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FISDAP Operations EMT exam 202 4 with 100% correct answers
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- Which statement strongly indicates syncope? - CORRECT ANSWER I blacked out for a few seconds
- When assessing the patient for arm drift, you should ask the patient to - CORRECT ANSWER hold their arms out palms up, eyes closed
- 68 yo patient reports abdominal pain, vomiting, and a loss of appetite, as well as black, tarry stools. you should suspect - CORRECT ANSWER upper gi bleed
- You are called to an outdoor garden center on a hot, humid day. Your patient is pale, wheezing, and has hives. you should suspect - CORRECT ANSWER bee sting
- you have been dispatched to a behavioral emergency. The police are on the scene and have asked you to evaluate the patient. you should - CORRECT ANSWER restrain the pt. to your cot and transport to the nearest hospital
- 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 - CORRECT ANSWER move the pt to a well ventilated area
- 38 yo pt. has a history of hypothyroidism. she is hypertensive, tachycardic, and hyperthermic. you find an empty bottle of Synthroid nearby. You should - CORRECT ANSWER contact the poison center or medical command.
- a pt's family member reports a glucometer reading of 57 mg/dL. how should you interpret this reading? - CORRECT ANSWER low
- a worker at a fertilizer plant has spilled lye all over his upper body. you should - CORRECT ANSWER brush the powder off the pt.
- to assess a possible stroke pt for abnormal speech, you should - CORRECT ANSWER ask the pt to repeat a common phrase
- a pt was stung by a bee. you should - CORRECT ANSWER apply ice cold compress to the affected area
- 72 yo 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 - CORRECT ANSWER evaluate for facial droop
- which of the following meds helps the body transport sugar into the cells - CORRECT ANSWER insulin
- an unconscious patient has one pupil that is significantly larger than the other and not reactive to light. the most likely cause is - CORRECT ANSWER stroke
- where would you expect to find pain in a pt with suspected appendicitis - CORRECT ANSWER right lower quadrant
- when assessing a pt for facial droop, you should - CORRECT ANSWER ask pt to smile or show his teeth
- which of the following assessment findings suggests a gi bleed - CORRECT ANSWER bright red blood from the rectal area
- you are assessing an unresponsive medical patient. what should be your primary focus - CORRECT ANSWER chief complaint
- a patient has a headache. how should you position him on the cot - CORRECT ANSWER 90 degree fowler
- 50 yo male who recently completed renal dialysis is bleeding profusely from his shunt. how should you classify this bleeding - CORRECT ANSWER a life- threatening problem that requires immediate surgical intervention
- a 28 yo pt is outside at a concert and appears confused. he is unable to answer your questions. you should - CORRECT ANSWER look for a medical identification necklace or bracelet
- a car battery exploded in your pt's face. he denies any breathing difficulty. you should - CORRECT ANSWER irrigate eyes with water
- a patient is having a tonic-clonic seizure. he is not breathing. you should - CORRECT ANSWER prevent the pt from further injury
should you do? - CORRECT ANSWER Inquire about his suicidal ideations (his statement is a warning sign that he may be thinking of suicide)
- 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? - CORRECT ANSWER Ruptured appendix (rebound tenderness and febrile)
- 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? - CORRECT ANSWER black widow
- a car battery exploded in your patient's face. he denies breathing difficulty. you should? - CORRECT ANSWER begin irrigating eyes with clean water
- a 19-year-old female is unresponsive after taking a whole bottle of her sleeping medicine about 4 hours ago. you should? - CORRECT ANSWER apply high- flow oxygen
- a 32-year-old male complains of photophobia (sensitivity to light) and vomiting. the most likely cause is? - CORRECT ANSWER migraine
- a patient tells you he had anemia, you should expect him to present with? - CORRECT ANSWER pallor
- your epileptic patient complains of a persistent metallic taste in her mouth. you should suspect: - CORRECT ANSWER a seizure may occur
- A patient is having a tonic-clonic seizure and is not breathing. you should: - CORRECT ANSWER prevent patient from further injury
- a patient has severe groin pain radiating to the flank area and can't sit still - CORRECT ANSWER kidney stones (renal calculi)
- A nursing home patient, an older lady has various colors of bruising on her cheek and wrist. what should you suspect? - CORRECT ANSWER abuse
- a patient has flank pain, pain on urination, and diaphoretic with no fever. what do you suspect? - CORRECT ANSWER kidney stones
- unresponsive patient naked guy in the front yard with pinpoint pupils. what should you suspect? - CORRECT ANSWER opioid overdose
- how to treat a postictal patient? - CORRECT ANSWER high flow oxygen
- female patient with abdominal pain vomits bright red blood. what should you do? - CORRECT ANSWER manage the airway
- A 40-year-old female with abdominal pain in mid epigastric region is nauseous and subsides with eating. you should suspect? - CORRECT ANSWER peptic ulcers
- severe abdominal pain radiating to the back. what should you suspect? - CORRECT ANSWER triple a
- working in shed complains of abdominal pain. red small mark that starts to swell. what type of spider bite is it? - CORRECT ANSWER black widow Do Not Resuscitate (DNR) - CORRECT ANSWER a designation placed on a patient's medical record indicating that in the case of cessation of circulation and breathing, artificial resuscitation (CPR) is not to be done. DOES NOT MEAN DO NOT TREAT. Definitive Care - CORRECT ANSWER Care rendered to conclusively manage a patient's condition, such as full range of preventive, curative acute, convalescent, restorative, and rehabilitative medical care Reciprocity - CORRECT ANSWER Ability to transfer state to state as an EMT START Triage System - CORRECT ANSWER Simple Triage and Rapid Treatment. First, call out ambulatory patients and direct them to a landmark. Next, assess nonwalking patients respiratory, perfusion and neuro status. Patients who are hysterical and disruptive should be handled as immediate priority. Transport in order of immediate, delayed, slightly injured and then expectant patients who are still alive. Traige Category: Red - CORRECT ANSWER First Priority, immediate. Airway/breating compromise, uncontrolled bleeding, shock, severe burns, open chest or abdominal wounds. Respiratory rate greater than 30, cap refill greater than 2 seconds or no radial pulse Triage Category: Yellow - CORRECT ANSWER Second priority, delayed. Burns without airway compromise, major or multiple bone/joint injuries. back injuries
Incident Commander - CORRECT ANSWER Person in charge of the overall incident. Larger MCI require unified command system. ICS: who documents spending for reimbursement? - CORRECT ANSWER Finance. ICS: Who is responsible for communications equipment, facilities, food, water, lighting and medical supples? - CORRECT ANSWER Logistics ICS: Who is responsible for solving problems as they arise and creates an incident action plan? - CORRECT ANSWER Planning ICS: Command Staff consists of - CORRECT ANSWER Safety officer: monitors scene for conditions that may present hazard. Public Information Officer: provides media with clear and accurate info. Liaison Officer: relays concerns and info among command, general staff, and other agencies. ICS: Medican Branch consists of - CORRECT ANSWER Triage supervisor, treatment supervisor, transportation supervisor, staging supervisor, physicians on scene, rehabilitation supervisor, extrication and special rescue, and morgue supervisor. NIMS (National Incident Management System) - CORRECT ANSWER Promotes efficient coordination of emergency incidents at regional, state and national levels. Standardizes terminology, resources, personnel training and certification. ICS is a part of NIMS. Agencies Responsible for Certification - CORRECT ANSWER Libel V Slander - CORRECT ANSWER Libel is written. Slander is spoken. Both are defamation that damages reputation. Criteria for Refusal of Treatment - CORRECT ANSWER Conscious, alert adults with decision-making capacity have the right to refuse and can withdraw from treatment any time. Assess their ability to make this decision. Suicidal patients should not be regarded as having normal mental capacity. DOCUMENT ALL REFUSALS
Therapeutic Communication - CORRECT ANSWER Verbal and nonverbal communication techniques that encourage patients to express their feelings and to achieve a positive relationship. Adjusting strategies for age, development, special needs, etc. Be aware of your own body language. Preserving a Crime Scene - CORRECT ANSWER Do not disturb the scene more than you need to for quality patient care. Do not cut through holes in clothing that were caused by GSW or stabbing. Avoid walking thru blood. Try to keep SA victim from showering, urinating, defecating. If someone is obviously dead, do not disturb the body. Expressed Consent - CORRECT ANSWER PT acknowledges that he or she wants you to provide care or transport. Must be informed consent (you have explained treatment, risks, benefit) Implied Consent - CORRECT ANSWER Applies to patients who are unconscious or otherwise incapable of making an informed decision. Should not be used unless threat to life or limb. Involuntary Consent - CORRECT ANSWER Applies to mentally ill, behavioral crisis, developmentally delayed. Obtain consent from guardian if possible. Evaluating Need to Gain Access to Patient - CORRECT ANSWER Is patient in a vehicle or another structure? Is vehicle or structure damaged? What hazards exist that pose a risk? What position is the vehicle? Stable? Do your primary and assess major life threats before further extrication. Online Vs Standing Orders - CORRECT ANSWER Online: physician directions given over radio or phone Standing orders: your training and protocols. Scene Safety - CORRECT ANSWER The assessment of a scene to ensure the well- being of the EMTs, their patient or patients, and any bystanders. Use only essential warning lights, wear proper reflective equipment on road ways, park uphill and upwind from any hazardous material. You can request assistance from fire and police to secure a scene. Subjective - CORRECT ANSWER self reported "i am hungry" "my neck hurts"
block out the government radio waves" vitals are BP138/34, P122, R24. you should suspect? - CORRECT ANSWER paranoid schizophrenia When using PCR for research or quality assurance. What should you delete? - CORRECT ANSWER PTS name 6 yo child fell at the park. No adult around. Type of consent? - CORRECT ANSWER Implied First to arrive. Using START, you should identify pts who? - CORRECT ANSWER Ambulatory Partner comes to work dirty and leaves trash. Best describe these actions? - CORRECT ANSWER Unprofessional Verbal consent to treatment is called? - CORRECT ANSWER Expressed Elderly pt cut her hand, bleeding is controlled. She answers questions slowly and often pauses. Vitals are BP 110/80, 64, 14. What should you do? - CORRECT ANSWER Allow adequate time MCI, pt asks for help. Disoriented and R 32. According to START, you should? - CORRECT ANSWER Immediate MCI, how should report info to trans ambulance? - CORRECT ANSWER Neural status and vitals Pt cond should be corrected during Pri survey? - CORRECT ANSWER 12 yo dyspnea from allergic reaction 58 yo heavy chest pressure. Ask you what is cause. You should? - CORRECT ANSWER Hospital staff will explain Legal case against you. What is your best defense in court? - CORRECT ANSWER Complete and thorough report Alert 67 yo refuses care and requests to release form? What should you do? - CORRECT ANSWER Explain risk Pt shot in head no signs of life. Brain matter on floor. You should? - CORRECT ANSWER Leave scene untouched and contact PD
Most effective way to stop spread of infectious diseases? - CORRECT ANSWER Good hand washing START, open airway, he begins breathing and is unresponsive. This pt should be classified? - CORRECT ANSWER Immediate Finalizing PCR, notice incorrect pulse reading. What should you do? - CORRECT ANSWER Single horizontal line, correct, initial Arrive large fight, pointed to stab victim. You should? - CORRECT ANSWER Drive away and stage Pt dead when you arrive. Rigor mortis already set in. you should? - CORRECT ANSWER tell bad news and emotional supp Honor DNR when? - CORRECT ANSWER Given appropriate paperwork Upon entering home elderly called 911 for chest pain you should? - CORRECT ANSWER Gen impression A medical director issues permanent written orders that allow you to treat patients under certain circumstances. This is known as: - CORRECT ANSWER Standing order When approaching unsafe scene, you should: - CORRECT ANSWER Park ambulance so that you can easily make a quick retreat Suspect a chemical of mass destruction? - CORRECT ANSWER 75 people become sick with sudden onset of vomiting and diarrhea at parade Pt's wife called for medical emergency. On arrival, pt is upset and refusing care. He wants to go back to bed. You should: - CORRECT ANSWER Evaluate mental status Pt has several open sores on arm. The pt states that they haven't healed despite taking antibiotics. - CORRECT ANSWER Don gloves and gown immediately Upon arrival for shift, what would you do? - CORRECT ANSWER Check ambulance supplies
When does scene size up start? - CORRECT ANSWER Arrive on scene Considering scene safety, priorities from most to least? - CORRECT ANSWER You, your crew, other rescuers, bystanders, the pt Which pt would benefit most from a helicopter transport: - CORRECT ANSWER 15 yo F in a motor vehicle crash victim still trapped bp 78 over 42 Valid pt refusal should be: - CORRECT ANSWER Signed by a legally and mentally competent pt You are the 1st ambulance at a 2 vehicle collision. What should you do? - CORRECT ANSWER Scene safety 26 yo pt complains of chest pain, productive cough, and not feeling well over last 2 days. "he just flew back from Africa last week." You should? - CORRECT ANSWER Put on n95 mask You have just reported for duty with your ambulance company. You should? - CORRECT ANSWER Do inventory and equipment check 18 yo pt has gunshot wound in the arm during a fight. Become increasingly anxious and pushes hands away during primary assessment. What would you do?
- CORRECT ANSWER Verify with law that pt has been searched You are resus a pt following cardiac arrest when a family member asks you to stop your efforts. You should: - CORRECT ANSWER Continue resus per protocol and ask to see the physician signed DNR order School bus crashed into tree. 15 children are unharmed, 10 have abrasions and minor lacerations, and 2 children are unconscious. What should you do? - CORRECT ANSWER call for additional ambulance Technique to comm with a deaf pt? - CORRECT ANSWER Write questions on paper How should an epi pen be discarded? - CORRECT ANSWER Sharps container Pt coughing up bright red blood every time he yells or coughs and is spitting up secretions. What should you wear? - CORRECT ANSWER Face shield While returning to lunch a women flags you down, she found a young child on the roadside who appears to be hit by a car she is not sure if the child is breathing.
What should you do? - CORRECT ANSWER Alert dispatch that you have been flagged for a possible emergency Appropriate method to obtain pts medical history? - CORRECT ANSWER Remain at eye level and ask open ended questions Following a motor vehicle collision, which pt requires emergency moves? - CORRECT ANSWER 50 yo who cannot be assessed in position found 23 yo F sudden onset of diff breathing while gardening. BP 90/ 60, P 144, R 26 and labored, wheezing in all lung fields. She has a prescribed epinephrine auto injector. What should you do? - CORRECT ANSWER Admin o2 and contact medical control/ You need to access unconscious patient inside vehicle via rear passenger window? - CORRECT ANSWER Place spring loaded window punch to the corner of window Triage upon opening airway he is breathing and unresponsive? - CORRECT ANSWER Immediate When is it acceptable to disturb evidence at a crime scene? - CORRECT ANSWER When it is necessary for proper patient care The process by which an agency in one state grants automatic certification to an EMT from another state? - CORRECT ANSWER Reciprocity Process in which teams of professional and peer counselors provide emotional and psychological support? - CORRECT ANSWER Critical incident stress management 80 yo Spanish speaking patient not responding to questions alert and choking? - CORRECT ANSWER Simple hand gestures Example of definitive care (when you're doing something to fix somebody) - CORRECT ANSWER Trauma pt going to surgery to repair a lacerated liver After assess you determine pt is dead. Police suspect foul play. What should you do? - CORRECT ANSWER Avoid disturbing the scene 20 yo pt is reluctant to answer questions pertaining to abdominal discomfort? - CORRECT ANSWER Reassure her that you are there to help her
56 an unconscious patient has one pupil that is significantly larger than the other and not reactive to light. the most likely cause is: - CORRECT ANSWER stroke 57 what is hyperglycemia - CORRECT ANSWER high blood sugar 58 when assessing a patient for facial droop you should? - CORRECT 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? - CORRECT ANSWER stroke 60 which of the following most accurately describes insulin? - CORRECT ANSWER it helps glucose move into the cells 61 a patient with a headache. how should you position him on the cot? - CORRECT 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? - CORRECT 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? - CORRECT 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? - CORRECT 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/ mmHg; SpO2, 94%; andtemperature, 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 thepatient's altered presentation? - CORRECT 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: - CORRECT ANSWER Suction the airway 67 a patient with a headache. how should you position him on the cot? - CORRECT ANSWER Semi Folwer 68 an unconscious 33 year old patient was found lying prone in a local park. he was apneic. you should: - CORRECT 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 - CORRECT ANSWER ask police to help secure the scene 70 an 18 year old female has progressively became lethargic at a party. vitals are BP90/60, P48, R4, you should suspect: - CORRECT 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
- CORRECT ANSWER anaphylaxis 72 An unresponsive patient with arms and legs violently jerking. what phase of generalized seizure is this? - CORRECT ANSWER clonic 73 An elderly patient complains of abdominal pain and back pain. has tarry stools for three days. what should you suspect? - CORRECT ANSWER GI bleeding 74 A 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 - CORRECT 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? - CORRECT ANSWER hypovolemic epinephrine side effects on the cardiovascular system - CORRECT ANSWER constricts blood vessels a hiker is found in the mountains. patient is flushed and their mucous membrane is slightly blue - CORRECT ANSWER low oxygen level
elderly patient has been drinking all afternoon. en route to the hospital he has become confused and slow to respond to questions - CORRECT ANSWER check blood glucose levels a 15 year old soccer player is hot, pale and semiconscious. what should you do? - CORRECT ANSWER remove patient from hot environment there is an unresponsive medical patient. what is the primary focus? - CORRECT 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 - CORRECT ANSWER influenza a 40 year old unconscious patient was working in 90F weather for the last 5 hours - CORRECT 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 says mother refused to get out of bed most days. won't do housekeeping, and not taking medication - CORRECT ANSWER report suspicion of neglect to medical director and local abuse agency virus and bacteria can be classified as - CORRECT ANSWER pathogens seeing and hearing things not present. which type of drug? - CORRECT ANSWER hallucinogen signs of hypoglycemia - CORRECT ANSWER cold, clammy skin contraindication of administration of oral glucose - CORRECT ANSWER unconsciousness a 87 year old has a productive cough over the past three days and confusion over the past day. there is rhonci and wheezing in the right lung. BP116/92, P92, R and temperature is 101F. what should you suspect? - CORRECT ANSWER pneumonia an alert 56 year old female has severe headache and weakness in the left arm. BP188/92, P106, R14 - CORRECT 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 - CORRECT 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? - CORRECT ANSWER Assist with EpiPen assessment findings that suggest a gastrointestinal GI bleed would be - CORRECT ANSWER bright red blood from the rectal area RUQ organs - CORRECT ANSWER liver, gallbladder RLQ organs - CORRECT 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? - CORRECT ANSWER 250 - 500 mL of fluid. Uticaria is another word to describe: - CORRECT ANSWER Hives A paralysis that may resemble a stroke and presents with sudden weakness in the muscles on one half of the face. - CORRECT ANSWER Bell's palsy The purpose of the ___________ is to filter blood, which then creates urine. - CORRECT ANSWER Kidney 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
