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PALS PRECOURSE TEST QUESTIONS STUDY GUIDE ACTUAL EXAM QUESTIONS & COMPLETE ANSWERS AND DEFINITIONS

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1. Parents of a 1-year-old female phoned EMS when they picked up their daughter from the babysitter. Paramedics perform an initial impression reveal- ing an obtunded infant with irregular breathing, bruises over the abdomen, abdominal distension, and cyanosis. Assisted bag-mask ventilation with 100% oxygen is initiated. On primary assessment heart rate is 36/min, peripheral pulses cannot be palpated, and central pulses are barely palpable. Cardiac monitor shows sinus bradycardia. Chest compressions are started at 15:2. In the ED the infant is intubated and ventilated, and IV access is established. The heart rate is now up to 150/min, but there are weak central pulses and no distal pulses. Systolic BP is 74. Of the following, which would be most useful in management of this infant? A. Synchronized cardioversion B. Epinephrine 0.01 mg/kg (0.1 mL/kg of 1:10,000 dilution) IV C. Rapid bolus of 20 mL/kg of isotonic crystalloid D. Atropine 0.02 mg/kg IV Answer C

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Institution
Paramedic FISDAP
Module
Paramedic FISDAP

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Paramedic FISDAP Final Exam
200 Questions Correctly Answered

Rated A+ | Latest Guide


1. 1. A 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?

Answer> Administer oxygen while descending to a lower altitude.

2. 2. 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

Answer> Sodium Bicarbonate.


3. 3. 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

Answer> Transport emergency and continue ventilation.


4. 4. 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.

Answer> sodium bicarbonate

5. 5. Braxton Hicks contractions

Answer> occur in the second trimester and are false labor.

6. 6. 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.

Answer> epidural hematoma


7. 7. 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?

Answer> Assist ventilations at 12 breaths per minHg.

8. 8. 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

Answer> Epinephrine 0.3mg

9. 9. 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.

Answer> Building in the park




, 10. 10. You are at a house fire with multiple patients. Which patient should be

transported First to a burn center?

Answer> 52 year old with second degree burns to face and right hand

11. 11. What is the most common cause of status epilepticus in adults.

Answer> Failure to take prescribed medications



12. 12. 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.

Answer> Fluid Overload.


13. 13. 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.

Answer> Diabetic ketoacidosis

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Institution
Paramedic FISDAP
Module
Paramedic FISDAP

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