Science Medicine Psychiatry
FISDAP MEDICAL EXAM, PRACTICE EXAM
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EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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D) Slurred speech
When you arrive at a residence
Often, an altered mental status can be difficult to assess,
for a man who is "not acting
especially if you do not know how the patient normally acts.
right," you enter the house and
However, there are key findings that
find him sitting on his couch.
should increase your index of suspicion. An abnormal speech
Which of the
pattern, such as slurring or incoherent words, can be the result of
following findings would be
a diabetic problem, alcohol
MOST indicative of an altered
intoxication, or drug ingestion. All of these can cause an altered
mental status?
mental status. The odor of alcohol suggests intoxication as a
A) Odor of alcohol
potential cause of his problem,
B) Closed eyes
but cannot be quantified. Just because the patient's eyes are
C) Tired appearance
closed or he has a tired appearance, does not necessarily
D) Slurred speech
indicate that he has an altered mental
status.
A young woman reports A) HIV infection.
significant weight loss over the
last month, persistent fever, and Weight loss, fever, and night sweats could indicate tuberculosis
night sweats. When you assess or HIV infection that has progressed to acquired
her, you note the immunodeficiency syndrome (AIDS);
presence of dark purple lesions however, the dark purple lesions on the skin, which are called
covering her trunk and upper Kaposi's sarcoma, are malignant skin tumors and are a classic
extremities. You should suspect: finding in patients in the later
A) HIV infection. stages of AIDS.
B) tuberculosis.
C) rheumatic fever.
D) end-stage cancer.
, B) Bath salts
A 19-year-old man is
Of the drugs listed, the patient's clinical presentation is the most
experiencing hallucinations and
consistent with use of synthetic cathinones (bath salts). Bath salts,
paranoia after abusing an
not to be confused with
unknown substance. His heart
products such as Epsom salt, are a class of drugs similar to
rate is 170 beats/min, he
MDMA (ecstasy). Cloud Nine and Ivory Wave are common
complains of a headache, and
streets names for bath salts. Bath salts
he is experiencing muscle
produce euphoria, increased mental clarity, and sexual arousal.
twitching. Which of the fo
Most users snort the drug. Adverse effects include teeth
llowing substances would MOST
grinding, loss of appetite, muscle
likely explain his
twitching, lip -smacking, confusion, paranoia, headache,
presentation?
tachycardia, and hallucinations. Heroin (an opioid) and Valium (a
A) Heroin
benzodiazepine) are both central
B) Bath salts
nervous system depressant drugs; therefore, they would not
C) Ketamine
explain the patient's presentation. Ketamine (Ketalar) is a
D)Valium
sedative-hypnotic drug; it would not
explain the patient's signs and symptoms.
A) Narcotic
Signs of a narcotic (opiate/opioid) overdose from drugs such as
heroin, morphine (Astromorph, Duramorph), meperidine
Unresponsiveness, shallow (Demerol), and codeine include
breathing, and constricted altered mental status; slow, shallow breathing; pupillary
pupils are indicative of which constriction (miosis), hypotension; and bradycardia. Narcotics
type of drug overdose? are central nervous system
A) Narcotic depressants that, when taken in excess, suppress the vital
B) Marijuana functions necessary for life, such as breathing, heart rate, and
C) Barbiturate blood pressure. Barbiturates
D) Amphetamine produce the same effects; however, the pupils are typically
dilated (mydriasis), not constricted. Marijuana and amphetamine
drugs are central nervous system
stimulants and, therefore, would cause the patient to become
restless or even combative.
A man is experiencing a severe A) provide rapid transport and consider an ALS intercept.
allergic reaction after being
stung by a scorpion. He does If a patient does not have a prescribed epinephrine auto-injector
not have his own epinephrine; and is experiencing a severe allergic reaction, you should
however, his wife is allergic to administer supplemental oxygen,
bees and has a prescribed assist the patient's ventilations if needed, and transport without
epinephrine auto-injector. You delay. Closely monitor the patient's airway and breathing status
should: en route and coordinate an
A) provide rapid transport and ALS intercept if possible. If you carry an epinephrine auto-
consider an ALS intercept. injector on your ambulance and your protocols allow you to
B) assist the patient with the administer it, do so without delay.
wife's prescribed epinephrine. Otherwise, the ALS unit will be able to administer epinephrine via
C) administer an oral the intramuscular or intravenous route. Never assist a patient with
antihistamine and transport a medication that is not
without delay. prescribed to him or her specifically. Antihistamines are given
D) request an ALS unit to after epinephrine; in most systems, EMTs are not authorized to
respond to the scene to dispense oral medications
administer epinephrine. other than glucose and aspirin.
,You are dispatched to a A) remove him from the mechanical ventilator and ventilate him
residence for a 20-year-old man manually.
with respiratory distress. When
you arrive, you find that the If a ventilator-dependent patient experiences a sudden onset of
patient has a respiratory distress, you should first remove him or her from the
tracheostomy tube and is mechanical ventilator and
ventilator dependent. His begin manual ventilation with a bag-mask device; attach the bag
mother tells you that he was directly to the tracheostomy tube. If the patient improves, you
doing fine, but then suddenly will know that the problem
began experiencing was a malfunction with the mechanical ventilator. If the patient
breathing difficulty. You should: does not improve, the tracheostomy tube is likely plugged with
A) remove him from the thick mucus secretions and
mechanical ventilator and requires suctioning. Unless you are familiar with the mechanical
ventilate him manually. ventilator (most EMTs are not), do not attempt to troubleshoot
B) check the settings on the the device by checking the
ventilator to ensure that it is settings; this simply wastes time and could harm the patient if
functioning properly. you do not know what you are doing.
C) detach the ventilator, suction
the tracheostomy tube, and
reassess the patient.
D) remove the ventilator tubing
and place an oxygen mask over
the tracheostomy tube.
C) ensure that you and the patient are in a safe place.
When treating an unresponsive
man who was struck by
Contrary to popular belief, lightning can (and does) strike in the
lightning, you should:
same place twice. After lightning strikes, the ground remains
A) begin CPR at once if he is
electrically charged for a period
apneic and pulseless.
of time; this increases the chance of a second strike within a short
B) apply full spinal precautions
period of time. You must first ensure that you and the patient are
before moving him.
safe by moving to a
C) ensure that you and the
sheltered area, preferably indoors. After you have ensured the
patient are in a safe place.
safety of yourself and the patient, begin treatment as dictated by
D) manually stabilize his head
the patient's condition. Do
and open his airway.
not let the life you save, or attempt to save, TAKE your own!
C) Blood flow is diminished because of vascular occlusion.
A 23-year-old woman with sickle
cell disease reports a sudden Sickle cell disease is an inherited blood disorder in which the red
onset of severe pain in her lower blood cells are misshapen and take on a sickle appearance. The
extremities. Which of the sharp and misshapen red
following is the blood cells lead to dysfunction in oxygen binding and
MOST likely cause of her unintentional clot formation. These unintentional clots may lead
symptoms? to a condition called vasoocclusive
A) Red blood cells are being crisis. The patient's symptoms indicate that this is what has
destroyed at an abnormal rate. happened in her lower extremities. The blood clots in her lower
B) Spontaneous bleeding is extremities did not form because
occurring within the muscles. of an excessive platelet count (thrombocythemia) because sickle
C) Blood flow is diminished cell disease is not a condition of excessive platelet production.
because of vascular occlusion. Spontaneous bleeding is not the cause of her symptoms
D) Blood clots have formed because sickle cell disease is not a condition of low platelets
because of excessive platelets. (thrombocytopenia). Sickle cell disease is not a condition of
abnormal red blood cell destruction.
, D) reaching for the victim with a long object.
You are at the scene where a General rules to fo llow when attempting to rescue a patient
man panicked while swimming in from the water include "reach, throw, row, and then go." In this
a small lake. Your initial attempt case, you should attempt to reach
to rescue him should include: the victim by having him grab hold of a long object, such as a
A) throwing a rope to the victim. stick or pole. If this is not possible or unsuccessful, throw the
B) rowing a small raft to the victim a rope or flotation device (if available). If these are not
victim. available, row to the patient in a small raft (if available). Going
C) swimming to the victim to into the water to retrieve the victim is a last resort. The rescuer
rescue him. must
D) reaching for the victim with a be a strong swimmer because patients who are in danger of
long object. drowning are in a state of blind panic and will make every
attempt to keep themselves afloat,
even if it means forcing the rescuer underwater.
B) Jaundice
Which of the following is a later
Early signs and symptoms of viral hepatitis include loss of
sign of hepatitis?
appetite (anorexia), vomiting, fever, fatigue, and muscle and joint
A) Fatigue
pain. Jaundice (yellow sclera and
B) Jaundice
skin) and right upper quadrant abdominal pain are not common
C) Loss of appetite
early manifestations of hepatitis; they usually develop within 1 to
D) Fever and vomiting
2 weeks into the disease
process.
C) administer high-flow supplemental oxygen.
A 48-year-old man became
acutely hypoxic, experienced a You should administer high-flow oxygen to all patients who are
seizure, and is now postictal. The actively seizing and to patients who experienced a seizure and
MOST effective way to prevent are postictal. This is especially true if the seizure was caused by
another seizure hypoxia. Increasing the oxygen content of the blood, which
is to: minimizes hypoxia, may prevent another seizure. The recovery
A) place him in the recovery position is appropriate for uninjured patients with a decreased
position. level of consciousness and adequate breathing; it will help
B) give him oral glucose if he maintain the airway and facilitate
can swallow. drainage of secretions from the mouth, but will not prevent
C) administer high-flow another seizure. Oral glucose may prevent another seizure if
supplemental oxygen. hypoglycemia was the cause of the
D) dim the lights in the back of seizure. You should dim the lights in the back of the ambulance
the ambulance. to help prevent any seizure, not just those that are caused by
hypoxia.
FISDAP MEDICAL EXAM, PRACTICE EXAM
AND STUDYGUIDE NEWEST 2025 ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|A+ GRADED
Save
Students also studied
Drugs & Society Chapter 8 ENPC Exam Prep / Exam Questions... ATI nutrition exam
Teacher 47 terms Teacher 50 terms 54 terms
Martin_Raymond2 Preview trinanjeri0 Preview quizlette22726265
D) Slurred speech
When you arrive at a residence
Often, an altered mental status can be difficult to assess,
for a man who is "not acting
especially if you do not know how the patient normally acts.
right," you enter the house and
However, there are key findings that
find him sitting on his couch.
should increase your index of suspicion. An abnormal speech
Which of the
pattern, such as slurring or incoherent words, can be the result of
following findings would be
a diabetic problem, alcohol
MOST indicative of an altered
intoxication, or drug ingestion. All of these can cause an altered
mental status?
mental status. The odor of alcohol suggests intoxication as a
A) Odor of alcohol
potential cause of his problem,
B) Closed eyes
but cannot be quantified. Just because the patient's eyes are
C) Tired appearance
closed or he has a tired appearance, does not necessarily
D) Slurred speech
indicate that he has an altered mental
status.
A young woman reports A) HIV infection.
significant weight loss over the
last month, persistent fever, and Weight loss, fever, and night sweats could indicate tuberculosis
night sweats. When you assess or HIV infection that has progressed to acquired
her, you note the immunodeficiency syndrome (AIDS);
presence of dark purple lesions however, the dark purple lesions on the skin, which are called
covering her trunk and upper Kaposi's sarcoma, are malignant skin tumors and are a classic
extremities. You should suspect: finding in patients in the later
A) HIV infection. stages of AIDS.
B) tuberculosis.
C) rheumatic fever.
D) end-stage cancer.
, B) Bath salts
A 19-year-old man is
Of the drugs listed, the patient's clinical presentation is the most
experiencing hallucinations and
consistent with use of synthetic cathinones (bath salts). Bath salts,
paranoia after abusing an
not to be confused with
unknown substance. His heart
products such as Epsom salt, are a class of drugs similar to
rate is 170 beats/min, he
MDMA (ecstasy). Cloud Nine and Ivory Wave are common
complains of a headache, and
streets names for bath salts. Bath salts
he is experiencing muscle
produce euphoria, increased mental clarity, and sexual arousal.
twitching. Which of the fo
Most users snort the drug. Adverse effects include teeth
llowing substances would MOST
grinding, loss of appetite, muscle
likely explain his
twitching, lip -smacking, confusion, paranoia, headache,
presentation?
tachycardia, and hallucinations. Heroin (an opioid) and Valium (a
A) Heroin
benzodiazepine) are both central
B) Bath salts
nervous system depressant drugs; therefore, they would not
C) Ketamine
explain the patient's presentation. Ketamine (Ketalar) is a
D)Valium
sedative-hypnotic drug; it would not
explain the patient's signs and symptoms.
A) Narcotic
Signs of a narcotic (opiate/opioid) overdose from drugs such as
heroin, morphine (Astromorph, Duramorph), meperidine
Unresponsiveness, shallow (Demerol), and codeine include
breathing, and constricted altered mental status; slow, shallow breathing; pupillary
pupils are indicative of which constriction (miosis), hypotension; and bradycardia. Narcotics
type of drug overdose? are central nervous system
A) Narcotic depressants that, when taken in excess, suppress the vital
B) Marijuana functions necessary for life, such as breathing, heart rate, and
C) Barbiturate blood pressure. Barbiturates
D) Amphetamine produce the same effects; however, the pupils are typically
dilated (mydriasis), not constricted. Marijuana and amphetamine
drugs are central nervous system
stimulants and, therefore, would cause the patient to become
restless or even combative.
A man is experiencing a severe A) provide rapid transport and consider an ALS intercept.
allergic reaction after being
stung by a scorpion. He does If a patient does not have a prescribed epinephrine auto-injector
not have his own epinephrine; and is experiencing a severe allergic reaction, you should
however, his wife is allergic to administer supplemental oxygen,
bees and has a prescribed assist the patient's ventilations if needed, and transport without
epinephrine auto-injector. You delay. Closely monitor the patient's airway and breathing status
should: en route and coordinate an
A) provide rapid transport and ALS intercept if possible. If you carry an epinephrine auto-
consider an ALS intercept. injector on your ambulance and your protocols allow you to
B) assist the patient with the administer it, do so without delay.
wife's prescribed epinephrine. Otherwise, the ALS unit will be able to administer epinephrine via
C) administer an oral the intramuscular or intravenous route. Never assist a patient with
antihistamine and transport a medication that is not
without delay. prescribed to him or her specifically. Antihistamines are given
D) request an ALS unit to after epinephrine; in most systems, EMTs are not authorized to
respond to the scene to dispense oral medications
administer epinephrine. other than glucose and aspirin.
,You are dispatched to a A) remove him from the mechanical ventilator and ventilate him
residence for a 20-year-old man manually.
with respiratory distress. When
you arrive, you find that the If a ventilator-dependent patient experiences a sudden onset of
patient has a respiratory distress, you should first remove him or her from the
tracheostomy tube and is mechanical ventilator and
ventilator dependent. His begin manual ventilation with a bag-mask device; attach the bag
mother tells you that he was directly to the tracheostomy tube. If the patient improves, you
doing fine, but then suddenly will know that the problem
began experiencing was a malfunction with the mechanical ventilator. If the patient
breathing difficulty. You should: does not improve, the tracheostomy tube is likely plugged with
A) remove him from the thick mucus secretions and
mechanical ventilator and requires suctioning. Unless you are familiar with the mechanical
ventilate him manually. ventilator (most EMTs are not), do not attempt to troubleshoot
B) check the settings on the the device by checking the
ventilator to ensure that it is settings; this simply wastes time and could harm the patient if
functioning properly. you do not know what you are doing.
C) detach the ventilator, suction
the tracheostomy tube, and
reassess the patient.
D) remove the ventilator tubing
and place an oxygen mask over
the tracheostomy tube.
C) ensure that you and the patient are in a safe place.
When treating an unresponsive
man who was struck by
Contrary to popular belief, lightning can (and does) strike in the
lightning, you should:
same place twice. After lightning strikes, the ground remains
A) begin CPR at once if he is
electrically charged for a period
apneic and pulseless.
of time; this increases the chance of a second strike within a short
B) apply full spinal precautions
period of time. You must first ensure that you and the patient are
before moving him.
safe by moving to a
C) ensure that you and the
sheltered area, preferably indoors. After you have ensured the
patient are in a safe place.
safety of yourself and the patient, begin treatment as dictated by
D) manually stabilize his head
the patient's condition. Do
and open his airway.
not let the life you save, or attempt to save, TAKE your own!
C) Blood flow is diminished because of vascular occlusion.
A 23-year-old woman with sickle
cell disease reports a sudden Sickle cell disease is an inherited blood disorder in which the red
onset of severe pain in her lower blood cells are misshapen and take on a sickle appearance. The
extremities. Which of the sharp and misshapen red
following is the blood cells lead to dysfunction in oxygen binding and
MOST likely cause of her unintentional clot formation. These unintentional clots may lead
symptoms? to a condition called vasoocclusive
A) Red blood cells are being crisis. The patient's symptoms indicate that this is what has
destroyed at an abnormal rate. happened in her lower extremities. The blood clots in her lower
B) Spontaneous bleeding is extremities did not form because
occurring within the muscles. of an excessive platelet count (thrombocythemia) because sickle
C) Blood flow is diminished cell disease is not a condition of excessive platelet production.
because of vascular occlusion. Spontaneous bleeding is not the cause of her symptoms
D) Blood clots have formed because sickle cell disease is not a condition of low platelets
because of excessive platelets. (thrombocytopenia). Sickle cell disease is not a condition of
abnormal red blood cell destruction.
, D) reaching for the victim with a long object.
You are at the scene where a General rules to fo llow when attempting to rescue a patient
man panicked while swimming in from the water include "reach, throw, row, and then go." In this
a small lake. Your initial attempt case, you should attempt to reach
to rescue him should include: the victim by having him grab hold of a long object, such as a
A) throwing a rope to the victim. stick or pole. If this is not possible or unsuccessful, throw the
B) rowing a small raft to the victim a rope or flotation device (if available). If these are not
victim. available, row to the patient in a small raft (if available). Going
C) swimming to the victim to into the water to retrieve the victim is a last resort. The rescuer
rescue him. must
D) reaching for the victim with a be a strong swimmer because patients who are in danger of
long object. drowning are in a state of blind panic and will make every
attempt to keep themselves afloat,
even if it means forcing the rescuer underwater.
B) Jaundice
Which of the following is a later
Early signs and symptoms of viral hepatitis include loss of
sign of hepatitis?
appetite (anorexia), vomiting, fever, fatigue, and muscle and joint
A) Fatigue
pain. Jaundice (yellow sclera and
B) Jaundice
skin) and right upper quadrant abdominal pain are not common
C) Loss of appetite
early manifestations of hepatitis; they usually develop within 1 to
D) Fever and vomiting
2 weeks into the disease
process.
C) administer high-flow supplemental oxygen.
A 48-year-old man became
acutely hypoxic, experienced a You should administer high-flow oxygen to all patients who are
seizure, and is now postictal. The actively seizing and to patients who experienced a seizure and
MOST effective way to prevent are postictal. This is especially true if the seizure was caused by
another seizure hypoxia. Increasing the oxygen content of the blood, which
is to: minimizes hypoxia, may prevent another seizure. The recovery
A) place him in the recovery position is appropriate for uninjured patients with a decreased
position. level of consciousness and adequate breathing; it will help
B) give him oral glucose if he maintain the airway and facilitate
can swallow. drainage of secretions from the mouth, but will not prevent
C) administer high-flow another seizure. Oral glucose may prevent another seizure if
supplemental oxygen. hypoglycemia was the cause of the
D) dim the lights in the back of seizure. You should dim the lights in the back of the ambulance
the ambulance. to help prevent any seizure, not just those that are caused by
hypoxia.
