PARAMEDIC FISDAP FINAL EXAM – NATIONAL
EMS EDUCATION STANDARDS | COMPLETE EXAM
QUESTIONS WITH CORRECT ANSWERS.
OVERVIEW
This package is designed for paramedic students preparing for the comprehensive FISDAP Final
Exam, which assesses readiness for the National Registry Paramedic cognitive exam. The 120
questions reflect the FISDAP exam blueprint and National EMS Education Standards for
Paramedics, covering Airway & Ventilation, Cardiology, Medical Emergencies, Trauma,
Operations, and Special Patient Populations. All content aligns with current American Heart
Association (AHA) guidelines, evidence-based prehospital care, and critical thinking required for
entry-level paramedic practice.
QUESTIONS : (120 TOTAL)
1. A 68-year-old male presents with acute onset of "tearing" interscapular back pain, unequal
radial pulses, and hypertension (210/110 mmHg). He is alert but anxious. What is the MOST
appropriate immediate pharmacological intervention?
A. Sublingual nitroglycerin
B. Morphine sulfate 2-4 mg IV
C. Furosemide 40 mg IV
D. Labetalol 20 mg IV slow push
Answer: D
Rationale: This presentation is classic for aortic dissection (tearing pain, pulse deficit,
hypertension). The primary goal is to reduce shear stress on the aorta by lowering blood
pressure and heart rate. Labetalol, a combined alpha and beta blocker, is the first-line agent per
AHA guidelines as it reduces both. Nitrates (A) can reflexively increase heart rate. Morphine (B)
is for pain but doesn't address the hemodynamic crisis. Furosemide (C) is for pulmonary edema,
not indicated here.
2. A 3-year-old child is found apneic and pulseless in a backyard pool. Bystanders pulled him out
and started CPR. You attach your monitor and find the rhythm below. What is the appropriate
next action? [Assume the described rhythm is Asystole]
A. Continue high-quality CPR for 2 minutes
EMS EDUCATION STANDARDS | COMPLETE EXAM
QUESTIONS WITH CORRECT ANSWERS.
OVERVIEW
This package is designed for paramedic students preparing for the comprehensive FISDAP Final
Exam, which assesses readiness for the National Registry Paramedic cognitive exam. The 120
questions reflect the FISDAP exam blueprint and National EMS Education Standards for
Paramedics, covering Airway & Ventilation, Cardiology, Medical Emergencies, Trauma,
Operations, and Special Patient Populations. All content aligns with current American Heart
Association (AHA) guidelines, evidence-based prehospital care, and critical thinking required for
entry-level paramedic practice.
QUESTIONS : (120 TOTAL)
1. A 68-year-old male presents with acute onset of "tearing" interscapular back pain, unequal
radial pulses, and hypertension (210/110 mmHg). He is alert but anxious. What is the MOST
appropriate immediate pharmacological intervention?
A. Sublingual nitroglycerin
B. Morphine sulfate 2-4 mg IV
C. Furosemide 40 mg IV
D. Labetalol 20 mg IV slow push
Answer: D
Rationale: This presentation is classic for aortic dissection (tearing pain, pulse deficit,
hypertension). The primary goal is to reduce shear stress on the aorta by lowering blood
pressure and heart rate. Labetalol, a combined alpha and beta blocker, is the first-line agent per
AHA guidelines as it reduces both. Nitrates (A) can reflexively increase heart rate. Morphine (B)
is for pain but doesn't address the hemodynamic crisis. Furosemide (C) is for pulmonary edema,
not indicated here.
2. A 3-year-old child is found apneic and pulseless in a backyard pool. Bystanders pulled him out
and started CPR. You attach your monitor and find the rhythm below. What is the appropriate
next action? [Assume the described rhythm is Asystole]
A. Continue high-quality CPR for 2 minutes
