Medical Emergencies Flashcards
7 cards from real FISDAP practice questions. Tap to flip, then mark Knew It or Still Learning โ missed cards come back until you master them.
Read the first 7 Medical Emergencies flashcards as text
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?
Answer: Establish IV access and administer a fluid bolus
Nitroglycerin-induced hypotension requires IV fluid bolus to restore adequate perfusion pressure before further NTG administration.
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?
Answer: Administer glucagon 1 mg IM
Glucagon 1 mg IM is the correct treatment for severe hypoglycemia when IV access cannot be established in an unresponsive patient.
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?
Answer: Assist ventilations with BVM and 100% oxygen
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.
Which finding is MOST consistent with a right-sided tension pneumothorax?
Answer: Tracheal deviation to the left, absent breath sounds on the right
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.
A patient with a known seizure disorder has been seizing for 12 minutes continuously. Which term best describes this presentation?
Answer: Status epilepticus
Status epilepticus is defined as a single seizure lasting more than 5 minutes or recurrent seizures without recovery of consciousness between episodes.
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?
Answer: Repeat epinephrine 1:1,000 IM and establish IV access for fluids
Persistent anaphylaxis after initial epinephrine warrants a repeat IM dose of epinephrine 1:1,000 along with IV fluid resuscitation for hypotension.
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?
Answer: Subarachnoid hemorrhage
A sudden thunderclap headache described as the worst of one's life is the classic presentation of subarachnoid hemorrhage until proven otherwise.