FISDAP PARAMEDIC FINAL EXAM 2023
WITH CORRECT ANSWERS
You are treating a thin elderly male complaining of SOB. He looks older than his stated
age of 65, leaning forward in a chair. You notice that he has an oxygen generator in the
room and is on 2 rpm of o2 via NC. RR is 20 and shallow. BP- 105/60. Pulse 125 &
irregular. You are unable to hear any breath sounds in the bases, with slight air
movement & wheezing noted in the apices (top part of lung). the patient has pink
cheeks, takes short puffy breaths, and can only speak in short sentences. His
medications include Proventil inhalers and Theo-duer. He us unable to give you a
complete history. What condition would you suspect? - Exacerbated emphysema
You are treating a thin elderly male complaining of SOB. He looks older than his stated
age of 65, leaning forward in a chair. You notice that he has an oxygen generator in the
room and is on 2 rpm of o2 via NC. RR is 20 and shallow. BP- 105/60. Pulse 125 &
irregular. You are unable to hear any breath sounds in the bases, with slight air
movement & wheezing noted in the apices (top part of lung). the patient has pink
cheeks, takes short puffy breaths, and can only speak in short sentences. His
medications include Proventil inhalers and Theo-duer. He us unable to give you a
complete history. What should you do? - Switch him over to high flow oxygen
Of the following, which item is acceptable and productive to ask a 14 year old female in
the presence of her parents - History of childhood illness
You are treating an 82 year old female who is having difficulty breathing in a nursing
home. Her only history is of a fever yesterday and frequent UTI. While listening to her
chest you hear rhonci and slight cradles in all fields. BP is 110/80 Pulse is 100 & regular
RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema. She
denies chest pain or pressure. What condition is most likely causing her symptoms -
Pneumonia
You are treating an 82 year old female who is having difficulty breathing in a nursing
home. Her only history is of a fever yesterday and frequent UTI. While listening to her
chest you hear rhonci and slight cradles in all fields. BP is 110/80 Pulse is 100 & regular
RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema. She
denies chest pain or pressure. What will be your treatment? - High flow oxygen, IV fluid
bolus, & transport
You are treating an 82 year old female who is having difficulty breathing in a nursing
home. Her only history is of a fever yesterday and frequent UTI. While listening to her
chest you hear rhonci and slight cradles in all fields. BP is 110/80 Pulse is 100 & regular
RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema. She
denies chest pain or pressure. After your initial treatment of the patient she becomes
unconscious. She is using accessory muscles to breath. How would you treat her next? - Attempt insertion of an oral airway
Which of the following is least likely to cause crackles - Asthma
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