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Questions and answers to prepare for the EMT FISDAP readiness exam. It covers patient assessment, treatment protocols, and medical conditions, requiring critical thinking to determine appropriate actions in various scenarios. Useful for EMT students and professionals to review emergency medical procedures, it provides a comprehensive overview of key concepts and best practices. Topics include shock, pregnancy emergencies, respiratory distress, trauma, airway management, medication, and legal considerations. The question-and-answer format allows self-assessment and knowledge reinforcement, enhancing understanding and readiness for real-world scenarios.
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The smell of acetone on breath You are administering oral glucose to a known diabetic. What should you be most concerned about? Pre-eclampsia 45 year old female is 34 weeks pregnant. She complains of a severe headache, sensitivity to light, and swollen feet. Vitals signs are BP 130/88, P104, R 24 what should you suspect? 5 Back blows A 10 month old is choking, what should you do? Reassure patient
First step with a sexually assaulted patient? Hypovolemic 2 year old has been vomiting for 12 hours and has decreased oral intake. She does not track your movements. P150 R 24. Cool skin w/ mottling. What type of shock should you suspect? Subarachnoid hemorrhage 50 year old female states she has "the worst headache of her life". The onset was 20 minutes ago and it was abrupt. Vitals BP 180/90 P56 and R 20. You should suspect? Spontaneous abortion 32 y/o female. 18 weeks pregnant. Lower ab pain w/vaginal bleeding. You should suspect? Left heart failure
56 yo F complains of chest pain that is unrelieved after 3 NTG's. Troubled breathing speaking in 2-3 word sentences. You should? Community relations EMS displays a "Free BP Check" sign on the window. This is a sign of? Ectopic pregnancy Which the following will only occur in the 1st trimester of pregnancy? Pancreatitis 36 yo M complains of nausea, vomiting and ab pain. Homeless and admits to chronic alcohol use. Vital signs are BP 92/54, P122, and R8. You suspect? Emphysema 62 yo M with history of COPD ran out of Home O2. SOB and dry lung nonproductive cough, clear lung sounds. You suspect?
Abruptio placenta 28 yo F has severe pain after slipping in the shower. 31 wks pregnant has bright red vaginal bleeding. Suspect? Wash board with disinfectant Previous ambulance crew failed to clean backboard properly. Dried blood under the edges. Ruptured ovarian cyst 24 yo F complains of right lower ab pain that radiates to the back with slight vaginal bleeding. Last period was 2 weeks prior. Suspect? Position hands 10 feet apart When lifting a stretcher into the ambulance using power grip, you should? Perineum tearing Complications with precipitous delivery
Hypoxia Leading cause of bradycardia in pediatrics Inspect oropharynx Delivery of newborn has central cyanosis covered in thick greenish fluid. You should? Pelvic inflammatory disease 46 yo F. fever & lower ab pain that moves to lower back when she walks. Abnormal vaginal discharge for 2 days. VS 144/88 P98 R16. you should suspect? Apply a hemostatic agent 12 yo M bleeding uncontrollably from a deep laceration to his palm. He is a hemophiliac. You should? Integumentary
Which body is responsible for protection, temp, excretion? Open airway, check pulse An unconscious male is cyanotic and actively vomiting you have been suctioning him for at least a minute. Aortic dissection 32 yo F was involved in a car crash and complains of a tearing pain in her back. Her left radial pulse is stronger than her right radial pulse. Rapid extrication 48 year old male in vehicle responsive to verbal only. You see smoke in the vehicle. Tear amniotic sac You are delivering a baby and the amniotic sac is still in place. You should?
Chest thrust 22 year old pregnant choking what do you do? Dehydration 21 year old female alert and complains of weakness / dizziness following a syncopal episode. She tells you she has been working outside all day. What's the most likely cause? Im on blood thinners 55 year old female fell and struck her head. She now complains of a headache. Which statement is most concerning? Femur fracture 36 year old female complains of her left leg pain after a car wreck. When you place her on a long spine board, you see her left leg is shortened and rotated outward. You suspect?
Triage upwind You arrive at the factory and see lots of people coughing as they evaluate the building you should? Obtain Vitals 32 y/o complains of a rapid heart rate. You should? Cardiogenic shock 58 year old male complains of general weakness and tells you that he had severe chest pain and shortness of breath the day before. You heard rales at both lungs. Her skin signs are cool, pale, and clammy. BP 70/40 p110, and R28. What type of shock do you suspect? Narcotic Unconscious 28 year old male has a puncture wound in his left forearm. You also see multiple scars on the backs of both his hands. What type of overdose should you suspect?
Seizure 19 year old female is found by her friend staring blankly at the wall. She is awake but slow to answer questions. What is most likely the cause? Administer oxygen 23 year is 30 weeks pregnant and complains of abdominal cramps. She tells you that she has had normal prenatal health care and no vaginal discharge. Vitals signs are Bp 102/74, P 112, R22 and labored. You should? Vigorous dry off with towel You have just delivered an infant with a pink torso and blue extremities. He is crying and moving his arms and legs. You should. Treatment provided; plan Where in your PCR should you document that you placed the patient on o2 at 15lm by nrb?
Ectopic pregnancy Which conditions will only occur during the 1st trimester of pregnancy? Inspect for meconium A newborn head has just been delivered. You should? Assist her ventilations A 66 year old female has regained a pulse after shock with an AED. She is moving her extremities and has a R 8. You should? Splenic injury An 8 year old male was hit by a car and is unresponsive. He has ecchymosis to his left upper quadrant. You should suspect. Clean your stethoscope with a germicide What should you do to prevent the spread of this infection.
78 yo male tells you "I feel sick & can't walk" bed is dirty w/ urine and feces. He request transport, but daughter does not want him to be transported to the hospital. What should you do? Start compressions 42 year old is apneic. Suddenly grabbed throat while eating and collapsed Meningitis A 10 month old F withdraws to painful stimuli. She had an ear infection and fever the passed three days, and she has a bulging fontanelle. A 52 year old man with tightness in the chest and wheezing Which of the following patients have a right to refuse transport. Perform 2 minutes of CPR 67 year old female is unconscious and her family members are giving poor CPR. You should
Apply direct pressure to the shunt Your patient is bleeding from the dialysis shunt. You should Tension pneumothorax A 12 year old male was kicked in the chest by a horse. He has distended neck veins and tracheal deviations. What should you suspect? Pneumonia 58 Year old with fever and chills. Lung sounds reveals rales and rhonchi in lower right lung. You suspect? Monitor her vitals signs and transport 24 y F is 23 weeks pregnant and she tells you that she feels weak and been vomiting for the passed 3 days. She also tells you that she is scared to go to the hospital in the ambulance. Vital signs are BP 84/ P 110 R SPo2 98% on room air temp. You should:
A 35 year old male spilled corrosive chemicals on his legs while cleaning an indoor swimming pool. He is dyspneic and has thickness burns to his legs you should? Stridor Which of the following is an audible, high pitched sound usually results from a blockage of the smaller air passages Splint in position of comfort Left ankle fracture with tingling sensation in foot. Foot is cool swollen with a faint pulse. You should Pre-eclampsia 45 year old female is 34 weeks pregnant. She has a severe headache and severity to light, swollen feet. You suspect? Tell her daughter that she is only legally allowed to make decisions when her father is incapacitated
Daughter of 82 year old male called 911 because she thought her father was acting strangely. He has no complaints and refusing to go to the hospital. Daughter has proof of Medical Power of Attorney. She tells you to take him to the hospital. You should? Hypoxia What is the leading cause of bradycardia for pediatric patients Pelvic inflammatory disease A 36-year-old female complains of fever and lower abdominal pain that moves to the lower back when she walks. She also mentions that she has had an abdominal vaginal discharge for the past two days. Vitals signs are BP 144/88, P 98, and R 16. You should suspect? Explain the need for immediate transport 53 year old male with a history of coronary artery disease had a sudden onset of tearing abdominal pain that radiates to back. He is ashen and diaphoretic and states that he needs to use the bathroom. Vital signs are BP 110/76, P 100, and R20. You should
