MT FISDAP FINAL EXAM 2024/2025 ( 150 QUESTIONS & CORRECT DETAILED ANSWERS)100% VERIFIED, Exams of Nursing

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EMT FISDAP FINAL EXAM 2024/2025 ( 150

QUESTIONS & CORRECT DETAILED

ANSWERS)100% VERIFIED ANSWERS

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 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 Signs of imminent delivery - CORRECT ANSWER>>Crowning, Urge to bear down or go to the bathroom, "It's Coming", and Contractions of increased frequency & intensity. preclampsia - CORRECT ANSWER>>abnormal condition associated with pregnancy marked by high blood pressure proteinuria, and edema. eclampsia - CORRECT ANSWER>>true toxemia of pregnancy characterized by high blood pressure, albuminuria, edema of the legs and feet, severe headaches, dizziness, convulsions, and coma

ovarian cyst signs and symptoms - CORRECT ANSWER>>lower pain on either side, nausea, bleeding, ask when last menstrutal cycle was PID signs and symptoms - CORRECT ANSWER>>-onset is usually after menses

• sudden pelvic pain, profuse vaginal exudate, fever, metrorrhagia, discharge When to massage fundus - CORRECT ANSWER>>stops bleeding and cramping after delivery woman is bleeding after sexual assualt - CORRECT ANSWER>>use pad or sterile gauze and put under her to collect the blood breech birth - CORRECT ANSWER>>Baby is delivered feet or buttocks first when can you insert a gloved finger into the vaginal canal - CORRECT ANSWER>>if umbillical cord is around the babies neck perineum tearing - CORRECT ANSWER>>tearing from vagina to anus after delivery preciptitous delivery - CORRECT ANSWER>>perineum tearing and emergency delivery bleeding from shunt - CORRECT ANSWER>>don't let this question confuse you hold pressure at place of bleeding Pancreatitis symptoms - CORRECT ANSWER>>upper abdominal pain, swollen and tender abdomen, nausea, vomiting, fever, increased heart rate, weight loss, and diabetes. important to note if they are chronic drinkers petite mal seizure - CORRECT ANSWER>>blank out for 3-5 seconds, still conscious, eyes may flutter zone out Focal Motor Seizure - CORRECT ANSWER>>Starts in a group of muscles a "focus" May progress to include the whole entire arm May progress to a Grand Mal Seizure grand mal seizure - CORRECT ANSWER>>They may have an "aura" Tonic-Clonic phase Loss of consciousness

clenched teeth, biting the cheek or tongue, incontinence post-itcal phase status epilepticus - CORRECT ANSWER>>A condition in which seizures recur every few minutes or last more than 5 minutes. example question: Patient is zoned out, could be poison, OD or low blood sugar or seizure, question gives you the age of the patient and no other signs or symptoms, because of the lack of signs of poison or pills or history of diabetes it is most likely - CORRECT ANSWER>>seizures Appendicitis signs and symptoms - CORRECT ANSWER>>rebound tenderness, young, pain near umbilical region, right lower quad eptopic pregnancy - CORRECT ANSWER>>implantation of the fertilized egg in any site other than the normal uterine location happens in first trimester abruptio placentae - CORRECT ANSWER>>premature separation of the placenta from the uterine wall, third trimester placenta previa - CORRECT ANSWER>>implantation of the placenta over the cervical opening or in the lower region of the uterus, third trimester spontaneous abortion - CORRECT ANSWER>>when the fetus and placenta deliver before the 20th week of pregnancy; commonly called a miscarriage subarachnoid hemorrhage - CORRECT ANSWER>>worst headache, assess bp will be low, cushing triaid, slow pulse, unbalanced respirations Left sided heart failure - CORRECT ANSWER>>shortness of breath right sided heart failure - CORRECT ANSWER>>1. Jungular Vein Distention

2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement) steps when assessing unconc patient - CORRECT ANSWER>>check for responsiveness, check for pulse, check for chest rise and fall

communicable disease PPE and decom - CORRECT ANSWER>>mask, gloves, goggles, disinfect with approved germicidal agent Oral Glucose Indications - CORRECT ANSWER>>hypoglycemia, able to swallow when to extricate before giving care - CORRECT ANSWER>>direct life threat/ scene saftey threat ex: fire in car OPIOD indications - CORRECT ANSWER>>pinpoint pupils, respiratory arrest, cyanosis, track marks Cholecystitis - CORRECT ANSWER>>inflammation of the gallbladder 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 SPO
• 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 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

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 When to remove a penetrating object? - CORRECT ANSWER>>1. Obstructs airway

2. Impedes CPR usually just stablilize 3 year old is drooling and oesn't want to eat? what does he most liekly have? - CORRECT ANSWER>>epiglottitis Signs of respiratory distress in children - CORRECT ANSWER>>grunting, intercostal retractions, nasal flaring You arrive on scene and CPR is in progress what shuld you do - CORRECT ANSWER>>apply AED AED Shockable Rhythms - CORRECT ANSWER>>V-tach and V-fib what to do for gurgling respirtations - CORRECT ANSWER>>suction pumonary edema - CORRECT ANSWER>>Abnormal accumulation of fluid in the interstitial spaces of the lungs. Blood backs up into pulmonary circulation because left ventricle can't pump it forward (Can occur acutely, such as with MI Or can occur as an exacerbation of chronic HF) Emphysema - CORRECT ANSWER>>A serious disease that destroys lung tissue and causes breathing difficulties. pink and skinny

check pulse of hypothemic oatient for at least - CORRECT ANSWER>>30 seconds signs and symptoms of congestive heart failure - CORRECT ANSWER>>-Cough (frequent, productive, hemoptysis)

• Progressive dyspnea with exertion
• Orthopnea
• Pitting edema of legs and feet or generalized edema of face, hands, or sacral area
• Heart palpitations
• Progressive fatigue or syncope with exertion
• Moist rales in lower lobes, indicating pulmonary edema What does nitroglycerin do - CORRECT ANSWER>>1. Vasodilator, opening up vessels to increase blood supply to the heart

2. Smooth muscle relaxant what position to place nitro patient in - CORRECT ANSWER>>supine responding to cardiac arrest - CORRECT ANSWER>>start w compressions then go to AED after delivery of baby - CORRECT ANSWER>>dry and warm keep at vaginal opening level hypothermia treatment - CORRECT ANSWER>>remove from cold, take off wet clothing, wrap in blankets, severe cases EMS ASAP gunshot wound, shortness of breath how to treat - CORRECT ANSWER>>ventilate, immoblize, take vitals and apply occlusive dressing puncture wound apply what - CORRECT ANSWER>>3 sided occlusive dressing head inury and blood thinner causes - CORRECT ANSWER>>hemorrraging bubbling/ bleding from chest apply - CORRECT ANSWER>>fully occulsive dressing femur fracture - CORRECT ANSWER>>lower than hip, deformities, less angulation that hip dislocations hip discolation - CORRECT ANSWER>>rotates whole leg

knife is implaed - CORRECT ANSWER>>stablilize with bulky dressings pulmonary contustion - CORRECT ANSWER>>trauma to the chest aorta dissection - CORRECT ANSWER>>tearing pain to the back Annurism - CORRECT ANSWER>>when a vessel wall weakens and balloons aorta rupture - CORRECT ANSWER>>dead Nose bleed - CORRECT ANSWER>>lean forward and pinch nose Rule of (s - CORRECT ANSWER>>arm - 9, 1/2 arm 4.5, head 9, palm 1 neck puncture wound - CORRECT ANSWER>>occlusive dressing spleen - CORRECT ANSWER>>-Upper left of the abdomen, behind the stomach and below diaphragm.

• Lymphoid tissue
• Blood vessels are connected to the spleen by splenic sinuses.
  • Function: Filter unwanted materials from the blood (including old RBC) and to help fight infections.
  • Up to 10% of the population has one or more accessory spleens that tend to form at the hilum of the original spleen. eccomosis - CORRECT ANSWER>>bruising, often caused by internal bleeding solid organ rupture - CORRECT ANSWER>>results in internal bleeding, abdominal distention, eccomosis any kind of abdominal pain first thing you do - CORRECT ANSWER>>two Es: expose and examine region pulmonary embolism - CORRECT ANSWER>>A blood clot that breaks off from a large vein and travels to the blood vessels of the lung, causing obstruction of blood flow.