Ace the FISDAP Final Paramedic: 1000+ Questions & Answers

Ace the FISDAP Final Paramedic: 1000+ Questions & Answers How long does the AV Node hold the electrical current before releasing to the ventricles down the bundle of his ? - ANSWER0.12-0.20 the PR Interval NFPA 704 what does the blue represent in the placard ? - ANSWERHealth Hazard Who coordinates with the hospital during MCI ? - ANSWERTransport Officer With PAC02 of 50 and SPO2 of 80 % what condition do you have ? - ANSWERRespiratory Acidosis If you are a type 2 diabetic and have a blood sugar of 900 , what condition are you in ? - ANSWERHHNS or Hyperosmolar Non- Keotic State If you are in DKA what acidosis are you in ? - ANSWERMetabolic Acidosis What is a demyelination disease in the Neuro System ? - ANSWERMS Which immunoglobulin is responsible for allergic reactions ? - ANSWERIGE What is inflamation of the liver? - ANSWERHepatitis What sign is pain in the left shoulder from spleen rupture? - ANSWERKehr's Sign What is the cause of Esophageal Varices? - ANSWERPortal Vein Hypertension What system does tetanus toxoid affect ? - ANSWERNeurological When you needle decompress for a tension pneumothorax do you go above or below the rib ? - ANSWERAbove to avoid all bundles of nerves below all the ribs Name one Inotropic medication we carry ? - ANSWERDopamine What does Dromotropic medication mean ? - ANSWERSpeeds up electrical system of the heart What transmits the Hannah Virus to humans ? - ANSWERRats What transmits Lyme disease to humans ? - ANSWERDeer Tick What would a person's heart rate be with Organophosphate poisoning ? - ANSWERBradycardia What is the initial dose of Atropine for Organophosphate poisoning ? - ANSWER2 Mg every 5 min What is the most common way people are poisoned ? - ANSWERIngestion What is the most common type of stroke ? - ANSWEREmbolic 87 % What heart rhythm is likely to cause a stroke ? - ANSWERAFIB What type of medication can cause hemorrhagic strokes ? - ANSWERBlood Thinners What medication classification do we use for Organophosphate Poisoning ? - ANSWERAnticholinergic and Antimusctranic What classification is Epi being used as during cardiac arrest ? - ANSWERVasopressor What's the medical term for kidney stones ? - ANSWERRenal Calculi After childbirth mother has excessive pain with post hemorrhaging what is it ? - ANSWERUterine Rupture What are 2 complications of Gestational Diabetes ? - ANSWERFetal hypoglycemia , Shoulder Dystocia What is the main difference between Gestational hypertension and pre eclampsia ? - ANSWERProtein in urine for eclampsia , and hypertension when pregnant is gestational hypertension Name parts of Becks Triad ? - ANSWERMuffled heart tones , narrowing pulse pressures , and JVD What defines narrowing pulse pressures ? - ANSWERLess than 25 percent Name parts of Cushing's Triad ? - ANSWERHTN , bradycardia , irregular breathing Exothalamus - ANSWERBulging Eyes and is a condition of Grave's Disease Name 1 command staff in incident command ? - ANSWERSafety Officer , PIO , or Liaison Name 1 of the operations branch of EMS ? - ANSWERTransportation , Triage , Treatment Who coordinates with hospital during incident ? - ANSWERTransportation Officer What is EPI 1 : 10,000 dose for pediatric ? - ANSWER0.01 mg / kg What is EPI 1 : 1,000 dose for pediatric ? - ANSWER0.01 mg / kg What is Amiodarone dose for pediatric ? - ANSWER5 mg kg What nerve controls the diaphragm ? - ANSWERPhrenic What number defines severe hypoxia ? - ANSWERLess than 86 % What is the difference between Cushing disease and Cushing Syndrome ? - ANSWERDisease is a tumor on gland , and syndrome is too much Cortisol. A protocol that is a written document signed by the EMS system's medical director that outlines specific directions, permissions, and sometimes prohibitions regarding patient care that is rendered prior to contacting medical control. - ANSWERStanding order If a paramedic transports a patient without the patient's consent or uses restraints in a wrongful manner - ANSWERFalse Imprisonment A treatment plan developed for a specific illness or injury. - ANSWERProtocol If you must deviate from your protocols because of unusual circumstances, you should FIRST: - ANSWERNotify Medical Control HIPPA mandates that: - ANSWERPatient information shall not be shared with entities or persons not involved in the care of the patient. HIPPA Defined: - ANSWERa. The first standards established to protect the confidentiality of a patient's health information. b. Medical information can be disclosed only if it is necessary for a patient's treatment or for payment. c. Special situations such as dog bites, gunshot wounds, and abuse require the release of patient information without the patient's consent. According to HIPAA, it is acceptable and permissible for hospitals to: - ANSWERshare information with the EMS providers about patient outcome for purposes of quality assurance and education. Wheezing that is resolved with administration of bronchodilator medication was probably caused by? - ANSWERconstriction of smooth muscles Wheezing is resolved with medications that? - ANSWERRelax the smooth muscle of the bronchiole Difficulty with exhalation is MOST characteristic of: - ANSWERobstructive lung disease COPD: Emphysema: - ANSWERCharacterized by distention of the alveoli and destructive changes in the lungs. The entity that was created in 1966 and that provides authority and financial support for the development of basic and advanced life support programs is the - ANSWERUS Department of Transportation. The National EMS Core Content refers to the: - ANSWERuniversal body of knowledge and skills for prehospital care. What is the priority of the paramedic during the scene management stage of an emergency call? - ANSWEREnsure the safety of the patient and bystanders When performing prospective medical oversight, you are most likely to do which of the following? - ANSWERChoose medical equipment Which of the following is one of the 10 system elements developed by the National Highway Traffic Safety Administration in an effort to sustain EMS systems? - ANSWERMedical oversight Which of the following medical care advances were made during the Vietnam War? - ANSWERAverage time to surgery was 1 to 2 hours. Which of the six guiding principles of EMS Agenda 2050 are utilized when a paramedic safely develops and implements a new program? - ANSWERAdaptable and innovative You and your team are attempting to resuscitate a 50-year-old female in cardiac arrest due to trauma. Your team consists of two emergency medical technicians (EMTs) and an advanced EMT (AEMT). Which of the following tasks would be most appropriate to assign to the AEMT? - ANSWERIntravenous therapy and fluid boluses You arrive at the scene of a patient in cardiac arrest. Your protocols provide standing orders for cardiac arrest treatment. This means that you should - ANSWERperform certain interventions prior to contacting medical control. You arrive on scene and find an unconscious 62-year-old male patient. You note that the patient is not protecting their airway. Which task could you delegate to the EMR? - ANSWERAssisting with placing the patient on a backboard Upon arriving at a patient's house, you learn that the patient has an active TB infection. What should you do before treating the patient? - ANSWERAsk the patient to wear a surgical mask What should you do when exposed to a patient's blood or body fluids? - ANSWERWash the affected area immediately with soap and water. When assessing a patient at the scene of an emergency, a paramedic gets easily frustrated when the patient doesn't cooperate. When the patient apologizes, the paramedic brushes off the apology and ignores the patient for the rest of the call. The paramedic is exhibiting signs of: - ANSWERcompassion fatigue. When performing tactical breathing to manage stress on a call, you should breathe in for how many seconds before holding? - ANSWER4 seconds When preparing to come into contact with a hostile patient, it is imperative to do which of the following first? - ANSWERCarefully review your surroundings. When should the paramedic wear a HEPA respirator or N95 mask? - ANSWERWhen working with a patient with TB or another respiratory illness Which of the following is an example of an aerosol-generating procedure (AGP) that requires the use of appropriate PPE? - ANSWERBag-mask ventilations Which of the following is part of the physiologic response to stress? - ANSWERMobilization of glucose Which of the following should a paramedic do in the event of a potential exposure to an infectious disease? - ANSWERObtain a full medical follow-up. Which of the following statements regarding critical incident stress management is accurate? - ANSWERIt is optional, but not currently a mandatory intervention. When using the systematic approach to health assessment and injury prevention programs, what is the last step in the cycle? - ANSWEREvaluate and revise Which of the following is an example of secondary injury prevention? - ANSWERAdministering epinephrine to a patient in anaphylactic shock Which of the following is the most appropriate use of a teachable moment? - ANSWERAdvising the unrestrained passenger with minor injuries following a motor vehicle accident that she easily could have been killed Which of the following resources would be considered a municipal resource? - ANSWERAnimal control services Which of the following results in the most years of potential life lost? - ANSWERUnintentional injury Which of the following would be an example of an engineering prevention strategy? - ANSWERVaccines Which of the following would be considered a passive intervention? - ANSWEREngineering William Haddon is best known for the tool he developed to understand which of the following? - ANSWERInjury sequence You are tasked with developing an educational program for caretakers of the elderly on fall prevention. To be effective, the program should inform the caretakers to: - ANSWERadopt safety precautions. You arrive at the scene of a rollover and find the car lying in the ditch. Upon examining the 19-year-old male patient, you notice they were not wearing their seatbelt and they admit to texting on their cell phone at the time of the accident. Which of the following was an environmental factor contributing to the crash? - ANSWERLack of guardrails What needs to be documented when revising a patient care report? - ANSWERThe reason for the revision When assessing a patient with an active tuberculosis infection, the patient coughs in your face before you are able to put on your face mask. What is your priority? - ANSWERContact your EMS supervisor When choosing details to include in a patient care report, a paramedic should: - ANSWERprovide accurate, complete details. When using the CHEATED charting method, which element would include the patient's response to the care provided? - ANSWEREvaluation When using the SOAP format to organize a patient report, which information would you include in the objective data section? - ANSWERElevated blood glucose (other choices were minor headache, chest tightness, abdominal pain) 1. A 30 year old climber is experiencing sever shortness of breath after reaching an elevation of 12000feet. The PT is very anxious and has rales noted to all quadrants but is otherwise healthy. He is not accustomed to high altitudes. What should you do? - ANSWER Administer oxygen while descending to a lower altitude. 2. A 26 year old female does not respond to verbal stimuli but moans in response to pain. A friend states the patient has ingested approx 150 amitriptyline tables. Vital Signs are BP 88/50 R16. You establish IV access and administer a fluid challenge. En route to the hospital her ECG shows a widening QRS. You should administer - ANSWER Sodium Bicarbonate. 3. You PT experienced trauma yesterday and you are transferring her to a larger facility. She has been experiencing progressive hypoxia. You notice coarse crackles in all lung fields on ventilation. Vital signs are BP 90/50 and SPO2 90%. You should - ANSWER Transport emergency and continue ventilation. 4. An alert 22 year old male was just disentangled from debris in a house collapse. He denies head or neck pain, but complains of server hip pain. Vital signs are BP 88/40. P120 R 16 you should administer. - ANSWER sodium bicarbonate 5. Braxton Hicks contractions - ANSWER occur in the second trimester and are false labor. 6. A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke up and walked home. You find him 2 hours later at home unconscious. You should suspect. - ANSWER epidural hematoma 7. A 47 year old male who was found unconscious on the side of the road respond only to painful stimulus. When you attempt to establish IV access he stiffens his arms and legs. He has minor abrasions all over his body. Vital signs are BO 178/122 P56 R irregular ETCO2 30. What should you do? - ANSWER Assist ventilations at 12 breaths per minHg. 8. A 28 year old female has a sudden onset of tightness in her chest and server difficulty breathing. Her tongue face and neck appear swollen and she has red itchy hives on her torso. Her signs are BP 80/40 P 130. You should administer - ANSWER Epinephrine 0.3mg 9. You are asked to set up a patient treatment area after a box labeled "radio active" was found unattended in a park. Which of the following would be the best location. - ANSWER Building in the park 10. You are at a house fire with multiple patients. Which patient should be transported First to a burn center? - ANSWER 52 year old with second degree burns to face and right hand 11. What is the most common cause of status epilepticus in adults. - ANSWER Failure to take prescribed medications 12. A 58 year old male with history of renal failure complains of dizziness lethargy and difficulty breathing. He says he missed his last dialysis appointment. Vital signs are BP 160/90 P 100 R 28 with rales heard in the basses. SPO2 92% you should suspect. - ANSWER Fluid Overload.