Medical FISDAP 2022
What is a partial seizure? Correct Answer: a seizure that affects only one part or one side of the brain
What is Jacksonian march (partial) seizure? Correct Answer: An example of a Jacksonian march in a
simple partial seizure is shaking of the left hand, which moves to the left arm, then shoulder, then head,
then right arm, then right hand, and finally moves out of the body.
what is a complex partial seizure? Correct Answer: Complex partial seizures involve subtle changes in
LOC. Here the patient can become confused or less alert, have hallucinations, or become unable to
speak. Some small movements of the head or eyes may occur. Patients typically do not become
unresponsive.
What medication for status epilepticus? Correct Answer: Diazepam (valium), Midazolam (versed), and
Lorazepam (ativan) IV IO IM
What treatment do you do for sickle cell? Correct Answer: Oxygen, IV fluid, keep patient warm,give
something for pain
What is pyrogenic reaction? Correct Answer: A reaction to an infusion or administration set. Gives fever
like symptoms or symptoms of shock.
What is a pyrogen? Correct Answer: Foreign proteins capable of producing fever.
What do you do if you notice pyrogenic reaction while giving an infusion? Correct Answer: Stop
immediately. pull iv, and start another one on another arm.
What type of patient would be given diphenhydramine? Correct Answer: Patients having allergic
reaction but not in respiratory distress.
Antihistamine Administration should be considered only in the patient with a mild reaction, or after
epinephrine has been administered.
What is a clonic seizure? Correct Answer: consist of contraction to flexion, jerking movements
What is a tonic seizure? Correct Answer: Causes stiffening of the muscles of the body, generally those in
the back, legs and arm
What is a tonic-clonic seizure? Correct Answer: A generalized seizure in which the patient loses
conciousness and has jerking movements of paired muscle groups.
What is Hematochezia? Correct Answer: bright red blood in stool
If you see Hematochezia, where is the bleeding? Correct Answer: Lower GI tract
, What is melena? Correct Answer: A black, tarry stool indicating a GI bleed
If you see melena, where is the bleeding often coming from? Correct Answer: The upper GI tract
What is an aura? Correct Answer: visual disturbances before a migraine or seizure.
What can dilated pupils indicate? Correct Answer: Shows fight or flight sympathetic nervous system
stimulation. Cocaine, methamphetamines, and hallucinogens too.
What can unequal pupils mean? Correct Answer: increased intracranial pressure/ stroke.
What's another name for unequal pupils? Correct Answer: Anisocoria
What do pinpoint pupils indicate? Correct Answer: narcotic or opioid overdose
How do you treat someone with trigeminal neuraalgia? Correct Answer: Treat them as you would treat
a stroke patient.
Trigeminal nerve (CN 5) controls what? Correct Answer: pain, chewing, temperature, touch of mouth or
face.
How do you treat an allergic reaction with difficulty breathing and facial swelling? Correct Answer:
Epinephrine 1 to 1000IM Benadryl. Protect the Airway. Don't delay administration of epinephrine. If
that's not enough you can give an IV infusion of epinephrine in conjunction with an IV fluid bolus.
How often can you give epi? Correct Answer: every 5-15 mins
When do you give naloxone? Correct Answer: Naloxone or Narcan is used for the treatment of
unresponsive or unknown patients, or those with suspected narcotic overdose.
How do you give Naloxone and what is the dose? Correct Answer: The initial dose is 0.4 to 2 mg via IV.
You may repeat this dose until you reach 10 mg. Can also be given IM or IN.
What is a patient at risk for when detoxifying from alcohol? Correct Answer: delirium tremens and
seizures
What type of patient would suffer from cholecystits? Correct Answer: Patients who have had major
trauma, sepsis, sickle cell, prolonged fasting.
What is cholecystitis? Correct Answer: inflammation of the gallbladder
are women more likely to have cholecystitis? Correct Answer: yes
Five F's of cholelithiasis risk? Correct Answer: Fair (caucasian)
Fat
Female
Fertile
Fourty to 50
What is a partial seizure? Correct Answer: a seizure that affects only one part or one side of the brain
What is Jacksonian march (partial) seizure? Correct Answer: An example of a Jacksonian march in a
simple partial seizure is shaking of the left hand, which moves to the left arm, then shoulder, then head,
then right arm, then right hand, and finally moves out of the body.
what is a complex partial seizure? Correct Answer: Complex partial seizures involve subtle changes in
LOC. Here the patient can become confused or less alert, have hallucinations, or become unable to
speak. Some small movements of the head or eyes may occur. Patients typically do not become
unresponsive.
What medication for status epilepticus? Correct Answer: Diazepam (valium), Midazolam (versed), and
Lorazepam (ativan) IV IO IM
What treatment do you do for sickle cell? Correct Answer: Oxygen, IV fluid, keep patient warm,give
something for pain
What is pyrogenic reaction? Correct Answer: A reaction to an infusion or administration set. Gives fever
like symptoms or symptoms of shock.
What is a pyrogen? Correct Answer: Foreign proteins capable of producing fever.
What do you do if you notice pyrogenic reaction while giving an infusion? Correct Answer: Stop
immediately. pull iv, and start another one on another arm.
What type of patient would be given diphenhydramine? Correct Answer: Patients having allergic
reaction but not in respiratory distress.
Antihistamine Administration should be considered only in the patient with a mild reaction, or after
epinephrine has been administered.
What is a clonic seizure? Correct Answer: consist of contraction to flexion, jerking movements
What is a tonic seizure? Correct Answer: Causes stiffening of the muscles of the body, generally those in
the back, legs and arm
What is a tonic-clonic seizure? Correct Answer: A generalized seizure in which the patient loses
conciousness and has jerking movements of paired muscle groups.
What is Hematochezia? Correct Answer: bright red blood in stool
If you see Hematochezia, where is the bleeding? Correct Answer: Lower GI tract
, What is melena? Correct Answer: A black, tarry stool indicating a GI bleed
If you see melena, where is the bleeding often coming from? Correct Answer: The upper GI tract
What is an aura? Correct Answer: visual disturbances before a migraine or seizure.
What can dilated pupils indicate? Correct Answer: Shows fight or flight sympathetic nervous system
stimulation. Cocaine, methamphetamines, and hallucinogens too.
What can unequal pupils mean? Correct Answer: increased intracranial pressure/ stroke.
What's another name for unequal pupils? Correct Answer: Anisocoria
What do pinpoint pupils indicate? Correct Answer: narcotic or opioid overdose
How do you treat someone with trigeminal neuraalgia? Correct Answer: Treat them as you would treat
a stroke patient.
Trigeminal nerve (CN 5) controls what? Correct Answer: pain, chewing, temperature, touch of mouth or
face.
How do you treat an allergic reaction with difficulty breathing and facial swelling? Correct Answer:
Epinephrine 1 to 1000IM Benadryl. Protect the Airway. Don't delay administration of epinephrine. If
that's not enough you can give an IV infusion of epinephrine in conjunction with an IV fluid bolus.
How often can you give epi? Correct Answer: every 5-15 mins
When do you give naloxone? Correct Answer: Naloxone or Narcan is used for the treatment of
unresponsive or unknown patients, or those with suspected narcotic overdose.
How do you give Naloxone and what is the dose? Correct Answer: The initial dose is 0.4 to 2 mg via IV.
You may repeat this dose until you reach 10 mg. Can also be given IM or IN.
What is a patient at risk for when detoxifying from alcohol? Correct Answer: delirium tremens and
seizures
What type of patient would suffer from cholecystits? Correct Answer: Patients who have had major
trauma, sepsis, sickle cell, prolonged fasting.
What is cholecystitis? Correct Answer: inflammation of the gallbladder
are women more likely to have cholecystitis? Correct Answer: yes
Five F's of cholelithiasis risk? Correct Answer: Fair (caucasian)
Fat
Female
Fertile
Fourty to 50
