FISDAP MEDICAL UPDATED EXAM SCRIPT QUESTIONS
AND ANSWERS MARKED A+
✔✔Airway infections (Others) - ✔✔- Epiglottitis: Fever, Drooling
- Respiratory syncytial virus
- Bronchiolitis
- Pneumonia (Single sided fluid in the lungs)
- Pertussis (Whooping cough)
- Influenza type A
✔✔Tuberculosis - ✔✔An infectious disease that may affect almost all tissues of the
body, especially the lungs
"26 yom c/o chest pain and hemoptysis. Pt has a productive cough with purulent, bloody
discharge and a low grade fever. What is it?"
TB can manifest in many ways. S/S include; Night sweats, hemoptysis, chills, fever,
fatigue, and weight loss. Don a N95 mask and mask up the pt.
✔✔Bleeding Disorders - ✔✔- Sickle Cell disease: RBC's are "sickle shaped" and
interfere with oxygenation. This causes hypoxia throughout the body and causes
excessive pain. Provide supportive measures and GIVE PAIN MEDS (Morphine Sulfate
IV).
"24 yom w/ hx of sickle cell Lying in the fetal position"
- Disseminated Intravascular Coagulation:
Found in severe trauma and septic patients. Causes weird clotting AND bleeding
throughout the body.
Common sign is purpura on the chest and abdomen
-Hemophilia: Hereditary disorder with very poor clotting
- Thrombocytopenia: Poor clotting due to a low level of platelets
- Thrombocytosis: Too many platelets (Asymptomatic)
✔✔Coagulation Processes - ✔✔Steps:
1. Vasoconstriction
2. Platelet Plugging
3. Coagulation
Clotting cascade:
Refers to the process by which clotting factors work together to ultimately form fibrin
Coagulopathy:
,A condition in which the blood's ability to coagulate (form clots) is impaired
✔✔Physiology Electrical Injuries - ✔✔Produce devastating internal injuries with little
external evidence
may have two injuries sites
1. one at the point where electricity entered the body (entry wound)
2.and where it exited the body (exit wound)
as electrical current travels from the contact site into the body, it is converted to heat,
which follows the current flow--usually along side blood vessels and nerves--causing
extensive damage to the tissue in its path.
respiratory muscle paralysis
ventricular fibrillation
serious injury because the electricity may have flowed across the chest, potentially
injuring the cardiac conduction system
"11,000 volts usually fatal, 40,000 volts almost always fatal."
✔✔Pathophysiology of Angioedema - ✔✔"A vascular reaction, that may have am
allergic cause and may result in profound swelling of tongue and lips"
"Marked edema of the skin and usually involves the head, neck, face, and upper airway.
Caused from allergic reactions and anaphylaxis."
- Sudden onset of dyspnea & swollen tongue = Immediate Epinephrine, benadryl,
breathing treatment. The vasoconstriction relieves the angioedema
- Watery eyes and "eyelid edema" with a food allergy and semi normal VS =
Diphenhydramine. S/S are local NOT systemic
✔✔Allergic reaction/anaphylaxis - ✔✔Visual aide
Signs & Symptoms
-Itching or hives
-Red watery eyes
-Coughing, wheezing, or difficulty breathing
-Throat tightness or closing or difficulty swallowing
-Nausea, stomach cramps, or vomiting
-Change in voice
-Dizziness, fainting or loss of consciousness
-Change of skin color
-Sense of doom
, Care
-Use Epinephrine Auto-Injector
-Call 9-1-1
-Monitor Airway & Breathing
✔✔Pathophysiology of Hypothermia - ✔✔"Confused 39 yom lost in the woods. Wet
clothes and foot sores".
Tx: Remove clothes and start active warming
A condition in which the core body temperature is significantly below normal less than
35c (95F), owing to inadequate thermogenesis an/or excess environmental cold stress
note: Vasodilation is a major risk factor for hypothermia in the elderly. Alcohol ingestion
produces peripheral vasodilation, which increases heat loss
UMBLES
Stumbles, Mumbles, Fumbles, Grumbles
ataxia (staggered gait), CNS depression(stroke&intoxication like s&s),
EKG: Osborne Wave/J Wave
watch outdoor vfib
Management :
Passive Rewarming: taking off wet clothes, drying its skin, moving pt into warm
ambulance, possible warm fluids
External Rewarming: directly warm its skin, heating blankets, direct heat packs to groin,
axillary & neck, warm fluids/warm humidified o2
Shock more/withhold meds
not dead until warm and dead
✔✔Treatment of hyperthemia - ✔✔Quiz question:
80 yom c/o headache and nausea. He's confused with hot and dry skin. VS: 90/55 P96
RR 18 CBG 88. What should you do?
A: Begin active cooling
He has s/s of heat stroke. Immediate cooling needs to begin. Active cooling = Cool IV
fluids plus ice packs
✔✔Pathophysiology of demylenating disorders:
Guillian-Barre Syndrome - ✔✔- Guillian-Barré Syndrome:
AND ANSWERS MARKED A+
✔✔Airway infections (Others) - ✔✔- Epiglottitis: Fever, Drooling
- Respiratory syncytial virus
- Bronchiolitis
- Pneumonia (Single sided fluid in the lungs)
- Pertussis (Whooping cough)
- Influenza type A
✔✔Tuberculosis - ✔✔An infectious disease that may affect almost all tissues of the
body, especially the lungs
"26 yom c/o chest pain and hemoptysis. Pt has a productive cough with purulent, bloody
discharge and a low grade fever. What is it?"
TB can manifest in many ways. S/S include; Night sweats, hemoptysis, chills, fever,
fatigue, and weight loss. Don a N95 mask and mask up the pt.
✔✔Bleeding Disorders - ✔✔- Sickle Cell disease: RBC's are "sickle shaped" and
interfere with oxygenation. This causes hypoxia throughout the body and causes
excessive pain. Provide supportive measures and GIVE PAIN MEDS (Morphine Sulfate
IV).
"24 yom w/ hx of sickle cell Lying in the fetal position"
- Disseminated Intravascular Coagulation:
Found in severe trauma and septic patients. Causes weird clotting AND bleeding
throughout the body.
Common sign is purpura on the chest and abdomen
-Hemophilia: Hereditary disorder with very poor clotting
- Thrombocytopenia: Poor clotting due to a low level of platelets
- Thrombocytosis: Too many platelets (Asymptomatic)
✔✔Coagulation Processes - ✔✔Steps:
1. Vasoconstriction
2. Platelet Plugging
3. Coagulation
Clotting cascade:
Refers to the process by which clotting factors work together to ultimately form fibrin
Coagulopathy:
,A condition in which the blood's ability to coagulate (form clots) is impaired
✔✔Physiology Electrical Injuries - ✔✔Produce devastating internal injuries with little
external evidence
may have two injuries sites
1. one at the point where electricity entered the body (entry wound)
2.and where it exited the body (exit wound)
as electrical current travels from the contact site into the body, it is converted to heat,
which follows the current flow--usually along side blood vessels and nerves--causing
extensive damage to the tissue in its path.
respiratory muscle paralysis
ventricular fibrillation
serious injury because the electricity may have flowed across the chest, potentially
injuring the cardiac conduction system
"11,000 volts usually fatal, 40,000 volts almost always fatal."
✔✔Pathophysiology of Angioedema - ✔✔"A vascular reaction, that may have am
allergic cause and may result in profound swelling of tongue and lips"
"Marked edema of the skin and usually involves the head, neck, face, and upper airway.
Caused from allergic reactions and anaphylaxis."
- Sudden onset of dyspnea & swollen tongue = Immediate Epinephrine, benadryl,
breathing treatment. The vasoconstriction relieves the angioedema
- Watery eyes and "eyelid edema" with a food allergy and semi normal VS =
Diphenhydramine. S/S are local NOT systemic
✔✔Allergic reaction/anaphylaxis - ✔✔Visual aide
Signs & Symptoms
-Itching or hives
-Red watery eyes
-Coughing, wheezing, or difficulty breathing
-Throat tightness or closing or difficulty swallowing
-Nausea, stomach cramps, or vomiting
-Change in voice
-Dizziness, fainting or loss of consciousness
-Change of skin color
-Sense of doom
, Care
-Use Epinephrine Auto-Injector
-Call 9-1-1
-Monitor Airway & Breathing
✔✔Pathophysiology of Hypothermia - ✔✔"Confused 39 yom lost in the woods. Wet
clothes and foot sores".
Tx: Remove clothes and start active warming
A condition in which the core body temperature is significantly below normal less than
35c (95F), owing to inadequate thermogenesis an/or excess environmental cold stress
note: Vasodilation is a major risk factor for hypothermia in the elderly. Alcohol ingestion
produces peripheral vasodilation, which increases heat loss
UMBLES
Stumbles, Mumbles, Fumbles, Grumbles
ataxia (staggered gait), CNS depression(stroke&intoxication like s&s),
EKG: Osborne Wave/J Wave
watch outdoor vfib
Management :
Passive Rewarming: taking off wet clothes, drying its skin, moving pt into warm
ambulance, possible warm fluids
External Rewarming: directly warm its skin, heating blankets, direct heat packs to groin,
axillary & neck, warm fluids/warm humidified o2
Shock more/withhold meds
not dead until warm and dead
✔✔Treatment of hyperthemia - ✔✔Quiz question:
80 yom c/o headache and nausea. He's confused with hot and dry skin. VS: 90/55 P96
RR 18 CBG 88. What should you do?
A: Begin active cooling
He has s/s of heat stroke. Immediate cooling needs to begin. Active cooling = Cool IV
fluids plus ice packs
✔✔Pathophysiology of demylenating disorders:
Guillian-Barre Syndrome - ✔✔- Guillian-Barré Syndrome:
