FISDAP PARAMEDIC FINAL EXAM SCRIPT 2026
SOLVED QUESTIONS WITH FULL SOLUTION
◉ You are treating an 82 year old female who is having difficulty
breathing in a nursing home. Her only history is of a fever yesterday
and frequent UTI. While listening to her chest you hear rhonci and
slight cradles in all fields. BP is 110/80 Pulse is 100 & regular RR-
30. Temp is 102F. Her jugular veins are flat and there is no pedal
edema. She denies chest pain or pressure. What condition is most
likely causing her symptoms. Answer: Pneumonia
◉ You are treating an 82 year old female who is having difficulty
breathing in a nursing home. Her only history is of a fever yesterday
and frequent UTI. While listening to her chest you hear rhonci and
slight cradles in all fields. BP is 110/80 Pulse is 100 & regular RR-
30. Temp is 102F. Her jugular veins are flat and there is no pedal
edema. She denies chest pain or pressure. What will be your
treatment?. Answer: High flow oxygen, IV fluid bolus, & transport
◉ You are treating an 82 year old female who is having difficulty
breathing in a nursing home. Her only history is of a fever yesterday
and frequent UTI. While listening to her chest you hear rhonci and
slight cradles in all fields. BP is 110/80 Pulse is 100 & regular RR-
30. Temp is 102F. Her jugular veins are flat and there is no pedal
edema. She denies chest pain or pressure. After your initial
treatment of the patient she becomes unconscious. She is using
,accessory muscles to breath. How would you treat her next?.
Answer: Attempt insertion of an oral airway
◉ Which of the following is least likely to cause crackles. Answer:
Asthma
◉ Which of the following medications is least likely to be a part of
standard therapy for a patient suffering from exacerbated
emphysema. Answer: Nitrates
◉ Which of the following is true about respiratory physiology?.
Answer: Changes in PO2, PCO2, or pH stimulate chemoreceptors
◉ What is the purpose of the Good Samaritan laws. Answer: Offer
legal protection yo people who stop at an emergency scene
◉ You are treating a thin elderly male complaining of SOB. He looks
older than his stated age of 65, leaning forward in a chair. You notice
that he has an oxygen generator in the room and is on 2 rpm of o2
via NC. RR is 20 and shallow. BP- 105/60. Pulse 125 & irregular. You
are unable to hear any breath sounds in the bases, with slight air
movement & wheezing noted in the apices (top part of lung). the
patient has pink cheeks, takes short puffy breaths, and can only
speak in short sentences. His medications include Proventil inhalers
and Theo-duer. He us unable to give you a complete history. What
condition would you suspect?. Answer: Exacerbated emphysema
,◉ You are treating a thin elderly male complaining of SOB. He looks
older than his stated age of 65, leaning forward in a chair. You notice
that he has an oxygen generator in the room and is on 2 rpm of o2
via NC. RR is 20 and shallow. BP- 105/60. Pulse 125 & irregular. You
are unable to hear any breath sounds in the bases, with slight air
movement & wheezing noted in the apices (top part of lung). the
patient has pink cheeks, takes short puffy breaths, and can only
speak in short sentences. His medications include Proventil inhalers
and Theo-duer. He us unable to give you a complete history. What
should you do?. Answer: Switch him over to high flow oxygen
◉ You are called to a junior high soccer game to evaluate a student
who became acutely SOB during the game. on exam, you note
inspiratory & expiratory wheezes throughout the lungs. BP- 130/80,
pulse 120 & Regular, RR- 30. Which medication will you consider
using?. Answer: Oxygen, albuterol, and epi
◉ the anatomical structure between the base of the tongue and the
epiglottis into which the tip of a curved blade is placed during
orotracheal intubation is the. Answer: Vallecula
◉ What is the name for the small, hairlike process o. the outer
surface of some cells? These cells aid in metabolism by producing
motion or current in a fluid. Answer: Cilia
, ◉ What is percutaneous transtracheal ventilation. Answer: Needle
cricothyrotomy
◉ You have orally intubated a patient. While your partner ventilates
the patient with a BVM you evaluate tube placement. Auscultation
reveals sounds heard over epigastrium and an absence of breath
sounds over the right and left chest. What is your best course of
action?. Answer: Deflate the ET tube cuff, remove the ET tube, pre
oxygenate the pt with a BVM
◉ A 67 year old man is complaining of sudden onset of difficulty
breathing. Exam reveals pt is laboring to breathe and his jugular
veins are distended. His BP is 140/84, p 118, RR- 32, breath sounds
clear and equal bilaterally. Pts wife states he is recovering from hip
surgery. What condition do you suspect?. Answer: Pulmonary
Embolism
◉ What is the name of the syndrome marked by increased capillary
permeability & respiratory distress usually due to trauma, inhaled
toxins, or gastric aspiration?. Answer: Adult Respiratory Distress
Syndrome (ADRS)
◉ For which of the following is nasotracheal intubation absolutely
contraindicated. Answer: 70 y/o male in cardiac arrest
SOLVED QUESTIONS WITH FULL SOLUTION
◉ You are treating an 82 year old female who is having difficulty
breathing in a nursing home. Her only history is of a fever yesterday
and frequent UTI. While listening to her chest you hear rhonci and
slight cradles in all fields. BP is 110/80 Pulse is 100 & regular RR-
30. Temp is 102F. Her jugular veins are flat and there is no pedal
edema. She denies chest pain or pressure. What condition is most
likely causing her symptoms. Answer: Pneumonia
◉ You are treating an 82 year old female who is having difficulty
breathing in a nursing home. Her only history is of a fever yesterday
and frequent UTI. While listening to her chest you hear rhonci and
slight cradles in all fields. BP is 110/80 Pulse is 100 & regular RR-
30. Temp is 102F. Her jugular veins are flat and there is no pedal
edema. She denies chest pain or pressure. What will be your
treatment?. Answer: High flow oxygen, IV fluid bolus, & transport
◉ You are treating an 82 year old female who is having difficulty
breathing in a nursing home. Her only history is of a fever yesterday
and frequent UTI. While listening to her chest you hear rhonci and
slight cradles in all fields. BP is 110/80 Pulse is 100 & regular RR-
30. Temp is 102F. Her jugular veins are flat and there is no pedal
edema. She denies chest pain or pressure. After your initial
treatment of the patient she becomes unconscious. She is using
,accessory muscles to breath. How would you treat her next?.
Answer: Attempt insertion of an oral airway
◉ Which of the following is least likely to cause crackles. Answer:
Asthma
◉ Which of the following medications is least likely to be a part of
standard therapy for a patient suffering from exacerbated
emphysema. Answer: Nitrates
◉ Which of the following is true about respiratory physiology?.
Answer: Changes in PO2, PCO2, or pH stimulate chemoreceptors
◉ What is the purpose of the Good Samaritan laws. Answer: Offer
legal protection yo people who stop at an emergency scene
◉ You are treating a thin elderly male complaining of SOB. He looks
older than his stated age of 65, leaning forward in a chair. You notice
that he has an oxygen generator in the room and is on 2 rpm of o2
via NC. RR is 20 and shallow. BP- 105/60. Pulse 125 & irregular. You
are unable to hear any breath sounds in the bases, with slight air
movement & wheezing noted in the apices (top part of lung). the
patient has pink cheeks, takes short puffy breaths, and can only
speak in short sentences. His medications include Proventil inhalers
and Theo-duer. He us unable to give you a complete history. What
condition would you suspect?. Answer: Exacerbated emphysema
,◉ You are treating a thin elderly male complaining of SOB. He looks
older than his stated age of 65, leaning forward in a chair. You notice
that he has an oxygen generator in the room and is on 2 rpm of o2
via NC. RR is 20 and shallow. BP- 105/60. Pulse 125 & irregular. You
are unable to hear any breath sounds in the bases, with slight air
movement & wheezing noted in the apices (top part of lung). the
patient has pink cheeks, takes short puffy breaths, and can only
speak in short sentences. His medications include Proventil inhalers
and Theo-duer. He us unable to give you a complete history. What
should you do?. Answer: Switch him over to high flow oxygen
◉ You are called to a junior high soccer game to evaluate a student
who became acutely SOB during the game. on exam, you note
inspiratory & expiratory wheezes throughout the lungs. BP- 130/80,
pulse 120 & Regular, RR- 30. Which medication will you consider
using?. Answer: Oxygen, albuterol, and epi
◉ the anatomical structure between the base of the tongue and the
epiglottis into which the tip of a curved blade is placed during
orotracheal intubation is the. Answer: Vallecula
◉ What is the name for the small, hairlike process o. the outer
surface of some cells? These cells aid in metabolism by producing
motion or current in a fluid. Answer: Cilia
, ◉ What is percutaneous transtracheal ventilation. Answer: Needle
cricothyrotomy
◉ You have orally intubated a patient. While your partner ventilates
the patient with a BVM you evaluate tube placement. Auscultation
reveals sounds heard over epigastrium and an absence of breath
sounds over the right and left chest. What is your best course of
action?. Answer: Deflate the ET tube cuff, remove the ET tube, pre
oxygenate the pt with a BVM
◉ A 67 year old man is complaining of sudden onset of difficulty
breathing. Exam reveals pt is laboring to breathe and his jugular
veins are distended. His BP is 140/84, p 118, RR- 32, breath sounds
clear and equal bilaterally. Pts wife states he is recovering from hip
surgery. What condition do you suspect?. Answer: Pulmonary
Embolism
◉ What is the name of the syndrome marked by increased capillary
permeability & respiratory distress usually due to trauma, inhaled
toxins, or gastric aspiration?. Answer: Adult Respiratory Distress
Syndrome (ADRS)
◉ For which of the following is nasotracheal intubation absolutely
contraindicated. Answer: 70 y/o male in cardiac arrest
