Fisdap Medical Emergencies Practice Questions With the Correct the Answers

A 20 y/o M is agitated and complains of nausea. He tells you, "I feel like my heart is going to jump out of my chest." Vital signs are BP 142/90, P 140, R 24, and warm, moist skin. Which drug should you suspect? a. narcotics b. opioids c. alcohol d. amphetamines - Answer d. amphetamines Amphetamines stimulate the central nervous system, causing an increase in all vital signs. He is tachycardia, tachypneoic, and hypertensive. An 83 y/o F is diaphoretic and has an altered mental status. Her caregiver states, "She is more out of it than normal, and she slapped me." What should you suspect? a. dementia b. transient ischemic attack c. hyperglycaemia d. hypoglycaemia - Answer d. hypoglycaemia Which an abrupt change in mental status, you should suspect hypoglycaemia. She is agitated with an altered mental status and she is diaphoretic. This is treatable in the prehospital setting. A 50 y/o M complains of a sudden onset of abdominal pain and appears pale and weak. Vitals are BP 84/50, P 110, R 22. What should you suspect? a. gastroenteritis b. appendicitis c. intestinal obstruction d. GI bleed - Answer d. GI bleed He is hypotensive and tachycardic. He is showing signs and symptoms of shock. GI bleeding can have an acute onset or be hidden and disguised for long periods of time. A thorough history of the patient's bowel movements, frequency and colour changes will help identify the location of the bleed within the abdomen. An unresponsive 22 y/o M was found outside on a hot and humid day. His skin is hot and moist. What should you do? a. remove all of his clothing and wrap him in a dry sheet b. administer cool fluids by mouth c. move him to the air-conditioned ambulance d. begin actively cooling with cold packs around the groin - Answer c. move him to the air-conditioned ambulance The first treatment option is to remove him from the environment that caused his heat stroke. The longer he is exposed to the heat, the more severe he will become. Once you have removed him from the hot environment, you can remove all clothing and begin cooling procedures. A 49 y/o M complains of severe right upper quadrant abdominal pain and nausea. He has jaundice and is febrile. Vital signs are BP 98/60, P 92, R 16. What should you suspect? a. hepatitis b. gall stones c. gastric ulcers d. pancreatitis - Answer a. hepatitis The liver is located in the RUQ of the abdomen. The body's response is a fever. He is jaundiced, because of the excess bilirubin in his body. A normal functioning liver excretes bilirubin as bile. During cleanup operations after a house fire, a firefighter complains of a headache, dizziness, and slight difficulty breathing. He reports not having worn his breathing apparatus for the past 30 mins. What should you suspect? a. CO poisoning b. mild hyperventilation c. acute hypoglycaemia d. asthma exacerbation - Answer a. CO poisoning Indicated by difficulty breathing and dizziness. Can result from exposure to partial combusted organic material. Because he was not wearing his mask, he breathed in an excessive amount of smoke.