MEDICAL PARAMEDIC FISDAP EXAM 2026
QUESTIONS AND ANSWERS 100% PASS
Questions to ask patients who OD - ANSWER what did you take, when, how
much, last oral intake, any precautions taken, weight
Opiates and opioids - ANSWER morphine, codeine, and heroin, methadone,
oxycodone
hypoventilation, respiratory arrest, pinpoint pupils, sedation, coma, hypotension
sympathomimetics - ANSWER epinephrine, albuterol, cocaine,
methamphetamine
hypertension, tachycardia, dilated pupils, agitation, seizures, hyperthermia
sedative hypnotics - ANSWER diazepam, secobarbital, flunitrazepam, midazolam
slurred speech, sedation, coma, hypoventilation, hypotension
anticholinergics - ANSWER atropine, diphenhydramine, chloropheniramine,
doxylamine, datura stramonium (jimsonweed)
tachycardia, hyperthermia, hypertension, dilated pupils, dry skin and mucous
membranes, sedation, agitation, seizures, coma, delirium, decreased bowel
sounds
cholinergics - ANSWER organophosphates, pilocarpine, nerve gas
airway compromise
SLUDGEM
SLUDGEM - ANSWER salivation, sweating
lacrimation
urination
defecation, drooling, diarrhea
gastric upset and cramps
emesis
,muscle twitching/miosis (pinpoint pupils)
miosis - ANSWER excessively constricted pupil, often bilateral after exposure to
nerve agents.
Inhaled poisons - ANSWER can cause hypoxia (CO), airway obstruction and
pulmonary edema (chlorine gas), burning eyes, sore throat, cough, chest pain,
hoarseness, wheezing, respiratory distress, dizziness, confusion, headache,
stridor, seizures, altered mental status,
treat by removing the patient from exposure and applying oxygen
some inhaled agents cause progressive lung damage and damage may not be
evident for several hours. It may take 2-3 days or more of ICU to restore normal
lung function.
prompt transport, O2 via non rebreathing and possible positive pressure
ventilation if necessary. pulse oximetry readings may be inaccurate with inhaled
poisons. suction if necessary.
Absorbed and surface contact poisons - ANSWER corrosive substances will
damage the skin, mucous membranes, eyes, cause chemical burns, rashes, or
lesions,.
acids/alkalis, petroleum (hydrocarbon) products are destructive to the skin and
external tissue.
distinguish between contact burns and contact absorption
history of exposure, liquid or powder on patient skin, burns, itching, irritation,
redness of skin, odors of substance.
avoid contaminating yourself and others
remove substance from the patient as fast as possible
remove all contaminated cothes
brush off dry powdery substances, flood/flush with water 15-20 minutes. use
soap.
irrigate eyes quickly: make sure the fluid runs from the bridge of the nose
outward, initiate on scene and continue during transport; keep the patient eyes
open.
, ingested poisons - ANSWER 80% of all poisoning is by mouth. usually accidental
in children and purposeful in adults.
GI problems, cardiac problems, neurological problems.
injected poisons - ANSWER intravenous drug abuse and envenomation by
insects, arachnids, and reptiles.
usually absorbed quickly into the body, can cause intense local tissue
destruction. Often life threatening.
weakness, dizziness, fever, chills, unresponsiveness, excitability
monitor airway, provide high flow O2, be alert for nausea and vomiting.
remove rings, watches, bracelets from areas around the injection site if swelling
occurs
if poison route or type is unknown, reassess as if unstable
Toxin emergency medical care - ANSWER perform external decontamination
remove tablets/pill fragments from the patient's mouth, wash/brush dry poison
from the skin.
assess and maintain ABCS
activated charcoal - ANSWER binds specific toxins and prevents absorption,
toxins leave the body in stool.
not indicated/ineffective with alkali, cyanide, ethanol, iron, lithium, methanol,
mineral acids, or organic solvent poisons.
if patient has decreased LOC or cannot protect their airway (no gag reflex), do not
give activated charcoal.
premixed suspension bottles usually contain up to 50g of activated charcoal.
usual dose for adult or child is 1g per kg of body weight.
Average in adults in 30-100g, average in children is 15-30g for children younger
than age 13.
always obtain approval from medical control.
most effective if used within 1 hour of ingestion.
QUESTIONS AND ANSWERS 100% PASS
Questions to ask patients who OD - ANSWER what did you take, when, how
much, last oral intake, any precautions taken, weight
Opiates and opioids - ANSWER morphine, codeine, and heroin, methadone,
oxycodone
hypoventilation, respiratory arrest, pinpoint pupils, sedation, coma, hypotension
sympathomimetics - ANSWER epinephrine, albuterol, cocaine,
methamphetamine
hypertension, tachycardia, dilated pupils, agitation, seizures, hyperthermia
sedative hypnotics - ANSWER diazepam, secobarbital, flunitrazepam, midazolam
slurred speech, sedation, coma, hypoventilation, hypotension
anticholinergics - ANSWER atropine, diphenhydramine, chloropheniramine,
doxylamine, datura stramonium (jimsonweed)
tachycardia, hyperthermia, hypertension, dilated pupils, dry skin and mucous
membranes, sedation, agitation, seizures, coma, delirium, decreased bowel
sounds
cholinergics - ANSWER organophosphates, pilocarpine, nerve gas
airway compromise
SLUDGEM
SLUDGEM - ANSWER salivation, sweating
lacrimation
urination
defecation, drooling, diarrhea
gastric upset and cramps
emesis
,muscle twitching/miosis (pinpoint pupils)
miosis - ANSWER excessively constricted pupil, often bilateral after exposure to
nerve agents.
Inhaled poisons - ANSWER can cause hypoxia (CO), airway obstruction and
pulmonary edema (chlorine gas), burning eyes, sore throat, cough, chest pain,
hoarseness, wheezing, respiratory distress, dizziness, confusion, headache,
stridor, seizures, altered mental status,
treat by removing the patient from exposure and applying oxygen
some inhaled agents cause progressive lung damage and damage may not be
evident for several hours. It may take 2-3 days or more of ICU to restore normal
lung function.
prompt transport, O2 via non rebreathing and possible positive pressure
ventilation if necessary. pulse oximetry readings may be inaccurate with inhaled
poisons. suction if necessary.
Absorbed and surface contact poisons - ANSWER corrosive substances will
damage the skin, mucous membranes, eyes, cause chemical burns, rashes, or
lesions,.
acids/alkalis, petroleum (hydrocarbon) products are destructive to the skin and
external tissue.
distinguish between contact burns and contact absorption
history of exposure, liquid or powder on patient skin, burns, itching, irritation,
redness of skin, odors of substance.
avoid contaminating yourself and others
remove substance from the patient as fast as possible
remove all contaminated cothes
brush off dry powdery substances, flood/flush with water 15-20 minutes. use
soap.
irrigate eyes quickly: make sure the fluid runs from the bridge of the nose
outward, initiate on scene and continue during transport; keep the patient eyes
open.
, ingested poisons - ANSWER 80% of all poisoning is by mouth. usually accidental
in children and purposeful in adults.
GI problems, cardiac problems, neurological problems.
injected poisons - ANSWER intravenous drug abuse and envenomation by
insects, arachnids, and reptiles.
usually absorbed quickly into the body, can cause intense local tissue
destruction. Often life threatening.
weakness, dizziness, fever, chills, unresponsiveness, excitability
monitor airway, provide high flow O2, be alert for nausea and vomiting.
remove rings, watches, bracelets from areas around the injection site if swelling
occurs
if poison route or type is unknown, reassess as if unstable
Toxin emergency medical care - ANSWER perform external decontamination
remove tablets/pill fragments from the patient's mouth, wash/brush dry poison
from the skin.
assess and maintain ABCS
activated charcoal - ANSWER binds specific toxins and prevents absorption,
toxins leave the body in stool.
not indicated/ineffective with alkali, cyanide, ethanol, iron, lithium, methanol,
mineral acids, or organic solvent poisons.
if patient has decreased LOC or cannot protect their airway (no gag reflex), do not
give activated charcoal.
premixed suspension bottles usually contain up to 50g of activated charcoal.
usual dose for adult or child is 1g per kg of body weight.
Average in adults in 30-100g, average in children is 15-30g for children younger
than age 13.
always obtain approval from medical control.
most effective if used within 1 hour of ingestion.
