FISDAP Medical Emergencies 3

Question 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?

Accepted Answer

Rapid transport to a stroke center

Answer

Administer aspirin 324 mg

Answer

Perform a 12-lead ECG

Answer

Establish IV access and administer dextrose

Question 2

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

Accepted Answer

Hypertension, bradycardia, and irregular respirations

Answer

Tachycardia, hypotension, and irregular respirations

Answer

Hypertension, tachycardia, and deep slow respirations

Answer

Bradycardia, hypotension, and Cheyne-Stokes breathing

Question 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?

Accepted Answer

Repeat albuterol treatment and consider ipratropium

Answer

Intubate immediately due to ongoing wheezing

Answer

Switch to 100% oxygen via non-rebreather and transport

Answer

Administer epinephrine 1:1,000 SubQ

Question 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?

Accepted Answer

Sepsis secondary to urinary tract infection

Answer

Acute MI

Answer

Hypertensive encephalopathy

Answer

Hypoglycemia

Question 5

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

Accepted Answer

Kussmaul respirations

Answer

Cheyne-Stokes respirations

Answer

Biot respirations

Answer

Apneustic respirations

Question 6

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

Accepted Answer

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

Answer

Facial droop and arm drift

Answer

Slurred speech and confusion

Answer

Unilateral leg weakness

Question 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?

Accepted Answer

Hyperkalemia

Answer

Hyponatremia

Answer

Hypocalcemia

Answer

Hypomagnesemia