Medical Emergencies Practice Quiz (Fisdap test) Questions And Answers 2022/2023

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? - Answer - Begin active cooling measures (signs of heat stroke, also think of fluid replacement due to dehydration) 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? - Answer - Epinephrine .3 to .5 IM 1:1000 (should suspect anaphylactic shock) 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? - Answer - 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) While transferring a 34 y/o male receiving a blood transfusion, he begins to complain of difficulty breathing. His skin is red and warm with urticaria. VS are BP 70/40, P 120, R 24. What should you do? - Answer - Discontinue the blood transfusion (should suspect a blood transfusion reaction, Benadryl will help with the allergic reaction and block the histamine release, consider Epi if the allergic reaction turns into anaphylaxis) 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? - Answer - Inquire about his suicidal ideations (his statement is a warning sign that he may be thinking of suicide) A confused 39 y/o male was found after being lost in the woods for 24 hours. His clothing is dap and he is shivering. He has blisters on his feet and hands. What should you do? - Answer - Remove his clothing and cover him with blankets (the Pt needs to have the rewarming process started) A 56 y/o male is unconscious and jaundiced. He has peripheral edema and a shunt in his left upper arm. What should you suspect? - Answer - Renal failure (Pt probably has not received dialysis recently and the toxins in his body are starting to build up and making this Pt at risk for hyperkalemia and accumulating acids as well) A 61 y/o male is confused about the amount of atenolol he has taken. Which is a sign of an overdose? - Answer - Hypotension (atenolol is a beta blocker selective for beta 1, also has beta 2 adrenergic receptors that can lead to increased airway resistance especially with COPD and asthma Pts. Beta 1 effects will lead to bradycardia as well as hypotension)