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FISDAP AEMT EXIT FINAL EXAM 2024/2025| 200 Q&AS WITH COMPLETE SOLUTIONS

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1. 96. An alert 20 year old male's legs have been trapped under a fallen tree truck for 8 hours. Vital signs are BP 106/56, P 114, R 20 and SpO2 94%. What should you do before removing the tree from his legs?: Administer oxygen by non-rebreather mask 2. 1. A 24 year old male diaphoretic, anxious, and lying in the fetal position. He has right lower quadrant tenderness on palpitation. What should you suspect?: Appendicitis 3. 2. A 21 year old female is crying and wants to kill herself. She has an extensive psychiatric history. She is worried that she will never leave the hospital. Law enforcement has secured the scene. What should you do?: Calmly reassure the patient. 4. 3. What abdominal infection presents with guarding and increased pain on movement?: Peritonitis 5. 4. A 20 year old male is febrile and complains of a headache. He has blurred vision and neck pain. What should you suspect?: Meningitis 6. 5. A 55 year old male complains of tearing abdominal pain. Peripheral pulses are weak and unequal. What should you suspect?: Aortic aneurysm 7. 6. A 64 year old male complaining of chest pain suddenly becomes unconscious. What should you do?: Assess for a carotid pulse 8. 7. A 40 year old female has a psychiatric history with what should you do?: Return the ambulance 9. 8. A 58 year old male complains of shortness of breath. His skin is ashen and he has clubbed fingers. Vital signs are bp 168/86, p 119 r 30 and labored, SpO2 89%. What is the most likely cause?: COPD 10. 9. A 24 year old female was ejected in a car crash. She has shallow respirations and a scalp laceration that is bleeding into her eye. What should you do?: Manually stabilize her spine 11. 10. A 60 year old male complains of chest pain. Vital signs are bp 180/90. P 112, and irregular, R 18, SpO2 92%. What is the initial medication you should administer?: Aspirin 12. 11. What transports oxygenated blood from the lungs to the heart?: Pul monary veins 13. 12. What does the phrenic nerve control?: Diaphragm 14. 13. What is the term for the amount of resistance felt during ventilation with a bag valve mask?: Compliance 15. 14. Why do COPD patients develop polycythemia?: Chronic hypoxia 16. 15. Which is a reactive airway disease?: Asthma 17. A 25 year old male is diaphoretic and hot to the touch. He has active hemoptysis and tells you he has had a cough for 2 weeks. What should you do?: Don an N95 mask 18. A 56 year old female complains of an acute onset of shortness of breath after coughing vigorously. What should you suspect?: Pneumothorax 19. A 55 year old male is confused and cyanotic. He is a smoker with a cardiac history. Vital signs are BP 158/ 102, P 110, R 26 with rhonchi, SpO2 84%. What should you suspect?: COPD exacerbation 20. 19. An 18 year old male has a hoarse voice and a forceful cough. He says "im choking". What should you do?: Monitor his airway 21. 20. An unconscious 92 year old male is lying supine in his bed. He has a decelerate posture, snoring respirations, and a respiratory rate of 8. What should you do?: Perform a head tilt-chin lift. 22. 21. An unconscious 22 year old male is lying prone on a bathroom floor. His face is lying in a pool of vomit. What should you do?: Log roll him into a supine position 23. 22. A 56 year old female complains of sharp, left-sided chest pain. She has been confined to a bed for the past 2 weeks because of a femur fracture. Vital signs are BP 120/76, P 110, R 24, SpO2 88%. What should you administer?: - Oxygen 24. 23. A 44 year old female is unconscious after coughing up bright, red blood. She has a history of alcohol abuse. What should you do?: Suction her airway 25. 24. Where does external respiration occur?: Pulmonary capillaries 26. 25. What regulates the rate of ventilations?: Carbon dioxide levels 27. 26. What does Beta 2 medication stimulate in the lungs?: Smooth muscle relaxation 28. 27. While ventilating a patient, air is escaping from the face mask. What should you do?: Reposition the face mask 29. 28. How many times per minute should you ventilate an adult patient in respiratory arrest?: 10 30. 29. A 56 year old female is in tripod position and has pink, frothy sputum on both sides of her mouth. What should you suspect?: Pulmonary edema 31. 30. A 54 year old female with a history of emphysema complains of chest tightness. Vital signs are BP 140/76, P 92, R 18 and wheezing, SpO2 95% on room air. What should you do?: Administer an albuterol nebulizer 32. 31. A 30 year old male in respiratory distress has a fever with chills, a chronic cough, and hemoptysis. What should you suspect?: Tuberculosis 33. 32. A 49 year old female tells you she has dull chest pain that started 20 minutes ago and had cardiac stents placed 6 years ago. Vital signs are BP 110/82, P 92, R 16. What should you suspect?: Myocardial infarction

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