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Medical Emergencies – FISDAP Unit Exam – Actual Questions & Correct Answers

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This document contains actual exam questions and verified answers for the FISDAP Unit Exam on Medical Emergencies. Topics include acute renal failure (hypertension complication), renal calculi (flank pain radiating to groin, hematuria), peritonitis (patient lies still with knees flexed), hepatitis B and HIV transmission (direct blood/body fluid contact), subarachnoid hemorrhage (sudden headache, stiff neck, hypertension), chemical ingestion with airway compromise (hoarse voice, blisters – prepare for intubation), anaphylaxis treatment (epinephrine IM first), physical abuse indicators in elderly (bruises in various stages), alcohol withdrawal seizure risk (tremors, hypertension, tachycardia at 32+ hours), ammonia inhalation (retreat upwind), pyrogenic reaction to IV fluids (chills, backache, fever), esophageal varices (hematemesis bright red blood, portal hypertension), status epilepticus (multiple seizures without regaining consciousness), sickle cell crisis (O2, IV fluids, morphine), trigeminal neuralgia (severe facial pain), appendicitis (RLQ pain), fentanyl patch overdose (respiratory depression, irregular pulse, treat with naloxone), rheumatoid arthritis (stiff swollen painful joints), diabetic ketoacidosis (fruity breath, warm dry skin, thirst, tachycardia), thyrotoxicosis (Synthroid overdose, tachycardia, hypertension, diaphoresis), angioedema (ACE inhibitor – swollen tongue, drooling), Bell’s palsy (sudden unilateral facial weakness, slurred speech), meningitis (Brudzinski’s sign, nuchal rigidity, petechial rash), hyperosmolar hyperglycemic nonketotic coma (type 2 diabetic, infection trigger), diazepam overdose (Romazicon/flumazenil), opioid overdose (hydrocodone – pinpoint pupils, respiratory depression, naloxone), tonic-clonic seizure, status epilepticus treatment (diazepam), liver detoxification function, serotonin syndrome (elevated temperature, muscle spasms), delusion (false belief about lumber having emotions), bicarbonate role in acid-base balance, tuberculosis (coughing blood, night sweats, malnourished), aura before seizure, and black widow spider bite (painful red mark, abdominal cramping).

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MEDICAL EMERGENCIES -FISDAP
UNIT EXAM

ACTUAL EXAM QUESTIONS AND

CORRECT ANSWERS




What is a complication of acute renal failure?

d. Hypertension




A 45 year old male complains of severe flank pain radiating to his groin. He is
unable to urinate or find a comfortable resting position. You should suspect?

b. Renal Calculi



A 28 year old male hears voices and appears to be hallucinating. What question
would be most helpful in further assessing this patient?

c. "What are the voices telling you?"




Page 1 of 32

,A 45 year old male complains of sudden onset, severe, sharp abdominal pain.
He is pale, cool, and diaphoretic with BP 78/40 and P 128. You should suspect?

a. dissecting aneurysm.




A 45 year old female complains of abdominal pain. While obtaining a patient
history she vomits bright red blood. What should you do?

d. Assess the airway to determine if suction is needed




Of the following IV complications, which is the MOST immediately life-
threatening?

d. Catheter shear



A patient with peritonitis will usually?

a. Lie very still with knees flexed




A 46 year old female complains of frequent and painful urination. She has flank
pain with a fever and chills. What is the most likely cause?

b. Kidney infection




Page 2 of 32

,Which of the following diseases is spread only through direct contact with
blood or body fluids?

c. Hepatitis B and HIV




A 57 year old male complains of a sudden headache and a stiff neck. He is
nauseated and has blurred vision. Vital signs are BP 192/104, P 72, R 14, skin is
warm and dry. What should you suspect?

a. Embolic cerebrovascular accident



b. Subarachnoid hemorrhage

c. Meningitis



d. Hypoglycemia




An adult ingested an unknown chemical. He has a hoarse voice and blisters on
his lips and tongue. You should?

c. Prepare for intubation




Page 3 of 32

, A 49 year old male complains of severe flank pain that radiates to his groin and
painful urination with hematuria. What do you suspect?

a. Kidney stones



b. Urinary tract infection



c. Epididymitis



d. Renal failure




A 23 year old female is allergic to bee stings. She has urticaria after being stung
by a wasp. Her skin is warm and dry. Vital signs are BP 120/76, P 98, R 24 and
breath sounds are clear, Sp02 100%. What should you administer?

a. Methylprednisolone



b. Epinephrine



c. Albuterol



d. Diphenhydramine




Page 4 of 32

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