FISDAP MEDICAL PRACTICE EXAM ALREADY PASSED

FISDAP MEDICAL PRACTICE EXAM ALREADY PASSED The pneumonic TICLS stand still for what? Tone Interactivnss Consalability Treatment for a PT with GI bleeding includes 2 L fluid bolus infusion in adults, 20 ml/kg in children. High flow 02 and pneumatic anti-shock garments should be considered Signs and symptoms of an upper GI bleed A black, tarry stool(melena) often indicates an upper GI bleed Preexisting conditions for HHNK Often occurs in older patients with type 2 diabetes Treatment of anaphylaxis Give Epinephrine to all patients with clinical signs of shock, airway swelling or difficulty breathing. Signs and symptoms of anaphylaxis The PT may complain of throat tightness and dyspnea, stridor, and wheezing may be present. The PT may also have erythema(redness) and urticaria(hives) and angioedema Side effects of an ACE inhibitor Hypertension, edema and CHF Signs and symptoms of meningitis Malaise, low grade fever, projectile vomiting, petechial rash, headache and a stiff neck. This type of seizure is described as a brief LOC without loss of posture Absence seizure(petit mal) This type of seizure is described as an abrupt loss of muscle tone, sudden collapse and is sometimes known as a "drop attack" Atonic seizure This type of seizure is described as brief muscle contractions that usually occur at the same time on both sides of the body Myoclonic seizures This type of seizure is described as a sudden LOC and loss of organized muscle tone Tonicclonic seizure Signs and symptoms of a CVA aphasia, confusion or coma, convulsions, incontinence, vision change, headache, dizziness or vertigo and ataxia Treatment of a headache Treatment in the prehospital setting is mostly supportive however a full history should be obtained and a full neurological exam should be performed. Most headaches can be managed with analgesics Treatment of a delusional patient Treatment is aimed at correcting the underlying physical disorder to reduce anxiety. Sedatives may be required to manage the PT. Signs and symptoms of a black widow spider bite Muscle cramps and spasms, abdominal rigidity and intense pain, pain in the muscles of the shoulders, back and chest. Headache, dizziness, N/V, and edema of the eyelids Signs and symptoms of a brown recluse spider bite A lesion may be surrounded by a red halo known as the "bull's eye,'' symptoms include fever chills malaise N/V generalized rash and the development of hemolytic anemia. Treatment of organophosphate poisoning The drugs currently used as antidotes include, atropine, pralidoxime chloride and diazepam or lorazepam. The first drug of choice in an organophosphate poisoning Atropine should always be used first What are physiological effects of hyperventilation? Respiratory alkalosis, which lowers PC02 and C02 Prehospital treatment for pneumonia airway support, oxygen administration, ventilatory assistance as needed, IV fluids to support B/P, and to thin and loosen mucus, cardiac monitoring and sometimes bronchodilator drugs Signs, symptoms, and history that indicate an abdominal aortic aneurysm Treating a patient who overdosed on a tricyclic antidepressant drug Per medical direction, sodium bicarb may begin to reverse cardiac toxicity. Airway, ventilatory and circulatory support; IV access, ECG monitoring. Becks Triad signs JVD, narrowing pulse pressure, hypotension and muffled heart tones Becks triad is associated with ___ cardiac tamponade cholecystitis is more common in which type of patient? It is more common in women age 30-50 How will pancreatitis present? Severe epigastric pain radiating from the mid-umbilicus to the patients back and shoulders , nausea, vomiting and in severe cases the patient has fever, tachycardia, and signs of generalized sepsis and shock. Mallory-Weiss syndrome tear in the distal esophagus from retching in alcoholism or bulimia Murphy's sign Pain with palplation of gall bladder (seen with cholecystitis) Appendicitis S/S RLQ abdominal pain or cramping, nausea, vomiting, chills, low grade fever McBurney's point Pain in RLQ with appendicitis melena black tarry stool which indicates and upper GI bleed hematochezia passage of fresh, bright red blood from the rectum which is a sign of lower GI bleed The most common cause of upper GI bleed Peptic ulcer disease and variceal rupture The most common cause of lower GI bleed Diverticulosis How is Hepatitis A transmitted? Fecal-oral route How is Hep B transmitted? Contact with infectious blood, semen, or other body fluids, also perinatal How is hepatitis c transmitted? Through receipt of contaminated blood, most commonly through a needle stick injury Symptoms of Lupus butterfly shaped rash on chin & cheeks, pericarditis, pleuritis, extreme fatigue, painful or swollen joints, and kidney problems. Patients who are non responsive to epinephrine during an anaphylactic reaction due to beta locker usage may be given what medication? Glucagon Lupus primarily effects what type of patient? Females between the ages of 15-45 How is Cushing syndrome caused It is caused by an abnormally high circulating level of corticosteroid hormone Cushing's syndrome character appearance Round and red face, fat trunk, thin limbs How is Addison's disease caused by A deficiency of corticosteroid hormones cortisol and aldosterone Signs and symptoms of thyroid storm Severe tachycardia, heart failure, dysrhythmias, shock, hyperthermia, abdominal pain How can hyperkalemia be treated? Albuterol, calcium, sodium bicarbonate Which type of patient is most likely to experience HHNS? Older patients with type 2 diabetes or patients with undiagnosed diabetes signs and symptoms of HHNS Orthostatic hypotension, dry mucous membranes, tachycardia Signs and symptoms of Guillian Barr syndrome Weakness or tingling sensations in the legs that may be spread to the arms and upper legs A PT with stroke like symptoms that resolve within 24 hours without per any damage is called TIA Conjugate gaze Deviation of both eyes to either side at rest which implies damage to brain tissue dysconjugate gaze Deviation of the eyes to the opposite sides at rest implies damage to the brainstem If the pupils are fixed and dilated there has been an injury to which part of the CNS The brainstem How to measure CPP ICP subtracted by MAP 3 signs of Becks triad Elevated pulse pressure, muffled heart tones, and hypotension Rhabdomyolysis When the body will break down muscle tissue and release the byproduct into the bloodstream Eccymosis Bruising that looks identical to a contusion, but is not the result of internal bleeding. The thermoregulagory center in the brain isn't located where The hypothalamus Pain and bruising in the flank area Grey turners sign The primary neurotransmitter of the sympathetic nervous system Norepinephrine The primary neurotransmitter of the parasympathetic nervous system Acetylcholine To be classified as an organ it must have Howe many layers of tissue 2 PT with myasthenia gravis can not receive what drug? Fentanyl The pneumonic TICLS stands for what? Tone Interactivness Consolability Look Speech stage 2 hemorrhage 15-30% blood loss