FISDAP MEDICAL EXAM 2 LATEST VERSIONS A & B ACTUAL EXAM 220 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (100% CORRECT AND VERIFIED ANSWERS) |ALREADY GRADED A+||NEWEST VERSIONS

FISDAP MEDICAL EXAM 2 LATEST VERSIONS
A & B ACTUAL EXAM 220 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (100% CORRECT AND VERIFIED
ANSWERS) |ALREADY GRADED A+||NEWEST
VERSIONS
During cleanup operations after a house fire, A firefighter complains of a headache,
dizziness and slight difficulty in breathing. He reports not having worn his breathing
apparatus for the past 30 minutes. What should you suspect?
A. acute hypoglycemia
B. mild hyperventilation
C. Asthma exacerbation
D. carbon monoxide poisoning - ...ANSWER...D. carbon monoxide poisoning
RATIONALE A headache and dizziness with difficulty breathing are signs of carbon
monoxide poisoning. Carbon monoxide poisoning can result from
exposure to partial combusted organic material. Because he was not wearing his
mask he breathed in an excessive amount of
smoke.
Dispatch send you to a possible seizure. As you arrive, you are advised the seizure
has stopped. Which phase is the patient most likely in ?
A. clonic
B. postictal
C. tonic
D.aura - ...ANSWER...B. Postictal
RATIONALE This is the phase immediately after a seizure has stopped. The
postictal phase is the recovery portion of the seizure. Patients can have
an altered mental status and appear unresponsive or "sleepy". You should monitor
the airway, protect the cervical spine and obtain a
blood glucose analysis (if allowed)
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?
A. Administer cool fluid by mouth
B. remove all his clothing and wrap him in a dry sheet
C. move him to the air conditioned ambulance
D. begin actively cooling with cold packs around the groin - ...ANSWER...C.Move
him to the air-conditioned ambulance.
RATIONALE The first treatment option you should do is remove him from the
environment that caused his heat stroke. The longer his is exposed to
the heat the more severe he will become. Once you have removed him from the hot
environment you can remove clothing and begin
cooling procedures.
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?
A. Gastroenteritis
B. Gastrointestinal bleeding
C. Appendicitis
D. Intestinal Obstruction - ...ANSWER...B. Gastrointestinal bleeding
RATIONALE He is hypotensive with a tachycardic (fast) heart rate. He is showing
signs and symptoms of shock. Gastrointestinal bleeding can have
an acute onset or be hidden and disguised for long periods of time. A thorough
history of the patient†™s bowel movements, frequency
and color changes will help identify the location of the bleed within the abdomen.
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 Sp02 98%. What should
you do?
A. Remove the stinger with a pair of sterile tweezers
B. Leave the stinger in place and apply ice to his skin
C. Leave the stinger in place and transport emergently
D. Remove the stinger by scraping the skin with a card. - ...ANSWER...D. Remove
the stinger by scraping the skin with a card
RATIONALE The stinger should be removed. It may continue to inject venom even
after it has been detached from the insect. Scraping the stinger
will limit any additional venom from being injected.A
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?
Select one:
A. Roll him onto his side and suction his airway
B. Apply a c-collar and place him on a long backboard.
c. Load him on to a stretcher and apply soft restraints.
d. Obtain a detailed history of his present illness. - ...ANSWER...A. Roll him onto his
side and suction his airway
RATIONALE Airway management is your first priority because his is postictal and
unable to protect his own airway. The gurgling noises in the
hypopharynx (throat) are from secretions. Rolling him on 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.
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?
A. Insulin shock
B.Hyperglycemia
C. Hypoglycemia
D. Diabetic Coma - ...ANSWER...B. Hyperglycemia
Hyperglycemia takes days to become severe, unlike hypoglycemia which only takes
a few hours. He is breathing fast (tachypnea) and deep to get rid of excess ketones.
Ketones are a
byproduct of hyperglycemia, and they are responsible for the distinctive "fruity" odor
on their breath
An unresponsive 19 year old female has overdosed on an unkown medication. She
has pinpoint pupils and cool skin. Vital signs are BP 84/50, P 72, R 8, Sp02 82%.
What class of medication should you suspect?
A. Stimulant
B. Sedative
C. Antidepressant
D. Narcotic - ...ANSWER...D. Narcotic
Pinpoint pupils and a slow respiratory rate (bradypnea) are hallmark signs for a
narcotic overdose. The pre-hospital treatment for a narcotic overdose is assisting
ventilations and
transportation to definitive care (hospital). Some ALS service will be able to reverse
narcotic overdoses, but these patients will still need to be transported to a hospital.