EMT FISDAP READINESS EXAM
EMT FISDAP READINESS EXAM # 5 - LATEST
VERSION ACTUAL EXAM ALL 160 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A 60-year-old male complains of a tearing sensation in his abdomen. He tells you the pain
began suddenly and feels like someone is sticking a knife into his abdomen. He is conscious
and alert with a blood pressure of 148/88 mm Hg, a pulse of 120 beats/min, and respirations of
22 breaths/min. In addition to administering high-flow oxygen, you should:
• A:perform a rapid head to toe assessment and prepare for transport.
• B:auscultate over his epigastrium to assess for bowel sounds.
• C:vigorously palpate his abdomen to assess for a pulsating mass.
• D:transport at once and be prepared to treat him for severe shock.
A+ TEST BANK 1
, EMT FISDAP READINESS EXAM
The correct answer is D;
Reason:
Given the onset and nature of the patient's pain (eg, sudden onset, tearing sensation), you
should suspect that he has an acute dissection of the abdominal aorta. Administer high-flow
oxygen and transport him at once. Acute aortic dissection can quickly cause an aneurysm,
which could rupture and cause profound shock. Therefore, you must carefully monitor him
and be prepared to treat him accordingly. Unnecessary or vigorous palpation of his abdomen
could cause his aorta to rupture and should be avoided. A rapid head-to-toe assessment is
indicated for trauma patients with a significant mechanism of injury and unresponsive medical
patients; this patient falls into neither of these categories. Auscultating bowel sounds in the
field is time-consuming, will yield little information, and only delays transport.
Which of the following statements regarding the function of insulin is correct?
• A:It stimulates the liver to release glucose into the bloodstream.
• B:It facilitates the uptake of glucose from the bloodstream into the cell.
• C:It causes the pancreas to produce glucose based on the body's demand.
• D:It promotes the entry of glucose from the cell into the bloodstream.
You selected B; This is correct!
Reason:
Insulin is a hormone produced by the beta cells in the Islets of Langerhans of the pancreas. It
promotes the uptake of glucose from the bloodstream into the cells where it is used in the
production of energy. Glucagon, a hormone produced by the alpha cells in the pancreas,
facilitates the conversion of glycogen to glucose (glycogenolysis) in the liver. The liver does
not produce glucose; it produces glycogen, a complex sugar that the body cannot utilize until
it has been converted to glucose, a simple sugar.
A+ TEST BANK 2
, EMT FISDAP READINESS EXAM
A 72-year-old woman is found unresponsive in her poorly ventilated home. Her skin is flushed,
hot, and dry, and her respirations are rapid and shallow. She is wearing a medical alert
bracelet that states she is a diabetic and is allergic to sulfa drugs. You should be MOST
suspicious for:
• A:acute ischemic stroke.
• B:a diabetic complication.
• C:heat stroke.
• D:anaphylactic shock.
You selected C; This is correct!
Reason:
The patient's signs and symptoms are consistent with classic heat stroke. Unlike exertional
heat stroke, which usually affects otherwise healthy people who exert themselves in the heat
for long periods of time, classic heat stroke commonly affects children and older adults, and
typically occurs when the patient is in a hot, poorly ventilated space for a prolonged period of
time. Significant underlying medical problems (eg, hypertension, diabetes, heart disease)
increase the patient's risk for classic heat stroke. Both exertional and classic heat stroke
present with hot, flushed skin; however, patients with exertional heat stroke may have moist
skin, usually from residual perspiration, whereas patients with classic heat stroke typically
have dry skin.
A 36-year-old male, who is a known diabetic, presents with severe weakness, diaphoresis, and
tachycardia. He is conscious, but confused. His blood pressure is 110/58 mm Hg, pulse is 120
beats/min and weak, and respirations are 24 breaths/min. The glucometer reads error after
several attempts to assess his blood glucose level. In addition to high-flow oxygen, medical
control will MOST likely order you to:
• A:transport only and closely monitor him.
• B:assist the patient in taking his insulin.
• C:give him a salt-containing solution to drink.
• D:give at least one tube of oral glucose.
You selected D; This is correct!
A+ TEST BANK 3
, EMT FISDAP READINESS EXAM
Reason:
The patient's signs and symptoms indicate hypoglycemia. When you are in doubt as to a
patient's blood glucose level, you should err on the side of caution and give sugar; this is what
medical control will likely order you to do. The patient, although confused, is conscious and
will likely be able to swallow. Insulin is not administered to patients in the field, even if
hyperglycemia is documented; EMTs and paramedics are usually not familiar with all of the
different types of insulin and their respective doses, and profound hypoglycemia, potentially
resulting in death, can occur if too much insulin is given. After giving oral glucose, reassess the
patient's mental status and vital signs.
After moving a hypothermic patient to a warmer area, your primary focus should be to:
• A:prevent further body heat loss.
• B:provide rapid rewarming.
• C:assess his or her body temperature.
• D:give warm, humidified oxygen.
You selected A; This is correct!
Reason:
After moving a hypothermic patient to a warmer area, your primary focus should be to
prevent further body heat loss. Remove wet or damp clothing and cover the patient with
blankets (passive rewarming). It is especially important to cover the patient's head; most heat
is lost around the head and neck. You should not, however, try to actively rewarm the patient
(ie, placing heat on or into the body). Rewarming too quickly may induce a lethal cardiac
dysrhythmia and cardiac arrest. For this reason, active rewarming should be done in the
controlled setting of a hospital. In some areas, medical control may call for the administration
of warm, humidified oxygen; follow your local protocols. Assessing a hypothermic patient's
A+ TEST BANK 4
EMT FISDAP READINESS EXAM # 5 - LATEST
VERSION ACTUAL EXAM ALL 160 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A 60-year-old male complains of a tearing sensation in his abdomen. He tells you the pain
began suddenly and feels like someone is sticking a knife into his abdomen. He is conscious
and alert with a blood pressure of 148/88 mm Hg, a pulse of 120 beats/min, and respirations of
22 breaths/min. In addition to administering high-flow oxygen, you should:
• A:perform a rapid head to toe assessment and prepare for transport.
• B:auscultate over his epigastrium to assess for bowel sounds.
• C:vigorously palpate his abdomen to assess for a pulsating mass.
• D:transport at once and be prepared to treat him for severe shock.
A+ TEST BANK 1
, EMT FISDAP READINESS EXAM
The correct answer is D;
Reason:
Given the onset and nature of the patient's pain (eg, sudden onset, tearing sensation), you
should suspect that he has an acute dissection of the abdominal aorta. Administer high-flow
oxygen and transport him at once. Acute aortic dissection can quickly cause an aneurysm,
which could rupture and cause profound shock. Therefore, you must carefully monitor him
and be prepared to treat him accordingly. Unnecessary or vigorous palpation of his abdomen
could cause his aorta to rupture and should be avoided. A rapid head-to-toe assessment is
indicated for trauma patients with a significant mechanism of injury and unresponsive medical
patients; this patient falls into neither of these categories. Auscultating bowel sounds in the
field is time-consuming, will yield little information, and only delays transport.
Which of the following statements regarding the function of insulin is correct?
• A:It stimulates the liver to release glucose into the bloodstream.
• B:It facilitates the uptake of glucose from the bloodstream into the cell.
• C:It causes the pancreas to produce glucose based on the body's demand.
• D:It promotes the entry of glucose from the cell into the bloodstream.
You selected B; This is correct!
Reason:
Insulin is a hormone produced by the beta cells in the Islets of Langerhans of the pancreas. It
promotes the uptake of glucose from the bloodstream into the cells where it is used in the
production of energy. Glucagon, a hormone produced by the alpha cells in the pancreas,
facilitates the conversion of glycogen to glucose (glycogenolysis) in the liver. The liver does
not produce glucose; it produces glycogen, a complex sugar that the body cannot utilize until
it has been converted to glucose, a simple sugar.
A+ TEST BANK 2
, EMT FISDAP READINESS EXAM
A 72-year-old woman is found unresponsive in her poorly ventilated home. Her skin is flushed,
hot, and dry, and her respirations are rapid and shallow. She is wearing a medical alert
bracelet that states she is a diabetic and is allergic to sulfa drugs. You should be MOST
suspicious for:
• A:acute ischemic stroke.
• B:a diabetic complication.
• C:heat stroke.
• D:anaphylactic shock.
You selected C; This is correct!
Reason:
The patient's signs and symptoms are consistent with classic heat stroke. Unlike exertional
heat stroke, which usually affects otherwise healthy people who exert themselves in the heat
for long periods of time, classic heat stroke commonly affects children and older adults, and
typically occurs when the patient is in a hot, poorly ventilated space for a prolonged period of
time. Significant underlying medical problems (eg, hypertension, diabetes, heart disease)
increase the patient's risk for classic heat stroke. Both exertional and classic heat stroke
present with hot, flushed skin; however, patients with exertional heat stroke may have moist
skin, usually from residual perspiration, whereas patients with classic heat stroke typically
have dry skin.
A 36-year-old male, who is a known diabetic, presents with severe weakness, diaphoresis, and
tachycardia. He is conscious, but confused. His blood pressure is 110/58 mm Hg, pulse is 120
beats/min and weak, and respirations are 24 breaths/min. The glucometer reads error after
several attempts to assess his blood glucose level. In addition to high-flow oxygen, medical
control will MOST likely order you to:
• A:transport only and closely monitor him.
• B:assist the patient in taking his insulin.
• C:give him a salt-containing solution to drink.
• D:give at least one tube of oral glucose.
You selected D; This is correct!
A+ TEST BANK 3
, EMT FISDAP READINESS EXAM
Reason:
The patient's signs and symptoms indicate hypoglycemia. When you are in doubt as to a
patient's blood glucose level, you should err on the side of caution and give sugar; this is what
medical control will likely order you to do. The patient, although confused, is conscious and
will likely be able to swallow. Insulin is not administered to patients in the field, even if
hyperglycemia is documented; EMTs and paramedics are usually not familiar with all of the
different types of insulin and their respective doses, and profound hypoglycemia, potentially
resulting in death, can occur if too much insulin is given. After giving oral glucose, reassess the
patient's mental status and vital signs.
After moving a hypothermic patient to a warmer area, your primary focus should be to:
• A:prevent further body heat loss.
• B:provide rapid rewarming.
• C:assess his or her body temperature.
• D:give warm, humidified oxygen.
You selected A; This is correct!
Reason:
After moving a hypothermic patient to a warmer area, your primary focus should be to
prevent further body heat loss. Remove wet or damp clothing and cover the patient with
blankets (passive rewarming). It is especially important to cover the patient's head; most heat
is lost around the head and neck. You should not, however, try to actively rewarm the patient
(ie, placing heat on or into the body). Rewarming too quickly may induce a lethal cardiac
dysrhythmia and cardiac arrest. For this reason, active rewarming should be done in the
controlled setting of a hospital. In some areas, medical control may call for the administration
of warm, humidified oxygen; follow your local protocols. Assessing a hypothermic patient's
A+ TEST BANK 4
