Download Emergency Medical Procedures and Assessments and more Exams Nursing in PDF only on Docsity!
TEST BANK FOR FISDAP PARAMEDIC
EXAM | ALL QUESTIONS AND CORRECT
ANSWERS | VERIFIED ANSWERS | GRADED
A+ | LATEST VERSION
What causes carpopedal spasms in patients who are hyperventilating? A. Hypercalcemia B. Hypocalcemia C. Hypocapnea D. Clonic focal motor seizures ------CORRECT ANSWER---------------B. Hypocalcemia A 64 year old female complains of weakness and nausea. A 12 Lead ECG shows normal sinus rhythm with ST elevation in V1 and V2. Vital signs are BP 132/64, R 18, P 98. What should you do? A. Administer nitroglycerin B. Administer aspirin C. Administer ondansetron D. Administer morphine ------CORRECT ANSWER---------------B. Administer aspirin What medication is an appropriate treatment for anaphylaxis? A. Nitroglycerin B. Epinephrine C. Naloxone D. Albuterol ------CORRECT ANSWER---------------B. Epinephrine The spread of an electrical impulse through the ventricles that normally measures 0.08-0.12 seconds in length is represented on an ECG as the A. QRS complex. B. T wave.
C. P wave. D. Atrial complex. ------CORRECT ANSWER---------------A. QRS complex. What should you do when you suspect child abuse? A. Question the parent about the events leading to the injury. B. Remove the child from the abuser's care. C. Confirm your suspicions of abuse. D. Report your suspicions to the appropriate authorities. ------CORRECT ANSWER---------------D. Report your suspicions to the appropriate authorities. What type of pain allows an examiner to pinpoint the area of irritation? A. Somatic B. Visceral C. Referred D. Parietal ------CORRECT ANSWER---------------A. Somatic What class of medication causes the uterus to contract? A. Antipyretics B. Oxytocics C. Antihistamines D. Steriods ------CORRECT ANSWER---------------B. Oxytocics What is the innermost layer of the heart? A. Hypercardium B. Endocardium C. Myocardium D. Epicardium ------CORRECT ANSWER---------------B. Endocardium
A. K+, Na+, Hg+++ B. Na+, K+, Ca++ C. Ca++, Na+ D. Ca++, H+ ------CORRECT ANSWER---------------B. Na+, K+, Ca++ An 80 year old male is confused and in his apartment on a hot summer day. Vital signs are BP 80/P, P 132 and regular, R 40 and shallow, skin is hot and dry. What should you suspect? A. Heatstroke B. Hypoglycemia C. Heat exhaustion D. Dementia ------CORRECT ANSWER---------------A. Heatstroke What will initial compensatory mechanisms do during hemorrhaging? A. Decrease respiratory rate and increase heart rate. B. Increase stroke volume and increase cardiac output. C. Increase cardiac output and reduce mean arterial pressure. D. Decrease peripheral vascular resistance and increase respiratory rate. -- ----CORRECT ANSWER---------------B. Increase stroke volume and increase cardiac output. What molecule are ketone bodies metabolized from? A. Carbohydrates B. Lipids C. Glycogen D. Proteins ------CORRECT ANSWER---------------B. Lipids What neural signal prevents the lungs from overinflating? A. Crutzfelts-Jacobs reflex B. Epstein-Barr reflex C. Frank-Starling reflex
D. Hering-Breuer reflex ------CORRECT ANSWER---------------D. Hering- Breuer reflex A 72 year old female woke with dyspnea. Crackles are audible to her scapulae bilaterally. She is coughing frothy pink sputum. Vital signs are BP 158/98, P 128, R 8. What should you do to improve her minute volume? A. Administer nitroglycerin 0.4 mg sublingual B. Administer furosemide 1 mg/kg IV at 20 mg/min C. Intubate and ventilate with a BVM D. Provide oxygen by non-rebreather mask ------CORRECT ANSWER------- --------C. Intubate and ventilate with a BVM A 55 year old female was in a motor vehicle crash. She starts vomiting while you attempt to nasotracheally intubate her. What should you do? A. Remove the tube and use an ET tube. B. Auscultate breath sounds over the lungs and epigastrium. C. Remove the tube and clear the airway. D. Attempt to intubate through her other nostril. ------CORRECT ANSWER-- -------------C. Remove the tube and clear the airway. A 43 year old patient was struck in the chest and has a large bruise over her sternum. She states that her heart "feels like it is beating funny. The 3 lead ECG shows sinus tachycardia with ST elevation and frequent unifocal premature ventricular contractions (PVCs). Vital signs are BP 108/80, P 124 and irregular, R 22. What medication should you administer? A. Adenosine, 6 mg over five minutes B. Amiodarone, 150 mg over 10 minutes C. Lidocaine, 1.0 mg/kg over 10 minutes D. Magnesium, 1.5 mg over 5 minutes ------CORRECT ANSWER------------- --B. Amiodarone, 150 mg over 10 minutes
A. Head, neck, extremities B. Head, chest, abdomen C. Abdomen, pelvis, arms D. Chest, pelvis, extremities ------CORRECT ANSWER---------------B. Head, chest, abdomen
- Unequal pupils are a result of pressure on which structure? A. Central medulla B. Trochlear membrane C. Vagus nerve D. Occulomotor nerve ------CORRECT ANSWER---------------D. Occulomotor nerve
- What is an abnormally high level of carbon dioxide in the blood called? A. Pneumonia B. Hypoxia C. Hypercapnia D. Emphysema ------CORRECT ANSWER---------------C. Hypercapnia
- What is oxygen deficiency in the body called? A. Hypercarbia B. Hyperoxia C. Hypoxia D. Hypoxemia ------CORRECT ANSWER---------------C. Hypoxia
- What is your initial priority at a trench collapse? A. Establishing medical command B. Maintaining control of the crowd C. Preventing a secondary collapse D. Protecting the patient's airway ------CORRECT ANSWER---------------A. Establishing medical command
- A 23 year old male complains of neck stiffness and flu symptoms for the past few days. He also describes a high fever with a severe headache, dizziness and blurred vision. What should you suspect? A. Hemorrhagic stroke B. Migraine C. Meningitis D. Influenza ------CORRECT ANSWER---------------C. Meningitis
- What causes an emphysema patient to have a pink appearance? A. Elevated PCO2 level B. Polycythemia C. Anemia D. Elevated PO2 level ------CORRECT ANSWER---------------B. Polycythemia
- Which of the following is a musical, squeaking or whistling sound heard in inspiration and expiration while auscultating lung fields? A. Wheezing B. Snoring C. Stridor D. Gurgling ------CORRECT ANSWER---------------A. Wheezing
- You are treating a 82 year old male in hypovolemic shock. In order to increase their blood pressure you should administer: A. 0.45% NaCl via IV B. isotonic fluids orally C. dextrose 5% in water via IO D. isotonic crystalloid via IV ------CORRECT ANSWER---------------D. isotonic crystalloid via IV
- What is the period of the cardiac cycle when stimulation will not produce any depolarization? A. Impulse refractory period B. Absolute refractory period C. Relative refractory period D. Transient refractory period ------CORRECT ANSWER---------------B. Absolute refractory period
- While treating a 56 year old male for chest pain, you note a few PVCs on the monitor. You print a strip and measure the distance between the normal beats on each side of the PVC. The normal sinus rhythm continues on both sides of the PVC as if it were the normal beat, even though the PVC happens sooner than the sinus beat would have. The pause after the PVC would be: A. A sign of continued ischemia B. A compensatory pause C. A non-compensatory pause D. Reynaud's Pause ------CORRECT ANSWER---------------B. A compensatory pause
- A 5 month old male is in cardiac arrest. Resuscitation efforts have been ongoing for 30 minutes. His heart rhythm is and has been asystolic throughout treatment. What should you do? A. Continue CPR and ACLS drugs for another thirty minutes B. Begin termination of resuscitative efforts C. Report suspected child abuse to the police D. Wait for the coroner before stopping CPR ------CORRECT ANSWER----- ----------B. Begin termination of resuscitative efforts
- Which of the following requires ATP? A. Active transport B. Osmosis C. Diffusion
D. Facilitated diffusion ------CORRECT ANSWER---------------A. Active transport
- A 52 year old male was the unrestrained driver in a frontal impact car crash. Which of the following injuries would lead you to believe the patient traveled "up and over" the dashboard instead of "down and under"? A. Patellar dislocation B. Cervical spine fracture C. Ruptured diaphragm D. Flail chest ------CORRECT ANSWER---------------C. Ruptured diaphragm
- How does the blood flow through the heart? A. Right ventricle to right atrium to lungs to left ventricle to left atrium B. Right atrium to right ventricle to lungs to left atrium to left ventricle C. Left ventricle to left atrium to lungs to right ventricle to right atrium D. Left atrium to left ventricle to lungs to right atrium to right ventricle ------ CORRECT ANSWER---------------B. Right atrium to right ventricle to lungs to left atrium to left ventricle
- As soon as an infant's head is delivered, what should you do? A. Determine the location of the umbilical cord. B. Rotate the shoulders to the anterolateral position. C. Examine the vulva and perineum for lacerations. D. Exert strong steady pressure on the fundus. ------CORRECT ANSWER-- -------------A. Determine the location of the umbilical cord.
- A patient has aphasia following a stroke, which lobe of the brain was affected? A. Temporal B. Occipital C. Parietal D. Frontal ------CORRECT ANSWER---------------A. Temporal
- A 24 year old male was stabbed in the thigh. Bright red blood spurts from the wound. What should you suspect that the patient severed? A. Vein B. Artery C. Ligament D. Tendon ------CORRECT ANSWER---------------B. Artery
- A 24 year old male was working underneath his car when it fell off of the jack. He was under the car approximately 20 minutes before being extricated. He has bluish discoloration of his skin above the nipple line. What should you suspect? A. Traumatic asphyxiation B. Pericardial tamponade C. Cushing's triad D. Pulmonary contusion ------CORRECT ANSWER---------------A. Traumatic asphyxiation
- A unrestrained 24 year old female driver hit an electrical pole and struck the steering wheel. She appears pale and complains of nausea and abdominal pain. What organ is LEAST likely to suffer an injury as a result of this impact? A. Spleen B. Diagphram C. Liver D. Stomach ------CORRECT ANSWER---------------D. Stomach
- What causes Down's syndrome? A. Brain trauma B. Extra chromosome C. Bacterial infection
D. Psychological trauma ------CORRECT ANSWER---------------B. Extra chromosome
- Where would you insert the needle to decompress the chest? A. Below the 3rd rib midclavicular line B. Below the 4th rib midclavicular line C. Above the 4th rib midclavicular line D. Above the 3rd rib midclavicular line ------CORRECT ANSWER--------------
- D. Above the 3rd rib midclavicular line
- A 67 year old male complains of bloody stool with accompanying nausea and emesis. He states symptoms began 3 days ago. Vital signs BP 100/86, P 88, R 18. What should you do? A. IV fluid bolus B. Administer a diuretic C. Administer an antiemetic D. Apply oxygen ------CORRECT ANSWER---------------A. IV fluid bolus
- How much time do you have to successfully intubate a patient? A. 30 seconds. B. 15 seconds. C. 60 seconds. D. 45 seconds. ------CORRECT ANSWER---------------A. 30 seconds.
- What condition results when the alveoli collapse? A. Pneumothorax B. Pneumonia C. Effusion D. Atelectasis ------CORRECT ANSWER---------------D. Atelectasis
- A 60 year old male fell onto a coffee table yesterday and he woke up this morning complaining of diffuse, dull abdominal pain. You note periumbilical bruising. What is this known as? A. Crohn's sign B. Cullen's sign C. Kehr's sign D. Grey-Turner's sign ------CORRECT ANSWER---------------B. Cullen's sign
- After placement of an ET tube, you find breath sounds are diminished on the left side but present on the right side. What should you do? A. Contact Medical Direction and ask for further instruction. B. Deflate and withdraw the tube while listening over the left side. C. Deflate the cuff, remove the tube and ventilate with a BVM. D. Continue ventilating the patient and secure the tube. ------CORRECT ANSWER---------------B. Deflate and withdraw the tube while listening over the left side.
- A 25 year old male has a closed head injury and a knife impaled in his back. He is combative and screams incomprehensible words while thrashing. What should you do? A. Titrate diazepam administration to gain control of the patient. B. Use straps and spine board to gain control of the patient. C. Use rapid sequence intubation to protect the patient. D. Request the police to restrain the patient for transport. ------CORRECT ANSWER---------------C. Use rapid sequence intubation to protect the patient.
- What does the body use for fuel in diabetic ketoacidosis? A. Acids B. Fats C. Glucose D. Ketones ------CORRECT ANSWER---------------B. Fats
- What neurotransmitter found in the brain that regulates mood, anxiety, and sleep? A. Acetylcholine B. Gamma-aminobutyric acid C. Norepinephrine D. Serotonin ------CORRECT ANSWER---------------D. Serotonin
- A 38 year old female complains of sudden onset of shortness of breath. She has no previous history and no allergies. Her only medications are birth control pills. Her last meal was 8 hours earlier at an airport prior to her flight home. What should you suspect? A. Allergic reaction B. Pulmonary embolus C. Influenza D. Undiagnosed asthma ------CORRECT ANSWER---------------B. Pulmonary embolus
- A 35 year old epileptic is actively seizing (full clonic movement). What medication should you consider? A. Verapamil B. Procainamide C. Lorazepam D. Calcium ------CORRECT ANSWER---------------C. Lorazepam
- What causes Tuberculosis? A. Bacteria B. Fungus C. Antibody D. Virus ------CORRECT ANSWER---------------A. Bacteria
- A 12 year old male has suffered a blast injury. What phase would projectiles have caused injury to the patient? A. Primary B. Quaternary C. Tertiary D. Secondary ------CORRECT ANSWER---------------D. Secondary
- A 25 year old female began to experience shortness of breath, chest tightness, and coughing. She has difficulty speaking in full sentences. Vital signs are BP 116/64, P 96 and regular, RR 24 and labored, SpO2 93% on room air. You auscultate her lung sounds and hear high-pitched lung sounds on exhalation. What should you do? A. Assist with her prescribed nitroglycerin B. Administer albuterol via a nebulizer C. Administer abdominal thrusts D. Assist ventilations with a bag-valve mask ------CORRECT ANSWER------ ---------B. Administer albuterol via a nebulizer
- You have been assigned to triage at an MCI. Your patient is bleeding from a cut on his head, R 22, P 100 radially, and he keeps asking "What happened?". What priority should be assigned to this patient? A. Yellow B. Red C. Black D. Green ------CORRECT ANSWER---------------A. Yellow
- A 32 year old female seated at a restaurant has severe wheezing. She is flushed, appears anxious, and has a runny nose. She states that she is allergic to shellfish and peanuts. What should you suspect? A. Anaphylaxis B. Epiglottitis C. Asthma D. Aspiration ------CORRECT ANSWER---------------A. Anaphylaxis
- You arrive on scene to find a 14 year old male leaning forward in a chair. He appears anxious, is drooling and you hear high-pitched sounds when he inhales. His mother states he has a fever and has been complaining of a sore throat. What should you suspect? A. Anaphylaxis B. Asthma C. Croup D. Epiglottitis ------CORRECT ANSWER---------------D. Epiglottitis
- How should you ensure that your glucometer is functioning properly? A. Insert a test strip and ensure that the glucometer turns on. B. Measure your partner's blood glucose level and compare to normal. C. Measure your own blood glucose level and compare to your normal. D. Insert a test strip and acquire a drop of the glucometer control solution -- ----CORRECT ANSWER---------------D. Insert a test strip and acquire a drop of the glucometer control solution
- What is the biggest difference between cardiogenic shock and hemorrhagic shock? A. Pulmonary edema B. Hypotension C. Cardiac Arrest D. Cyanosis ------CORRECT ANSWER---------------A. Pulmonary edema
- When you apply an end-tidal CO2 monitor, what are the 3 main items you are measuring? A. Metabolism, perfusion, and ventilation B. Metabolism, perfusion, and respiration C. Metabolism, cardiac output, and ventilation D. Perfusion, ventilation, and oxygenation ------CORRECT ANSWER--------- ------A. Metabolism, perfusion, and ventilation
