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FISDAP Review #2

Total questions: 80

Worksheet time: 40mins

Name
Class
Date
1.

A 35 year old epileptic is actively seizing (full clonic movement). What medication should you consider?

a)

Procainamide

b)

Glucagon

c)

Lorazepam

d)

Calcium

2.

What are agonal respirations?

a)

Shallow, rapid, and regular panting breaths.

b)

Deep, rapid, and regular breaths.

c)

Shallow, slow, and irregular gasping breaths.

d)

Deep, very slow and irregular breaths.

3.

A 34 year old female with a history of hypothyroidism is unresponsive. A physical exam reveals thin hair, facial swelling, and very cold, pliable skin. Vital signs are BP 90/62, P 56, R 10, temperature 95F. What should you suspect?

a)

Hypothermia

b)

Myxedema

c)

Addison's disease

d)

Thyrotoxicosis

4.

A 34 year old female complains of an open sore on her leg that will not go away. She says that she cut her leg while shaving in the shower at her local gym 2 weeks ago. Her doctor prescribed antibiotics, but nothing has changed. What should you suspect?

a)

MRSA

b)

Varicose vein

c)

Necrotizing fasciitis

d)

Boils

5.

What is the primary function of insulin?

a)

Increase glucose transport out of the cells and increase pancreas glycogen levels

b)

Increase glucose transport into the cells and increase liver glycogen levels

c)

Decrease glucose transport into the cells and decrease pancreas glycogen levels

d)

Increase glucose transport out of the cells and increase liver glycogen levels

6.

What is homeostasis?

a)

The relative stability and constancy of the body's internal environment.

b)

The body's ability to maintain a temperature equal to the external temperature.

c)

The control mechanism known as a negative feedback loop.

d)

The liver's ability to convert glycogen to glucose.

7.

What is status epilepticus?

a)

When the patient sees an aura prior to a seizure

b)

A seizure affecting one area of the body

c)

A seizure that occurs during a fever

d)

Two or more continuous seizures

8.

What is a highly infectious disease that causes bronchiolitis?

a)

Common cold

b)

Pneumonia

c)

RSV

d)

Asthma

9.

A 23 year old male complains of neck stiffness and flu symptoms for the past few days. He also describes a high fever with a severe headache, dizziness and blurred vision. What should you suspect?

a)

Migraine

b)

Hemorrhagic stroke

c)

Meningitis

d)

Influenza

10.

What abdominal complaint is MOST concerning?

a)

A sudden, tearing pain.

b)

A dull, gradual-onset pain.

c)

Pain that is relieved by rocking or movement.

d)

Pain that increase with eating.

11.

What signs and symptoms should make you suspect a heroin overdose?

a)

Dilated pupils, coma, and hyperpnea

b)

Dilated pupils, coma, and hyperpnea

c)

Hypertension, tachycardia, and urinary retention

d)

Pinpoint pupils, coma, and respiratory depression

12.

To administer dextrose, what must a patient's blood sugar be under?

a)

40 mg/dL

b)

60 mg/dL

c)

80 mg/dL

d)

100 mg/dL

13.

What condition is defined by sagging muscles beneath the eye and cheek and asymmetrical movement of the mouth on one side of the face?

a)

Bell's palsy

b)

Facial droop

c)

Ipsilateral paralysis

d)

Hemi-paralysis

14.

What occurs naturally in white blood cells and produces allergic and inflammatory reactions?

a)

Leukotrienes

b)

Thromboxanes

c)

Eosinophils

d)

Histamine blockers

15.

Which of the following is NOT part of the Cincinnati Stroke Test?

a)

Facial droop

b)

Slurred speech

c)

Ability to walk

d)

Arm drift

16.

A 67 year old female is undergoing dialysis treatment for renal failure. Which of her organs is compromised?

a)

Kidneys

b)

Lungs

c)

Pancreas

d)

Liver

17.

For what medical condition is metformin prescribed?

a)

Type I diabetes melitus

b)

Type II diabetes mellitus

c)

Diabetic ketoacidosis

d)

Diabetes insipidus

18.

You are called to a bar for a 52 year old male who has slurred speech and difficulty sitting upright. He is unable to follow your commands and refuses to leave the bar. Which of the following should you consider LAST?

a)

Stroke

b)

Seizure

c)

Alcohol intoxication

d)

Diabetic reaction

19.

Prior to a seizure, a patient reported seeing strange flashes of light and hearing high pitched sounds. What is this phase of the seizure known as?

a)

Hypertonic

b)

Aura

c)

Tonic

d)

Clonic

20.

You are ordered to give a medication based on weight. The transfer papers say the patient weighs 155 lbs. How many kilograms does the patient weigh?

a)

70 kg

b)

71 kg

c)

78 kg

d)

77 kg

21.

A 44 year old female complains of diffuse abdominal pain with cramping. She states that she has vomited brownish-greenish yellow fluid several times. Her abdomen is distended and she has been constipated for the last few days. What should you suspect?

a)

Diverticular disease

b)

Cholecystitis

c)

Bowel obstruction

d)

Pancreatitis

22.

What is diphenhydramine HCL?

a)

Beta agonist

b)

Sympathomimetic

c)

Diuretic

d)

Antihistamine

23.

A 36 year old male and his 34 year old wife complain of severe headaches, confusion, and dizziness. He also complains of chest pain. Both are short of breath. What type of poisoning should you suspect?

a)

Ammonia

b)

Carbon monoxide

c)

Carbon dioxide

d)

Organophosphate

24.

What chemical mediator released from mast cells is responsible for producing an acute allergic response?

a)

Dopamine

b)

Epinephrine

c)

Histamine

d)

Acetylcholine

25.

A 22 year old female complained of a headache and collapsed suddenly. She has pinpoint pupils and withdraws from painful stimulus. She vomited once prior to your arrival. Vital signs are BP 190/126, P 60, R 36. What should you suspect?

a)

Narcotic overdose

b)

Hypoglycemia

c)

Hemorrhagic stroke

d)

Grand mal seizure

26.

What drug is a specific antagonist to opiate derived drugs?

a)

Narcan

b)

Midazolam

c)

Ipecac

d)

Charcoal

27.

What condition results with the presence of an elevated intraocular pressure within the eye that can lead to vision loss?

a)

Cataracts

b)

Glaucoma

c)

Strabismus

d)

Nystagmus

28.

A 25 year old female began to experience shortness of breath, chest tightness, and coughing. She has difficulty speaking in full sentences. Vital signs are BP 116/64, P 96 and regular, RR 24 and labored, SpO2 93% on room air. You auscultate her lung sounds and hear high-pitched lung sounds on exhalation. What should you do?

a)

Administer albuterol via a nebulizer

b)

Administer abdominal thrusts

c)

Assist with her prescribed nitroglycerin

d)

Assist ventilations with a bag-valve mask

29.

A 59 year old female missed her weekly renal dialysis appointment. She is feeling weak and unable to care for herself. What should you suspect?

a)

Fluid overload

b)

Hypokalemia

c)

Polyuria

d)

Anemia

30.

A 59 year old female has a severe asthma attack. What is the dose and route of ipratropium bromide you should administer?

a)

0.3-0.5 mg, subcutaneously.

b)

0.125-0.25 mg, nebulized

c)

0.25 mg, subcutaneously

d)

0.5 mg, nebulized

31.

What can rough handling of a patient with severe hypothermia cause?

a)

Ventricular fibrillation

b)

Ventricular tachycardia

c)

Decreased respirations

d)

Increased shivering

32.

What is the phase after a generalized seizure called?

a)

Aura

b)

Postictal

c)

Translucent

d)

Psychosis

33.

What is the medical term for excessive urine production?

a)

Polyuria

b)

Oliguria

c)

Nocturia

d)

Hyperuria

34.

Where are the first electrical impulses stimulating the heart located?

a)

Right atrium

b)

Left atrium

c)

Myocardium

d)

Aorta Valve

35.

You are called to evaluate a 28 year old male. He is afraid of you and recoils when you approach him. He states he is hearing voices and appears to be hallucinating. What should you suspect?

a)

Mood disorder

b)

Bipolar disorder

c)

Schizophrenia

d)

Anxiety attack

36.

Which of the following is NOT a communicable disease?

a)

HIV/AIDS

b)

Tuberculosis

c)

Hepatitis B

d)

Cancer

37.

A 72 year old male complains of sudden onset chest pain in his midclavicular, left, 5th intercostal space. Vital signs are BP 140/80, P 102, R 26. He states he recently had a hernia surgery. What should you suspect

a)

Pneumothorax

b)

Pulmonary embolism

c)

Myocardial infarction

d)

Acute respiratory distress syndrome

38.

A known alcoholic is unresponsive and coughing up bright, red blood. Which of the following would be contraindicated?

a)

Dual lumen airway

b)

Endotracheal tube

c)

Bag-valve mask

d)

Nasopharyngeal airway

39.

A 21 year old female was lost in the woods for several hours. The ambient temperature is 25 degrees Fahrenheit. She is lethargic and confused. The skin on her hands is waxy and white. What should you do?

a)

Place several heat packs on her legs and arms.

b)

Apply heat packs on her neck, armpits, and groin.

c)

Vigorously rub the patient's extremities.

d)

Gently wrap the patient in several dry blankets.

40.

A 56 year old male complains of dull and cramping abdominal pain that makes him nauseous. What type of pain is describing?

a)

Parietal

b)

Somatic

c)

Referred

d)

Visceral

41.

A 26 year old male asthmatic complains of difficulty breathing. You administer albuterol, what should you suspect?

a)

Stimulation of the heart and bronchial dilation.

b)

Suppression of heart activity and bronchial dilation.

c)

Stimulation of the heart and bronchial constriction.

d)

Suppression of heart activity and bronchial constriction.

42.

What will stimulation of a B1 receptor in the heart do?

a)

Slow the heart with an increase contraction strength

b)

Speed up the heart rate and decrease contraction strength

c)

Speed up the heart rate and increase contraction strength

d)

Slow the heart with an decrease contraction strength

43.

A 45 year old male has been injured in a house fire and has burnt nasal hairs. He also makes high-pitch noises with inspiration. How are these respirations defined?

a)

Snoring

b)

Stridor

c)

Wheezing

d)

Rhonchi

44.

How does the blood flow through the heart?

a)

Right ventricle to right atrium to lungs to left ventricle to left atrium

b)

Left atrium to left ventricle to lungs to right atrium to right ventricle

c)

Left ventricle to left atrium to lungs to right ventricle to right atrium

d)

Right atrium to right ventricle to lungs to left atrium to left ventricle

45.

What type of pain allows an examiner to pinpoint the area of irritation?

a)

Somatic

b)

Visceral

c)

Parietal

d)

Referred

46.

An 18 year old male presents with symptoms of hypoglycemia. What criteria must be met for him to receive oral glucose?

a)

His blood glucose analysis must be between 70 and 95 mg/dL.

b)

He must have a prescription for oral glucose.

c)

He must be conscious, with a patent airway.

d)

He must have a history of type 1 diabetes.

47.

What condition is caused by twisting of the spermatic cord, resulting in a sudden onset of severe scrotal pain?

a)

Epididymitis

b)

Urinary calculi

c)

Priapism

d)

Testicular torsion

48.

A patient has been taking pain medication for several months. To maintain the desired effect, they must periodically increase his dose. What is this known as?

a)

Tolerance

b)

Cumulative effect

c)

Additive effect

d)

Synergism

49.

What does a pulsating mass in the abdomen suggest?

a)

Ruptured ectopic pregnancy

b)

Abdominal aortic aneurysm

c)

Perforated ulcer

d)

Hernia

50.

A 56 year old female responds inappropriately to your questions. Vital signs are BP 184/88, P 88, R 14. She has an asymmetrical smile, tearing in her right eye, and drifting of her right arm. What should you suspect?

a)

A left sided stroke

b)

Bell's Palsy

c)

A right sided stroke

d)

Dementia

51.

You are giving 3 mg of midazolam. Your concentration is 5 mg/5 mL. How many mL should you give?

a)

5

b)

1

c)

7

d)

3

52.

A 28 year old male has severe flank pain radiating to his back. He squirms around on the floor unable to find a comfortable position, rating his pain a 9/10. He has consumed no fluids over the past day. Vital signs are BP 200/80, P 100, R 18. What should you do?

a)

Administer aspirin and nitroglycerin.

b)

Establish IV access and administer a fluid bolus.

c)

Administer morphine or hydromorphone.

d)

Apply oxygen by nonrebreather mask and transport.

53.

A 26 year old male scuba diver reports severe joint pain an hour after ascent. Vitals are: BP 110/68, P 60, R 14, and SpO2 100%. What should you do?

a)

Administer oxygen via an NRB.

b)

Establish an IV to provide pain relief.

c)

Provide oxygen via a CPAP mask.

d)

Transport to a hyperbaric facility.

54.

You arrive on scene to find a child leaning forward in a chair. He appears anxious, is drooling and you hear high-pitched sounds when he inhales. His mother states he has a fever and has been complaining of a sore throat. What should you suspect?

a)

Epiglottitis

b)

Croup

c)

Anaphylaxis

d)

Asthma

55.

What medication is an appropriate treatment for anaphylaxis?

a)

Naloxone

b)

Albuterol

c)

Epinephrine

d)

Nitroglycerin

56.

You are dispatched to a residence for a 67 year old female complaining of chest pain. The patient is pale, diaphoretic and describes are pain as crushing. Vital signs are BP 120/80, Pulse 100, Respirations are 22 and oxygen saturation is 90 percent. Select the correct medications in order:

a)

Nitroglycerine, Aspirin

b)

Oxygen, Aspirin, Nitroglycerine

c)

Metoprolol, Nitroglycerine, Aspirin

d)

Oxygen, Morphine, Digoxin

57.

A 67 year old female states that "she feels like she is drowning when she lays down to go to bed." Her nitroglycerin has not helped. Vital signs are BP 160/96, P 110, R 26 with crackles. What should you do?

a)

Apply CPAP

b)

Obtain orthostatic blood pressure

c)

Apply 3 lead ECG

d)

Administer 40 mg furosemide

58.

A 55 year old male patient complains of shortness of breath and chest tightness. His skin is pale and cool, and his respirations are 30 and shallow. You should deliver oxygen via:

a)

Bag-valve mask.

b)

Nonrebreather mask.

c)

CPAP device.

d)

Nasal cannula.

59.

What condition presents with a fruity, acetone-like odor on the breath?

a)

Hypoglycemia

b)

Hyperglycemia

c)

Diabetic ketoacidosis (DKA)

d)

Hyperosmolar hyperglycemic nonketotic coma (HHNC)

60.

What environmental emergency is life-threatening?

a)

Heat exhaustion

b)

Heat stroke

c)

Chilblains

d)

Frostbite

61.

What is the study of the drug receptor interaction called?

a)

Pharmacology

b)

Pharmacodynamics

c)

Pharmacokinetics

d)

Physiology

62.

An alert, 78 year old female complains of dyspnea. She speaks in full sentences and answers all your questions. Vital signs are BP 150/70, P 110 and irregular, R 26 and labored. You note peripheral cyanosis. What should you do?

a)

Apply a nasal cannula with high flow oxygen at 2 lpm.

b)

Apply high flow oxygen at 12-15 lpm.

c)

Begin positive-pressure ventilation with a BVM.

d)

Sedate and intubate orotracheally.

63.

A 76 year old female is pulseless and apneic. The ECG monitor shows asystole. What should you do?

a)

Perform immediate defibrillation

b)

Start chest compressions

c)

Administer epinephrine

d)

Attempt a precordial thump

64.

When should continuous positive airway pressure (CPAP) be discontinued?

a)

Patient develops hypotension

b)

Patient's symptoms are resolved

c)

Patient is wheezing

d)

Patient has crackling lung sounds

65.

A 4 year old female is warm and withdrawn when you arrive. The mother states that she had a 5 minute seizure prior to your arrival. She has had previous seizures, but that this one was longer and more violent. What should you do?

a)

Apply oxygen and give a fluid bolus.

b)

Administer 4.5 mg diazepam.

c)

Apply oxygen and obtain a 12 lead ECG.

d)

Suggest that she see her primary care physician.

66.

What classification is given to drugs that attach to a receptor site and block the expected response?

a)

Antagonists

b)

Agonists

c)

Partial agonists

d)

Mimetics

67.

A 26 year old male underwent a recent surgery. He has fever, altered mental status, and decreased urine output. What should you suspect?

a)

Hypovolemic shock

b)

Septic shock

c)

Neurogenic shock

d)

Anaphylactic shock

68.

What complicates coronary perfusion during in CPR?

a)

Gastric distention

b)

Hyperinflation of the lungs

c)

Poor airway management

d)

Esophageal intubation

69.

A 79 year old male complains of shortness of breath. He smokes cigarettes for 60 years. On physical exam you notice that he has a barrel shaped chest. What pathophysiology is most likely causing his symptoms?

a)

Spasm of bronchial muscle

b)

Collapsed bronchial tubes

c)

Excessive mucus production

d)

Inflammation of the trachea

70.

A 73 year old female is her left side and responsive only to pain. You note a fruity odor on her breath. Her blood glucose is 431 mg/dL. Vital signs are BP 96/80, P 120, R 44. What should you administer?

a)

Furosemide

b)

Diazepam

c)

Sodium bicarbonate

d)

Normal saline

71.

A 46 year old male was struck in the eye with a racquet ball. He complains of eye pain, cheek pain and bleeding from one nostril. Upon exam his eye will move side to side but not up or down. What should you suspect?

a)

Le fort I Fracture

b)

Le fort II Fracture

c)

Le fort III Fracture

d)

Orbital blow-out fracture

72.

What is an abnormal respiratory pattern characterized by deep, rapid breaths?

a)

Cheyne-Stokes

b)

Kussmaul's

c)

Ataxic (Biot's)

d)

Apneustic

73.

A 32 year old female seated at a restaurant has severe wheezing. She is flushed, appears anxious, and has a runny nose. She states that she is allergic to shellfish and peanuts. What should you suspect?

a)

Anaphylaxis

b)

Asthma

c)

Epiglottitis

d)

Aspiration

74.

A 24 year old male complains of abdominal pain, decreased appetite, weight loss, dark urine, and clay-colored stools. His upper-right quadrant is tender and rigid on palpation. What should you suspect?

a)

Appendicitis

b)

Pancreatitis

c)

Gastritis

d)

Hepatitis

75.

A 70 year old male with a history of CHF complains of severe dyspnea. During transport his SpO2 drops to 76% and he starts to cough up pink sputum. What should you do?

a)

Increase the flow of oxygen

b)

Assist his ventilations

c)

Perform a 12 lead EKG

d)

Administer 40mg of Lasix IVP

76.

What pacemaker in the heart has an intrinsic rate of 60-100 beats per minute?

a)

SA Node

b)

Ductus arteriosis

c)

Bundle of His

d)

AV Node

77.

What disease has the greatest impact on alveolar oxygen diffusion?

a)

Asthma

b)

Bronchitis

c)

Pneumonia

d)

Emphysema

78.

A patient with a history of sickle cell disease states he is in another crisis. You should

a)

assist the patient in taking his own pain medication.

b)

administer high-flow oxygen and transport.

c)

administer a benzodiazapine hypnotic.

d)

start a large bore IV and administer 20 mL/kg.

79.

What is the inherent rate of the AV junction?

a)

60-100

b)

40-60

c)

20-40

d)

10-20

80.

What the mechanism of action for glucagon?

a)

Move glucose into the cell

b)

Convert glucose to glycogen

c)

Reduce blood glucose levels

d)

Stimulate gluconeogenesis