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Medical Emergencies Flashcards

7 cards from real FISDAP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Medical Emergencies flashcards as text

  1. A 62-year-old male presents with acute onset of right-sided facial droop, arm weakness, and slurred speech that began 45 minutes ago. Which action is the HIGHEST priority?

    Answer: Rapid transport to a stroke center

    Time-sensitive stroke care requires rapid transport to a stroke center capable of administering tPA; every minute of delay increases neuronal loss.

  2. Which of the following best describes Cushing's triad, indicating increased intracranial pressure?

    Answer: Hypertension, bradycardia, and irregular respirations

    Cushing's triad consists of hypertension (widened pulse pressure), bradycardia, and irregular respirations, signaling herniation-level ICP.

  3. A 28-year-old female with known asthma presents with audible wheezing and is speaking in 2-word sentences. SpO2 is 91% on room air. After albuterol treatment, her SpO2 rises to 94% but wheezing persists. What is the next most appropriate intervention?

    Answer: Repeat albuterol treatment and consider ipratropium

    Persistent bronchospasm after initial albuterol warrants a repeat dose combined with ipratropium bromide for additive bronchodilation.

  4. You are called to a nursing home for a 78-year-old with altered mental status. Staff reports she has been febrile, tachycardic, and confused for 2 hours. She has a Foley catheter in place. What is the MOST likely underlying cause?

    Answer: Sepsis secondary to urinary tract infection

    Fever, tachycardia, and altered mental status in an elderly patient with a urinary catheter strongly suggests sepsis from a urinary source.

  5. A patient in diabetic ketoacidosis (DKA) is breathing with deep, rapid, sighing respirations. What is the term for this breathing pattern?

    Answer: Kussmaul respirations

    Kussmaul respirations are the deep, rapid, sighing breaths seen in metabolic acidosis as the body attempts to blow off CO2 and raise pH.

  6. Which of the following is a hallmark sign that distinguishes a hemorrhagic stroke from an ischemic stroke in the prehospital setting?

    Answer: Sudden onset of the worst headache of the patient's life

    While both types share neurologic deficits, a sudden severe thunderclap headache is more associated with hemorrhagic stroke (subarachnoid or intracerebral hemorrhage).

  7. A 50-year-old male with end-stage renal disease missed his last two dialysis sessions. He presents with peaked T-waves on ECG, muscle weakness, and bradycardia. Which electrolyte abnormality is most likely responsible?

    Answer: Hyperkalemia

    Missed dialysis leads to potassium accumulation; hyperkalemia causes peaked T-waves, muscle weakness, and potentially fatal dysrhythmias.