FISDAP READINESS Exam With 412 Questions and 100 % Correct Answers

FISDAP READINESS Exam With 412 Questions and 100 % Correct Answers .10 year old patient was injured while skating, upon assessment you note a visible deformity of the forearm. The fingers are pale and cool without a palpable pulse. You should apply? A rigid splint gentle manual traction a cold pack and rapid transport significant traction until pulse returns - ANSWER-gentle manual traction .13 month old lying supine in crib, crying. Fever of 104.5, rash on body and some spots are purple. You should? Transport put on surgical mask open airway apply high-flow oxygen - ANSWER-put on surgical mask .14 yo shooting victim is pulseless and apneic. Pupils are fixed and lividity is present. What should you do? Protect against scene intrusion/ CPR/ search for pt identification/ search for other victims - ANSWER-Protect against scene intrusion .16 yo M complains of extreme pain to chest. You notice his shirt is splashed with battery acid. BP 150/100, P weak, R 24. You should? - ANSWER-Remove shirt and flush with saline water .18 yo M fell off skateboard. He struck his head on the concrete and immediately started screaming. Alert and oriented to name only. You should? - ANSWER-Immobilize and expedited transport .18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present. You should? - ANSWER-Apply board splint in position found .18 yo pt has gunshot wound in the arm during a fight. Become increasingly anxious and pushes hands away during primary assessment. What would you do? Verify with law that pt has been searched/ obtain vitals and trans immediately/ reassess scene for additional pts/ continue with pri assess away from the police - ANSWER-Verify with law that pt has been searched .2 days after a call you realize you forgot to document that you checked a pts blood glucose prior to him refusing trans and signing refusal form. You should? Add an addendum to report with correct info, current date and initials/ disregard the mistake since the pt was not transported to hospital and medical director knew about reading/ inform supervisor of error and let him know that it won't happen again/ complete now refusal and return to pt residence to have him resign - ANSWER-Add an addendum to report with correct info, current date and initials .2 year old is restless, irritable, and febrile with a distinct cough. The parent states that the child is calmer in a steam shower. You should suspect? Influenza bronchitis croup epiglottis - ANSWER-croup .2 year old patient has a respiratory rate of 30 breaths per minute. This is considered? Too fast inadequate normal too slow - ANSWER-normal .2 yo F with flu like symptoms. She is in care of a babysitter and her parents can't be reached by phone. What should you do? Treat and release with babysitters consent/ contact law enforcement for temporary custody/ stay on scene until parents can be contacted/ *trans under implied consent - ANSWER-trans under implied consent .20 year old female is pregnant for the first time with twins. What is she considered? Gravida I| Gravidarum primigravida - ANSWER-primigravida .20 yo pt is reluctant to answer questions pertaining to abdominal discomfort? Reassure her that you are there to help her/ ask family for her medical history/ repeat question in firm but pleasant tone/ advise that she needs to be truthful - ANSWER-Reassure her that you are there to help her .21 yo football player hit from the side and landed head first onto the ground. Was ambulatory on scene and oriented to name only. Refusing transport and care. What should you do? - ANSWER-Ask the team coach for assistance .22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing helmet. You should? - ANSWER-Leave helmet in place while she is stabilized .22 yo M is ejected from the vehicle. He complains of numbness and tingling in his extremities. What should you do? - ANSWER-Stabilize cervical spine .23 yo F sudden onset of diff breathing while gardening. BP 90/ 60, P 144, R 26 and labored, wheezing in all lung fields. She has a prescribed epinephrine auto injector. What should you do? Admin o2 and contact medical control/ admin o2 via nasal cannula and reassess/ ask if she knows what insect stung her/ assist with metered dose inhaler - ANSWER-Admin o2 and contact medical control/ .23 yo M received burns to feet while stomping fire. He is still wearing the shoes. The rubber soles and laces melted together. What do you do? - ANSWER-Cut shoe laces and remove shoes .23 yo soccer player was kicked in the chest. He is alert with rapid, shallow R and complains of chest pain. Pale, cool, and wet. You should? - ANSWER-Non Rebreather .24 year old female in her second trimester of pregnancy presents with mild contractions. There is no regular pattern to the contractions, and they have not increased in intensity since they began. She denies vaginal bleeding or any other symptoms. This patient is most likely experiencing? Braxton Hicks contractions premature labor a placenta previa a threatened abortion - ANSWER-Braxton Hicks contractions .24 year old woman presents with vaginal bleeding following sexual assault, controlling bleeding would best be done by Packing a vaginal canal with gauze apply direct pressure placing a dressing @ the vaginal opening bending the patient's legs upward - ANSWER-placing a dressing @ the vaginal opening .24 yo F is unconscious after being struck by a car. She has ineffective breathing and bloody secretions in mouth. You should? - ANSWER-Immediate suction oropharynx .24 yo M has burns to the eyes, nose and mouth when the radiator cap on his car blew off. Treat for? - ANSWER-Respiratory swelling .25 yo assault victim is spitting up light pink sputum. Has bright red blood spurting from 2in laceration to L forearm. What should you do? - ANSWER-Apply direct pressure to wound .25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2 cm laceration to L chest wall. Lung sounds diminished on L side. You should? - ANSWER-Apply occlusive dressing .26 yo pt complains of chest pain, productive cough, and not feeling well over last 2 days. "he just flew back from Africa last week." You should? Put on n95 mask on yourself/ listen to lung sounds/ take vitals/ HEPA mask on pt - ANSWER-Put on n95 mask .28 yo M is fleeing from police and sustained 1 cm laceration shallow on forearm while climbing a rusted chain link fence. Refusing transport. What should you be concerned with? - ANSWER-Infection .28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to verbal. R 38 and shallow with paradoxical movement. What should you do? - ANSWER-02 with positive pressure ventilations .28 yo PT driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious amount of blood around face. Gurgling and R 4 per min. Most appropiate? - ANSWER-Jaw thrust without head tilt .28 yo pt driving motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious amount of blood around face. Gurgling and R 4 per min. Most appropriate? - ANSWER-Control bleeding .3 year old child involved in a motor vehicle collision needs to be secured on an adult backboard. You should? Secure the feet first, then the torso secure the head first, then the torso place padding under the child's head place padding under the child's torso - ANSWER-place padding under the child's torso .30 yo F was in minor motor vehicle accident. She is standing outside of the vehicle and complains of lower back pain. You should immobilize her using a? - ANSWER-Long spine board .30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should? - ANSWER-Tourniqet .32 week pregnant female complaining of facial swelling, headache, vomiting, and experiencing visual disturbances last 12 hours. You should suspect? Gestational diabetes eclampsia severe migraine pre eclampsia - ANSWER-pre eclampsia .32 yo M has sustained facial trauma after falling off the roof. He has snoring respirations. What should you do? - ANSWER-Modified jaw thrust .32 yo M is unconscious after being struck in the head by a baseball bat. Has pulse but breathing is slow. Minor bleeding from a laceration at the left temple. Partner is maintaining manual C-spine stabilization. You should? - ANSWER-Measure and apply a rigid c collar .33 year old female was in a motor vehicle collision. She is 36 weeks pregnant. First responders have removed the patient from the vehicle and immobilized her and they cannot obtain a blood pressure. You should? Load and go to the nearest trauma center tilt the backboard to the left immediately loosen the backboard straps as soon as possible apply oxygen and call for helicopter transport - ANSWER-tilt the backboard to the left immediately .35 week pregnant woman. Following scenarios most life threatening? Hypertension and experiencing visual disturbances fever and pain on urination sharp lower abdominal pains contracts with mucous discharge - ANSWER-Hypertension and experiencing visual disturbances .35 yo driver collided into telephone pole and is unconscious and unresponsive with severe bleeding in the mouth. You should? - ANSWER-rapid extrication to long spine board .37 week pregnant woman with tearing abdominal pain and weak, vitals are 90/60, 140, and 26 with pale, cool, diaphoretic skin, you should suspect? Supine hypotensive syndrome imminent delivery abruptio placentae placenta previa - ANSWER-abruptio placentae .38 year old female reports left sided abdominal pain that radiates to the back. Vitals are 90/64, 118, 20. You should suspect? Pelvic inflammatory disease kidney stones a ruptured ectopic emergency cholecystitis - ANSWER-a ruptured ectopic emergency .38 yo M large bruise LUQ, following motorcycle collision. What should you suspect? - ANSWER-Injury to spleen .4 year old is having trouble breathing. He is drooling and sitting forward in a chair with his mouth wide open. He has a 103.2 temp. you should suspect? Epiglottitis croup hyperthermia asthma attack - ANSWER-Epiglottitis .4 yo M, arm amputated from farming accident, how should you manage the amputated limb? - ANSWER-Seal in plastic bag and place in container of cool water .40 yo M crashed snowmobile, skin cold and pale, BP 198/96, P 48, respiration is slow and irregular. What should you suspect? - ANSWER-Traumatic Brain Injury .40 yo M fell off ladder has a broken leg, and the left knee now bends the wrong way. You should? - ANSWER-Check for PMS in the leg .42 yo M has metal impaled in lower right leg. Obvious open fracture and no pulse in R foot, what should you do? - ANSWER-Stabilize with bulky dressing prior to transport .47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You should suspect - ANSWER-Spinal cord injury .5 year old is actively seizing, his respirations are slow and skin is pale. His parents say he had seized several times in the last 15 minutes without waking up. You should suspect that the? Seizure is about to end and you should wait to treat him child will become postictal and will regain consciousness child is in status epilepticus and medication is required child is in diabetic ketoacidosis and medication is required - ANSWER-child is in status epilepticus and medication is required .50 year old fell from her bicycle after hitting a bump in the road. She is now bleeding from her vagina. You should Gently pack the vagina with sterile dressing transport the patient with legs elevated transport patient in the left lateral recumbent apply external sterile bulky dressing - ANSWER-apply external sterile bulky dressing .50 yo M has obvious deformed right lower leg after falling from the roof. You notice a tear in the skin over the deformity. What should you do? - ANSWER-Realign and splint the leg .53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished lung sounds on L side. You should? - ANSWER-Immobilize long backboard .58 yo heavy chest pressure. Ask you what is cause. You should? Hospital staff will explain/ heart not getting enough O2/ acute MI/ can't explain bc HIPAA - ANSWER-Hospital staff will explain .59 yo M is trapped in the car by broken gas pedal through his foot. He's gone into cardiac arrest. You should - ANSWER-Pull out of car .6 yo child fell at the park. No adult around. Type of consent? Implied/ legal/ expressed/ pediatric - ANSWER-Implied .62 yo M is unresponsive next to a ladder. BP 80/48, P 60, R 24. What should you suspect? - ANSWER-Neurogenic shock .7 year old presents with a pencil in his left cheek, you should? Remove the pencil stabilize the pencil check for airway patency control bleeding - ANSWER-check for airway patency .75 yo is involved in motor vehicle collision and can't feel legs. BP is 80/40, P 60, R 24, you should suspect? - ANSWER-Neurogenic Shock .80 yo Spanish speaking patient not responding to questions alert and choking? Simple hand gestures/ find interpreter/ speak louder/ check for hearing aids - ANSWER-Simple hand gestures .81 yo F helthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should concern you the most? - ANSWER-Coumadin .A 14 year old jumped off a 4 foot wall, landing on her feet. She is complaining of tingling below waist, lower back pain, and cramping in both feet. Vital signs are BP 106/74, P 112, and R 20. You should Immobilize to a long spine board Transport in a position of comfort Apply bilateral soft splints to lower extremities Coach her to slow her breathing - ANSWER-Immobilize to a long spine board .A 2 year old child presents with a fever, lethargy, and screaming upon neck flexion. You should suspect? Meningitis Influenza febrile seizure ear infection - ANSWER-Meningitis .A 2 year old female is lethargic to respond. She has dry mucous membranes and a tearless cry. What should you suspect? Hypoxia hypoglycemia hypovolemia hypothermia Dehydration - ANSWER-hypovolemia .A 20 year old female feels faint and has severe pain between her shoulder blades. Her skin is cool and clammy. Vital signs are BP 82/48, P 134, R 22, and SPO2 92%. What should you suspect? Sexual transmitted infection spontaneous abortion pelvic inflammatory disease rupture ectopic pregnancy - ANSWER-rupture ectopic pregnancy .A 24-year-old female presents with a rash to her left leg and swollen, painful knee joints. She tells you that she and her friends returned from a hiking trip in the mountains a week ago. She is conscious and alert with a blood pressure of 112/62 mm Hg, a pulse of 84 beats/min, and respirations of 14 breaths/min. Her symptoms are MOST likely the result of: - ANSWER-Lyme disease .A 3 year old drank some drain cleaner. It would be most helpful to? Administer activated charcoal transport immediately administer glucagon induce vomiting - ANSWER-transport immediately .A 3 year old is unresponsive and apneic on the floor of a restaurant. He was choking, turned blue, and collapsed. What should you do? Begin chest compressions Perform a blind finger sweep Give 5 abdominal thrusts Give 5 back blows - ANSWER-Begin chest compressions .A 34-year-old female complains of persistent fever, fatigue, and night sweats. During your assessment, you note that she has purple blotches on her arms and legs. She MOST likely has: - ANSWER-HIV/AIDS -Signs of human immunodeficiency virus (HIV) infection include persistent fever, weight loss, fatigue, a cough, and night sweats. The presence of purple skin blotches (malignant lesions called Kaposi's sarcoma) is consistent with acquired immunodeficiency syndrome (AIDS), also known as late-stage HIV infection .a 35 year old patient has fallen and has a deformed right lower leg. The distal extremity is pulsless and the skin is cool and cyanotic. You should - ANSWER-Realign the injured extremity .A 37 year old female in the later stages of pregnancy has been experiencing abdominal pain and vomiting for the last two days. She responds to verbal stimulus. Vital signs are BP 100/70, P 116 R 24, skin cool and dry, How should you position her? In Fowler's position on the stretcher Semi Fowlers with knees bent Left lateral recumbent with knees bent Supine with a pillow under her knees - ANSWER-Left lateral recumbent with knees bent .A 4 year old male is sitting upright and drooling. He has swallowed a marble that is completely blocking his airway. What should you do? Start chest compressions perform abdominal thrusts provide back blows suction the airway - ANSWER-perform abdominal thrusts .A 4 year old patient has sustained blunt trauma to the chest. Based on the MOI you should suspect Good chest rise with no diaphragmatic breathing Minimal external signs with serious internal injury Multi rib fractures due to fragile bone structure Dark ecchymosis around the umbilical area - ANSWER-Minimal external signs with serious internal injury .A 44-year-old woman was bitten on the ankle by an unidentified snake while working in her garden. She is conscious and alert, has stable vital signs, and denies shortness of breath. Her only complaint is a burning sensation at the wound site. Your assessment reveals two small puncture wounds, redness, and swelling. You should: - ANSWER-give supplemental oxygen, splint her leg to decrease movement, and keep her leg below the level of her heart. -Treatment for a snake bite involves keeping the patient calm, administering oxygen, splinting the affected extremity to decrease movement (helps slow the spread of venom), keeping the extremity below the level of the heart, and transporting the patient to the hospital. Do NOT apply ice to a snake bite; it may constrict the blood vessels and force venom further into the bloodstream. .a 45 year old male fell asleep outisde while doing yard work. His face and lower legs are bright red with blisters and painful on examination. You should suspect - ANSWER-Both superficial and partial thickness burns .A 6 month old is febrile, cyanotic, and grunting with labored breathing. You should? Assist ventilations via bvm sponge the infant with tepid water apply blow by 02 and trans perform a rapid medical assessment - ANSWER-apply blow by 02 and trans .A 6 year old is shy and withdrawn. He has multiple contusions in various stages of healing. His mother states "he fell on the playground." What should you suspect? Sexual abuse Emotional abuse Neglect