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EMT FISDAP FINAL EXAM – QUESTIONS AND ANSWERS 2024-2025 EMT FISDAP FINAL EXAM – QUESTIONS AND ANSWERS 2024- 2025 what do you do for labored, contstriction, or lack of tidal volume Correct Answer: assist ventilations with BVM What do you do for acid in eyes Correct Answer: irrigate, if contacts take them out Signs and Symptoms of tension pneumothorax Correct Answer: progressive shortness of breath increased altered level of consciousness neck vein distention tracheal deviation What organ could be affected by trauma to the upper right quadrant Correct Answer: liver flail chest is charcterized and defined by Correct Answer: paradoxical motion 2 or more ribs broken in two or more places subcutaneous emphysema what is it and how to treat Correct Answer: A characteristic crackling sensation felt on palpation of the skin, caused by the presence of air in soft tissues. treat by positive pressure ventilations Daughter is power of attourney and wants father to recieve care, father is AxO x4 and does not want care Correct Answer: Respect patient wishes because he is concious without altered mental status Open fracture and bleeding PPE Correct Answer: gloves, mask, goggles What EMS statistic is needed to reduce speed limit in given area Correct Answer: Fatalities and injuries that have happened on that stretch of road Triage color green Correct Answer: ambulatory, yellow Correct Answer: delayed red Correct Answer: immediate black Correct Answer: dead/ expectant you are treating a 300 pound male who cannot walk what should you do Correct Answer: call for assistance triage in the Correct Answer: cold zone Pedatric/ infant breath rate Correct Answer: 18-30 Cardiac arrest in children is caused most likely by Correct Answer: hypoxia, resp distress or failure EMT FISDAP FINAL EXAM – QUESTIONS AND ANSWERS 2024-2025 Croup is characterized by Correct Answer: hoarseness, "barking" cough, inspiratory stridor and varying degrees of respiratory distress resulting from swelling in or obstruction in the region near the larynx. Steps to treating bleeding Correct Answer: first direct pressure then tourniquet is direct pressure does not stop the bleeding Signs and symptoms of meningitis Correct Answer: fever, rash, stiff neck, altered mental status specifcally in infants: Swelling of fontanelles Apgar scale Correct Answer: appearance, pulse, grimace, activity, respiration when treating allergy primary concern is Correct Answer: AIRWAY when to start chest compression on newborn Correct Answer: pluse under 60 ruptured spleen in child Correct Answer: bleeding and pain right upper quadrant Correct Answer: Liver, Right Kidney, Colon, Pancreas, Gallbladder left upper quadrant Correct Answer: liver, spleen, left kidney, stomach, colon, pancreas left lower quadrant Correct Answer: Part of descending colon Sigmoid colon Left ovary and tube Left ureter Left spermatic cord right lower quadrant Correct Answer: cecum, appendix, right ovary and tube, right ureter, right spermatic cord Signs and symptoms of epiglottitis Correct Answer: Sudden onset, high fever "Hot-potato" voice Dysphagia, drooling No cough Prefers to sit upright, lean forward (tripod position) Appears toxic and stridulous when babies head appears out of vaginal canal check for Correct Answer: nuhical cord place baby where until umbillical cord is done pulsating Correct Answer: at the height of the vaginal canal transport pregnant women in what position and why Correct Answer: left lateral recumbant to take pressure of the heart and vena cava questions for pregnant mom Correct Answer: how many weeks along are you how far apart are contractions EMT FISDAP FINAL EXAM – QUESTIONS AND ANSWERS 2024-2025 Cholecystitis S/S Correct Answer: severe midepigastric or right upper quadrant pain radiating to back and referred to right scapula usually after meals fat intolerance flatulence indigestion diaphoresis n/v chills low grade fever possible jaundice clay-colored stools with common bile duct obstruction when approaching a psych patient Correct Answer: calm them down, be reassuring, deescalate the situation carbon monoxide poisoning Correct Answer: -carbon monoxide binds with hemoglobin and reduces oxygen supply to tissues -cannot be seen. smelled, or tasted -s/s include: nausea, vomiting, headache, weakness, and unconsciousness, Altered LOC, high SPO2 -death may occur with prolonged exposure -prevention by ensuring proper ventilation when using fuel-burning devices -gas-burning devices should be inspected annually -flues and chimneys should be unobstructed -carbon monoxide detectors should be installed and inspected regularly NPA indications Correct Answer: concious with gag reflex Suction Catheter for oropharynx Correct Answer: yonker tip/ ridgid tip spontaneous pneumothorax Correct Answer: increaed heart rate, hypoxia, chest pain Tension pneumothorax S/S Correct Answer: JVD, diminished/absent lung sounds, tracheal deviation towards unaffected side, poor BVM compliance pneumonia Correct Answer: swollen avoli, crackles, fever, warm dry and flushed, transport and give oxygen chronic bronchitis Correct Answer: lungs constantly inflamed, barrel chest systolic pressure Correct Answer: Blood pressure in the arteries during contraction of the ventricles. diastolic pressure Correct Answer: Blood pressure that remains between heart contractions. Contraindications of nitroglycerin Correct Answer: (Contraindications:) Cerebral hemorrhage, sexual enhancement drugs, hypotension-systolic blood pressure < 100. important stroke question to ask Correct Answer: when was the last time they were seen normal EMT FISDAP FINAL EXAM – QUESTIONS AND ANSWERS 2024-2025 pulmonary edema s/s Correct Answer: Severe dyspnea and air hunger Cough productive of frothy, blood tinged sputum Tachypnea and tachycardia Cold, clammy skin Cyanosis Extreme apprehension Confusion, stupor caused by left sided heart failure transport shock patient in Correct Answer: supine agonal respirations treatment Correct Answer: BVM Heart Failure S/S Correct Answer: Shortness of breath, fatigue, and weakness, weilling in the legs, feet abdomen. Reapid or irregular heartbeat with S3 or S4 heart sounds, persistent cough or wheezing, and weight gain from fluid etention. Treatment: balance of medication, devices, and lifestule changes to heald the heart contract normally. TIA Correct Answer: mimic stroke, symptoms go away in 24 hours CVA Correct Answer: ruptured artery in brain hemmorragic shock Ischemic stroke symptoms Correct Answer: facial droop, weak, slurred speech, time cardiogenic shock Correct Answer: post MI, irregular pulse, low BP, thready pulse rate fast, pale, cool, clammy BVM if respirations are Correct Answer: under 12 or over 20 (not exact) and do not have good lung sounds, under 8 ventilate wheezing Correct Answer: High pitched sound heard in the lungs with asthmatics or lung disease lower airway Rhonchi Correct Answer: Rattling noise of mucous in the lungs, upper airway crackles Correct Answer: (rales) abnormal, discontinuous, adventitious lung sounds heard on inspiration lower airway stridor Correct Answer: upper airway, indicated foreign object if ventilations are not going in what should you do Correct Answer: resposition Nasal Canula flow rate Correct Answer: 1-6 BVM flow rate Correct Answer: 15-25 NRB flow rate Correct Answer: 10-15 LPM EMT FISDAP FINAL EXAM – QUESTIONS AND ANSWERS 2024-2025 Nebulizer flow rate Correct Answer: 6-8 lpm if patient collaspes with airway obstruction Correct Answer: check for pulse, start w chest compressions what to ask when approaching chocking vicitm Correct Answer: Are you chocking? Tell them to cough, when no air is entering the lungs start back blows and chest thrust threat patient w humidified oxygen if Correct Answer: swollen throat, croupy cough, assessory muscle use, or stridor, not if anaphylatic when patient is having trouble breathing, to get their history ask Correct Answer: yes or no questions landing zone Correct Answer: 100 by 100 ft when to request additional assitance Correct Answer: too many for your team to handle, requested before even exiting ambulance Quaility improvement for EMS Correct Answer: critiquing what went well and what could be improved upon, internal and external review Rapid extraction Correct Answer: can be necessary even if CSPine is indicated BSi PPE for profuse bleeding Correct Answer: Gloves, eye protection, mask Notify law enforcement when hospice death Correct Answer: doesn't add up to natural causes USing TC Correct Answer: extracation when needing to remove piece of car from patient Minor on scene transporting parent Correct Answer: take them in ambulance with you or call law enforcement to transport them Using power grip hand go Correct Answer: 10 inches apart When driving proceed through intersections Correct Answer: like no one can hear the sirens when correcting an error on document Correct Answer: line through it and initial triage where Correct Answer: in cold zone community relations example Correct Answer: offer BP check to whole community WHn patient is unoconcious and unrepsonsive first always Correct Answer: check pulse and start CPR black and tarry stool Correct Answer: upper GI bleed Lower GI bleed Correct Answer: bright red stool