Paramedic Airway Management FISDAP
UPDATED SCRIPT 2026 PRACTICE
SOLUTIONS GRADED A+
● A 47-year old male complains of chest discomfort and difficulty
breathing. He has had a fever, chills, and a productive cough for 3 days.
Crackles are present upon auscultation. What is the most likely cause?
Answer: Bacterial Pneumonia
● A 45 year old male was assaulted and you note a small, localized area
on the chest that is edematous. You hear crackling when the skin
palpated. What should you expect? Answer: Subcutaneous Emphysema
● While ventilating an intubated patient, you notice a shark fin
waveform on capnography. Ventilations become increasingly difficult.
What should you do? Answer: Administer albuterol
● A 28 year old female is complaining of gradual-onset dyspnea after
being released from the hospital. She was hospitalized for 1 day
following thoracic trauma and a lung contusion. Lung sounds present
with crackles in both bases. Vital signs are BP 130/80, P 110, R 32
shallow, SpO2:88%. You should Answer: apply oxygen via non-
rebreather and transport emergently
, ● What is the volume of air that a patient inhales during each breath
referred to as? Answer: Tidal Volume
● When you hear wheezing, where is the obstruction located? Answer:
Lower Airway
● a 68 year old female complains of shortness of breath and is sitting in
a tripod position and has pink sputum in the corners of her mouth. Vital
signs are BP 165/110, P88, R22 with crackles, SpO2 82% on 3lpm.
What should you do? Answer: Increase oxygen
● A 71 year old mle with a tracheostomy tube is cyanotic. You hear
audible gurgling during inspiration and crackles in the base of the lungs.
Vital signs are BP 148/100, P 94, R 24, SpO2 88%. What should you do?
Answer: Suction the lumen with a soft tip catheter
● A 19 year old male was extricated from a structure fire. He is actively
coughing and complains of pain due to burns on his chest, arms and
stomach. What is the priority? Answer: Laryngeal swelling
● a 62 year old female complains of shortness of breath. She is sitting
upright in bed with multiple pillows behind her back. She has history of
COPD and diabetes. Skin is warm to the touch. BP 166/100, P 84
irregular, R 20 with crackles, SpO2 95%. What should you do? Answer:
Administer 2.5mg of Albuterol
UPDATED SCRIPT 2026 PRACTICE
SOLUTIONS GRADED A+
● A 47-year old male complains of chest discomfort and difficulty
breathing. He has had a fever, chills, and a productive cough for 3 days.
Crackles are present upon auscultation. What is the most likely cause?
Answer: Bacterial Pneumonia
● A 45 year old male was assaulted and you note a small, localized area
on the chest that is edematous. You hear crackling when the skin
palpated. What should you expect? Answer: Subcutaneous Emphysema
● While ventilating an intubated patient, you notice a shark fin
waveform on capnography. Ventilations become increasingly difficult.
What should you do? Answer: Administer albuterol
● A 28 year old female is complaining of gradual-onset dyspnea after
being released from the hospital. She was hospitalized for 1 day
following thoracic trauma and a lung contusion. Lung sounds present
with crackles in both bases. Vital signs are BP 130/80, P 110, R 32
shallow, SpO2:88%. You should Answer: apply oxygen via non-
rebreather and transport emergently
, ● What is the volume of air that a patient inhales during each breath
referred to as? Answer: Tidal Volume
● When you hear wheezing, where is the obstruction located? Answer:
Lower Airway
● a 68 year old female complains of shortness of breath and is sitting in
a tripod position and has pink sputum in the corners of her mouth. Vital
signs are BP 165/110, P88, R22 with crackles, SpO2 82% on 3lpm.
What should you do? Answer: Increase oxygen
● A 71 year old mle with a tracheostomy tube is cyanotic. You hear
audible gurgling during inspiration and crackles in the base of the lungs.
Vital signs are BP 148/100, P 94, R 24, SpO2 88%. What should you do?
Answer: Suction the lumen with a soft tip catheter
● A 19 year old male was extricated from a structure fire. He is actively
coughing and complains of pain due to burns on his chest, arms and
stomach. What is the priority? Answer: Laryngeal swelling
● a 62 year old female complains of shortness of breath. She is sitting
upright in bed with multiple pillows behind her back. She has history of
COPD and diabetes. Skin is warm to the touch. BP 166/100, P 84
irregular, R 20 with crackles, SpO2 95%. What should you do? Answer:
Administer 2.5mg of Albuterol
