MEDICAL PARAMEDIC FISDAP EXAM WITH 100% CORRECT ANSWERS 2023

petite mal seizures are also know as - Correct answer-absence seizures present with little or no movement What type of seizure pertains a limited portion of the brain? - Correct answer-partial seizure can be localized to one side of the brain What are the management of a seizure? - Correct answer-If trauma is noted c-spine precaution Check blood sugar(treat it) Provide ventilatory assistance(apnea) Prepare to intubate, if difficult to bvm assistance Benzodiazepine versed (midazalom) A patient who is experiencing a seizure greater than 4-5 minutes or consecutive seizures without return to consciousness is experiencing what kind of seizure ? - Correct answer-Staus epilepticus prepare to give a benzodiazepines such as Midazolam, ask bystanders if patient had taken anti seizure meds. You respond to a home of a patient who is experiencing facial drooping to the left side of his face with slurred speech patient is alert and oriented with equal grips and pushes, what type of medical emergency is this patient experiencing? - Correct answer-Bells palsy Bell's palsy is a viral infection. Bell's palsy is a condition in which the muscles on one side of the face become weak or paralyzed, may present with Stoke like symptoms Treating a patient with internal bleeding patient may present with cool clammy skins with a low blood pressure - Correct answer-Treat for hypovolemic shock. O2, blanket, rapid transport, IV fluids 12 lead monitor (VOMIT) s/s of upper GI bleed - Correct answer-Melena - black tarry sticky odorous stool and blood blended together into one substance; blood cannot be distinguished from stool s/s of lower GI bleed - Correct answer-hematochezia (bright red blood)- stool and blood are incorporated together into the same substance, yet are easily distiguished from each other portal hypertension causes pg (1183) - Correct answer-esophageal varices S/S of esophageal varices (pg, ) - Correct answer-signs of liver disease fatigue weight loss jaundice anorexia edematous abdomen pruritus(sever itching of the skin) abdominal pain nausea/vomiting s/s of rupture of varices - Correct answer-pt will report of an abrupt onset of discomfort in the throat, may have severe dysphagia, vomiting bright red blood (hematemesis),hypotension, and signs of shock. patients who have liver disease. General management for upper gi bleed of esophageal varices - Correct answer-Fluid resuscitation aggressive suctioning s/s of peptic ulcer disease(upper gi bleed) - Correct answer-experience epigastrium that subsides or disminished immediately after eating pain is described as: burning or gnawing Nausea/Vomiting belching and heart burn are common In peptic ulcer disease, If erosion is sever what other symptoms may be present? - Correct answer-Upper Gastric bleeding can occur w/ a result of vomiting bright red blood(hematemesis) and Melena (dark tarry stools) Management for peptic ulcer disease - Correct answer-Orthostatic vital signs Transpot IV fluids You respond to a home of a patient who's complains of heart burn and was experience epigastrium that subsides or disminished immediately after eating. what is this patient most experiencing? - Correct answer-peptic ulcer disease You respond to a home of a female complains of the worst headache ever what is the best appropriate treatment? - Correct answer-Pain management Morphine and Transport remember to treat immediately for stroke like symptoms Treatments for GI bleeds - Correct answer-Orthostatic vital signs Transpot IV fluids What is the structural of alters mental status? - Correct answer-icp, Hemorrhage S/S of abdominal infection - Correct answer-Orthostatic vital signs Transpot IV fluids S/S of Urinary tract infection - Correct answer-painful urination urges to urinate difficulty urinate visceral discomfort extreme burning pain especially during urination the pain may be localized in the pelvis bladder pain in woman prostate pain in men pain can referred pain to the shoulder or neck restless and uncomfortable S/S of kidney stones - Correct answer-flank pain migrates forwards the groin blood in the urine (hematuria) agitated and restless pacing and moving about attempting to relieve the pain or motionless and guard the abdomen Kidney stone management - Correct answer-position of comfort anagelesia medication (morphine) pain control IV fluids rehydration(hydration) patients may have signs and symptoms of a UTI s/s of acute kidney injury - Correct answer-dehydration (decreased urine output) flank pain cool, pale, moist generalized edema acid build up metabolic waste in the blood volume overload hyperkalemia uremia metabolic acidosis tachycardia acid base imbalance S/S of HHNK hyperosmolar hyperglycemia nonketotic coma - Correct answer-type 2 diabetics hyperglycemia Altered, drowsiness, and lethargy severe dehydration, thirst, dark urine visual or sensation deficits partial paralysis or muscle weakness seizures. Assessment HHNKS (hyperglycemia hyperosmolar nonketotic coma) - Correct answerdoes not experience ketoacidosis BGL higher than DKA pt S/S of thyroid storm - Correct answer-rare life threatening condition that may occur in patients with thyrotoxicosis. you respond to a home of a patient who ingested unknown substance? what should you do? - Correct answer-call poison control you respond to a patient who present patient who present with lip swelling and drooling present with? - Correct answer-epiglottis A patient who overdosed on oxycontin will present with what kind of pupils ? - Correct answer-Constricted pupils S/S of sickle cell crisis - Correct answer-*Acute abdominal pain* (most common) Fever Severe leg pain Hot/swollen joints Board-like abdomen with no bowel sounds Sob signs of pneumonia inadequate perfusion hypotension you respond to a home of a pat who has a history of sickle cell patient is complains of leg pain that has progressively getting worst patient leg is hot to the touch what condition right this patient is experiencing? - Correct answer-DVT- Sickling of red cells can increase blood coagulation and induce an increased risk of blood clot in a deep vein (DVT) Side effects of an ACE inhibitor (immunology)?? - Correct answertreatment for anaphylaxis???? immunology - Correct answers/s of an infection????? immunology - Correct answer-fever, increased pulse, malaise, anorexia, nausea, vomiting, enlarged lymph nodes, respiratory waste neurological emergency ch 18 s/s of a stroke ???? - Correct answers/s of joint inflammation ch 18???? - Correct answer-arthritis s/s of elderly abuse - Correct answerdelusion???? - Correct answer