FISDAP – Medical Emergencies Quiz :: Ref. # 1
1.) A 19 year old male was stung by a bee and the stinger is still embedded
in his skin. He is allergic to bees. Vital signs are BP 124/76, P 92, R 18,
SpO2 98%. What should you do?
Remove the stinger by scraping the skin with a card.
2.) A 43 year old female was bitten by a rattlesnake on her lower leg. You
see swelling and redness at the injection site. She feels cool, pale and
clammy. What should you do?
Splint her leg
3.) A confused 56 year old female is complaining of a headache and presents
with a pale, diaphoretic skin. She has had diarrhea for 2 days. Vital signs
are BP 80/40, P 120, R 16. What is the most likely cause?
Dehydration
4.) An 18 year old female complains of pain in her lower right quadrant with
rebound tenderness. What should you suspect?
Appendicitis
5.) A 50 year old male complains of a sudden onset of abdominal pain and
appears pale and weak. Vitals are BP 84/50, P 110, and R 22. What
should you suspect?
Gastrointestinal bleed
6.) A 40 year old male with a history of bipolar depression is hearing voices,
and throwing clothing. Law enforcement is on scene. He has several large
lacerations to his forearms that are actively bleeding. What should you
do?
Restrain patient and treat his injuries
7.) A 41 year old male begins to shake violently while you administer oral
glucose to him. What should you do?
Stop oral glucose administration
8.) A confused 62 year old diabetic man says he has not been feeling well for
several days. Vital signs are BP 140/90, P 120. R 34 and deep. What
should you suspect?
Hyperglycemia
Hyperflycemia takes days to become sever, unlike hypoglycemia
which only takes a few hours. He is breathing fast and deep to get
rid of excuse ketones. Ketones are a byproduct of hyperglycemia
and they are responsible for the distinctive fruity odor on their
breath
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, 9.) A 10 year old male is allergic to peanuts. Shortly after sharing some food
with a classmate, he began to complain that his throat felt "itchy." His
teacher tells you that she thinks his "face looks swollen." What should
you do?
Assist w. administration of self-injector Epinephrine
10.) A 49 year old male complains of severe right uper quadrant
abdominal pain and nausea. He has jaundice and is febrile. Vital signs are
BP 98/60, P 92, R 16, What should you suspect?
Liver Hepatitis
11.) A 32 year old male is lying supine and responding to voice
commands with unintelligible gurgling noises. His wife tells you he is an
epileptic and had a seizure during which she was able to assist him to the
ground. What should you do?
Open Airway
Airway management is your first priority because his is postictal
and unable to protect his own airway. The gurgling noises in the
throat are from secretions. Rolling him to his side and suctioning his
airway is the best way to clear this obstruction. It is also important
to determine whether this seizure was different than previous
seizures
12.) An 83 year old female is diaphoretic and has an altered mental
status. Her caregiver states. "She is more out of it than normal, and she
slapped me. What should you suspect?
Hypoglycemia
13.) An unresponsive 22 year old male was found outside on a hot and
humid day. His skin is hot and moist. What should you do?
Move him to an air conditioned ambulance
14.) Dispatch sends you to a possible seizure. As you arrive, you are
advised the seizure has stopped. Which phase is the patient most likely
in?
Postictal
Seizure Phases/Stages:
1 – Aura [Pre-Seizure Phase]
2 – Ictus [Active Seizure Phase]
3 – Postictal [Post-Seizure Phase]
15.) A 15 year old female is sitting in a chair with left-sided facial droop
and slurred speech. She has an acetone odor on her breath. What should
you suspect?
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