FISDAP PARAMEDIC FINAL LATEST EXAM 2023-2024/PARAMEDIC FISDAP FINAL EXAM. QUIZ & ANS. A+, Exams of Nursing

Download FISDAP PARAMEDIC FINAL LATEST EXAM 2023-2024/PARAMEDIC FISDAP FINAL EXAM. QUIZ & ANS. A+ and more Exams Nursing in PDF only on Docsity! FISDAP PARAMEDIC FINAL LATEST EXAM 2023- 2024/PARAMEDIC FISDAP FINAL EXAM TEST BANK REAL EXAM QUESTIONS AND CORRECT ANSWERS|GRADED A+ 17 yo m ingested 20 diazepam tablets, unresponsive to all stimuli and has snoring respiration's at 6 per min. What is the best treatment? -ans Insert a NPA and BVM 22 yo female vetinary student, ingested tick killer and is presenting with SLUDGE what med does she need? -ans Atropine 23 yo female is complaining of diffuse Lower abdominal pain, unusual vaginal discharge, and a low-grade fever. Her symptoms began 2 days ago, toward the end of her period, which was otherwise normal. What is the most likely explanation for her symptoms? -ans PID 26 yo female ingested 150 amitryptaline tablets what would be your best thing to watch for changes? -ans Cardiac monitoring 40 yo female who has been sexually assaulted. She is conscious but has multiple injuries. In addition to management of the patients injuries and attention to her psychological needs which of the following is appropriate? -ans Place each article of clothing removed in a separate paper bag 5yo was awakened with severe respiratory distress. She has a seal bark cough, fever, and finds it hard to swallow. What do you suspect? -ans Croup 70 yo male in a bar fell off a stool, responds to verbal has slurred speech and has flank pain and head pain. How would you treat this Pt? -ans Oxygen, IV 0.9% sodium chloride A 20 yom presents to you complaining of diffuse chest pain that increases with deep inhalation but decreases when he leans forward. His 12 lead EKG shows changes in all leads. He recently had a viral infection. From this information, what is his most probable diagnosis? -ans pericarditis A 24 year old woman is found lying on the sidewalk after jumping out of her trailer home bedroom during a fire. She has second degree burns to her face and head, and third degree burns to both her arms. What percent of her body is burned? -ans 18% A 31 yo G3 P1 AB1 is in labor at term at home. She's been in labor for 24 hr without dilation. The midwife called for an ambulance. Upon arrival Pt is having strong contractions 2min apart. As you prepare to transport the mother complains of sudden tearing abdominal pain and becomes pale diaphoretic and agitated. Upon palpating the abdomen you feel the outline of the fetus. You should suspect -ans Uterine rupture A 45 yo woman is found unconscious at the scene of a MVC. Her vitals are bp are BP 80/40, P 130, and R 30. Which of the following is most likely causing her condition? - ans Bleeding into the chest or abdomen A 52 yom is compelling of constant, severe pain and pressure in his chest, which he says started about 4 hours ago. The patient has bilateral rales, and his skin is cool to the touch. Vital signs are: BP- 72/52, P- 124, R-28. No JVD or Edema in lower extremities. What condition is most likely responsible for his signs and symptoms. -ans Myocardial infarction with cariogenic shock A 55 yom complains of sudden onset of acute shortness of breath. He denies chest pain and is alert and oriented but anxious. Skin is pale (with cyanosis), cool, and diaphoretic. BP 230/110, P 110, R 28. No JVD. Crackles are heard bilaterally. He has a hx of heart attack 5 years ago. The patient is most likely suffering from? Besides increasing oxygen levels, what is the next step for this patient? What medication and dosage would you use? -ans left sided heart failure decrease preload nitroglycerin 0.4 A 5yo boy who awoke with a sore throat and fever is found sitting at the kitchen table. He appears quite ill and is leaning forward with his head in his hands. His voice is muffled and he is drooling. What illness do you suspect the child is suffering from? -ans Epiglottitis A 72 yom with a history of atherosclerosis complains of a sudden onset of sharp pain in his right leg and foot which has grown worse over the past 2 hours. Objective data includes an anxious patient with vital signs: BP- 124/60, P-70, R-18. He has a pale, waxy, cool right leg. No pedal pulses are present in the right foot. The left leg is normal. What is the patients probable diagnosis? -ans Acute arterial occlusion A dermatome can be described as -ans An area of the skin inner ages by a specific spinal nerve A police officer at the scene of a traffic stop has requested that you medically clear the driver who was arrested for driving erratically. The other claims he's a diabetic. Refusing transport. The officer asks what his BGL was, what will you answer the officer? -ans Apologize to the officer and explain that you can not divulge that information An elderly female is found unresponsive by a neighbor. Your crew has initiate CPR. The cardiac monitor show VFib How would you treat this patient? -ans continue CPR, then prepare to defibrillate at 360J The process by which an agency or association grants recognition to an individual who has met certain predetermined qualifications specified by that agency is called -ans Certification The statement, "the Pt states that she has had chills and a fever for 24 hours," belongs in which part of a narrative using SOAP format? -ans Subjective The term "ethics" is best described as -ans Moral, rather than legal, standard of behavior There are 5 plane crash survivors that are ready for transportation to the hospital. Who will notify hospitals and coordinate Pt allocation to those facilities? -ans Transportation officer Under which conditions does a Type II AV block have a very serious prognosis? -ans AV dissociation exists???? Upon examining a 27 yo in labor at 32 weeks gestation you notice that the umbilical cord is prolapsed. Which of the following would you NOT do? -ans Immediately clamp cord in 2 places and cut between What are the primary causes of symptoms in patients experiencing tachydysrhythmias? -ans decreased ventricular filling and stroke volume What changes in blood gases occur when a patient is hyperventilating? -ans decreased CO2; increased PaO2 What complaint would suggest a traumatic injury to the spleen? -ans "My left shoulder hurts" What do apparently mild electrical burns and hydrofluric acid burns have in common? - ans They can be worse than initially expected What does neurogenic shock due to spinal injury create? -ans Decreased cardiac output What does Starling's Law state? -ans The strength of a contraction of a muscle fiber is proportional to how far it is stretched What effects does morphine sulfate have on the venous system? -ans increases venous pooling, resulting in reduced preload and after load What is a radio "PL" (private line) tone? -ans Allows 2 ambulances to talk to each other privately What is atherosclerosis? -ans The gradual blockage of an artery due to cholesterol and hardened deposits What is the earliest gestational age at which a fetus may survive if born early? -ans 26 What is the electrical axis of the heart? -ans average of all depolarizations of the heart What is the function of the medical practice act? -ans Provide state legislation that governs the practice of medicine within that state What is the most common cause of death in children over the age of 1 year? -ans Trauma What is the most common cause of pulmonary embolism? -ans deep leg vein thrombosis What is the preferred method for assessing a patient for spinal tenderness? -ans Palpate over the spinal processes What is the primary danger to the infant during a precipitous delivery? -ans cerebral trauma What stage of labor begins with cervical dilation and ends with delivery of the infant? - ans Second What term best describes the ability of cardiac cells to spontaneously depolarize without being stimulated by a nerve? -ans Automaticity What type of radio system uses transmissions and reception that occur on two frequencies? -ans Duplex When assessing the mental status of an 8 month old child, which of the following is expected behavior in a patient with a normal mental state? -ans Recognizes familiar caretakers When attempting to give the most fluid in the least amount of time through an IV line it is best to use a: -ans 14g, 4 inch IV cath When calculating kinetic energy, the most important variable relating to total kinetic energy is? -ans Velocity When responding to the scene of an injured 5yo child, child abuse should be expected in which of the following circumstances? -ans Injury pattern does not match the history of the mechanism of injury When the monitor is configured to display lead II, what is the polarity of each lead? -ans Left leg is positive right arm negative Which is the ion responsible for determining the resting membrane potential of a cardiac cell? -ans potassium Which isn't the correct location for placement of an IO needle in a pediatric patient? -ans Proximal tibia Which of the following are early signs of dehydration in an infant? -ans Dry mucus membranes Which of the following best describes the term syncope? -ans sudden temporary loss of consciousness Which of the following best describes the term syncope? -ans sudden temporary loss of consciousness Which of the following does not need to be proven by the plaintiff with a malpractice case against a medic? -ans A duty to act Which of the following has the greatest potential to prevent pediatric deaths? -ans Car seats, seat belts, and seat belt positioning boosters Which of the following interventions should be performed on the scene (before loading a critical trauma patient into the ambulance) -ans Decompress a tension pneumo Which of the following is LEAST likely to cause crackles? -ans Asthma Which of the following is least likely to result in an accusation of negligence? -ans Poor Pt outcome Which of the following is the best example of a subjective and possibly libelous statement? -ans "The Pt was drunk and disorderly" Which of the following is the most common concern to the adolescent trauma patient? - ans Parental reprimand Which of the following is the recommended location for assessment of the pulse in an unresponsive 6 month old child? -ans Brachial artery Which of the following is the recommended technique of stimulating a distressed newborn? -ans Running the infants back vigorously with a dry towel Which of the following is the underlying cause of the pain associated with a sickle cell crisis? -ans Tissue ischemia You are treating a 4 year old who is lethargic. Her vitals are BP 50/0, P 50, R 8. After the airway has been secured how would you treat her next? -ans Perform CPR You are treating a 48 year old female with chest pain. On scene you administer oxygen, aspirin, and two nitro tablets. En route to the hospital your patient states her pain decreases to a 1 on a scale of 0-10. To provide the best care, you should... -ans continue high flow oxygen and repeat vitals, consider 12 lead EKG if pain persists You are treating a 59 yom who is complaining of 7/10 chest pain. BP- 130/80, P- 130, R-18. ECG reveals sinus tach with occasional PVC's what drug should you administer? -ans aspirin?? You are treating a 6 yo who weighs 40lbs. He is unresponsive with a weak pulse, delayed capillary refill. His vital signs are BP 60/0, P240, R6. EKG shows a narrow complex tachycardia at a rate of 250. What is your initial treatment? -ans Synchronous at 20 joules You are treating a 80 yom who complains of headache, blurred vision, and left sided weakness. He has a history of heart problems and takes digoxin. Which of these is the most likely cause of his symptoms? -ans embolic stroke caused by afib You are treating a cardiac arrest patient who you have successfully resuscitated. The patient is still unconscious, apneic, and he is endotracheally intubated. The patient suddenly becomes cyanotic and his SpO2 decreases from 98% to 82%. His heart rate decreases from 110 to 40. What caused these sudden changes? -ans dislodged endotracheal tube You are treating a patient and find that a carotid pulse -ans 60-80mmhg You are treating a pregnant woman in her third trimester. She is suffering from a headache. Her vitals, BP 220/108, P 80, R18. She tells you her ankles are more swollen than normal. What illness is most likely causing her signs and symptoms? -ans Preeclampsia You have arrived at the scene of a MVC. The Pt head is flexed forward, and she does not appear to be breathing. What is your immediate concern? -ans Safety of the rescuers You have been called to a fitness club where a 28 year old female experienced a sudden onset of lower right quadrant abdominal pain while running in a treadmill. She states she had a normal period 3 weeks ago. Assessment reveals that she is pale and wet with RLQ abdominal pain and tenderness to palpating. Vitals are BP 88/64 P 116. Which of the following conditions is LEAST likely to be causing the patients signs/symptoms? -ans PID You have been called to check and alert and oriented diabetic patient who is sweating. He refuses treatment, but you forcibly proceed to give him an injection of glucagon. What legal charge will be most applicable? -ans Committing battery You have just finished a run. You are completing a run report and discover an error as you are writing. What should you do? -ans Draw a line through the error, initial it You have just intubated an adult patient. You believe you have been successful. You are listening for sounds in the epigastric area and hear nothing. What would you do? - ans attach an ETCO2 monitoring device You observe marked shortness of breath, JVD, tachycardia, and hypotension on a trauma Pt. What could this indicate -ans Tension pneumothorax You respond to the local pool where a maintenance worker just spilled chlorine. You are the first to arrive. The lifeguards are treating your patient with oxygen and fresh air. What is your first course of action? -ans Stop and do not approach Your 66 yom patient is experiencing crushing chest pain, and has a BP of 80/64. Your monitor shows him to be in VTACH at a rate of 176. How would you treat this patient? - ans synchronized cardioversion at 100J Your ambulance has malfunctioned? En route to a non emergency call at a clinic. It stalled and will not restart. What is you best action to take next? -ans Request another unit to respond Your partner Colleen, is assisting you with a premature delivery. Colleen is wearing gloves but no gown or face/eye protection. During the delivery amniotic fluid squirts up onto colleens face. After the shift ends, Colleen tells you she is embarrassed about getting amniotic fluid in her mouth and is not planning on reporting the incident. What should you do? -ans Strongly encourage her to report the exposure Your patient is a 22 yof without a medical history. She was sitting at her office desk where she had an acute onset of dyspnea and pleuritic type chest pain. Presently she is awake but agitated. Upon exam you find she is pale, cool, and diaphoretic. Vital signs are: BP- 92/40, P-142, R-36 and shallow but clear bilaterally. Only medications are Tylenol and a BC pill. What conditions would you suspect? -ans Pulmonary Embolism Your patient is a 26 yo female Who has ingested 150 amitriptyline tablets. She responds to painful stimuli and has intact gag reflex, has a BP of 88/50, P 130, R 16. What medications would you consider using to treat this patient? -ans Sodium bicarbonate Your Patient is a 41 year old female who is 3 days postoperative, recovering from an abdominal hysterectomy. She smokes and is about 40 pounds overweight. She is taking hormone replacement therapy, an antidepressant, and an antibiotic. She has a sudden onset of sharp left-sides chest pain With dyspnea and near syncope. She is not responsive only two painful stimulus, her school skin is cool and diaphoretic, and she is cyanotic. BP 90/50, P 122 weak but regular, Are 36. Which of the following is most likely the cause of her presentation? -ans Massive Pulmonary Embolism Your patient is a 58 yom with a history of alcoholism and and cirrhosis of the liver. The patient is vomiting copious amounts of blood. Which is most likely the cause? -ans esophageal varices Your Pt is a 40 yo male who has been depressed since his wife left him. He is currently threatening suicide. What would be best for you to ask or say to this patient? -ans Have you given any thought to how you might kill yourself? Your Pt is G3P2Ab0. 38 weeks began having contractions 2.5 hours ago. Contractions are 2.5 mins apart and regular. The patient states that her water has not yet broken. In considering that the bag of water has not yet ruptured, which of the following is true? - ans The infant may be delivered without the bag of water breaking