PARAMEDIC FISDAP LATEST 2026 EXAM QUESTIONS AND
SOLUTIONS RATED A+
✔✔11. What is the most common cause of status epilepticus in adults.
A. Alcohol withdrawal
B. Sudden elevation in body temperature
C. Failure to take prescribed medications
D. Recent history of head trauma - ✔✔Failure to take prescribed medications
✔✔12. A 58 year old male with history of renal failure complains of dizziness lethargy
and difficulty
breathing. He says he missed his last dialysis appointment. Vital signs are BP 160/90 P
100 R 28 with rales heard in the basses. SPO2 92% you should suspect.
A. fluid overload
B. hypokalemia
C. respiratory alkalosis
D. hypermagnesemia - ✔✔Fluid Overload.
✔✔16. A 6 month old male was found lying face down in the crib. He is cyanotic and
apneic. A weak
brachial pulse is present. You are unable to see a chest rise with your second attempt
at rescue
breathing after repositioning the head. What should you do.
A. perform 5 abdominal thrusts
B. Start CPR
C. Perform a finger sweep
D. Give five back slaps - ✔✔Start CPR
✔✔17. You have just been called to a dialysis clinic for a 58 year old male in cardiac
arrest. The online physician may order you to administer which of the following
medications.
A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker - ✔✔Sodium Bicarbonate.
✔✔18. A 27 year old male has been assaulted with a pen in the supraclavicular area.
He is anxious and pale and his vital signs are BP 80/42 P 128 R 32 and shallow. First
responders have sealed the wound with a bandage. Assessment reveals lung sounds
on the right and poor chest rise what should you do.
A. Perform needle decompression
B. Lift a corner of the occlusive dressing
C. Establish two large bore IV's while en route to the hospital
D. Administer high flow oxygen and transport rapidly - ✔✔needle decompression
,✔✔20. An 11 year old male has been skateboarding in 100 degrees temperature and
has been drinking caffeinated soft drinks. He complains of palpations. The cardiac
monitor displays a narrow QRS tachycardia at a rate of 160 beats. Vitals signs BP
110/60 P160 R 20 What should you do?
A. transport the patient by ambulance, monitor closely, and administer fluids en route
B. suggest the father drives his son to the local clinic since vital signs are within normal
limits
C. perform vagal maneuvers and, if unsuccessful, administer adenosine
D. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers -
✔✔Transport the patient by ambulance monitor closely and administer fluids en route.
✔✔21. An 80 year old male in server respiratory distress. He has a history of
hypertension and breathing problems. He takes inderal daily. Vital signs are BP 170/70
P72 and irregular R40 and extremely labored skin warm and diaphoretic. Lung sounds
are diffuse bilateral crackles and wheezing. He coughs up blood tinged sputum. Which
of the following is most important.
A. Endotracheally intubating
B. Restoring a normal sinus rhythm
C. Decreasing preload
D. Increasing preload - ✔✔Decreasing preload
✔✔22. A 50 year old patient is found lying outside on the ground. The ambient
temperature is 40 degrees F. You thermometer reads 20C 86F. He is in V-fib and
pulseless and apneic. You should
A. ventilate via bag valve mask, administer warm IV infusion, and transport rapidly
B. perform CPR, administer warm IV infusion, and transport rapidly
C. defibrillate, intubate, administer 1mg EPI ETT, and transport rapidly
D. defibrillate once, perform CPR, Intubate, and transport rapidly - ✔✔Defibrillate once
perform CPR intubate and transport rapidly.
✔✔23. To successfully accomplish nasotracheal intubation you should advance the
endotracheal tube though the glottic opening to coincide with patient
A. swallow
B. expiration
C. inspiration
D. cough - ✔✔Inhalation
✔✔25. An alert 23 year old male presents with a sudden onset of shortness of breath
and chest pain after running upstairs. Breath sounds are diminished in the right side.
The most likely cause is.
A. pleural effusion
B. tension pneumothorax
C. subcutaneous emphysema
D. spontaneous pneumothorax - ✔✔Spontaneous pneumothorax
, ✔✔26. First responders are treating an apneic adult female. You notice that they are
applying frequent long ventilations with an oxygen resuscitator. What effects with their
actions create.
A. Increased capillary elasticity
B. Increased venous return
C. Decreased venous return
D. Decreased intracranial pressure - ✔✔decreased venous return
✔✔27. You are called to a nursing home on a hot summer day for a 88 year old male.
The nurse tells you he missed his dialysis appointment because he was complaining of
nausea vomiting headache and running a fever. Which differential diagnosis should you
consider first.
A. Heart attack and stroke
B. Sepsis and hyperkalemia
C. Hypotension and severe flu
D. Hemolytic anemia and heat stroke - ✔✔Sepsis and hyperkalemia
✔✔28. You have just administered adenosine to a 62 year old patient with narrow
complex tach. The ECG shows an irregular rate of 50 then steadily climbs back to a rate
of 169. What would should suspect
A. sinus tachycardia with aberrancy
B. paroxysmal supraventricular tachycardia
C. rapid atrial fibrillation
D. a rhythm of ventricular origin - ✔✔rapid atrial fibrillation.
✔✔29. A 63 year old male is having a diabetic emergency . He is unresponsive R12
glucometer 28. You cannot establish IV access. You should
A. administer glucose paste PO
B. administer glucagon IM
C. transport emergently
D. administer D 50W 10 - ✔✔administer glucagon IM
✔✔30. When setting up a night time landing zone for a helicopter what is the
recommended area needed.
A. 100x100 feet
B. 25x25 feet
C. 50x50 feet
D. 300x300 feet - ✔✔100x100
✔✔31. A 67 year old with hypo-tension and bradycardia has no responded to pacing or
atropine. You should
A. an epinephrine infusion at 5-20 mcg/min
B. 40 units vasopressin via intravenous infusion
C. 1 mg epinephrine via intravenous infusion
D. a dopamine infusion at 2-10 mcg/kg/min - ✔✔administer dopamine infusion
SOLUTIONS RATED A+
✔✔11. What is the most common cause of status epilepticus in adults.
A. Alcohol withdrawal
B. Sudden elevation in body temperature
C. Failure to take prescribed medications
D. Recent history of head trauma - ✔✔Failure to take prescribed medications
✔✔12. A 58 year old male with history of renal failure complains of dizziness lethargy
and difficulty
breathing. He says he missed his last dialysis appointment. Vital signs are BP 160/90 P
100 R 28 with rales heard in the basses. SPO2 92% you should suspect.
A. fluid overload
B. hypokalemia
C. respiratory alkalosis
D. hypermagnesemia - ✔✔Fluid Overload.
✔✔16. A 6 month old male was found lying face down in the crib. He is cyanotic and
apneic. A weak
brachial pulse is present. You are unable to see a chest rise with your second attempt
at rescue
breathing after repositioning the head. What should you do.
A. perform 5 abdominal thrusts
B. Start CPR
C. Perform a finger sweep
D. Give five back slaps - ✔✔Start CPR
✔✔17. You have just been called to a dialysis clinic for a 58 year old male in cardiac
arrest. The online physician may order you to administer which of the following
medications.
A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker - ✔✔Sodium Bicarbonate.
✔✔18. A 27 year old male has been assaulted with a pen in the supraclavicular area.
He is anxious and pale and his vital signs are BP 80/42 P 128 R 32 and shallow. First
responders have sealed the wound with a bandage. Assessment reveals lung sounds
on the right and poor chest rise what should you do.
A. Perform needle decompression
B. Lift a corner of the occlusive dressing
C. Establish two large bore IV's while en route to the hospital
D. Administer high flow oxygen and transport rapidly - ✔✔needle decompression
,✔✔20. An 11 year old male has been skateboarding in 100 degrees temperature and
has been drinking caffeinated soft drinks. He complains of palpations. The cardiac
monitor displays a narrow QRS tachycardia at a rate of 160 beats. Vitals signs BP
110/60 P160 R 20 What should you do?
A. transport the patient by ambulance, monitor closely, and administer fluids en route
B. suggest the father drives his son to the local clinic since vital signs are within normal
limits
C. perform vagal maneuvers and, if unsuccessful, administer adenosine
D. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers -
✔✔Transport the patient by ambulance monitor closely and administer fluids en route.
✔✔21. An 80 year old male in server respiratory distress. He has a history of
hypertension and breathing problems. He takes inderal daily. Vital signs are BP 170/70
P72 and irregular R40 and extremely labored skin warm and diaphoretic. Lung sounds
are diffuse bilateral crackles and wheezing. He coughs up blood tinged sputum. Which
of the following is most important.
A. Endotracheally intubating
B. Restoring a normal sinus rhythm
C. Decreasing preload
D. Increasing preload - ✔✔Decreasing preload
✔✔22. A 50 year old patient is found lying outside on the ground. The ambient
temperature is 40 degrees F. You thermometer reads 20C 86F. He is in V-fib and
pulseless and apneic. You should
A. ventilate via bag valve mask, administer warm IV infusion, and transport rapidly
B. perform CPR, administer warm IV infusion, and transport rapidly
C. defibrillate, intubate, administer 1mg EPI ETT, and transport rapidly
D. defibrillate once, perform CPR, Intubate, and transport rapidly - ✔✔Defibrillate once
perform CPR intubate and transport rapidly.
✔✔23. To successfully accomplish nasotracheal intubation you should advance the
endotracheal tube though the glottic opening to coincide with patient
A. swallow
B. expiration
C. inspiration
D. cough - ✔✔Inhalation
✔✔25. An alert 23 year old male presents with a sudden onset of shortness of breath
and chest pain after running upstairs. Breath sounds are diminished in the right side.
The most likely cause is.
A. pleural effusion
B. tension pneumothorax
C. subcutaneous emphysema
D. spontaneous pneumothorax - ✔✔Spontaneous pneumothorax
, ✔✔26. First responders are treating an apneic adult female. You notice that they are
applying frequent long ventilations with an oxygen resuscitator. What effects with their
actions create.
A. Increased capillary elasticity
B. Increased venous return
C. Decreased venous return
D. Decreased intracranial pressure - ✔✔decreased venous return
✔✔27. You are called to a nursing home on a hot summer day for a 88 year old male.
The nurse tells you he missed his dialysis appointment because he was complaining of
nausea vomiting headache and running a fever. Which differential diagnosis should you
consider first.
A. Heart attack and stroke
B. Sepsis and hyperkalemia
C. Hypotension and severe flu
D. Hemolytic anemia and heat stroke - ✔✔Sepsis and hyperkalemia
✔✔28. You have just administered adenosine to a 62 year old patient with narrow
complex tach. The ECG shows an irregular rate of 50 then steadily climbs back to a rate
of 169. What would should suspect
A. sinus tachycardia with aberrancy
B. paroxysmal supraventricular tachycardia
C. rapid atrial fibrillation
D. a rhythm of ventricular origin - ✔✔rapid atrial fibrillation.
✔✔29. A 63 year old male is having a diabetic emergency . He is unresponsive R12
glucometer 28. You cannot establish IV access. You should
A. administer glucose paste PO
B. administer glucagon IM
C. transport emergently
D. administer D 50W 10 - ✔✔administer glucagon IM
✔✔30. When setting up a night time landing zone for a helicopter what is the
recommended area needed.
A. 100x100 feet
B. 25x25 feet
C. 50x50 feet
D. 300x300 feet - ✔✔100x100
✔✔31. A 67 year old with hypo-tension and bradycardia has no responded to pacing or
atropine. You should
A. an epinephrine infusion at 5-20 mcg/min
B. 40 units vasopressin via intravenous infusion
C. 1 mg epinephrine via intravenous infusion
D. a dopamine infusion at 2-10 mcg/kg/min - ✔✔administer dopamine infusion
