Medical Emergencies: Identifying and Responding to Various Health Conditions, Study Guides, Projects, Research of Nursing

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FISDAP MEDICAL EXAM

LATEST 2023 - 2024 VERSION

GRADED A+

FISDAP MEDICAL FINAL EXAM

UPDATED 2024/

1. What is the effect of oral glucose? A. Lowers blood sugar B. Raises blood sugar C. Stimulates gluconeogenesis D. Increases the rate of digestion
2. A 14 year old male is hot, dry and complaining of nausea andvomiting aftermowing the lawn. What should you suspect? A. Hypothermia B. Heat exhaustion C. Heat stroke D. Hyperemesis
3. What occurs during compression of the inferior vena cava? A. Preeclampsia B. Supine hypotensive syndrome C. Pregnancy induced hypertension D. Eclampsia
4. An unresponsive 32 year old female was pulled from a frozen lake after 3minutes of submersion. Vital signs are BP 90/70, P 24, R 8. Why is it important to handle her gently while transporting? A. Any lung damage due to submersion is greatly reduced.

B. She could go into shock. C. It prevents her from losing any limbs. D. She could convert into V-Fib or V-Tach rhythm.

5. A 56 year old male complains of chest pain after shoveling thedriveway. He states that his pain was a 9/10, but it is now a 5/10 after rest and taking 2 of his nitroglycerin. Vital signs are BP 100/66, P 87, R 16. What shouldyou do?

A. Apply high-flow oxygen. B. Apply pulse oximetry. C. Obtain a second set of vital signs. D. Administer aspirin.

6. A 71 year old female is short of breath and has lower leg pain. Shetook 2doses of her prescribed nitroglycerine and 324 mg aspirin 10 minutes ago. Vital signs are BP 160/90, P 88, R 24, SpO2 88%. What should you do? A. Administer a third dose of nitroglycerin.

B. Apply oxygen by non-rebreather mask. C. Administer an additional dose of aspirin. D. Obtain a second set of vital signs.

7. A 66 year old female has shortness of breath and diffuse backpain. Auscultation of lungs reveal crackles in the bases. Vital signs are BP170/110 and P 112. What should you do administer? A. Adenosine B. Furosemide C. Albuterol D. Nitroglycerin Scenario:
8. An unresponsive 2 day old female is in respiratory distress. Herskin iscyanotic and vital signs are P 184, R 72.What should you do? A. Assist her ventilations. B. Administer albuterol. C. Apply blow-by oxygen. D. Asses for a blood pressure.
9. A 22 year old male complains of shortness of breath with diminished lung sounds on the right side. Vital signs are BP 130/90,P 86, R 24. What shouldyou suspect? A. Asthma attack B. Pneumothorax C. Tension pneumothorax D. Exacerbation of COPD

10. An 66 year old female had a syncopal episode while attempting tostand up.She describes a history of COPD, CHF, and gout. Vital signsare BP 96/40, P 56, R 18. What should you suspect? A. Rapid increase of insulin. B. Increase in oxygen levels. C. Decrease in cerebral blood flow. D. Hypoglycemic event.

11. What is the best protection from contracting a communicable diseasefrom apatient? A. Frequent hand washing. B. Changing clothes after run. C. Wearing goggles during run. D. Putting on a mask.
12. An anxious 55 year old male is severely short of breath and iscoughing uppink frothy sputum. He is sitting upright and tells youthat his "feet are more swollen than normal." Vital signs are BP 202/112, P 110, R 36 with crackles. What should you do?

A. Obtain a detailed medical history. B. Position him supine and apply high-flow oxygen. C. Administer aspirin. D. Assist his ventilations with a BVM.

13. A 34 year old male complains that people are "out to hurt me." Hethinks you are attempting to kill him with poison gas while applying anon-rebreathermask. What should you do? A. Position the mask for blow-by oxygen. B. Forcefully restrain him then apply the mask. C. Switch to a nasal cannula. D. Explain the benefits of oxygen.
14. What condition is caused by twisting of the spermatic cord,resulting in asudden onset of severe scrotal pain? A. Epididymitis B. Urinary calculi C. Priapism D. Testicular torsion
15. How should you treat asystole in a patient? A. Shock with an AED. B. Provide positive pressure ventilation. C. Provide chest compressions. D. Administer high-flow oxygen.
16. A 45 year old female had a return of spontaneous circulatoin (ROSC)after

10 minutes in cardiac arrest. She is unresponsive. Vital signs are BP 96/40, P88, R 18, SpO2 74%. What should you do? A. Assist her ventilations with a BVM. B. Continue to use the AED to analyze her pulse. C. Position her in a recovery position and apply high-flow oxygen. D. Provide low-flow oxygen by non-rebreather mask.

17. A 16 year old boy tells you that he "caught" his 40 year oldmother"holding a handful of sleeping pills." The son explains

that she is depressed, and he is convinced that she meant to kill herself. She is extremely agitated and is refusing treatment. What should you do? A. Carefully document the woman's refusal and have her sign the form. B. Request law enforcement assistance to transport the patient. C. Contact social services to recommend they follow up on this family. D. Encourage the patient to see a mental health professional that day.

18. A 76 year old female complains of chest pain on the right side directly above her 4th intercostal space. She states that she had a "hip replaced" a couple of weeks ago and that she is recovering well. What should you suspect? A. Pulmonary embolism B. Acute coronary syndrome C. Pnemothorax D. Myocardial infarction
19. A 22 year old intoxicated male responds to voice by moaning.You notevomit in his airway, what should you do? A. Insert a nasal airway. B. Suction the mouth. C. Manually stabilize c-spine. D. Turn the patient on his side.
20. What is the movement of drugs in the body as they areabsorbed,distributed, metabolized, and excreted called? A. Pharmacodynamics B. Pharmacokinetics C. Biotransformation D. The mechanism of action Scenario:

21. A 32 year old female attempted to commit suicide by taking sleeping pillsand cutting her wrists. She has dark red blood oozing from the wrist lacerations. Vital signs are BP 90/52, P 130 and weak,R
22. What type of bleeding and shock is she experiencing? A. Venous bleeding with hypovolemic shock. B. Arterial bleeding with hypovolemic shock. C. Capillary bleeding with cardiogenic shock. D. Venous bleeding with neurogenic shock.
23. What is a sign of an upper GI bleed? A. Dark black emesis B. Dry warm skin

C. High blood pressure and dizziness D. Pain in the right shoulder

23. A 40 year old male was stung by a bee. His skin is pink and dry,his lungsounds are clear and he has equal chest rise. Vitals are BP 122/82, P 78, R 18, SpO2 98%. What should you do? A. Administer high-flow oxygen by non-rebreather mask. B. Assist with the administration of his EpiPen. C. Contact poison control. D. Perform a secondary assessment.

24. A 2 year old male is conscious after ingesting a small quantity ofbleach.What should you suspect? A. Hot, dry skin and diarrhea B. Chemical burns around the mouth C. Dilated pupils and labored breathing D. Bright, red skin on child's extremities
25. A 25 year old female is stung by a bee. She complains of shortness ofbreath, hives and has audible wheezes. What should youdo? A. Assist in the use of her metered dose inhaler. B. Obtain an oxygen saturation reading. C. Have family members confirm her bee allergy. D. Remove the stinger using a credit card.
26. What signs and symptoms should make you suspect a heroin overdose? A. Pinpoint pupils, coma, and respiratory depression B. Hypertension, tachycardia, and urinary retention C. Lacrimation, bradycardia, and hyperactivity D. Dilated pupils, coma, and hyperpnea
27. What can rough handling of a patient with severe hypothermia cause? A. Increased shivering B. Decreased respirations C. Ventricular fibrillation D. Ventricular tachycardia
28. A 23 year old male complains of neck stiffness and flu symptoms for thepast few days. He also describes a high fever with a severeheadache, dizziness and blurred vision. What should you suspect? A. Influenza B. Meningitis C. Migraine D. Hemorrhagic stroke

29. A 27 year old pregnant female is complaining of extreme bouts ofthirst,nausea and urination. What should you suspect? A. Urinary tract infection

B. Pre-eclampsia C. Early stage kidney failure D. Gestational diabetes

30. A 34 year old female complains of an open sore on her leg that willnot goaway. She says that she cut her leg while shaving in the shower at her local gym 2 weeks ago. Her doctor prescribed antibiotics, but nothing has changed. What should you suspect? A. Boils

B. MRSA

C. Varicose vein D. Necrotizing fasciitis

31. What risk factor may cause the development of an esophageal varice? A. Cirrhosis B. Gastritis C. Forceful vomiting D. Anticoagulation therapy
32. What abdominal complaint is MOST concerning? A. A sudden, tearing pain. B. A dull, gradual-onset pain. C. Pain that is relieved by rocking or movement. D. Pain that increase with eating.
33. What medical term describes wheals on the skin during anallergicreaction? A. Angioedema B. Myxedema C. Urticaria D. Pruritus

34. What gland joins the nervous system with the endocrine system? A. Hypothalamus B. Thymus C. Pituitary D. Pineal
35. You assisted a 46 year old female with her prescribed

nitroglycerin. Sheis now light-headed and feels dizzy. What should you do? A. Contact medical control. B. Check her blood sugar. C. Perform a stroke assessment scale. D. Position her supine.

36. A 20 year old male complains of nausea and headache after workingon hiscar in the garage. Vital signs are BP 130/90, P 76, R 16. Whatshould you suspect? A. CO poisoning

B. Cholinergic poisoning C. Migraine D. Brain aneurysm

37. Lifeguards have rescued an unconscious 42 year old near-drowningvictimfrom the water. What should be your most important treatment for this patient? A. Establish and maintain C-spine immobilization. B. Immediately transport to the local hospital. C. Perform a rapid primary survey. D. Acquire information about what happened.
38. A 26 year old male has Kussmaul's respirations. He has adiabetic alertbracelet. What should you suspect? A. Diabetic ketoacidosis (DKA) B. Hyperglycemic hyperosmolar nonketotic coma (HHNC) C. Hypoglycemia D. Insulin shock
39. A 46 year old male complains of difficulty breathing and a productive cough. He states that his cough began about 2 weeks ago.Lung sounds reveal coarse rhonchi in all fields. His skin color is ashen and he is diaphoretic.What should you do?

A. Don an N95 mask. B. Obtain baseline vitals. C. Apply oxygen by non-rebreather mask. D. Assist with administration of his albuterol inhaler.

40. Possible splenic injury or ectopic pregnancy can havereferred leftshoulder pain called?

A. Kehr's B. Turner's C. Kernig's D. Hammain's

41. Which of the following is NOT part of the Cincinnati Stroke Test? A. Facial droop B. Ability to walk C. Slurred speech D. Arm drift

Scenario:

42. A 32 year old male is presents with difficulty breathing. He hasbilateralinspiratory and expiratory wheezing. Vital signs are BP 120/80, P 89, R 32, SpO2 93%. What should you suspect? A. Emphysema B. Asthma C. Chronic bronchitis D. Congestive heart failure
43. A 22 year old male working at a factory has recently inhaled apoison.After ensuring scene safety, what should you do? A. Obtain a set of vital signs. B. Move the patient to an area outside. C. Administer high-flow oxygen. D. Insert and oral airway.
44. A 19 year old male hides in his closet and thinks that aliens arecomingto abduct him. What should you do? A. Tell him that aliens don't exist. B. Acknowledge his fears as real. C. Say you saw the aliens leave. D. Tell him he should not be afraid.
45. A 47 year old male has a ROSC after 10 min of CPR, butremainsunconscious. How should you transport him? A. Prone with feet elevated 15 degrees B. Left-lateral recumbent C. Trendelendberg position D. Semi-fowlers at 30 degrees

46. What can unequal pupils indicate? A. Head injury B. Heat emergency C. Poisioning D. Severe hypoxia
47. A 20 year old male has been exposed to cold temperatures for an

unknownperiod of time. Where should you assess his skin temperature? A. Abdomen B. Armpit C. Chest D. Leg

48. How is nitroglycerin spray administered? A. Topically. B. Ingestion. C. Injection. D. Sublingually.