FISDAP MEDICAL FINAL EXAM QUESTIONS AND ANSWERS (2022)(GRADED +)

FISDAP MEDICAL FINAL EXAM QUESTIONS AND ANSWERS (2022)(GRADED +) 1. To access a possible stroke patient for abnormal speech, you should A. Ask the family if the patient’s speech has been normal B. Write questions for the patient to read C. Ask the patient to repeat a common phrase D. Ask the patient to smile and observe for symmetry 2. What effects does epinephrine have on the cardiovascular system? A. Dilates the atria and ventricles B. Constricts blood vessels C. Decreases cardiac afterload D. Increases myocardial spasm 3. A 50 year old male who recently completed renal dialysis is bleeding profusely from his shunt. How should you classify this bleeding? A. A life threatening problem that requires immediate surgical intervention B. Normal after dialysis if it does not last more than 10 minutes C. Arterial and possibly serious D. Venous and non life threatening 4. Which of the following is a sign of hypoglycemia? A. Lower back pain B. Cold and clammy skin C. Hot and dry skin D. Increased blood pressure 5. Which statement strongly indicates syncope? A. “ I think I may have had a seizure” B. “ I was lying in bed and felt myself drift off” C. “ I blacked out for a few seconds” D. I have had a low grade fever for three days 6. 16 year old female patient woke up this morning with severe abdominal pain. “I have not had a period in 2 months, pain started this morning.” BP 90/70 P 130 R 28 Skin pale and cool. A. Acute appendicitis B. Hypovolemic shock C. Toxic shock syndrome D. Septic shock Page 502 7. 42 year old female patient. Family says she had a brief period of slurred speech & leftarm weakness. Likely cause is: A. Hypoglycemia B. Narcotic Overdose C. Stroke D. TIA (Transient ischemic attack) 8. 82 year old female complains of nausea/vomiting over 2 days. Ran out of prescription heart medication last week. BP 158/92 P 92 and irregular R 18. You should A. Obtain orthostatic vital signs and administer oral glucose B. Call primary care physician to renew prescription C. Admin aspirin and perform detailed physical exam D. Admin low flow O2 & monitor vitals 9. An 87 year old nursing home resident has developed a productive cough over the past three days and confusion over the past day. There are rhonchi and wheezing in the right lung. Vital signs are BP 116/90, P 92, R 24, temp 101 degree Fahrenheit. The most likely cause is: A. Aspiration B. Pneumonia C. Emphysema D. Asthma Page 588 10. Which of the following assessment findings suggest gastrointestinal bleed? A. Dark red emesis & low BP B. Epigastric pain w/ nausea vomiting diarrhea C. History of diverticulitis and IBS D. Bright red blood from rectal area pg 710 11. Cincinnati prehospital stroke scale assesses what? A. Facial droop B. Blood glucose level C. Grip strength D. Duration of symptoms 12. Alert 56 year old female with severe headache weakness in left arm. BP 188/92 P 106 R 14 A. Angina P B. Stroke C. AMI D. Migraine 13. Patient in tonic/clonic seizure. You should A. Insert OPA B. Admin oxygen with non rebreather mask C. Check blood glucose D. Prevent patient from further injury 14. Car battery exploded in patient’s face. Denies breathing issues. You should A. Cover eyes with moist sterile dressing B. Cover eyes with dry sterile dressings C. Begin irrigating eyes w/ clean water D. Irrigate w/ solution of water and vinegar and water 15. An 18 year old female has progressively become lethargic at a party. Vital signs are BP 90/60, P 48, R 4. You should suspect: A. Hypoglycemia B. Alcohol intoxication C. Narcotic overdose D. Concussion 16. A patient has a headache. How should you position him on the cot? A. Supine B. Trendelenburg C. Semi Fowlers D. 90 degrees Fowlers 17. A 46 year old male complains of a sudden onset of left sided weakness and slurred speech. Vital signs are BP 188/92, P 58, R 12. What should you suspect? A. Bell's palsy B. Transient ischemic attack C. Head injury D. Ischemic stroke 18. Where would you expect to find pain in a patient with suspected appendicitis? A. Left upper quadrant B. Left lower quadrant C. Right lower quadrant D. Right upper quadrant 19. A 19 year old female is unresponsive after taking a whole bottle of her sleeping medicine about four hours ago. You should: A. Obtain initial vital signs B. Administer activated charcoal C. Insert an oral airway D. Apply high flow oxygen 20. A patient is diagnosed with diabetic ketoacidosis and is now unconscious and breathing deeply. You should suspect: A. Hypoglycemia B. Hyperglycemia pg 730 Table (Kussmaul Respirations) C. Insulin shock D. Respiratory acidosis