FISDAP #3 MEDICAL
1. To access a possible stroke patient for abnormal speech, you should
A. Ask the family if the patient’s speech has been normal
B. Write questions for the patient to read
C. Ask the patient to repeat a common phrase
D. Ask the patient to smile and observe for symmetry
2. What effects does epinephrine have on the cardiovascular system?
A. Dilates the atria and
ventricles B. Constricts
blood vessels
C. Decreases cardiac afterload
D. Increases myocardial spasm
3. A 50 year old male who recently completed renal dialysis is bleeding
profusely from his shunt. How should you classify this bleeding?
A. A life threatening problem that requires immediate surgical
intervention
B. Normal after dialysis if it does not last more than 10
minutes C. Arterial and possibly serious
D. Venous and non life threatening
4. Which of the following is a sign of hypoglycemia?
A. Lower back pain
B. Cold and clammy skin
C. Hot and dry skin
D. Increased blood pressure
5. Which statement strongly indicates syncope?
A. “ I think I may have had a seizure”
B. “ I was lying in bed and felt myself
drift off” C. “ I blacked out for a few
seconds”
D. I have had a low grade fever for three days
6. 16 year old female patient woke up this morning with severe abdominal
pain. “I have not had a period in 2 months, pain started this morning.” BP
90/70 P 130 R 28 Skin pale and cool.
A. Acute
appendicitis B.
Hypovolemic shock
C. Toxic shock syndrome
D. Septic
shock Page
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, 7. 42 year old female patient. Family says she had a brief period of slurred
speech & left arm weakness. Likely cause is:
A. Hypoglycemia
B. Narcotic Overdose
C. Stroke
D. TIA (Transient ischemic attack)
8. 82 year old female complains of nausea/vomiting over 2 days. Ran out of
prescription heart medication last week. BP 158/92 P 92 and irregular R 18.
You should
A. Obtain orthostatic vital signs and administer oral glucose
B. Call primary care physician to renew prescription
C. Admin aspirin and perform detailed
physical exam D. Admin low flow O2 &
monitor vitals
9. An 87 year old nursing home resident has developed a productive cough
over the past three days and confusion over the past day. There are rhonchi
and wheezing in the right lung. Vital signs are BP 116/90, P 92, R 24, temp
101 degree Fahrenheit. The most likely cause is:
A. Aspiration
B.
Pneumonia
C. Emphysema
D. Asthma
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10.Which of the following assessment findings suggest gastrointestinal bleed?
A. Dark red emesis & low BP
B. Epigastric pain w/ nausea vomiting diarrhea
C. History of diverticulitis and IBS
D. Bright red blood from rectal area pg 710
11.Cincinnati prehospital stroke scale assesses
what? A. Facial droop
B. Blood glucose level
C. Grip strength
D. Duration of symptoms
12.Alert 56 year old female with severe headache weakness in left arm.
BP 188/92 P 106 R 14
A. Angina
P B.
Stroke
C. AMI
D. Migraine
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