FISDAP EMT Medical Exam Questions with Answers Latest Updated 2023-2024 Verified, Exams of Nursing

Download FISDAP EMT Medical Exam Questions with Answers Latest Updated 2023-2024 Verified and more Exams Nursing in PDF only on Docsity!

FISDAP EMT Medical Exam Questions with

Answers Latest Updated 2023-2024 Verified

1. Which statement strongly indicates syncope? -answer- I blacked out for a few seconds
2. When assessing the patient for arm drift, you should ask the patient to -answer- hold their arms out palms up, eyes closed
3. 68 you patient reports abdominal pain, vomiting, and a loss of appetite, as well as black, tarry stools. you should suspect -answer- upper go bleed
4. You are called to an outdoor garden center on a hot, humid day. Your patient is pale, wheezing, and has hives. you should suspect -answer- bee sting
5. you have been dispatched to a behavioral emergency. The police are on the scene and have asked you to evaluate the patient. you should -answer- restrain the pt. to your cot and transport to the nearest hospital
6. a pt. was cleaning a bathroom when he came out gagging and coughing. his eyes are red and watering and he is complaining of dyspnea. you should -answer- move the pt. to a well- ventilated area
7. 38 you pt. has a history of hypothyroidism. she is hypertensive, tachycardic, and hyperthermic. you find an empty bottle of Synthroid nearby. You should -answer- contact the poison center or medical command.
8. a pt's family member reports a glucometer reading of 57 mg/dL. how should you interpret this reading? -answer- low

9. a worker at a fertilizer plant has spilled lye all over his upper body. you should -answer- brush the powder off the pt.
10. to assess a possible stroke pt for abnormal speech, you should -answer- ask the pt to repeat a common phrase
11. a pt was stung by a bee. you should -answer- apply ice cold compress to the affected area
12. 72 you male has weak hand grips, blurred vision, and is unable to tell you the day of the week. he is a type 2 diabetic. what should you do -answer- evaluate for facial droop
13. which of the following meds helps the body transport sugar into the cells -answer- insulin
14. an unconscious patient has one pupil that is significantly larger than the other and not reactive to light. the most likely cause is -answer- stroke
15. where would you expect to find pain in a pt with suspected appendicitis -answer- right lower quadrant
16. when assessing a pt for facial droop, you should -answer- ask pt to smile or show his teeth
17. which of the following assessment findings suggests a go bleed -answer- bright red blood from the rectal area
18. you are assessing an unresponsive medical patient. what should be your primary focus - answer- chief complaint

19. a patient has a headache. how should you position him on the cot -answer- 90 degree fowler
20. 50 you male who recently completed renal dialysis is bleeding profusely from his shunt. how should you classify this bleeding -answer- a life-threatening problem that requires immediate surgical intervention
21. A 28 you pt. is outside at a concert and appears confused. he is unable to answer your questions. you should -answer- look for a medical identification necklace or bracelet
22. a car battery exploded in your pt's face. he denies any breathing difficulty. you should - answer irrigate eyes with water
23. A patient is having a tonic-clinic seizure. he is not breathing. you should -answer- prevent the pt from further injury
24. Your first priority when. dealing with a pt who is exhibiting behavior issues is to -answer- ensure the safety of yourself and your partner
25. 78 you M Alzheimer’s pt. has bruising on his back, neck, and stomach. when you ask the pt what happened, his caregiver insists "he fell getting out of bed" what should you do a. ask on of the family members to ride in the back with him b. ask the caregiver why the pt required restraint c. immediately notify law enforcement to take a report d. move him into the ambulance so you can talk to him alone -answer- c. notify law enforcement to take a report
26. according to the Cincinnati prehospital stroke scale, which of the following should be assessed answer-facial droop

27. A 32-year-old patient is found unconscious in the snow. You cannot detect a pulse or respiration rate within 10 seconds. What should you do? -answer- assess her pulse for 30- seconds
28. An 80 y/o male complains of a headache and nausea. He is confused with hot, dry skin. His house is hot and humid. VS are BP 90/55, P 96, R 18, SpO2 88% and BGA 88 mg/dL. What should you do? answer-Begin active cooling measures (signs of heat stroke, also think of fluid replacement due to dehydration)
29. A 28 y/o female complains of sudden onset of dyspnea while eating in a restaurant. Her tongue is swelling and she has urticaria on her neck. VS are BP 86/44, P 116, R 18 with wheezing. What should you administer? -answer- Epinephrine .3 to .5 IM 1:1000 (should suspect anaphylactic shock)
30. While spraying pesticide on his crops, a 51 y/o male started to feel lightheaded and had trouble breathing with excessive saliva production. What should you administer? -answer- Atropine (cholinergic response with the signs of SLUDGE, need to use a anticholinergic drug which is atropine, which blocks the effects of the accumulating acetylcholine)
31. An adult male is sitting alone in a dark room, rocking back and forth. he mutters to his sock puppet "Are you feeling sad?" what should you do? -answer- introduce yourself and start an assessment
32. A mother of a 17 y/o male called EMS because her son has a depressed affect. While assessing him, he states "I'm not sure if I can take this anymore." What should you do? - answer- Inquire about his suicidal ideations (his statement is a warning sign that he may be thinking of suicide)
33. A febrile 54 y/o female complains of nausea and vomiting with pain around her umbilicus. Her abdominal tenderness increases on palpation. VS are BP 80/40 and P 130. What should you suspect? answer-Ruptured appendix (rebound tenderness and febrile)

34. a 42-year-old man complains of difficulty breathing and pain in his chest and shoulders. he recalls feeling a sharp pinprick on his arm while cleaning out his basement. what type of spider bite is this man most likely suffering from? -answer- black widow
35. a car battery exploded in your patient's face. he denies breathing difficulty. you should? - answer begin irrigating eyes with clean water
36. a 19-year-old female is unresponsive after taking a whole bottle of her sleeping medicine about 4 hours ago. you should? -answer- apply high-flow oxygen
37. a 32-year-old male complains of photophobia (sensitivity to light) and vomiting. the most likely cause is? -answer- migraine
38. A patient tells you he had anemia, you should expect him to present with? -answer- pallor
39. your epileptic patient complains of a persistent metallic taste in her mouth. you should suspect: answer-a seizure may occur
40. A patient is having a tonic-clinic seizure and is not breathing. you should: -answer- prevent patient from further injury
41. a patient has severe groin pain radiating to the flank area and can't sit still -answer- kidney stones (renal calculi)
42. A nursing home patient, an older lady has various colors of bruising on her cheek and wrist. what should you suspect? -answer- abuse

43. a patient has flank pain, pain on urination, and diaphoretic with no fever. what do you suspect? answer-kidney stones
44. unresponsive patient naked guy in the front yard with pinpoint pupils. what should you suspect? answer-opioid overdose
45. how to treat a postictal patient? -answer- high flow oxygen
46. female patient with abdominal pain vomits bright red blood. what should you do? -answer- manage the airway
47. A 40-year-old female with abdominal pain in mid epigastric region is nauseous and subsides with eating. you should suspect? -answer- peptic ulcers
48. severe abdominal pain radiating to the back. what should you suspect? -answer- triple a
49. working in shed complains of abdominal pain. red small mark that starts to swell. what type of spider bite is it? -answer- black widow
50. A 32-year-old patient is found unconscious in the snow. You cannot detect a pulse or respiration rate within 10 seconds. What should you do? -answer- assess her pulse for 30- seconds 51 a 42-year-old man complains of difficulty breathing and pain in his chest and shoulders. he recalls feeling a sharp pinprick on his arm while cleaning out his basement. what type of spider bite is this man most likely suffering from? -answer- black widow 52 19 year old female is unresponsive after taking a whole bottle of her sleeping medicine about 4 hours ago. you should? -answer- apply high-flow oxygen

53 An 18 year old male states "the CIA is after me" you notice he has covered his head and windows with aluminum foil. when you ask why he says "in order to block out the government radio waves" vitals are BP138/34, P122, R24. you should suspect? -answer- paranoid schizophrenia 54 a patient is running a high fever, vomiting and reporting pain that has shifted from around her belly button to the lower right area of her abdomen you should suspect? -answer- appendicitis 55 A 20 year old male in a college dorm room complains of fever, headache, and a stiff neck. he has an altered mental status, and you notice red blotches on his skin. which of the following are the most appropriate BSI precautions -answer- gloves and HEPA mask 56 an unconscious patient has one pupil that is significantly larger than the other and not reactive to light. the most likely cause is: -answer- stroke 57 what is hyperglycemia -answer- high blood sugar 58 when assessing a patient for facial droop you should? -answer- ask the patient to smile or show his teeth 59 an alert patient has a severe headache/weakness of the left arm you should suspect? - answer- stroke 60 which of the following most accurately describes insulin? -answer- it helps glucose move into the cells 61 a patient with a headache. how should you position him on the cot? -answer-

62 You have determined that an alert elderly male patient has garbled speech and weakness to the right arm and leg. His vital signs and SpO2 level are within normal limits. The family informs you that he has a history of heart problems and diabetes. Given this scenario, what should you do immediately? -answer check the patients BGL 63 Which of these statements made by your new EMT partner demonstrates an understanding of assessment findings related to stroke? -answer- "If one arm is weak, a stroke should be suspected." 64 A 41-year-old female patient has called 911 for a headache. Which of these assessment findings should make the EMT suspicious that the patient has a migraine headache? -answer- The pain was preceded by an aura 65 An elderly male patient with a history of COPD, hypertension, and diabetes presents as lethargic and confused. His airway is patent, and breathing is adequate. His skin is hot and his radial pulse is strong, regular, and bounding. Vital signs are pulse, 112; respirations, 20 breaths/min; blood pressure, 108/64 mmHg; SpO2, 94%; and temperature, 102.8°F. Also noted is swelling to his right lower leg. Given these assessment findings, the EMT should suspect which condition is responsible for the patient’s altered presentation? -answer- infection 66 Assessment reveals a drooling 48-year-old male patient to have gurgling speech and left-arm paralysis. The EMT's immediate priority treatment is to: -answer- Suction the airway 67 a patient with a headache. how should you position him on the cot? -answer- Semi Flower 68 An unconscious 33 year old patient was found lying prone in a local park. he was apneic. you should: answer-put in supine, check airway 69 you have been dispatched to a behavioral emergency. the police are on scene and have asked you to evaluate the patient. you should -answer- ask police to help secure the scene

70 An 18 year old female has progressively become lethargic at a party. vitals are BP90/60, P48, R4, you should suspect: -answer- narcotic overdose 71 A 20 year old female is resting after running for 30 minutes. she normally runs 5 miles every day but today she "can't catch her breath". flushed skin, fast and weak pulse, fast respirations with wheezing, complains of itching arms and chest -answer- anaphylaxis 72 An unresponsive patient with arms and legs violently jerking. what phase of generalized seizure is this? -answer- clinic 73 An elderly patient complains of abdominal pain and back pain. has tarry stools for three days. what should you suspect? -answer- GI bleeding 74 An 82-year-old female complains of nausea and vomiting for two days. she ran out of her prescription heart medication last week. BP158/92, P92 irregular, R18 -answer- administer oxygen and monitor vitals 75 a 16 year old female with severe abdominal pain "hasn't had a period in two months and the pain started this morning" BP90/70, P130, R28. skin is pale and cool. what should you suspect? -answer hypovolemic epinephrine side effects on the cardiovascular system -answer- constricts blood vessels a hiker is found in the mountains. patient is flushed and their mucous membrane is slightly blue answer-low oxygen level A 23 year old male with bipolar disorder. depressed and locked himself inside the bathroom - answer- call law enforcement to secure the scene

patient has irregular respirations and is agitated. is pacing back and forth. skin is cool and clammy answer-hypoglycemia a 71 year old male is unconscious and cold to the touch at a park. he is a resident of the Alzheimer's center. outside temperature is in the low teens. what do you keep in mind when trying to obtain a pulse -answer- pulse should be palpated in two places a 31 year old male is vomiting and has diarrhea for 10 hours. complains of weakness and light headedness upon standing. pale and diaphoretic. vitals should be: -answer- BP90/60, P124, R 72 year old female has slurred speech and left arm weakness prior to EMS arriving. what do you think happened -answer- transient ishemic attack a 20 year old female is unconscious after being submerged in a lake for three minutes. she has a pulse and agonal breathing. -answer- ventilate using a BVM middle aged patient outside a homeless shelter. coughs up pink sputum and passes out - answer- don a N95 respirator prior to continuing assessment a 42 year old female states she is "having the worst headache of my life". vomiting. BP180/90, P68, R14 what should you suspect? -answer- Migraine 5 employees feel "light-headed". they have respiratory problems after working in a packing company. answer-toxic substance exposure characteristics of transient ischemic attack -answer- it resolves within 24 hours patient has DKA and is now unconscious and breathing deeply. what should you suspect? - answer hyperglycemia

when treating a patient with altered behavior -answer- consider any possible medical causes elderly patient has been drinking all afternoon. en route to the hospital he has become confused and slow to respond to questions -answer- check blood glucose levels A 15 year old soccer player is hot, pale and semiconscious. what should you do? -answer- remove patient from hot environment there is an unresponsive medical patient. what is the primary focus? -answer- *chief complaint A 23 year old female complains of fever, muscle aches, and congestion, is pale; BP94/60, P120, R24. roommate feels the same -answer- influenza A 40 year old unconscious patient was working in 90F weather for the last 5 hours -answer- move patient to a cool environment, remove clothing give a cold pack, and give oxygen elderly patient is malnourished and wearing inadequate clothes for the current temperature. they are lying on soiled bedding and has a strong smell of urine all over the house. Caregiver daughters say mother refused to get out of bed most days. won't do housekeeping, and not taking medication answer-report suspicion of neglect to medical director and local abuse agency virus and bacteria can be classified as -answer- pathogens seeing and hearing things not present. which type of drug? -answer- hallucinogen signs of hypoglycemia -answer- cold, clammy skin contraindication of administration of oral glucose -answer- unconsciousness

An 87 year old has a productive cough over the past three days and confusion over the past day. There is rhonchi and wheezing in the right lung. BP116/92, P92, R24 and temperature is 101F. what should you suspect? -answer- pneumonia An alert 56 year old female has severe headache and weakness in the left arm. BP188/92, P106, R14 answer-stroke A 72 year old male has weak hand grips, blurred vision, and unable to tell what day it is he has type II diabetes -answer- evaluate facial droop patient has a bee allergy, was stung and says their throat is itchy. lips are swelling, patient has a EpiPen. what should you do? -answer- Assist with EpiPen assessment findings that suggest a gastrointestinal GI bleed would be -answer- bright red blood from the rectal area RUQ organs -answer- liver, gallbladder RLQ organs -answer- appendix Pt. who has excessive thirst & urination, they are acting strange, there's a fruity odor on their breath, what should your treatment be? -answer- 250 - 500 mL of fluid. Urticarial is another word to describe: -answer- Hives A paralysis that may resemble a stroke and presents with sudden weakness in the muscles on one half of the face. -answer- Bell's palsy

The purpose of the ___________ is to filter blood, which then creates urine. -answer- Kidney The purpose of the ____________ is to store bile produced by the liver, which aids in the digestion and absorption of fats. -answer- Gallbladder Strongly indicates syncope -answer- Strongly indicates syncope Which of these conditions places the patient at the greatest risk for an acute neurologic deficit? answer-Transient ischemic attack When using a stroke scale to assess a patient for abnormal speech, the EMT should... -answer- Ask the patient to repeat a specific but common phrase When assessing a patient for a facial droop, the EMT should... -answer- Ask the patient to show you his teeth or smile Which one of these instructions to a patient with possible stroke indicates proper assessment for an arm drift? -answer- "Close your eyes and hold your arms straight out for 10 seconds." Which question would it be critical that the EMT ask the family of a patient who cannot speak and is suspected of having a stroke? -answer- "What time did the weakness and dizziness start?" You have determined that an alert elderly male patient has garbled speech and weakness to the right arm and leg. His vital signs and SpO2 level are within normal limits. The family informs you that he has a history of heart problems and diabetes. Given this scenario, what should you do immediately? -answer Check the patient's blood glucose level With the Cincinnati Prehospital Stroke Scale, which of these patient parameters is assessed? - answer Facial droop

A patient has an altered mental status accompanied by loss of motor function on one side of the body. The EMT must suspect which condition as the cause of this presentation? -answer- Stroke When assessing a patient with stroke like signs and symptoms, it is critical that the EMT also suspect and rule out which condition? -answer- Hypoglycemia A male patient is confused and combative for no apparent reason. There are no life threats to his airway, breathing, or circulation, and his vital signs are pulse, 88; respirations, 16 breaths/min and adequate; blood pressure, 144/68 mmHg; and SpO2, 93% on room air. When addressing the patient's oxygenation status, which of these treatments would be appropriate? - answer- Oxygen at 2 lpm via nasal cannula