FISDAP EMT Medical Exam Questions and Answers (2022/2023) (Verified Answers)

FISDAP EMT Medical Exam Questions and Answers (2022/2023) (Verified Answers) 1. Which statement strongly indicates syncope? I blacked out for a few seconds 2. When assessing the patient for arm drift, you should ask the patient to hold their arms out palms up, eyes closed 3. 68 yo patient reports abdominal pain, vomiting, and a loss of appetite, as well as black, tarry stools. you should suspect upper gi bleed 4. You are called to an outdoor garden center on a hot, humid day. Your patient is pale, wheezing, and has hives. you should suspect bee sting 5. you have been dispatched to a behavioral emergency. The police are on the scene and have asked you to evaluate the patient. you should restrain the pt. to your cot and transport to the nearest hospital 6. a pt. was cleaning a bathroom when he came out gagging and coughing. his eyes are red and watering and he is complaining of dyspnea. you should move the pt to a well ventilated area 7. 38 yo pt. has a history of hypothyroidism. she is hypertensive, tachycardic, and hyperthermic. you find an empty bottle of Synthroid nearby. You should contact the poison center or medical command. 8. a pt's family member reports a glucometer reading of 57 mg/dL. how should you interpret this reading? low 9. a worker at a fertilizer plant has spilled lye all over his upper body. you should brush the powder off the pt. 10. to assess a possible stroke pt for abnormal speech, you should ask the pt to repeat a common phrase 11. a pt was stung by a bee. you should apply ice cold compress to the affected area 12. 72 yo male has weak hand grips, blurred vision, and is unable to tell you the day of the week. he is a type 2 diabetic. what should you do evaluate for facial droop 13. which of the following meds helps the body transport sugar into the cells insulin 14. an unconscious patient has one pupil that is significantly larger than the other and not reactive to light. the most likely cause is stroke 15. where would you expect to find pain in a pt with suspected appendicitis right lower quadrant 16. when assessing a pt for facial droop, you should ask pt to smile or show his teeth 17. which of the following assessment findings suggests a gi bleed bright red blood from the rectal area 18. you are assessing an unresponsive medical patient. what should be your primary focus chief complaint 19. a patient has a headache. how should you position him on the cot 90 degree fowler 20. 50 yo male who recently completed renal dialysis is bleeding profusely from his shunt. how should you classify this bleeding a life-threatening problem that requires immediate surgical intervention 21. a 28 yo pt is outside at a concert and appears confused. he is unable to answer your questions. you should look for a medical identification necklace or bracelet 22. a car battery exploded in your pt's face. he denies any breathing difficulty. you should irrigate eyes with water 23. a patient is having a tonic-clonic seizure. he is not breathing. you should prevent the pt from further injury 24. your first priority whe. dealing with a pt who is exhibiting behavior issues is to ensure the safety of yourself and your partner 26. 78 yo M alzheimers pt has bruising on his back, neck, and stomach. when you ask the pt what happened, his caregiver insists "he fell getting out of bed" what should you do a. ask on of the family members to ride in the back with him b. ask the caregiver why the pt required restraint c. immediately notify law enforcement to take a report d. move him into the ambulance so you can talk to him alone c. notify law enforcement to take a report 25. according to the Cincinnati prehospital stroke scale, which of the following should be assessed facial droop 27. A 32-year-old patient is found unconscious in the snow. You cannot detect a pulse or respiration rate within 10 seconds. What should you do? assess her pulse for 30-45 seconds 28. An 80 y/o male complains of a headache and nausea. He is confused with hot, dry skin. His house is hot and humid. VS are BP 90/55, P 96, R 18, SpO2 88% and BGA 88 mg/dL. What should you do? Begin active cooling measures (signs of heat stroke, also think of fluid replacement due to dehydration) 29. A 28 y/o female complains of sudden onset of dyspnea while eating in a restaurant. Her tongue is swelling and she has urticaria on her neck. VS are BP 86/44, P 116, R 18 with wheezing. What should you administer? Epinephrine .3 to .5 IM 1:1000 (should suspect anaphylactic shock) 30. While spraying pesticide on his crops, a 51 y/o male started to feel lightheaded and had trouble breathing with excessive saliva production. What should you administer? Atropine (cholinergic response with the signs of SLUDGE, need to use a anticholinergic drug which is atropine, which blocks the effects of the accumulating acetylcholine) 31. An adult male is sitting alone in a dark room, rocking back and forth. he mutters to his sock puppet "are you feeling sad?" what should you do? introduce yourself and start an assessment 32. A mother of a 17 y/o male called EMS because her son has a depressed affect. While assessing him, he states "I'm not sure if I can take this anymore." What should you do? Inquire about his suicidal ideations (his statement is a warning sign that he may be thinking of suicide) 33. A febrile 54 y/o female complains of nausea and vomiting with pain around her umbilicus. Her abdominal tenderness increases on palpation. VS are BP 80/40 and P 130. What should you suspect? Ruptured appendix (rebound tenderness and febrile) 34. a 42-year-old man complains of difficulty breathing and pain in his chest and shoulders. he recalls feeling a sharp pinprick on his arm while cleaning out his basement. what type of spider bite is this man most likely suffering from? black widow 35. a car battery exploded in your patient's face. he denies breathing difficulty. you should? begin irrigating eyes with clean water 36. a 19-year-old female is unresponsive after taking a whole bottle of her sleeping medicine about 4 hours ago. you should? apply high-flow oxygen 37. a 32-year-old male complains of photophobia (sensitivity to light) and vomiting. the most likely cause is? migraine 38. a patient tells you he had anemia, you should expect him to present with? pallor 39. your epileptic patient complains of a persistent metallic taste in her mouth. you should suspect: a seizure may occur 40. A patient is having a tonic-clonic seizure and is not breathing. you should: prevent patient from further injury 41. a patient has severe groin pain radiating to the flank area and can't sit still kidney stones (renal calculi) 42. A nursing home patient, an older lady has various colors of bruising on her cheek and wrist. what should you suspect? abuse 43. a patient has flank pain, pain on urination, and diaphoretic with no fever. what do you suspect? kidney stones 44. unresponsive patient naked guy in the front yard with pinpoint pupils. what should you suspect? opioid overdose 45. how to treat a postictal patient? high flow oxygen 46. female patient with abdominal pain vomits bright red blood. what should you do? manage the airway 47. A 40-year-old female with abdominal pain in mid epigastric region is nauseous and subsides with eating. you should suspect? peptic ulcers 48. severe abdominal pain radiating to the back. what should you suspect? triple a 49. working in shed complains of abdominal pain. red small mark that starts to swell. what type of spider bite is it? black widow 50. A 32-year-old patient is found unconscious in the snow. You cannot detect a pulse or respiration rate within 10 seconds. What should you do? assess her pulse for 30-45 seconds 51 a 42-year-old man complains of difficulty breathing and pain in his chest and shoulders. he recalls feeling a sharp pinprick on his arm while cleaning out his basement. what type of spider bite is this man most likely suffering from? black widow 52 19 year old female is unresponsive after taking a whole bottle of her sleeping medicine about 4 hours ago. you should? apply high-flow oxygen 53 an 18 year old male states "the CIA is after me" you notice he has covered his head and windows with aluminum foil. when you ask why he says "in order to block out the government radio waves" vitals are BP138/34, P122, R24. you should suspect? paranoid schizophrenia 54 a patient is running a high fever, vomiting and reporting pain that has shifted from around her belly button to the lower right area of her abdomen you should suspect? appendicitis 55 a 20 year old male in a college dorm room complains of fever, headache, and a stiff neck. he has an altered mental status, and you notice red blotches on his skin. which of the following are the most appropriate BSI precautions gloves and HEPA mask 56 an unconscious patient has one pupil that is significantly larger than the other and not reactive to light. the most likely cause is: stroke 57 what is hyperglycemia high blood sugar 58 when assessing a patient for facial droop you should? ask the patient to smile or show his teeth 59 an alert patient has a severe headache/weakness of the left arm you should suspect? stroke 60 which of the following most accurately describes insulin? it helps glucose move into the cells