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FISDAP Medical Exam Study Guide questions with correct answers
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FISDAP Medical Exam Study Guide questions with correct answers
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FISDAP Medical Exam Study Guide questions withcorrect answers
What is in the RUQ of the abdomen? Correct Answer-Bile duct, liver,
gallbladder, and a portion of the colon
What is in the LUQ? Correct Answer-stomach , spleen, and a portion of
the colon
What is in the RLQ? Correct Answer-Two portions of the large intestine
(cecum), and the appendix which is attached to the cecum
What is in the LLQ? Correct Answer-Large intestine and rectum
If a female in child bearing years has pain in the lower quadrant, assume
Correct Answer-ectopic pregnancy where a pregnancy in which the fetus
develops outside the uterus, typically in a fallopian tube.
What design causes a backup of the blood cells? Correct Answer-
Capillaries allow blood to move through them a single cell at a time.
This slows the movement of blood. However, the design of this system
can result in a backup of the blood cells.
How is the problem of the backup of blood solved? Correct Answer-To
solve this problem, the body has two systems in place to keep the blood
cells moving. The first system consists of built-in bypasses at the
capillary level. These are called arteriovenous shunts.
,What are arteriovenous shunts? Correct Answer-Some of the blood cells
will exit the arteriole only to be shunted to the venule without ever
reaching the true capillary. These blood cells do not offload their oxygen
so it might take several passes for any particular blood cell to actively
reach the true capillaries where the work of delivering oxygen supplies
and removing waste is done. : Most patients undergoing long-term
hemodialysis have some sort of shunt, a surgically created connection
between a vein and an artery.
In dialysis patients have shunts which Correct Answer-should not have a
BP cuff on them
Patients with chronic renal failure or patients who have missed
scheduled dialysis exhibit symptoms of Correct Answer-ranging from
simply not feeling well to an altered level of consciousness. In later
stages, seizures and coma are possible. Additional signs and symptoms
include lethargy, nausea, headaches, cramps, and
**edema in the extremities and face because of fluid imbalances.
What does chronic renal failure present as? Correct Answer-***vague
discomfort*** in the flank but the pain can become quite intense and
typically will radiate to the groin. These patients are often agitated and
restless as they try to get into a comfortable position to relieve the pain.
They may also report nausea and vomiting.
IF a person misses a dialysis treatment, what are the first signs? Correct
Answer-weakness and pulmonary edema
,The complications (renal dialysis) of dialysis? Correct Answer-
Hypotension
Muscle cramps
Nausea and vomiting
Hemorrhage from the access site
Infection at the access site
Fever and malaise (illness) can be a symptom if they have an infection in
their urinary catheters
How to treat the adverse effects of dialysis? Correct Answer-ABCs
Asses and manage airway, breathing, and circulation
Provide high flow oxygen if indicated
Manage bleeds from the access site
Position patient sitting up in case of pulmonary edema
Position patient supine if the patient is in shock
Leave any urinary catheters in place
Deliver patient to a hospital with dialysis capability
Toxicology scene safety Correct Answer-■ Is there an unpleasant or odd
odor in the room? If so, is the scene safe? (This could indicate an inhaled
poison.)
■ Are there medication bottles near the patient or at the scene? If so, is
there medication missing that might indicate an overdose?
■ Are there alcoholic beverage containers present?
, ■ Are there syringes or other drug paraphernalia on the scene?
■ Is there a suspicious odor and/or drug paraphernalia present that may
indicate the presence of an illegal drug laboratory? Drug laboratories can
be volatile, so ensure scene safety
Altered mental status can arise from Correct Answer-Altered mental
status can arise from a physiological issue such as a hypoglycemia,
hypoxia, impaired cerebral blood flow, and/or hyperthermia or
hypothermia. l
Patients that are high priority include:
patients who are unconscious or who have an altered mental status,
patients with airway or breathing problems,
patients with obvious circulation problems such as severe bleeding or
signs of shock.
Patients identified as needing rapid transportation still require additional
assessment and care
Patients with altered mental status could have Correct Answer-
Meningitis coupled with (fever, headache, stiff neck)
Inadequate breathing (dyspnea and hypoxia)
Hypertension ( along with severe headache, strong bounding pulse,
ringing in the ears, nausea and vomiting, dizziness, warm skin (dry or
moist), nosebleed, altered mental status, and even the sudden
development of pulmonary edema. )
Patients with seizures (only! complex partial seizure)
Head injury
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