FISDAP Patient Assessment 2

Question 1

During a focused physical exam of a trauma patient with a mechanism of injury suggesting spinal involvement, which area should be assessed first?

Accepted Answer

Cervical spine

Answer

Lower extremities

Answer

Abdomen

Answer

Chest

Question 2

A patient presents with altered mental status and a blood glucose reading of 38 mg/dL. After administering oral glucose, reassessment reveals no improvement. What is the NEXT appropriate intervention?

Accepted Answer

Establish IV access and administer dextrose 50%

Answer

Administer a second dose of oral glucose

Answer

Recheck blood glucose in 15 minutes

Answer

Perform a 12-lead ECG

Question 3

Which component of the SAMPLE history is being collected when the EMT asks, 'Have you had this type of chest pain before?'

Accepted Answer

Pertinent past history

Answer

Signs and Symptoms

Answer

Allergies

Answer

Last oral intake

Question 4

When assessing a patient's pupils with a penlight, you note one pupil is fixed and dilated while the other is reactive. This finding is MOST consistent with:

Accepted Answer

Uncal herniation compressing cranial nerve III

Answer

Bilateral optic nerve damage

Answer

Hypoglycemia

Answer

Hypovolemic shock

Question 5

A conscious adult patient refuses treatment after a thorough assessment. Which action is MOST appropriate?

Accepted Answer

Document the refusal and have the patient sign an AMA form

Answer

Restrain the patient and transport

Answer

Call medical direction and then leave without documentation

Answer

Administer treatment without consent

Question 6

During the secondary assessment of a patient complaining of abdominal pain, you note rigidity on palpation of all four quadrants. This finding MOST likely suggests:

Accepted Answer

Peritonitis

Answer

Constipation

Answer

Kidney stone

Answer

Muscle strain

Question 7

A 45-year-old male presents with sudden onset of tearing chest pain radiating to his back. Blood pressure is 190/110 in the right arm and 150/90 in the left arm. You MOST suspect:

Accepted Answer

Aortic dissection

Answer

Myocardial infarction

Answer

Pulmonary embolism

Answer

Pneumothorax