FISDAP Medical Emergencies 2

Question 1

A 55-year-old male presents with crushing chest pain radiating to his left jaw and diaphoresis.
After administering aspirin and nitroglycerin, his BP drops to 80/50 mmHg.
What is your next intervention?

Accepted Answer

Establish IV access and administer a fluid bolus

Answer

Administer a second dose of nitroglycerin

Answer

Administer morphine for pain control

Answer

Apply a 12-lead ECG and wait for results

Question 2

During assessment of an unresponsive diabetic patient, you note a blood glucose of 28 mg/dL. The patient has no IV access and you are unable to establish one. What is the most appropriate next step?

Accepted Answer

Administer glucagon 1 mg IM

Answer

Administer oral glucose gel under the tongue

Answer

Transport immediately without intervention

Answer

Administer dextrose 50% via IO access

Question 3

A 70-year-old female is found unresponsive with a history of COPD. She is breathing at 6/min with SpO2 of 78%. What ventilation approach is most appropriate?

Accepted Answer

Assist ventilations with BVM and 100% oxygen

Answer

Apply a nasal cannula at 2 L/min to avoid hypoxic drive suppression

Answer

Withhold oxygen due to risk of abolishing hypoxic drive

Answer

Administer oxygen via simple face mask at 6 L/min

Question 4

Which finding is MOST consistent with a right-sided tension pneumothorax?

Accepted Answer

Tracheal deviation to the left, absent breath sounds on the right

Answer

Tracheal deviation to the right, absent breath sounds on the left

Answer

Bilateral absent breath sounds and bradycardia

Answer

Tracheal deviation to the left, crackles on the right

Question 5

A patient with a known seizure disorder has been seizing for 12 minutes continuously. Which term best describes this presentation?

Accepted Answer

Status epilepticus

Answer

Absence seizure

Answer

Focal seizure

Answer

Post-ictal state

Question 6

You are treating a 40-year-old with anaphylaxis who received epinephrine 1:1,000 IM 10 minutes ago. He remains hypotensive with urticaria and wheezing. What is the correct next action?

Accepted Answer

Repeat epinephrine 1:1,000 IM and establish IV access for fluids

Answer

Administer diphenhydramine IV and reassess

Answer

Administer epinephrine 1:10,000 IV push

Answer

Apply CPAP for bronchospasm management

Question 7

A patient presents with sudden-onset severe headache described as 'the worst headache of my life,' nausea, and photophobia. Vital signs are stable. What condition should you most suspect?

Accepted Answer

Subarachnoid hemorrhage

Answer

Migraine with aura

Answer

Hypertensive emergency

Answer

Meningitis