FISDAP PARAMEDIC FINAL EXAMPREP STUDY
GUIDE 2026 TESTED QUESTIONS WITH
ACCURATE ANSWERS
◉ You are called for a young man choking. Upon arrival you find very
scared parents trying to dislodge a piece of hot dog from their 10
year old child's airway by administering back blows and abdominal
thrusts, The child is limp. As you take over you discover the child is
able to move a minimal amount of air. You should: Answer: continue
with back blow and abdominal thrusts until item becomes dislodged
or obstruction becomes complete
◉ You have just intubated an adult patient. You believe you have
been successful. You are listening for sounds in the epigastric area
and hear nothing. What would you do? Answer: attach an ETCO2
monitoring device
◉ What changes in blood gases occur when a patient is
hyperventilating? Answer: decreased CO2; increased PaO2
◉ First responders are applying unusually long ventilations with an
oxygen resuscitator to an apneic adult female. They are also not
pausing between breaths. What negative effects can this increased
pressure create? Answer: increased pulmonary elasticity??
,◉ Percutaneous transtracheal ventilation Answer: needle
cricothyrotomy
◉ You are treating a cardiac arrest patient who you have
successfully resuscitated. The patient is still unconscious, apneic,
and he is endotracheally intubated. The patient suddenly becomes
cyanotic and his SpO2 decreases from 98% to 82%. His heart rate
decreases from 110 to 40. What caused these sudden changes?
Answer: dislodged endotracheal tube
◉ What is the primary danger to the infant during a precipitous
delivery? Answer: cerebral trauma
◉ You are treating a 26 year old male victim of an assault. The
patient was struck in the chest and abdomen with a baseball bat.
Vital Signs: P- 110, R- 6 with sonorous respirations.
The patient is place on high flow O2. While attempting an oral
airway the patient gags. The oral airway is removed. How are you
attempting to secure his airway next? Answer: Place a
nasopharyngeal airway and ventilate with a bag valve mask
◉ What effects does morphine sulfate have on the venous system?
Answer: increases venous pooling, resulting in reduced preload and
after load
, ◉ You are treating a 48 year old female with chest pain. On scene
you administer oxygen, aspirin, and two nitro tablets. En route to the
hospital your patient states her pain decreases to a 1 on a scale of 0-
10. To provide the best care, you should... Answer: continue high
flow oxygen and repeat vitals, consider 12 lead EKG if pain persists
◉ A 52 yom is compelling of constant, severe pain and pressure in
his chest, which he says started about 4 hours ago. The patient has
bilateral rales, and his skin is cool to the touch. Vital signs are: BP-
72/52, P- 124, R-28. No JVD or Edema in lower extremities. What
condition is most likely responsible for his signs and symptoms.
Answer: Myocardial infarction with cariogenic shock
◉ Which of the following patients has the best cerebral
oxygenation? Answer: 45 yom, disoriented, BP 140/80, skin warm
and dry
◉ What term best describes the ability of cardiac cells to
spontaneously depolarize without being stimulated by a nerve?
Answer: Automaticity
◉ A 72 yom with a history of atherosclerosis complains of a sudden
onset of sharp pain in his right leg and foot which has grown worse
over the past 2 hours. Objective data includes an anxious patient
with vital signs: BP- 124/60, P-70, R-18. He has a pale, waxy, cool
right leg. No pedal pulses are present in the right foot. The left leg is
GUIDE 2026 TESTED QUESTIONS WITH
ACCURATE ANSWERS
◉ You are called for a young man choking. Upon arrival you find very
scared parents trying to dislodge a piece of hot dog from their 10
year old child's airway by administering back blows and abdominal
thrusts, The child is limp. As you take over you discover the child is
able to move a minimal amount of air. You should: Answer: continue
with back blow and abdominal thrusts until item becomes dislodged
or obstruction becomes complete
◉ You have just intubated an adult patient. You believe you have
been successful. You are listening for sounds in the epigastric area
and hear nothing. What would you do? Answer: attach an ETCO2
monitoring device
◉ What changes in blood gases occur when a patient is
hyperventilating? Answer: decreased CO2; increased PaO2
◉ First responders are applying unusually long ventilations with an
oxygen resuscitator to an apneic adult female. They are also not
pausing between breaths. What negative effects can this increased
pressure create? Answer: increased pulmonary elasticity??
,◉ Percutaneous transtracheal ventilation Answer: needle
cricothyrotomy
◉ You are treating a cardiac arrest patient who you have
successfully resuscitated. The patient is still unconscious, apneic,
and he is endotracheally intubated. The patient suddenly becomes
cyanotic and his SpO2 decreases from 98% to 82%. His heart rate
decreases from 110 to 40. What caused these sudden changes?
Answer: dislodged endotracheal tube
◉ What is the primary danger to the infant during a precipitous
delivery? Answer: cerebral trauma
◉ You are treating a 26 year old male victim of an assault. The
patient was struck in the chest and abdomen with a baseball bat.
Vital Signs: P- 110, R- 6 with sonorous respirations.
The patient is place on high flow O2. While attempting an oral
airway the patient gags. The oral airway is removed. How are you
attempting to secure his airway next? Answer: Place a
nasopharyngeal airway and ventilate with a bag valve mask
◉ What effects does morphine sulfate have on the venous system?
Answer: increases venous pooling, resulting in reduced preload and
after load
, ◉ You are treating a 48 year old female with chest pain. On scene
you administer oxygen, aspirin, and two nitro tablets. En route to the
hospital your patient states her pain decreases to a 1 on a scale of 0-
10. To provide the best care, you should... Answer: continue high
flow oxygen and repeat vitals, consider 12 lead EKG if pain persists
◉ A 52 yom is compelling of constant, severe pain and pressure in
his chest, which he says started about 4 hours ago. The patient has
bilateral rales, and his skin is cool to the touch. Vital signs are: BP-
72/52, P- 124, R-28. No JVD or Edema in lower extremities. What
condition is most likely responsible for his signs and symptoms.
Answer: Myocardial infarction with cariogenic shock
◉ Which of the following patients has the best cerebral
oxygenation? Answer: 45 yom, disoriented, BP 140/80, skin warm
and dry
◉ What term best describes the ability of cardiac cells to
spontaneously depolarize without being stimulated by a nerve?
Answer: Automaticity
◉ A 72 yom with a history of atherosclerosis complains of a sudden
onset of sharp pain in his right leg and foot which has grown worse
over the past 2 hours. Objective data includes an anxious patient
with vital signs: BP- 124/60, P-70, R-18. He has a pale, waxy, cool
right leg. No pedal pulses are present in the right foot. The left leg is
