FISDAP Patient Assessment 4

Question 1

A 22-year-old female presents with sharp, pleuritic chest pain and shortness of breath. She is on oral contraceptives and returned from a long flight yesterday. You MOST suspect:

Accepted Answer

Pulmonary embolism

Answer

Oral contraceptive use combined with prolonged immobility during travel creates significant risk for deep vein thrombosis and subsequent pulmonary embolism.

Question 2

Which vital sign parameter is used to calculate shock index, and what value suggests hemodynamic compromise?

Accepted Answer

Heart rate divided by systolic BP; >1.0 is concerning

Answer

Shock index = heart rate ÷ systolic BP; a value greater than 1.0 suggests significant hemodynamic compromise and shock.

Question 3

During the primary assessment of an unconscious patient, you determine breathing is adequate. The NEXT step is to:

Accepted Answer

Assess circulation and control major bleeding

Answer

After confirming adequate airway and breathing, the primary assessment proceeds to circulation — assessing pulse quality and controlling life-threatening hemorrhage.

Question 4

Which finding during abdominal assessment BEST indicates aortic aneurysm?

Accepted Answer

Pulsating abdominal mass

Answer

A pulsating abdominal mass is the classic prehospital finding of an abdominal aortic aneurysm.

Question 5

A 70-year-old male with diabetes presents with diaphoresis, nausea, and jaw pain, but denies chest pain. What is the MOST likely cause?

Accepted Answer

Atypical myocardial infarction presentation

Answer

Diabetic and elderly patients frequently present with atypical MI symptoms such as jaw pain, nausea, and diaphoresis without classic chest pain.

(FISDAP) Field Internship Student Data Acquisition Project Practice Test

(FISDAP) Field Internship Student Data Acquisition Project Practice Test

FISDAP Patient Assessment 4