FISDAP FINAL STUDY 151-200

A 2 week old female has a faint cry. Mom states "It's been 10 hours since she last ate". Her anterior fontanelle is depressed. What should you administer? Select one 10 mL/kg bolus of normal saline 1 g/kg of 25% dextrose 20 mL/kg bolus of lactated ringers 0.5 g/kg of 10% dextrose

10 mL/kg bolus of normal saline

You are ordered to administer a 1000 mL bolus of normal saline over 1 hour. The tubing factor is 10 drops/mL. What is the correct drops per minute? Select one: 167 1.000 173 100

167

A 4 year old male is in ventricular fibrillation. You have performed 10 cycles of effective CPR, administered epinephrine, and delivered one shock at the initial joules with no change on the ECG. You should defibrillate at Select one: 3 J/Kg. 2 J/Kg. 5 J/Kg. 4 J/Kg.

4 J/Kg.

At a multiple casualty incident (MCI), people were struck by lightning. Which patient is the highest priority for treatment? Select one: A crying 9 month old female with full thickness burns on her legs A 7 year old male with diminished peripheral pulses A 49 year old male who is unable to move his extremities A 44 year old female who is neither moving nor breathing

A 49 year old male who is unable to move his extremities

A 36 year old woman is 10 weeks pregnant. She has been vomiting for the past week and has been unable to get out of bed since yesterday. Vital signs are BP 92/40, P 130, R 18. What should you do? Select one: Administer fluids and an antiemetic Obtain blood glucose level Transport emergently on her left side Transfer to high-risk pregnancy center

Administer fluids and an antiemetic

How are seizures most often caused in the case of children? Select one: Moderate respiratory distress A lack of oxygen to the brain Bleeding within the brain An abrupt rise in body temperature

An abrupt rise in body temperature

A 43 year old male experienced slight chest discomfort and shortness of breath while playing basketball. He admits to smoking a pack of cigarettes per day. Vital signs are BP 150/88, pulse matches the ECG, R 18. His skin is warm and pink. What should you suspect? Select one: Angina pectoris Acute inferior myocardial infarction Pulmonary embolus Myocardial infarction

Angina pectoris

-An 18 year old female complains of nausea, vomiting and lower right-sided abdominal pain that started 3 days ago. Today the pain is "severe" and accompanied with "spotting." Her last menstrual cycle was 5 weeks ago and are normally irregular. What should you suspect? Select one: Appendicitis Ectopic pregnancy Pelvic inflammatory disease Renal calculi

Appendicitis

A 27 year old male complains of abdominal pain. He says it began "slowly, and wide-spread over a few days" but suddenly moved towards the right hip. His skin is hot and moist. What should you suspect? Select one: Appendicitis Kidney stone Diverticulitis Gastroenteritis

Appendicitis

A 56 year old barrel-chested male is in a tripod position and speaks in 2-3 word sentences. He has a lengthy smoking history. What should you do? Select one: Administer terbutaline Apply CPAP Apply oxygen by NRB Administer albuterol

Apply CPAP

An unresponsive 28 year old female was extricated by firefighters from an enclosed space after an oxygen-depleting fire extinguisher went off. Vital signs are P 54, R 6. What should you do? Select one: Apply oxygen via bag-valve mask Secure the patient to a backboard and transport Insert an NPA and obtain additional vital signs Apply high-flow oxygen via nonrebreather mask

Apply oxygen via bag-valve mask

Two patients were struck by a car. An 8 year old female is pulseless, apneic and pinned at the waist. A 44 year old male has bilateral lower extremity amputation with profuse bleeding. He screams "Help my baby." What should you do? Select one Secure the airway of the child Begin extrication of the child Apply tourniquets to the adult Calm and reassure the adult

Apply tourniquets to the adult

An intoxicated 18 year old is mumbling obscenities. You note empty bottles of lithium and hydrocodone on the floor. He states "I can't take it anymore." What should you do? Select one: Ask about a suicide plan Establish IV access Check a blood glucose level Apply physical restraints

Ask about a suicide plan

A 43 year old male was involved in a car crash. He has a forehead contusion, and he complains of a headache and nausea. A witness says he was unconscious for one minute after the collision. Now, he is asking repeatedly what happened. What is the most likely cause? Select one: Epidural hematoma Concussion Intoxication Compressed skull fracture

Concussion

A 54 year old female complains of chest pain that woke her in the middle of the night. She speaks in 1-2 word sentences. Vital signs are BP 192/94, P matches ECG, R 22 with diffuse crackles. What should you suspect? Select one: Hypertensive crisis Asthma exacerbation Congestive heart failure Pulmonary embolism

Congestive heart failure

You have just assisted in the delivery of an infant. The mother begins to have forceful contractions and to push vigorously. You note additional amniotic fluid. What should you suspect? Select one: Delivery of the placenta Postpartum hemorrhage Onset of an amniotic fluid emboli Delivery of a second baby

Delivery of a second baby

During which phase of the cardiac cycle do the coronary arteries receive blood flow? Select one: Diastole Depolarization Systole Repolarization

Diastole

What is the purpose of the Critical Incident Stress Debriefing process? Select one: To critique a call for a case study later Creation of a chain of events for documentation Investigation of the events of a call Diffusion of the psychological trauma to the rescuers

Diffusion of the psychological trauma to the rescuers

While transporting a 28 year old male with a sprained ankle he frequently scratches his scalp. His scalp appears irritated and you notice white and tan specks in his hair. What should you do? Select one: Restock the medic unit Disinfect the ambulance Notify a social service representative Change into a clean uniform

Disinfect the ambulance

When ventilating a patient with a bag-valve mask, you should consider which of the following? Select one: Bag should be squeezed completely Reservoir bag should remain inflated Connect to oxygen before ventilating Forceful ventilation causes barotrauma

Forceful ventilation causes barotrauma

A 34 year old male has blunt trauma to his face and neck after a car crash. You note crackles when palpating the anterior neck. He is unable to speak and has stridorous respirations. What should you suspect? Select one: Zygomatic fracture Fractured larynx Esophageal rupture Thoracic aortic disruption

Fractured larynx

A 25 year old female complains of excessive menstrual bleeding. In order to assess blood loss, what question might you ask? Select one: How many pads were saturated? When was your last menses? Has this happened before? Are you prescribed anticoagulant?

How many pads were saturated?

A 64 year old female complains of chest pain during dialysis. Vital signs are BP 110/66 P 68. R 20 and labored. What is the most likely cause? Select one: Dehydration Hypernatremia Hypocalcemia Hyperkalemia

Hyperkalemia

A 23 year old female is unable to follow your commands and has slurred speech. Her roommate states she was out drinking the night before. She has a history of diabetes and takes insulin daily. Vital signs are BP 120/72, P 112, R 24. What should you suspect? Select one: Hypoglycemia Hyperglycemia Epidural hematoma Subdural hematoma

Hypoglycemia

A 50 year old female is experiencing chest pressure. Her ECG is: VFIB She becomes unresponsive while you are obtaining IV access. Her ECG changes to the rhythm below. What should you do? Select one: Assist ventilations Begin chest compressions Assess for a pulse Immediately defibrillate

Immediately defibrillate

A 38 year old male has been struck with a brick on the left side of his head. His words are incomprehensible and he has no eye opening or motor response. He has unequal pupils, blood draining from his left ear and bruising under both eyes. Vital signs are BP 178/110, P 58, R 8. What should you suspect? Select one: Subdural hematoma Increased intracranial pressure Narcotic overdose Mild diffuse axonal injury

Increased intracranial pressure

What is the most immediate and significant complication associated with a hemorrhagic stroke? Select one: Increasing pulse pressure Increased intracranial pressure Mean arterial pressure increase Increased intrathoracic pressure

Increased intracranial pressure

A 64 year old female complains of severe chest pain with nausea. She is alert, pale, and diaphoretic. Vital Signs are BP 90/56, R22. Her pulse matches the ECG below. SINUS BRADY WITH HLAT AND SEP., ANT., AND LOW LAT MI What should you do? Select one: Administer morphine sulfate Start an epinephrine drip Perform synchronized cardioversion Initiate transcutaneous pacing

Initiate transcutaneous pacing

A 25 year old male was involved in an ATV crash at the local racetrack. He is wearing a full face helmet and is unresponsive. There is blood oozing from his mouth and his jaw is clenched. Vital signs are P 130, R 30 and gurgling, SpO2 86%. What should you do? Select one: Remove the helmet and perform a surgical cricothyrotomy Leave the helmet in place and initiate rapid transport Leave the helmet on and attempt to suction his mouth Remove the helmet and insert a nasopharyngeal airway

Leave the helmet on and attempt to suction his mouth

How do partial seizures typically present? Select one: Loss of consciousness Extended postictal period Brief tonic-clonic activity Localized to one extremity

Localized to one extremity

A 38 year old female complains of abdominal pain from contractions. She is G 4 P 3. Which assessment technique should be used to determine a prehospital birth? Select one: Medical history including obstetrical, pregnancy/children Determination of length of delivery for previous children Physical assessment of the exterior vaginal area Medical history including medications and allergies.

Medical history including obstetrical, pregnancy/children

A 24 year old female complains of left-sided flank pain that radiates into her back. She also has abdominal tenderness, irregular vaginal bleeding, and pain during sexual intercourse. What should you suspect? Select one: Appendicitis Aneurysm Ovarian cyst Urinary tract infection

Ovarian cyst

A homeless 52 year old male complains of severe epigastric pain that radiates to the back. You note a strong odor of an EtOH containing beverage on his breath. What should you suspect? Select one: Diverticulitis Pancreatitis Bowel obstruction Cholecystitis

Pancreatitis

A 44 year old female has sustained severe blunt trauma to the chest. She responds to painful stimuli and her vital signs are BP 88/76. P 130. R 24. Further assessment reveals muffled heart tones and distended neck veins. What is the definitive treatment for this patient? Select one: Pneumocentesis Thoracic decompression Pericardiocentesis Fluid resuscitation

Pericardiocentesis

You have been asked by your medical director to audit patient care reports. What patient encounter should require further review? Select one: Placement of a patient who is complaining of chest pain in the prone position on the stretcher. Assisting ventilations for a patient breathing at 16 breaths per minute with labored and shallow respirations. Spinal immobilization of a patient who slipped on the stairs and is bleeding from the scalp. Application of a traction splint to a patient who had deformity and bruising to the right upper leg.

Placement of a patient who is complaining of chest pain in the prone position on the stretcher.

A confused 68 year old male complains of dyspnea. He states that he has a history of atrial fibrillation. You hear crackles in the upper right lobe of the chest. His skin is warm and dry. Vital signs are BP 70/40, P matches ECG below, R 30. What should you suspect? Select one: Myocardial infarction CHF exacerbation Pneumonia Pulmonary embolism

Pneumonia

A 19 year old female cries and states "she is sick and tired of everything." She has admitted to alcohol use earlier in the day. Her husband states she's had mood swings since the birth of their son 1 month ago. What should you suspect? Select one: Bipolar disorder Postpartum depression Physical abuse Substance abuse

Postpartum depression

A 28 year old male screams, "the zombies are after me!" He swings his arms wildly and is fearful to stand still. He is unable to acknowledge your presence. What should you do? Select one: Prepare to administer a sedative Offer protection if he goes to the hospital Assure him that zombies are gone Ask him what medications he takes

Prepare to administer a sedative

A 67 year old female complains of a sudden onset of chest pain that began 10 minutes ago. She points to her left axillary area and states the pain is "right here". She is on antibiotics for an infection she developed during hip surgery last week. Vital signs are BP 150/90, P matches ECG below, R 20. What should you suspect? Select one Septic shock Pneumonia Pulmonary embolism Myocardial infarction

Pulmonary embolism

A 25 year old female was the driver of a car that struck a telephone pole. She is 30 weeks pregnant. During transport, she becomes pale and hypotensive. What should you do? Select one: Administer high-flow supplemental oxygen Administer an isotonic fluid bolus Re-position patient to her left-side Place the patient in reverse Trendelenburg

Re-position patient to her left-side

A 45 year old male ingested a large amount of alcohol and several different medications. His wife tells you that he has locked himself in the bedroom and has a gun. What should you do? Select one: Obtain a SAMPLE history from his wife Attempt to talk to him Examine his medicine bottles Remove his wife from the house

Remove his wife from the house

A 12 year old female is pulseless and apneic. There is a knife impaled in her sternum. What should you do? Select one: Apply direct pressure to the wound Remove the knife from the chest and perform CPR Start CPR while avoid touching the knife Stabilize the knife with a bulk dressing and tape

Remove the knife from the chest and perform CPR

A 23 year old female is short of breath and unable to speak. Her hands, fingers, feet, and toes are all contracted inwards and locked in a flexed position. Vital signs are BP 130/90, P matches ECG below, R 36. What should you suspect? Select one: Respiratory alkalosis Respiratory acidosis Pulmonary embolism Anxiety or panic attack

Respiratory alkalosis

Immediately following placement of an endotracheal tube, the lung sounds are present bilaterally and epigastric sounds are absent. What should you do? Select one: Advance the tube 3 cm deeper Attach an ETCO2 monitoring device Pull the tube back 3 cm and re-auscultate Secure the tube in place

Secure the tube in place

A 20 year old female is 10 weeks pregnant. She reports vaginal bleeding and abdominal cramps. What should you suspect? Select one: Spontaneous abortion Ovarian cyst Abruptio placenta Placenta previa

Spontaneous abortion

An 88 year old male is unresponsive with gurgling respirations. Vital signs are P 40, R 4. What should you do? Select one: Suction the airway Apply oxygen 15 Ipm Assist ventilations via bag-valve mask Perform endotracheal intubation

Suction the airway

A 6 year old female was struck by a car and thrown 10 feet. Vital signs are BP 60/P, P 140, R 10 and labored. She has subcutaneous emphysema and absent breath sounds on the left side. What should you suspect? Select one: Aortic transection Tension pneumothorax Pulmonary contusion Fractured ribs

Tension pneumothorax

An 11 year old male has been skateboarding in 100 degree temperatures and has been drinking caffeinated soft drinks. He complains of palpitations. The cardiac monitor displays a narrow-QRS tachycardia at a rate of 160 beats/minute. Vital signs are BP 110/60. P 160. R 20. What should you do? Select one: Perform vagal maneuvers and, if unsuccessful, administer adenosine. Suggest the father drives his son to the clinic since vital signs are within normal limits. Transport the patient by ambulance, monitor closely, and administer fluids en route. Obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers.

Transport the patient by ambulance, monitor closely, and administer fluids en route.

When arriving on a potential HazMat incident on the highway, you should stage emergency apparatus in which direction? Select one: Downhill and upwind Uphill and upwind Downhill and downwind Uphill and downwind

Uphill and upwind

A 22 year old male who was hit with a sledge hammer has an open skull fracture, unequal pupils, and a decerebrate posture. Vital signs are BP 188/110, P 66, R 18. What should you do? Select one: Ventilate at 20 breaths per minute Administer a benzodiazepine Administer oxygen by non-rebreather mask Apply direct pressure over the injury

Ventilate at 20 breaths per minute