Paramedic FISDAP Final exam with complete questions and answers, Exams of Advanced Education

Download Paramedic FISDAP Final exam with complete questions and answers and more Exams Advanced Education in PDF only on Docsity! Paramedic FISDAP Final exam with complete questions and answers 1. A 30 year old climber is experiencing sever shortness of breath after reaching an elevation of 12000feet. The PT is very anxious and has rales noted to all quadrants but is otherwise healthy. He is not accustomed to high altitudes. What should you do? - Administer oxygen while descending to a lower altitude. 2. A 26 year old female does not respond to verbal stimuli but moans in response to pain. A friend states the patient has ingested approx 150 amitriptyline tables. Vital Signs are BP 88/50 R16. You establish IV access and administer a fluid challenge. En route to the hospital her ECG shows a widening QRS. You should administer - Sodium Bicarbonate. 3. You PT experienced trauma yesterday and you are transferring her to a larger facility. She has been experiencing progressive hypoxia. You notice coarse crackles in all lung fields on ventilation. Vital signs are BP 90/50 and SPO2 90%. You should - Transport emergency and continue ventilation. 4. An alert 22 year old male was just disentangled from debris in a house collapse. He denies head or neck pain, but complains of server hip pain. Vital signs are BP 88/40. P120 R 16 you should administer. - sodium bicarbonate 5. Braxton Hicks contractions - occur in the second trimester and are false labor. 6. A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke up and walked home. You find him 2 hours later at home unconscious. You should suspect. - epidural hematoma 7. A 47 year old male who was found unconscious on the side of the road respond only to painful stimulus. When you attempt to establish IV access he stiffens his arms and legs. He has minor abrasions all over his body. Vital signs are BO 178/122 P56 R irregular ETCO2 30. What should you do? - Assist ventilations at 12 breaths per minHg. 8. A 28 year old female has a sudden onset of tightness in her chest and server difficulty breathing. Her tongue face and neck appear swollen and she has red itchy hives on her torso. Her signs are BP 80/40 P 130. You should administer - Epinephrine 0.3mg 9. You are asked to set up a patient treatment area after a box labeled "radio active" was found unattended in a park. Which of the following would be the best location. - Building in the park 10. You are at a house fire with multiple patients. Which patient should be transported First to a burn center? - 52 year old with second degree burns to face and right hand 11. What is the most common cause of status epilepticus in adults. - Failure to take prescribed medications 12. A 58 year old male with history of renal failure complains of dizziness lethargy and difficulty breathing. He says he missed his last dialysis appointment. Vital signs are BP 160/90 P 100 R 28 with rales heard in the basses. SPO2 92% you should suspect. - Fluid Overload. 13. A 12 year old girl is seizing. Her mom tells you that her daughter has been feeling tired for days. Her skin is dry and she has been very thirsty. Vital signs are BP 118/80 P115 R26 you should suspect. - Diabetic ketoacidosis 14. A 42 year old female has fallen down a flight of stairs. She appears anxious her skin is cool and clammy her radial pulses are weak at 112 beats per min and she complains of abdominal pain in the left upper quadrant with radiation to the left scapula. You should suspect. - Torn or lacerated spleen. 15. Emergency medical responders are ventilating an apneic medical patient with a bag valve mask. You note abdominal distention and minimal chest rise. What should you do? - Reposition the head. 16. A 6 month old male was found lying face down in the crib. He is cyanotic and apneic. A weak brachial pulse is present. You are unable to see a chest rise with your second attempt at rescue breathing after repositioning the head. What should you do. - Start CPR 17. You have just been called to a dialysis clinic for a 58 year old male in cardiac arrest. The online physician may order you to administer which of the following medications. - Sodium Bicarbonate. 18. A 27 year old male has been assaulted with a pen in the supraclavicular area. He is anxious and pale and his vital signs are BP 80/42 P 128 R 32 and shallow. First responders have sealed the wound with a bandage. Assessment reveals lung sounds on the right and poor chest rise what should you do. - Burp dressing 19. A 50 pound child is unresponsive pulseless and apneic. The cardiac monitor displays ventricular fibrillations. CPR is in progress. The initial defibrillator should be at. - 50 joules. 20. An 11 year old male has been skateboarding in 100 degrees temperature and has been drinking caffeinated soft drinks. He complains of palpations. The cardiac monitor displays a narrow QRS tachycardia at a rate of 160 beats. Vitals signs BP 110/60 P160 R 20 What should you do? - Transport the patient by ambulance monitor closely and administer fluids en route. 90/40 P 110 R 28 what is the most likely explanation for her change in vitals. - Supine hypotensive syndrome 44. A 3 month old infant who weighs 6kg has a history of congenital heart disease. Vital signs are R60 the ECG hows a narrow complex tachycardia at a rate or 240 cyandic nail beds and spo2 at 88% what should you administer. - 0.6 or adenosine IV 45. A 44 year old male fell from a ladder and is now complaining of pain in the middle of his back at the level of his shoulders blades. He responds to verbal stimulus and vitals signs are BP 70/50 P64 R 20. The patient is most likely suffering from - neurogenic shock 46. A 63 year old female chocked on a piece of steak and is apneic. You partner has visualized a partial obstruction in the trachea. He has been trying to grab it with forceps for more than 2 minutes. What should you advise him to do? - Remove the blade and attempt to ventilate. 47. An unconscious 13 year old patient has minor abrasion on his torso after being struck by a vehicle. The child's parents are not on scene law enforcement and an EMS supervisor are on scene You should? - transport the patent to hospital 48. A 38 year old female is crowing. You note the amniotic fluid contains a substance resembling pea soup. An apneic blue limp infant with a heart rate of 80 beats is delivers. How should you treat the infant. - Suction with a bulb syringe and ventilate. 49. A 56 year old female has a sudden onset of substernal chest pressure. She denies any shortness of breath or nausea. She has a history of arthrosporic heart disease and is talking verapamil. Vital signs are BP 160/90 pulse matches the ECG rhythm below R 16 skin warm and dry. and lungs clear bilateral. What should you do. - Nitroglycerin 50. A 64 year old is sitting in his living room in moderate distress. He is able to speak to you in full sentences but claims he is not feeling right. Vitals signs are BP 1110/64 R 16. Pulse matches monitor (super vertical tachycardia) what should you do. - vagal fluids adenosine. 51. Which I V will be able to administer the most fluid in the least amount of time. - 14 gauge 1/2 inch IV catheter. 52. A 30 year old man is breathing fast and deep. He works at a preschool and believes that the children plan to harm him. Which of the following statement is most helpful when treating the patient. - I understand that you are concerned. Can you tell me more about why you fell this way. 53. A 67 year old man has collapsed and is on the floor. He is pale clammy and moaning with vomit around his mouth. Vital signs are BP 180/30 P110 and weak R28 and shallow. Oropharynx is clear and lungs are clear bilaterally. His ECG shows ventricular tachycardia. That should you do? - Synchronized cardio100J 54. You arrive at the scene of a single vehicle crash. A woman walks up to a your ambulance with a cut on her forehead. You should - determine if she is the only victim 55. A 73 year old male has several fractured ribs on his right side with unequal chest wall movement. He has dyspnea and diminished breath sounds on the right. Vital signs are BP 124/76 P124 R 26 and shallow. His trachea is mid line and neck veins are flat. Most likely has - a flail chest segment 56. You have just converted a 318 lb cardiac arrest patient into a normal sinus rhythm. She is hypotensive and you have been ordered to start the an epinephrine drip at 3mcg/min using a 60 drip set. You have mixed a 4:1 concentration of epinephrine and should set the drip rate at - 45 drops/min (clock) 57. You are assisting with a deliver and the infants head has been deviled. You notice the umbilical cord is wrapped around the infants neck. You should - gently slip the cord over the infants head or clamp the cord in two places and cut between the clamps to release the cord. 58. A 50 year old male is complaining of a chronic cough. He has lost his appetite and has had hot flashes and periods of sweating during the night. He has noticed some red specks in his sputum when he coughs. You should suspect - Tuberculosis 59. A patient has surfaced rapidly from a deep dive and is now complaining of difficultly breathing and extreme muscle and joint pain. You should - Transport rapidly to the nearest hyperbaric chamber. 60. It is mid-December and a 13 month old child is awakened in the middle of the night with barking cough and inspiratory stridor. The child has been ill for a few days with chills and congestion. You should suspect - croup 61. An 80 year old male has just collapsed. Vital signs are BP 90/40 pulse matches ECG 3 degree block R 20 What should you do? - Apply transcutaneous pacing. 62. A patient involved in a motor vehicle crash has an obvious open femur fracture and an angulated right forarm. He is bleeding servery from a scalp laceration. His left arm is guarding his chest and he gasps "i cant breath". You should be MOST concerned by the - respiratory difficulty 63. A 37 year male is chocking and has become unconscious. Attempts to ventilate are unsuccessful. you should - perform chest compressions 64. An unconscious 78 year old male post cardiac arrest is being actively ventilated with a bag valve mask. Initial vitals are BP 98/40 P 82 and irregular. After several minutes reassessment of vital signs are etco2 22 BP 68/28 and irregular spo2 92 you should - decrease the rate of respirations 65. An 86 year old female presents with a rhythm in the ECG she is immobile due to server arthritis and has a history or atherosclerosis and hypertension. What should you suspect - Left ventricular hypertrophy LVH 66. A 37 year old suicidal male is bing violent. Police has pinned him in a prone position but he continues to struggle and fight. You should - sedate the patient and place him supine on the stretcher in soft restraints 67. The termination of pregnancy for maternal health reasons is called a - therapeutic abortion 68. While using the START system at a major incident you encounter a patient not breathing. After positioning the airway the patient breaths 16 a min. You should catagorize him as? - Immediate 69. You are transporting the victim of a major trauma which occurred yesterday to a larger facility. This patient has been experiencing progressive hypoxemia. You hear coarse crackles blatantly during auscultation of the lungs and the pulse oximetry reading is falling in spite of the patent being intubated. You should suspect - that acute respiratory distress syndrome has developed 70. A 19 year old female is 25 weeks pregnant. She has server headache blurred vision and edema she has not regularly seen a doctor during her pregnancy. What other symptom should you expect. - hypertension 71. Which of the following is a cause of multifocal atrial tachycardia - Electrolyte imbalance 72. After receiving Narcan. A patient is waking up quickly and pulling at the airway you have placed. Before removing it you should - prepare to begin suctioning 73. A 66 year old male complains of server dyspnea. His has breath sounds on the right and diminished on the left. He has a long history of cigarette smoking. Vital signs are BP 80/30 P124 R 26 and shallow SPO2 88% on 4 lpm What should you suspect? - Emphysema exacerbation 74. A patient is complains of left calf pain. The left leg is cool to the touch and paler than the right leg. You should suspect - Arterial occlusion 75. After placing a combitube bilateral breath sounds are present and chest rise is equal. You notice quiet gurgling in the stomach with each ventilation. You should. - add air to the distal cuff 76. A seven month old is breathing at a rate of 60 per min. He has nasal flaring and intercostal deformed and obviously angulated. Distal pulses are intact. You should - apply ice split in position found and transport 100. A 53 year old man fell from a ladder. he has multiple abrasions and localized swelling on his head. You have oratorically intubated him. His ETOC2 is 30 his pupils are midpoint and reactive how many times per minute should you ventilate - 10 102. A patient involved in a fist fight. He complains of point tenderness in the right upper abdominal quadrant. You should suspect injury to the - liver 103. Successful intubation of a newborn is more successful by placing padding under the - shoulders 104. For the past 5 min you have been providing ventilations to an intubated patient and performing CPR it is becoming progressively more difficult to ventilate and the chest is moving less during inspiration. What should you suspect - tension pneumothorax 105. An elderly pt is complaining of dyspnea that woke her from sleep about an hour ago. She denies chest pain. Auscultation reveals wheezing and crackles in both lower lobes of her lungs. Vitals signs are 158/108 P 128 and irregular R 32 and slightly labored what should you administer - albuterol 106. A 59 year old pt is lethargic with shallow respiration he has a valid DNR order during transport his respiratory rate diminishes to 8 breaths a min you should - begin assisting with a bvm 107. a 89 year old nursing home pt is in respiratory distress. She is on 3 lpm of oxygen by nasal cannula. She has a history of COPD asthma and diabetic and you note wheezing in all lung fields. Vitals BP 146/84 P 114 R 24 you should - place her on 15 lpm or oxygen via nonrebreather mask 108. you are performing Orotracheal intubation with a mac blade. You can see the cords when you notice the top of the blade is in the vellicula you should - pass an ET through the cords 109. A confused 34 year old male is ambulatory ofter crashing his car. Airbags were deployed he complains of extreme wrist pain and double vision . You note deformity and superficial burns on his writs what should you do - cspine 110 A patient with server closed head injury vitals 180/112 P 48 R 8 and irregular immediate treatment should include - intubate and ventilate at 20 breaths per min 110 A 22 year old pregnant patient is experiencing a significant amount of painless bleeding shorty after sexual intercourse. The most likely cause is - placenta previa 111. An elderly patient has been ill for last few days and has been vomiting. He reports chest discomfort and is now pale and diaphoretic. Vitals BP 130/70 R24. ECG shows (afib RVR) You administer oxygen and now have an IV you should. - Fluid bolus 112. Signs and symptoms of hypoglycemia may mimic which of the following conditions - CVA 113. A patient complains of server right upper quadrant pain. Right scapula pain and nausea after eating a cheeseburger you should suspect - cholecystitis 114. Your patent is suffering from exacerbated emphysema which of the following medications is least likely to be a part of his standard therapy - nitrates 115. A 7 year old has a suspected broken arm and numerous bruises what finding would lead you to suspect that a mothers account of the injures may not be true. - You note purple yellow and green bruises ( indicates different stages of healing) 116. A 19 year old female collapsed in the top bleaches during a concert. She is unresponsive and does not appear to be breathing. how should you asses her respiratory status? - place a hand on the chest 117. Followng a cardioversion of a 72 year old female she coverts to the rhythm bellow ( 3 degree) you identity this as - third degree heart block 118. A 13 year old has been found unresponsive. Her mother proves you with a prescription bottle of Oxycontin. What should you give? - narcan 119 A man was involved in a lateral impact auto accident that deformed the vehicle. The patient could have sustained a? - traumatic aortic dissection 120 You are assisting with vaginal delivery. The infant head has been delivered and the mouth and nose suction. To deliver the anterior shoulder you should - gently guide the infants head downward 121. A 22 year old female 22 weeks pregnant is experiencing abdominal discomfort during evaluation you notice the umbilical cord is pressing the vaginal canal. How should the patient be positioned - supine with legs open 122. Which of the following situations constitutes abandonment? - A patient is unattended in the ambulance while loading a second patient 123. A patient is arching his back and rolling his eyes upward. He was recently prescribed compazine. How should you teat this patient? - 25 mg benadryl IVP 124. A 38 year old male has been sick for a few days he is now complaining of sharp mid chest pain vitals 118/69 pulse 124 and regular and R 24 and slight laberod temp 102. You should suspect? - pericarditis 125 46 year old male is alert oriented and complains of a headache. He has tremors in his hands he has been in the detox unit for 32 hours . Vitals signs are BP 210/100 P100 R 25. He has a history of alcoholism and seizures. He takes tegretol you should administer - 20mg diazepam 126. You are reliving a crew form a 24 hour shift before you compete the ambulance check you are dispatched to a cardiac arrest with CPR in progress. what should you do before leaving for the call? - ensure essential equipment is present and the ECG monitor is functional 127. A pregnant patient is experiencing contractions upon examination you notice that the infantst head is bulging from the premium and the patent has the urge to push what stage of labor is this? - two 128. you are dispatched to a playground for a patent with difficulty breathing. Upon arrival you find a five year old male who appears anxious with noted cyanosis and intercostal retraction BP 85/pb P112 R24 with swelling of the upper airway. You should suspect - anaphylaxis 129. A 28 year old female is 34 weeks pregnant and experiences sudden sharp tearing pain in her abdomen and developers a rigid abdomen what should you suspect - abruptio placenta 130. After a prehospital delivery the mother should be allowed to breastfeed her newborn because - breast feeding helps constrict the uterus and reduce bleeding 131. A two year old male has been ill for several days with a respirator tract infection. Yesterday he developed server headache high fever and extreme lethargy. You should suspect. - meningitis 132. When starting an external jugular IV the needle should point - toward the feet 133. while using the backwards upward right pressure BURP maneuver during an orotracheal intubation you patient begins to vomit. What should you do? - Stop the intubation attempt and suction 134. You have just assisted with the delivery of a 32 week old infant. She is apneic and has a pulse of 64. What should you do? - open the airway ventilate with a bag valve mask for 30 seconds and reassess 135. During a yearly heath screening a clinic discovered your patient has the heart rhythm shown below (bradycardia). She alert and oriented but scared because the clinic call for an ambulance Vital signs bp 114/50 R12 spo2 99%. You should administer - atropine 159. Your crew is the first unit to arrive for a suspected radiation emergence after a box labeled recitative material was found unattended in a park. What three principals should you follow? - time distance and shielding 160. A 19 year old male has suffered a significant blunt trauma to his left anterior chest. He is in obvious respiratory distress vital signs are BP 80/p P 140 R 32 lung sounds are diminished and there is dullness to percussion over the left side of the chest. You should suspect - hemothorax 161. Side effects of oral contraceptives include - pulmonary embolism and stroke. 162. You are first on scene of a car crash. You partner stops the ambulance a safe distance from a single vehicle that crashed into a concrete barrier. Black smoke is coming from underneath the hood. The vehicles only occupant screams for assistance you should? - rapidly extricate the occupant without a cervical collar 163. A 50 year old female is experiencing chest pressure her ECG is ( sinus tack) she becomes unresponsive while you are obtaining iv access her ECG changes to the rhythm below. What should you do? - asses for a pulse 164. A 50 year old female is experiencing chest pain then goes into ventricular fibrillation. What should you do? - Defibrillate 165 The medications prepreanolol atenolol and metoproloe are examples of? - beta adrengic blockers 165 A 17 year old male alert was struck in abdomen with large wrench vitals 90/78 P128 weak R 22 skin is pale and cool and diaphoretic. The abdomen is bruised and rigid you should? - rapidly transport to a level one 166. A 14 year old male is found in an intoxicated condition. His friends report he admitted to drinking alcohol taken from his fathers workshop. The container is marked methanol not for human consumption. Definitive treatment for his condition is administration of - ethanol 167. A 74 year old patent is short of breath he has had a slight fever since yesterday and he suffers from frequent urinary track infections. Lung sounds are present with rhonchi and slight crackles in all fields. Vitals 110/80 P100 R30 temp 102 you should suspect? - pneumonia 168. The ECG of a post cardiac arrest adult shows sinus tachycardia at a rate of 120 with bp 60/40 you should give? - dopamine 5-20 169 One year old has been ill with multiple episodes of emesis and diarrhea. Asses shows a lethargic 35 pond child who has mottled skin dry mucous membranes cap >2 sounds P 220. After securing airway you providing high consultation oxygen and establishing an IV you should? - give 320 cc fluid bolus 170. A 79 year old female complains of labored respirations she is cyanotic and has a history of CHF identify the following rhythm (sinus tach) and appropriate treatment - sinus tachycardia administer nitroglycerin 171. A patient who complains of pain in left upper quadrant is most likely suffering from - pancreatitis 172. A 28 year old woman complains of sudden onset severe abdominal pain that radiates to her shoulder 88/60 P 100 R 20 skin cool pale and clammy states her last menstrual period was 8-10 weeks ago you should suspect - ectopic pregnancy 173. You have just fished a stressful shift. you are frustrated and angry with how some of your calls resolved you should - talk to an internal critical incident stress counselor 174. A 78 year old female is lying supine in an nursing home bed with labored respiration she is semi-conscious cyanotic and the nurse tells you she has a history of CHF 80/40 spo2 90 pulse is ventricular tachycardia you should? - perform sync cardiovert 175 An adult has a foot laceration from a farming accident he is alert and refusing treatment his religious beliefs do not permit medical you should - document the patient wishes 176. A 50 year old female tripped down four steps. Her airway is patent radial P 100 R 16 what other initial information do you need to decide if she is unstable? - mental status 177. Management of all newborns includes - prevent heat loss opening the airway and evaluating of the infant 178 A 6 year old female has suffered blunt trauma to her upper right quadrant she responds to painful stimulation BP 50/30 P110 you should most likely suspect damage to her? - liver 179 A 12 lead show 4mm of ST elevation in leads II III and avf you should suspect? - an inferior wall MI 180. A 58 year old male is complaining of swollen legs and feet and increased heart rate. you note distended neck veins and abdominal distention you should suspect - right sided heart failure 181. In what hazardous material zones does triage and treatment occur - cold 182. An 87 year old patient with recent history of hematuria and lower abdominal pain now presents with altered mental status her physical exam is otherwise unremarkable. She is resident of adult foster home. A likely cause is? - urinary tract infection 183. A 26 year old male is experiencing dyspnea after being struck in the chest during a bar fight. He has a history of asthma and has taken his inhaler without relief he has busing to the right side of the rib cage with crepitus P128 R24 with clear bilateral lung sounds spo2 86% what should you do? - assist ventilations with a bag valve mask 184 You have just intubated and adult and you have been successful you hear no sounds in epigastric and equal lung sounds you should? - attach etco2 monitor 185. A 50 year old female has just been struck by a car she is alert and complains of shortness of breath. You note crepitation and paradoxical movement in her right chest R 26 spo2 89 you should - augment ventilation with positive pressure 186. While treating a patient for a cardiac event, you forget to administer aspirin. The patient suffers a MI and subsequently dies. The family is suing you for negligence, which element of negligence still needs to be proven? - proximate cause 187. A patent has sustained a soft tissue injury to the face you main concern is? - managing the airway 188 Your partner started an IV and dropped the needed. The exposed needle is wedged between the stretcher bracket and crack on the tile you should? - use a needle nose clap to properly dispose of the needle 189. Which of the following medication is most likely to be prescribed for a server resp conditions - ipratropium 190. You should use lactated ringers and normal saline if you goal is to deliver a - isotonic what will remain in the intravascular space longer than other crystalloids 191. You have been assigned to triage at an MCI a patent complains of small laceration on his forearm R24 and absent radial pulses using start triage you should assign this person as? - immediate 192. A 26 year old female has been involved in an explosion at a chem lab. She has first and second degree burns to her face. Witnesses state that her shirt had been on fire and stopped burning you should suspect? - extensive airway burns 193. A 3 year old female has surfed burns to both her hands after grabbing a hot exhaust pipe the injured area shows dark chard skin. These burns should be considered? - critical 194. A 200 pound woman is having difficulty breathing which of the following devices is most appropriate for carrying her down stars.? - stair chair 195 A patient has polymorphic ventricular fibrillation you would give? - mag