EMT FISDAP ALL ACTUAL EXAM SCRIPT QUESTIONS AND
ANSWERS SURE A+
✔✔Signs and symptoms of congestive heart failure - ✔✔-Cough (frequent, productive,
hemoptysis)
-Progressive dyspnea with exertion
-Orthopnea
-Pitting edema of legs and feet or generalized edema of face, hands, or sacral area
-Heart palpitations
-Progressive fatigue or syncope with exertion
-Moist rales in lower lobes, indicating pulmonary edema
✔✔Signs and symptoms of cardiogenic shock - ✔✔chest pain
irregular weak pulse/low BP
cyanosis
cool clammy skin
anxiety
rales in breathing
pulmonary edema/possibly short of breath
✔✔Treatment of witnessed cardiac arrest - ✔✔Initial treatment of the cardiac arrest
patient begins with prompt initiation of cardiopulmonary resuscitation (CPR). CPR is the
mainstay in the treatment of the cardiac arrest patient.
✔✔Treatment of acute coronary syndrome (ACS) - ✔✔acute treatment options include
supplemental oxygen, nitroglycerin, intravenous morphine, beta blockers, angiotensin-
converting enzyme inhibitors or angiotensin receptor blockers, and statins.
✔✔Treatment of adverse reactions to nitroglycerin administration - ✔✔the patient may
be feeling
headache,
weakness,
dizziness,
lightheadedness,
nausea,
treatment would be aspirin
✔✔Treatment of unstable angina - ✔✔nitroglycerin
✔✔Components of quality improvement - ✔✔retrospective (reviewing patient care
reports after the call);
concurrent (real-time auditing of patient care during calls);
prospective (doing things prior to the call to better prepare EMS personnel to provide a
higher standard of patient care);
, ✔✔Documenting patient intervention - ✔✔Your documentation of a patient's refusal to
undergo a test or intervention should include: an assessment of the patient's
competence to make decisions, a statement indicating a lack of coercion; a description
of your discussion with him (or her) regarding the need for the treatment, alternatives to
treatment, possible risks of treatment, and potential consequences of refusal; and a
summary of the patient's reasons for refusal (strength of recommendation [SOR]: C,
based on expert opinion and case series)
✔✔Driving an ambulance with due regard - ✔✔Due regard can be defined as driving in
a manner to avoid any predictable collision. As noted above, the emergency vehicle
driver must provide adequate warning to others by using the warning devices, and by
controlling their speed to allow other motorists time to react to their warning.
✔✔Identify the need for rapid extrication - ✔✔Rapid extrication is indicated when the
scene is unsafe, a patient is unstable, or a critical patient is blocked by another less
critical patient. The standard longboard or backboard is a device approximately six or
seven feet in length that is hard and inflexible.
✔✔Obtain patient consent - ✔✔implied consent -means that it would be reasonable to
assume that a person who was experiencing a medical emergency, who could not
express consent, would do so if given the chance.
expressed consent - is when a patient verbally expresses or indicates that he is a willing
participant in his treatment. In order to give expressed consent, the patient must meet
four criteria: Conscious - The patient must be conscious and alert to give consent.
informed consent - that was given after the EMT or EMS agent provided the patient with
information regarding the type of treatment being offered, potential risks, benefits,
alternative treatments, and potential risks of refusal of treatment.
✔✔Preserve crime scene evidence - ✔✔document every single thing that happens or
what you do in the scene
✔✔Providing emotional support - ✔✔being able to listen empathetically to others'
problems, as well as offering advice that is well-received
✔✔Techniques to lift a patient - ✔✔Keep the body stacked and straight. Avoid twists
and awkward positions. Keep weight as close to the body as possible. Never use your
back muscles to lift (Use legs, hip, and butt muscles with the abdominal muscles
tensed).
✔✔Assessment of a patient with suicidal thoughts - ✔✔1). Do you want to hurt yourself
or anyone else?
2). If yes, do you have a plan on how you want to do it?
3). If you have a plan, do you have the means to carry out that plan?
✔✔Assessment of carbon monoxide poisoning - ✔✔symptoms include
ANSWERS SURE A+
✔✔Signs and symptoms of congestive heart failure - ✔✔-Cough (frequent, productive,
hemoptysis)
-Progressive dyspnea with exertion
-Orthopnea
-Pitting edema of legs and feet or generalized edema of face, hands, or sacral area
-Heart palpitations
-Progressive fatigue or syncope with exertion
-Moist rales in lower lobes, indicating pulmonary edema
✔✔Signs and symptoms of cardiogenic shock - ✔✔chest pain
irregular weak pulse/low BP
cyanosis
cool clammy skin
anxiety
rales in breathing
pulmonary edema/possibly short of breath
✔✔Treatment of witnessed cardiac arrest - ✔✔Initial treatment of the cardiac arrest
patient begins with prompt initiation of cardiopulmonary resuscitation (CPR). CPR is the
mainstay in the treatment of the cardiac arrest patient.
✔✔Treatment of acute coronary syndrome (ACS) - ✔✔acute treatment options include
supplemental oxygen, nitroglycerin, intravenous morphine, beta blockers, angiotensin-
converting enzyme inhibitors or angiotensin receptor blockers, and statins.
✔✔Treatment of adverse reactions to nitroglycerin administration - ✔✔the patient may
be feeling
headache,
weakness,
dizziness,
lightheadedness,
nausea,
treatment would be aspirin
✔✔Treatment of unstable angina - ✔✔nitroglycerin
✔✔Components of quality improvement - ✔✔retrospective (reviewing patient care
reports after the call);
concurrent (real-time auditing of patient care during calls);
prospective (doing things prior to the call to better prepare EMS personnel to provide a
higher standard of patient care);
, ✔✔Documenting patient intervention - ✔✔Your documentation of a patient's refusal to
undergo a test or intervention should include: an assessment of the patient's
competence to make decisions, a statement indicating a lack of coercion; a description
of your discussion with him (or her) regarding the need for the treatment, alternatives to
treatment, possible risks of treatment, and potential consequences of refusal; and a
summary of the patient's reasons for refusal (strength of recommendation [SOR]: C,
based on expert opinion and case series)
✔✔Driving an ambulance with due regard - ✔✔Due regard can be defined as driving in
a manner to avoid any predictable collision. As noted above, the emergency vehicle
driver must provide adequate warning to others by using the warning devices, and by
controlling their speed to allow other motorists time to react to their warning.
✔✔Identify the need for rapid extrication - ✔✔Rapid extrication is indicated when the
scene is unsafe, a patient is unstable, or a critical patient is blocked by another less
critical patient. The standard longboard or backboard is a device approximately six or
seven feet in length that is hard and inflexible.
✔✔Obtain patient consent - ✔✔implied consent -means that it would be reasonable to
assume that a person who was experiencing a medical emergency, who could not
express consent, would do so if given the chance.
expressed consent - is when a patient verbally expresses or indicates that he is a willing
participant in his treatment. In order to give expressed consent, the patient must meet
four criteria: Conscious - The patient must be conscious and alert to give consent.
informed consent - that was given after the EMT or EMS agent provided the patient with
information regarding the type of treatment being offered, potential risks, benefits,
alternative treatments, and potential risks of refusal of treatment.
✔✔Preserve crime scene evidence - ✔✔document every single thing that happens or
what you do in the scene
✔✔Providing emotional support - ✔✔being able to listen empathetically to others'
problems, as well as offering advice that is well-received
✔✔Techniques to lift a patient - ✔✔Keep the body stacked and straight. Avoid twists
and awkward positions. Keep weight as close to the body as possible. Never use your
back muscles to lift (Use legs, hip, and butt muscles with the abdominal muscles
tensed).
✔✔Assessment of a patient with suicidal thoughts - ✔✔1). Do you want to hurt yourself
or anyone else?
2). If yes, do you have a plan on how you want to do it?
3). If you have a plan, do you have the means to carry out that plan?
✔✔Assessment of carbon monoxide poisoning - ✔✔symptoms include
