriented. Vital signs are BP 92/60, P 160, R 18. What should you suspect? Cardiac Dysthymia An unconscious 66 year old male is slumped over the toilet. He has loud, snoring respirations but you are unable to palpate a carotid pulse. What should you do? Position him supine on the floor A 16 mth old male has a productive cough & fever of 102.6 F over the past 2 days. He has refused any fluid or food as well. What should you suspect? Bronchiolitis A newborn has meconium in his mouth. He begins to cough & has a strong cry. What should you do? Clear their oropharynx An 18 y/o female was sexually assaulted. She has a laceration to her hand and swelling to her lips and nose. What should you do? Calmly reassure the patient A 32 week pregnant female states she has bright red vaginal bleeding. She denies any pain. What should you suspect? Placenta Previa A 14 y/o female is found unconscious in the bathroom. She has scrapes on her knuckles. A bystander states she always goes to the bathroom immediately after eating a big lunch. BP 106/70, P 110, R 12. What should you do? Start an IV and administer a fluid bolus A 36 y/o female is 42 weeks pregnant & complains of headache, loss of peripheral vision, & swelling to the hands. BP 140/100, P 110, R 20. What should you suspect? Preeclampsia A 16 y/o male was the restrained driver of a car that crashed at highway speeds. He has ecchymosis to his abdomen & diffuse pain. Vital signs BP 86/40, P 138, R 18. What should you suspect? Diaphragmatic Rupture A 15 y/o male is having a tonic-clonic seizure. The patient has no significant medical history & only takes over the counter vitamins. What should you do? Provide airway support and obtain a blood sugar A febrile 2 y/o male has been vomiting for the past day & his mucous membranes are dry. BP 60/20, P 166, R 40, SpO2 99%, BGL 70. What should you do? Admin 20 mL/kg normal saline A 3 y/o male has a complete airway obstruction after swallowing a marble. He is now unresponsive. What should you do? Start CPR Which is a sign that delivery will be required in the prehospital setting? Bulging Perineum A 6 year old female fell off her skateboard and hit the right side of her head. She does not respond to verbal or painful stimuli. What should you do? Stabilize her c-spine and perform a jaw-thrust maneuver A 38 yr old female collapsed after exercising outside on a hot day. She is unable to follow your commands. Her skin is hot & dry. Vital signs are P110, R 20. What should you do? Move her to the ambulance A 6 year old female fell off her skateboard and hit the right side of her head. She does not respond to verbal or painful stimuli. What should you do? Dextrose A 36 year old male is unresponsive. Vital signs are BP 110/70, P 124, R 32, SpO2 98%, BGL 620. What should you do? Fluid Bolus A 50 year old male is short of breath and dizzy. He is diabetic & on dialysis. Vital signs are BP 88/46, P 92 & irregular, R 24 with crackles, SpO2 86%. What should you do? Oxygen A 44 year old female complains of a sudden onset of severe epigastric pain that radiates to her back. She is a chronic alcoholic. Vital signs are BP 112/64, P 110, R 18. What should you suspect? Pancreatitis A 2 year old girl is tachypneic and working to breathe. You observe nasal flaring and belly breathing. When you put a non-rebreather she takes it off. What should you do? Have the mother help administer blow-by oxygen What is tidal volume? The amount of air inhaled during 1 respiratory cycle A 18 year old female complains of shortness of breath. She is speaking in short sentences with diminished breath sounds. What is happening to the patient? Bronchospasm A 56 year old female complains of an acute onset of shortness of breath after coughing vigorously. What should you expect? Pneumothorax A 24 year old male complains of a sudden onset of chest pain and shortness of breath after a severe coughing episode. What do you suspect? Acute Asthma Exacerbation A 47 year old female complains of difficulty breathing. She has distended neck veins and edema in her lower extremities. BP is 164/90. What do you suspect? Congestive Heart failure A 25 year old female is found unresponsive and not breathing. Her carotid pulse is strong and fast. What should you do? Start positive pressure ventilation A 70 year old female complains of worsening dyspnea over the past day. Vital signs are BP 146/98, P 130, R24 with bilateral wheezing, SPO2 82%. What should you do? Administer a beta agonist What is the term for the amount of resistance felt curing ventilation with a BVM? Compliance A 30 year old is found unresponsive with audible snoring after a tonic- clonic seizure. What should you do? Open the airway with a jaw thrust A 72 year old female complains of shortness of breath that awoke her in the middle of the night. Vital signs are BP 182/102, P 92 and irregular, R 26 with crackles. What do you suspect? COPD Why is important to avoid touching the back of the throat while suctioning? The gag reflex can cause vomiting A 56 year old female is lethargic and responds inappropriately to commands. She has pink frothy sputum in the corners of her mouth.. P 98 and irregular. What should you do? Obtain an orthostatic blood pressure A 21 year old suddenly develops shortness of breath while bench pressing weights. He is diaphoretic and has decreased breath sounds on the left side. What should you suspect? Spontaneous pneumothorax An unconscious 92 year old male is lying supine in his bed. He has a decerebrate posture, snoring respirations, and a respiratory rate of 8. What should you do? Preform a head tilt chin lift Why do COPD patients develop polycythemia? Chronic hypoxia What does beta 2 medicine stimulate in the lungs? Smooth muscle relaxation An unresponsive 19 year old male is lying on the floor. There is vomitus on the floor and audible gurgling during breathing. What should you do? Roll the patient on to their side and suction out the airway