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

Nitroglycerin-induced hypotension requires IV fluid bolus to restore adequate perfusion pressure before further NTG administration.

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

Glucagon 1 mg IM is the correct treatment for severe hypoglycemia when IV access cannot be established in an unresponsive patient.

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

Respiratory failure (rate 6/min, SpO2 78%) requires assisted ventilation with BVM; concern for hypoxic drive does not override the need to correct life-threatening hypoxia.

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

Tension pneumothorax causes tracheal deviation away from the affected side; a right-sided tension shifts the trachea to the left with absent right-sided breath sounds.

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

Status epilepticus is defined as a single seizure lasting more than 5 minutes or recurrent seizures without recovery of consciousness between episodes.

(FISDAP) Field Internship Student Data Acquisition Project Practice Test

(FISDAP) Field Internship Student Data Acquisition Project Practice Test

FISDAP Medical Emergencies 2