Medical Over View Fisdap Exam
Review II With Accurate Latest Update
In patients with deeply pigmented skin, changes in color may be apparent only in
certain areas, such as the: - ANSWER-lips or oral mucosa
When performing the secondary assessment on a trauma patient, you note the
presence of Battle sign. This is defined as: - ANSWER-bruising behind the ear
In the adult, bradycardia is defined as a pulse rate less than _______ beats/min, and
tachycardia is defined as a heart rate greater than _______ beats/min. - ANSWER-
60, 100
As you assess the head of a patient with a suspected spinal injury, your partner
should: - ANSWER-maintain stabilization of the head
A blood pressure cuff that is too small for a patient's arm will give a: - ANSWER-
falsely high systolic and diastolic reading
A patient with high blood pressure would be expected to have skin that is: -
ANSWER-flushed and red
After performing a primary assessment, a rapid exam of the body should be
performed to: - ANSWER-identify less-obvious injuries that require immediate
treatment
For which of the following patients is spinal immobilization clearly indicated? -
ANSWER-Man with altered mental status after being exposed to blunt force trauma
When you inspect a patient's pupils with a penlight, the pupils should normally react
to the light by: - ANSWER-constricting
During the primary assessment, circulation is evaluated by assessing: - ANSWER-
pulse quality, external bleeding, and skin condition
A 39-year-old male sustained a stab wound to the groin during an altercation at a
bar. As you approach the patient, you note that he is conscious, is screaming in pain,
and is attempting to control the bleeding, which is bright red and spurting from his
groin area. You should: - ANSWER-apply direct pressure to the wound
The diastolic blood pressure represents the: - ANSWER-minimum amount of
pressure that is always present in the arteries
When using the pulse oximeter as part of your assessment of a patient, it is
important to remember that: - ANSWER-any situation that causes vasoconstriction or
,loss of red blood cells, such as anemia or bleeding, may result in an inaccurate or
misleading value.
A patient with profuse sweating is referred to as being: - ANSWER-diaphoretic
Which of the following statements regarding stridor is correct? - ANSWER-It is a
high-pitched, crowing upper airway sound
Poor peripheral circulation will cause the skin to appear: - ANSWER-ashen
A properly sized blood pressure cuff should cover: - ANSWER-two thirds the length
from the armpit to the crease at the elbow
Capnography is used to: - ANSWER-determine how much carbon dioxide is being
exhaled
Normal respiratory rates should not exceed _______ breaths per minute in toddlers
and _______ breaths per minute in infants. - ANSWER-40, 60
Jugular venous distention suggests a problem with blood returning to the heart if the
patient is: - ANSWER-sitting up at a 45° angle
Which of the following MOST accurately describes what the patient will experience
during the postictal state that follows a seizure? - ANSWER-Confusion and fatigue
Which of the following conditions would MOST likely affect the entire brain? -
ANSWER-Respiratory failure or cardiopulmonary arrest
Your patient answers your questions appropriately, although her eyes remain closed
the entire time. She moves each extremity on command, although her left side is
weaker than the right. You should assign a Glasgow Coma Scale (GCS) score of: -
ANSWER-12
Interruption of cerebral blood flow may result from all of the following, EXCEPT: -
ANSWER-cerebral Vasodilation
The principal clinical difference between a stroke and hypoglycemia is that patients
with hypoglycemia: - ANSWER-usually have an altered mental status or decreased
level of consciousness.
When assessing for arm drift of a patient with a suspected stroke, you should: -
ANSWER-ask the patient to close his or her eyes during the assessment.
When transporting a stable stroke patient with a paralyzed extremity, place the
patient in a: - ANSWER-recumbent position with the paralyzed side down.
When you are obtaining medical history from the family of a suspected stroke
patient, it is MOST important to determine: - ANSWER-when the patient last
appeared normal
, A patient with an altered mental status is: - ANSWER-not thinking clearly or is
incapable of being aroused
Which of the following MOST accurately describes the cause of an ischemic stroke?
- ANSWER-Blockage of a cerebral artery
You are assessing a 49-year-old man who, according to his wife, experienced a
sudden, severe headache and then passed out. He is unresponsive and has slow,
irregular breathing. His blood pressure is 190/94 mm Hg, and his pulse rate is 50
beats/min. His wife tells you that he has hypertension and diabetes. He has MOST
likely experienced: - ANSWER-a ruptured cerebral artery.
Status epilepticus is characterized by - ANSWER-prolonged seizures without a
return of consciousness
The mental status of a patient who has experienced a generalized seizure: -
ANSWER-is likely to improve over a period of 5 to 30 minutes
A 29-year-old male complains of a severe headache and nausea that has gradually
worsened over the past 12 hours. He is conscious, alert, and oriented and tells you
that his physician diagnosed him with migraine headaches. He further tells you that
he has taken numerous different medications, but none of them seems to help. His
blood pressure is 132/74 mm Hg, his pulse is 110 beats/min and strong, and his
respirations are 20 breaths/min. Treatment should include: - ANSWER-dimming the
lights in the back of the ambulance and transporting without lights and siren.
An area of swelling or enlargement in a weakened arterial wall is called: - ANSWER-
an aneurysm.
You are caring for a 68-year-old man with sudden onset of left-sided paralysis and
slurred speech. His airway is patent, his respirations are 14 breaths/min with
adequate depth, and his oxygen saturation is 98%. Treatment for this patient should
include: - ANSWER-recovery position and transport
A patient who is experiencing aphasia is: - ANSWER-unable to produce or
understand speech.
Febrile seizures: - ANSWER-are usually benign but should be evaluated.
Your patient opens his eyes, moans, and pulls away from you when you pinch his
trapezius muscle. You should assign a Glasgow Coma Scale (GCS) score of: -
ANSWER-8
Which of the following findings should concern the EMT the MOST when assessing
a patient who complains of a headache? - ANSWER-Neck stiffness or pain
The kidneys help to regulate blood pressure by: - ANSWER-removing sodium and
water from the body.
