Field Internship Student Data Acquisition Project (FISDAP) Paramedic Practice Exam

Question: 1 / 400

Which of the following patients is most likely to have optimal cerebral oxygenation?

45 yom, disoriented, BP 140/80, skin warm and dry

The patient presenting as a 45-year-old male who is disoriented, with a blood pressure of 140/80 and skin that is warm and dry, is the most likely to have optimal cerebral oxygenation. This is attributed to several factors.

Firstly, the blood pressure reading of 140/80 indicates an adequate perfusion pressure, which is essential for maintaining cerebral blood flow. Optimal blood pressure is crucial for ensuring that the brain receives enough oxygenated blood to function properly.

Secondly, despite the patient being disoriented, the combination of a warm and dry skin condition suggests that there is no immediate circulatory issue such as hypovolemia or significant shock, which could impair perfusion and consequently cerebral oxygenation.

In contrast, the other patients present risk factors that could lead to suboptimal cerebral oxygenation. The 38-year-old female with a blood pressure of 90/60 and cool, clammy skin indicates possible hypoperfusion, which can compromise cerebral oxygenation. Meanwhile, the 50-year-old male, who is confused and has an elevated blood pressure of 150/90 along with pale skin, may be experiencing circulatory issues or stress responses that can affect oxygen delivery. Lastly, the 60-year-old

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38 yof, alert, BP 90/60, skin cool and clammy

50 yom, confused, BP 150/90, skin pale

60 yom, drowsy, BP 120/70, skin warm and dry

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