FISDAP EMT Medical Exam

FISDAP EMT Medical Exam 1. Which statement strongly indicates syncope? - CORRECT ANSWER ==I blacked out for a few seconds 2. When assessing the patient for arm drift, you should ask the patient to - CORRECT ANSWER ==hold their arms out palms up, eyes closed 3. 68 yo patient reports abdominal pain, vomiting, and a loss of appetite, as well as black, tarry stools. you should suspect - CORRECT ANSWER ==upper gi bleed 4. You are called to an outdoor garden center on a hot, humid day. Your patient is pale, wheezing, and has hives. you should suspect - CORRECT ANSWER ==bee sting 5. you have been dispatched to a behavioral emergency. The police are on the scene and have asked you to evaluate the patient. you should - CORRECT ANSWER ==restrain the pt. to your cot and transport to the nearest hospital 6. a pt. was cleaning a bathroom when he came out gagging and coughing. his eyes are red and watering and he is complaining of dyspnea. you should - CORRECT ANSWER ==move the pt to a well ventilated area 7. 38 yo pt. has a history of hypothyroidism. she is hypertensive, tachycardic, and hyperthermic. you find an empty bottle of Synthroid nearby. You should - CORRECT ANSWER ==contact the poison center or medical command. 8. a pt's family member reports a glucometer reading of 57 mg/dL. how should you interpret this reading? - CORRECT ANSWER ==low 9. a worker at a fertilizer plant has spilled lye all over his upper body. you should - CORRECT ANSWER ==brush the powder off the pt. 10. to assess a possible stroke pt for abnormal speech, you should - CORRECT ANSWER ==ask the pt to repeat a common phrase 11. a pt was stung by a bee. you should - CORRECT ANSWER ==apply ice cold compress to the affected area 12. 72 yo male has weak hand grips, blurred vision, and is unable to tell you the day of the week. he is a type 2 diabetic. what should you do - CORRECT ANSWER ==evaluate for facial droop 13. which of the following meds helps the body transport sugar into the cells - CORRECT ANSWER ==insulin 14. an unconscious patient has one pupil that is significantly larger than the other and not reactive to light. the most likely cause is - CORRECT ANSWER ==stroke 15. where would you expect to find pain in a pt with suspected appendicitis - CORRECT ANSWER ==right lower quadrant 16. when assessing a pt for facial droop, you should - CORRECT ANSWER ==ask pt to smile or show his teeth 17. which of the following assessment findings suggests a gi bleed - CORRECT ANSWER ==bright red blood from the rectal area 18. you are assessing an unresponsive medical patient. what should be your primary focus - CORRECT ANSWER ==chief complaint 19. a patient has a headache. how should you position him on the cot - CORRECT ANSWER ==90 degree fowler 20. 50 yo male who recently completed renal dialysis is bleeding profusely from his shunt. how should you classify this bleeding - CORRECT ANSWER ==a life-threatening problem that requires immediate surgical intervention 21. a 28 yo pt is outside at a concert and appears confused. he is unable to answer your questions. you should - CORRECT ANSWER ==look for a medical identification necklace or bracelet 22. a car battery exploded in your pt's face. he denies any breathing difficulty. you should - CORRECT ANSWER ==irrigate eyes with water 23. a patient is having a tonic-clonic seizure. he is not breathing. you should - CORRECT ANSWER ==prevent the pt from further injury 24. your first priority whe. dealing with a pt who is exhibiting behavior issues is to - CORRECT ANSWER ==ensure the safety of yourself and your partner 26. 78 yo M alzheimers pt has bruising on his back, neck, and stomach. when you ask the pt what happened, his caregiver insists "he fell getting out of bed" what should you do a. ask on of the family members to ride in the back with him b. ask the caregiver why the pt required restraint c. immediately notify law enforcement to take a report d. move him into the ambulance so you can talk to him alone - CORRECT ANSWER ==c. notify law enforcement to take a report 25. according to the Cincinnati prehospital stroke scale, which of the following should be assessed - CORRECT ANSWER ==facial droop 27. A 32-year-old patient is found unconscious in the snow. You cannot detect a pulse or respiration rate within 10 seconds. What should you do? - CORRECT ANSWER ==assess her pulse for 30-45 seconds 28. An 80 y/o male complains of a headache and nausea. He is confused with hot, dry skin. His house is hot and humid. VS are BP 90/55, P 96, R 18, SpO2 88% and BGA 88 mg/dL. What should you do? - CORRECT ANSWER ==Begin active cooling measures (signs of heat stroke, also think of fluid replacement due to dehydration) 29. A 28 y/o female complains of sudden onset of dyspnea while eating in a restaurant. Her tongue is swelling and she has urticaria on her neck. VS are BP 86/44, P 116, R 18 with wheezing. What should you administer? - CORRECT ANSWER ==Epinephrine .3 to .5 IM 1:1000 (should suspect anaphylactic shock) 30. While spraying pesticide on his crops, a 51 y/o male started to feel lightheaded and had trouble breathing with excessive saliva production. What should you administer? - CORRECT ANSWER ==Atropine (cholinergic response with the signs of SLUDGE, need to use a anticholinergic drug which is atropine, which blocks the effects of the accumulating acetylcholine) 31. An adult mal