FISDAP UNIT EXAM: MEDICAL
EMERGENCIES. EXAM QUESTIONS
WITH VERIFIED ANSWERS. A+ GRADE
2025/2026.
Questions to ask patients who OD - ANS what did you take, when, how much, last oral
intake, any precautions taken, weight
Opiates and opioids - ANS morphine, codeine, and heroin, methadone, oxycodone
hypoventilation, respiratory arrest, pinpoint pupils, sedation, coma, hypotension
sympathomimetics - ANS epinephrine, albuterol, cocaine, methamphetamine
hypertension, tachycardia, dilated pupils, agitation, seizures, hyperthermia
sedative hypnotics - ANS diazepam, secobarbital, flunitrazepam, midazolam
slurred speech, sedation, coma, hypoventilation, hypotension
anticholinergics - ANS atropine, diphenhydramine, chloropheniramine, doxylamine, datura
stramonium (jimsonweed)
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,tachycardia, hyperthermia, hypertension, dilated pupils, dry skin and mucous membranes,
sedation, agitation, seizures, coma, delirium, decreased bowel sounds
cholinergics - ANS organophosphates, pilocarpine, nerve gas
airway compromise
SLUDGEM
SLUDGEM - ANS salivation, sweating
lacrimation
urination
defecation, drooling, diarrhea
gastric upset and cramps
emesis
muscle twitching/miosis (pinpoint pupils)
miosis - ANS excessively constricted pupil, often bilateral after exposure to nerve agents.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,Inhaled poisons - ANS can cause hypoxia (CO), airway obstruction and pulmonary edema
(chlorine gas), burning eyes, sore throat, cough, chest pain, hoarseness, wheezing, respiratory
distress, dizziness, confusion, headache, stridor, seizures, altered mental status,
treat by removing the patient from exposure and applying oxygen
some inhaled agents cause progressive lung damage and damage may not be evident for
several hours. It may take 2-3 days or more of ICU to restore normal lung function.
prompt transport, O2 via non rebreathing and possible positive pressure ventilation if
necessary. pulse oximetry readings may be inaccurate with inhaled poisons. suction if
necessary.
Absorbed and surface contact poisons - ANS corrosive substances will damage the skin,
mucous membranes, eyes, cause chemical burns, rashes, or lesions,.
acids/alkalis, petroleum (hydrocarbon) products are destructive to the skin and external tissue.
distinguish between contact burns and contact absorption
history of exposure, liquid or powder on patient skin, burns, itching, irritation, redness of skin,
odors of substance.
avoid contaminating yourself and others
remove substance from the patient as fast as possible
remove all contaminated cothes
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, brush off dry powdery substances, flood/flush with water 15-20 minutes. use soap.
irrigate eyes quickly: make sure the fluid runs from the bridge of the nose outward, initiate on
scene and continue during transport; keep the patient eyes open.
ingested poisons - ANS 80% of all poisoning is by mouth. usually accidental in children and
purposeful in adults.
GI problems, cardiac problems, neurological problems.
injected poisons - ANS intravenous drug abuse and envenomation by insects, arachnids, and
reptiles.
usually absorbed quickly into the body, can cause intense local tissue destruction. Often life
threatening.
weakness, dizziness, fever, chills, unresponsiveness, excitability
monitor airway, provide high flow O2, be alert for nausea and vomiting.
remove rings, watches, bracelets from areas around the injection site if swelling occurs
if poison route or type is unknown, reassess as if unstable
Toxin emergency medical care - ANS perform external decontamination
remove tablets/pill fragments from the patient's mouth, wash/brush dry poison from the skin.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
EMERGENCIES. EXAM QUESTIONS
WITH VERIFIED ANSWERS. A+ GRADE
2025/2026.
Questions to ask patients who OD - ANS what did you take, when, how much, last oral
intake, any precautions taken, weight
Opiates and opioids - ANS morphine, codeine, and heroin, methadone, oxycodone
hypoventilation, respiratory arrest, pinpoint pupils, sedation, coma, hypotension
sympathomimetics - ANS epinephrine, albuterol, cocaine, methamphetamine
hypertension, tachycardia, dilated pupils, agitation, seizures, hyperthermia
sedative hypnotics - ANS diazepam, secobarbital, flunitrazepam, midazolam
slurred speech, sedation, coma, hypoventilation, hypotension
anticholinergics - ANS atropine, diphenhydramine, chloropheniramine, doxylamine, datura
stramonium (jimsonweed)
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,tachycardia, hyperthermia, hypertension, dilated pupils, dry skin and mucous membranes,
sedation, agitation, seizures, coma, delirium, decreased bowel sounds
cholinergics - ANS organophosphates, pilocarpine, nerve gas
airway compromise
SLUDGEM
SLUDGEM - ANS salivation, sweating
lacrimation
urination
defecation, drooling, diarrhea
gastric upset and cramps
emesis
muscle twitching/miosis (pinpoint pupils)
miosis - ANS excessively constricted pupil, often bilateral after exposure to nerve agents.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,Inhaled poisons - ANS can cause hypoxia (CO), airway obstruction and pulmonary edema
(chlorine gas), burning eyes, sore throat, cough, chest pain, hoarseness, wheezing, respiratory
distress, dizziness, confusion, headache, stridor, seizures, altered mental status,
treat by removing the patient from exposure and applying oxygen
some inhaled agents cause progressive lung damage and damage may not be evident for
several hours. It may take 2-3 days or more of ICU to restore normal lung function.
prompt transport, O2 via non rebreathing and possible positive pressure ventilation if
necessary. pulse oximetry readings may be inaccurate with inhaled poisons. suction if
necessary.
Absorbed and surface contact poisons - ANS corrosive substances will damage the skin,
mucous membranes, eyes, cause chemical burns, rashes, or lesions,.
acids/alkalis, petroleum (hydrocarbon) products are destructive to the skin and external tissue.
distinguish between contact burns and contact absorption
history of exposure, liquid or powder on patient skin, burns, itching, irritation, redness of skin,
odors of substance.
avoid contaminating yourself and others
remove substance from the patient as fast as possible
remove all contaminated cothes
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, brush off dry powdery substances, flood/flush with water 15-20 minutes. use soap.
irrigate eyes quickly: make sure the fluid runs from the bridge of the nose outward, initiate on
scene and continue during transport; keep the patient eyes open.
ingested poisons - ANS 80% of all poisoning is by mouth. usually accidental in children and
purposeful in adults.
GI problems, cardiac problems, neurological problems.
injected poisons - ANS intravenous drug abuse and envenomation by insects, arachnids, and
reptiles.
usually absorbed quickly into the body, can cause intense local tissue destruction. Often life
threatening.
weakness, dizziness, fever, chills, unresponsiveness, excitability
monitor airway, provide high flow O2, be alert for nausea and vomiting.
remove rings, watches, bracelets from areas around the injection site if swelling occurs
if poison route or type is unknown, reassess as if unstable
Toxin emergency medical care - ANS perform external decontamination
remove tablets/pill fragments from the patient's mouth, wash/brush dry poison from the skin.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
