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Paramedic FISDAP Finall.
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Paramedic FISDAP FinalA 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? - correct
answer-Administer oxygen while descending to a lower altitude.
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 - correct answer-Sodium
Bicarbonate.
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 - correct answer-Transport
emergency and continue ventilation.
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. - correct answer-sodium bicarbonate
Braxton Hicks contractions - correct answer-occur in the second trimester and are false
labor.
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. - correct
answer-epidural hematoma
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? - correct answer-Assist ventilations at 12 breaths per minHg.
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 - correct answer-Epinephrine
0.3mg
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. - correct
answer-Building in the park
You are at a house fire with multiple patients. Which patient should be transported First to a
burn center? - correct answer-52 year old with second degree burns to face and right hand
,What is the most common cause of status epilepticus in adults. - correct answer-Failure to
take prescribed medications
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. - correct answer-Fluid
Overload.
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. - correct answer-Diabetic ketoacidosis
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. - correct answer-Torn or lacerated spleen.
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? - correct
answer-Reposition the head.
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. - correct answer-Start CPR
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. - correct
answer-Sodium Bicarbonate.
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. - correct answer-Burp dressing
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. - correct
answer-50 joules.
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? - correct answer-Transport the patient by ambulance monitor closely and
administer fluids en route.
An 80 year old male in server respiratory distress. He has a history of hypertension and
breathing problems. He takes inderal daily. Vital signs are BP 170/70 P72 and irregular R40
, and extremely labored skin warm and diaphoretic. Lung sounds are diffuse bilateral crackles
and wheezing. He coughs up blood tinged sputum. Which of the following is most important.
- correct answer-Decreasing preload
A 50 year old patient is found lying outside on the ground. The ambient temperature is 40
degrees F. You thermometer reads 20C 86F. He is in V-fib and pulseless and apneic. You
should - correct answer-Defibrillate once perform CPR intubate and transport rapidly.
To successfully accomplish nasotracheal intubation you should advance the endotracheal
tube though the glottic opening to coincide with patient - correct answer-Inhalation
An alert 23 year old male presents with a sudden onset of shortness of breath and chest pain
after running upstairs. Breath sounds are diminished in the right side. The most likely cause
is. - correct answer-Spontaneous pneumothorax
First responders are treating an apneic adult female. You notice that they are applying
frequent long ventilations with an oxygen resuscitator. What effects with their actions create.
- correct answer-Increased capillary elasticity.
You are called to a nursing home on a hot summer day for a 88 year old male. The nurse
tells you he missed his dialysis appointment because he was complaining of nausea
vomiting headache and running a fever. Which differential diagnosis should you consider
first. - correct answer-Sepsis and hyperkalemia
You have just administered adenosine to a 62 year old patient with narrow complex tach. The
ECG shows an irregular rate of 50 then steadily climbs back to a rate of 169. What would
should suspect - correct answer-rapid atrial fibrillation.
A 63 year old male is having a diabetic emergency . He is unresponsive R12 glucometer 28.
You cannot establish IV access. You should - correct answer-administer glucagon IM
When setting up a night time landing zone for a helicopter what is the recommended area
needed. - correct answer-100x100
A 67 year old with hypo-tension and bradycardia has no responded to pacing or atropine.
You should - correct answer-administer dopamine infusion
A 19 year old male has suffered blunt trauma on his left chest. He complains of server
dyspnea and pain over the affected area. Vital signs are BP 92/60 P 128 R 32. Breath
sounds are very diminished over the left chest. You should - correct answer-perform needle
thoracostomy
A 44 year old patient has a persistent cough and occasional spits up bloody sputum . He has
been living in a a shelter for the past three weeks and he smells like alcohol you should. -
correct answer-Put on N95 mask and eye protection.
While treating a patient with suspected TB. What type of personal protective equipment is
essential - correct answer-HEPA respirator
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