MEDICAL EMERGENCIES FISDAP COMPLETE QUESTIONS AND
QUESTIONS TEST | 2024 LATEST UPDATE
Question 1: Anaphylactic Shock
A 28-year-old male patient presents with difficulty breathing, hives, and swelling
of the lips and face. He has a known allergy to peanuts and accidentally consumed
a peanut-containing snack. His blood pressure is 90/60 mmHg, heart rate is 110
bpm, and respiratory rate is 24 breaths per minute. What is the most appropriate
initial treatment?
A. Administer diphenhydramine (Benadryl) 50 mg IM
B. Administer epinephrine 0.3 mg IM
C. Administer albuterol 2.5 mg via nebulizer
D. Administer prednisone 60 mg orally
Answer: B. Administer epinephrine 0.3 mg IM
Question 2: Acute Myocardial Infarction
A 65-year-old female presents with chest pain radiating to her left arm, shortness
of breath, and diaphoresis. She has a history of hypertension and diabetes. On
examination, her blood pressure is 160/90 mmHg, heart rate is 95 bpm, and
respiratory rate is 20 breaths per minute. What is the next best step in
management?
A. Administer aspirin 81 mg orally
B. Administer nitroglycerin 0.4 mg sublingually
C. Perform a 12-lead ECG
D. Administer morphine 2 mg IV
Answer: B. Administer nitroglycerin 0.4 mg sublingually
Question 3: Diabetic Ketoacidosis (DKA)
A 22-year-old male with type 1 diabetes presents with polyuria, polydipsia, and
abdominal pain. His blood glucose is 450 mg/dL, and he has a fruity odor on his
breath. His blood pressure is 90/60 mmHg, heart rate is 120 bpm, and respiratory
rate is 28 breaths per minute with Kussmaul respirations. What is the priority in the
initial treatment of this patient?
,A. Administer IV fluids (normal saline)
B. Administer regular insulin IV
C. Administer sodium bicarbonate IV
D. Administer potassium chloride IV
Answer: A. Administer IV fluids (normal saline)
Question 4: Stroke (CVA)
A 70-year-old male presents with sudden onset of right-sided weakness, slurred
speech, and facial droop. He was last seen normal 1 hour ago. His blood pressure is
180/100 mmHg, heart rate is 88 bpm, and respiratory rate is 16 breaths per minute.
What is the most appropriate initial action?
A. Administer aspirin 325 mg orally
B. Activate stroke protocol and transport to a stroke center
C. Administer tissue plasminogen activator (tPA)
D. Perform a CT scan of the head
Answer: B. Activate stroke protocol and transport to a stroke center
Question 5: Seizure Management
A 34-year-old female with a history of epilepsy is actively seizing upon your
arrival. She has been seizing for 5 minutes. What is the most appropriate
immediate treatment?
A. Administer phenytoin 100 mg IV
B. Administer midazolam (Versed) 5 mg IM
C. Administer diazepam (Valium) 10 mg rectally
D. Administer lorazepam (Ativan) 2 mg IV
Answer: B. Administer midazolam (Versed) 5 mg IM
Question 6: Asthma Exacerbation
A 40-year-old female with a history of asthma presents with severe shortness of
breath, wheezing, and a cough that has not responded to her rescue inhaler. Her
oxygen saturation is 88% on room air, blood pressure is 130/80 mmHg, heart rate
is 110 bpm, and respiratory rate is 30 breaths per minute. What is the next best step
in management?
, A. Administer albuterol 2.5 mg and ipratropium 0.5 mg via nebulizer
B. Administer epinephrine 0.3 mg IM
C. Administer methylprednisolone 125 mg IV
D. Administer magnesium sulfate 2 g IV
Answer: A. Administer albuterol 2.5 mg and ipratropium 0.5 mg via nebulizer
Question 7: Hyperglycemia
A 55-year-old male with type 2 diabetes presents with confusion, dry mouth, and
increased urination. His blood glucose is 600 mg/dL, and he appears dehydrated.
His blood pressure is 100/70 mmHg, heart rate is 115 bpm, and respiratory rate is
22 breaths per minute. What is the initial management?
A. Administer insulin 10 units subcutaneously
B. Administer IV fluids (normal saline)
C. Administer oral glucose
D. Administer potassium chloride IV
Answer: B. Administer IV fluids (normal saline)
Question 8: Sepsis
A 68-year-old male presents with fever, chills, confusion, and a productive cough.
His temperature is 102°F, blood pressure is 85/50 mmHg, heart rate is 120 bpm,
and respiratory rate is 26 breaths per minute. What is the priority in the initial
treatment of this patient?
A. Administer acetaminophen 1 gram orally
B. Administer ceftriaxone 1 gram IV
C. Administer IV fluids (normal saline)
D. Administer oxygen via non-rebreather mask
Answer: C. Administer IV fluids (normal saline)
Question 9: Opioid Overdose
A 29-year-old male is found unresponsive with shallow respirations and pinpoint
pupils. A friend mentions he recently used heroin. His blood pressure is 110/70
mmHg, heart rate is 60 bpm, and respiratory rate is 8 breaths per minute. What is
the most appropriate initial treatment?
QUESTIONS TEST | 2024 LATEST UPDATE
Question 1: Anaphylactic Shock
A 28-year-old male patient presents with difficulty breathing, hives, and swelling
of the lips and face. He has a known allergy to peanuts and accidentally consumed
a peanut-containing snack. His blood pressure is 90/60 mmHg, heart rate is 110
bpm, and respiratory rate is 24 breaths per minute. What is the most appropriate
initial treatment?
A. Administer diphenhydramine (Benadryl) 50 mg IM
B. Administer epinephrine 0.3 mg IM
C. Administer albuterol 2.5 mg via nebulizer
D. Administer prednisone 60 mg orally
Answer: B. Administer epinephrine 0.3 mg IM
Question 2: Acute Myocardial Infarction
A 65-year-old female presents with chest pain radiating to her left arm, shortness
of breath, and diaphoresis. She has a history of hypertension and diabetes. On
examination, her blood pressure is 160/90 mmHg, heart rate is 95 bpm, and
respiratory rate is 20 breaths per minute. What is the next best step in
management?
A. Administer aspirin 81 mg orally
B. Administer nitroglycerin 0.4 mg sublingually
C. Perform a 12-lead ECG
D. Administer morphine 2 mg IV
Answer: B. Administer nitroglycerin 0.4 mg sublingually
Question 3: Diabetic Ketoacidosis (DKA)
A 22-year-old male with type 1 diabetes presents with polyuria, polydipsia, and
abdominal pain. His blood glucose is 450 mg/dL, and he has a fruity odor on his
breath. His blood pressure is 90/60 mmHg, heart rate is 120 bpm, and respiratory
rate is 28 breaths per minute with Kussmaul respirations. What is the priority in the
initial treatment of this patient?
,A. Administer IV fluids (normal saline)
B. Administer regular insulin IV
C. Administer sodium bicarbonate IV
D. Administer potassium chloride IV
Answer: A. Administer IV fluids (normal saline)
Question 4: Stroke (CVA)
A 70-year-old male presents with sudden onset of right-sided weakness, slurred
speech, and facial droop. He was last seen normal 1 hour ago. His blood pressure is
180/100 mmHg, heart rate is 88 bpm, and respiratory rate is 16 breaths per minute.
What is the most appropriate initial action?
A. Administer aspirin 325 mg orally
B. Activate stroke protocol and transport to a stroke center
C. Administer tissue plasminogen activator (tPA)
D. Perform a CT scan of the head
Answer: B. Activate stroke protocol and transport to a stroke center
Question 5: Seizure Management
A 34-year-old female with a history of epilepsy is actively seizing upon your
arrival. She has been seizing for 5 minutes. What is the most appropriate
immediate treatment?
A. Administer phenytoin 100 mg IV
B. Administer midazolam (Versed) 5 mg IM
C. Administer diazepam (Valium) 10 mg rectally
D. Administer lorazepam (Ativan) 2 mg IV
Answer: B. Administer midazolam (Versed) 5 mg IM
Question 6: Asthma Exacerbation
A 40-year-old female with a history of asthma presents with severe shortness of
breath, wheezing, and a cough that has not responded to her rescue inhaler. Her
oxygen saturation is 88% on room air, blood pressure is 130/80 mmHg, heart rate
is 110 bpm, and respiratory rate is 30 breaths per minute. What is the next best step
in management?
, A. Administer albuterol 2.5 mg and ipratropium 0.5 mg via nebulizer
B. Administer epinephrine 0.3 mg IM
C. Administer methylprednisolone 125 mg IV
D. Administer magnesium sulfate 2 g IV
Answer: A. Administer albuterol 2.5 mg and ipratropium 0.5 mg via nebulizer
Question 7: Hyperglycemia
A 55-year-old male with type 2 diabetes presents with confusion, dry mouth, and
increased urination. His blood glucose is 600 mg/dL, and he appears dehydrated.
His blood pressure is 100/70 mmHg, heart rate is 115 bpm, and respiratory rate is
22 breaths per minute. What is the initial management?
A. Administer insulin 10 units subcutaneously
B. Administer IV fluids (normal saline)
C. Administer oral glucose
D. Administer potassium chloride IV
Answer: B. Administer IV fluids (normal saline)
Question 8: Sepsis
A 68-year-old male presents with fever, chills, confusion, and a productive cough.
His temperature is 102°F, blood pressure is 85/50 mmHg, heart rate is 120 bpm,
and respiratory rate is 26 breaths per minute. What is the priority in the initial
treatment of this patient?
A. Administer acetaminophen 1 gram orally
B. Administer ceftriaxone 1 gram IV
C. Administer IV fluids (normal saline)
D. Administer oxygen via non-rebreather mask
Answer: C. Administer IV fluids (normal saline)
Question 9: Opioid Overdose
A 29-year-old male is found unresponsive with shallow respirations and pinpoint
pupils. A friend mentions he recently used heroin. His blood pressure is 110/70
mmHg, heart rate is 60 bpm, and respiratory rate is 8 breaths per minute. What is
the most appropriate initial treatment?
