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Paramedic FISDAP Final/192 Questions and Answers
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Paramedic FISDAP Final/192Questions 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?
A. Administer oxygen while descending to a lower altitude
B. Coach the patient to slow his respirations
C. Apply CPAP while the patient adapts to the elevations
D. Evacuate the patient to a hyperbaric chamber - -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
A. amiodarone
B. another fluid challenge
C. calcium chloride
D. sodium bicarbonate - -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
A. increase IV fluid administration rate
B. extubate and re-intubate the patient
C. transport emergently and continue ventilation
D. perform bilateral chest decompression and reassess - -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.
A. epinephrine
B. lidocaine
C. sodium bicarbonate
D. morphine sulfate - -sodium bicarbonate
-5. Braxton Hicks contractions
A. are mild and signal the beginning of labor
B. occur in the second trimester and are false labor
,C. cause extreme back and abdominal discomfort
D. cause dilation and effacement of the cervix - -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.
A. Subdural hematoma
B. Subarachnoid Bleed.
C. Basilar skull fracture
D. Epidural Hematoma - -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?
A. Mildly hypoventilate with a bag valve mask
B. Assist ventilations at 12 breaths per minute
C. Administer a 250 mL normal saline bolus
D. Administer 25 g of dextrose - -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
A. administer 25 mg diphenhydramine IV
B. transport immediately to the hospital
C. administer 0.3 mg epinephrine IM
D. administer 100 mg Solumedrol IV - -Epinephrine 0.3mg
-9. You are asked to set up a patient treatment area after a box labeled
"radioactive" was found unattended in a park. Which of the following would
be the best location.
A. An open area in the park
B. The Emergency Operations Center
C. The Incident Command Center
D. A building in the park - -Building in the park
-11. What is the most common cause of status epilepticus in adults.
A. Alcohol withdrawal
B. Sudden elevation in body temperature
C. Failure to take prescribed medications
D. Recent history of head trauma - -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.
A. fluid overload
B. hypokalemia
C. respiratory alkalosis
D. hypermagnesemia - -Fluid Overload.
-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.
A. perform 5 abdominal thrusts
B. Start CPR
C. Perform a finger sweep
D. Give five back slaps - -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.
A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker - -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.
A. Perform needle decompression
B. Lift a corner of the occlusive dressing
C. Establish two large bore IV's while en route to the hospital
D. Administer high flow oxygen and transport rapidly - -needle
decompression
-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?
A. transport the patient by ambulance, monitor closely, and administer fluids
en route
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