FISDAP FISDAP Special Populations and Environmental Emergencies 5

Question 1

A 3-year-old is found unresponsive with irregular breathing and a glucose of 38 mg/dL. What is the most appropriate pediatric dextrose dose?

Accepted Answer

D25W 2 mL/kg IV

Answer

For pediatric hypoglycemia, D25W at 2 mL/kg (0.5 g/kg) is the standard prehospital dose, as D50W can cause vascular sclerosis and osmotic injury in small children.

Question 2

An elderly patient on warfarin sustains a minor head impact and initially refuses transport. What is the most critical reason to strongly encourage transport?

Accepted Answer

Anticoagulation significantly increases the risk of delayed intracranial bleeding even after minor trauma

Answer

Anticoagulated patients face substantially elevated risk of delayed or expanding intracranial hemorrhage after seemingly minor head trauma, making hospital evaluation with CT imaging essential.

Question 3

A pregnant patient at 32 weeks gestation is hypotensive and diaphoretic after a motor vehicle collision. What positioning modification is most important?

Accepted Answer

Tilt the backboard or manually displace the uterus to the left

Answer

Left lateral uterine displacement (LLUD) relieves aortocaval compression by the gravid uterus, improving venous return and cardiac output in the supine hypotensive syndrome of pregnancy.

Question 4

A rescue team extracts a collapsed miner after a building entrapment of 6 hours. As the patient is freed, he becomes hypotensive and develops dysrhythmias. What syndrome is occurring?

Accepted Answer

Crush syndrome with reperfusion releasing myoglobin and potassium

Answer

Crush syndrome occurs when prolonged muscle compression causes rhabdomyolysis; reperfusion upon release floods the circulation with myoglobin, potassium, and lactic acid, causing dysrhythmias and renal failure.

Question 5

You are treating a victim of a lightning strike who is in cardiac arrest. Bystanders are reluctant to help because of concern about residual electrical charge. What is your best response?

Accepted Answer

Lightning strike victims retain no electrical charge and rescuers are safe to touch them immediately

Answer

Unlike high-voltage electrical contact, lightning victims do not retain electrical charge and can be safely touched immediately; prompt CPR dramatically improves survival in lightning cardiac arrest.

(FISDAP) Field Internship Student Data Acquisition Project Practice Test

(FISDAP) Field Internship Student Data Acquisition Project Practice Test

FISDAP FISDAP Special Populations and Environmental Emergencies 5