FISDAP PARAMEDIC FINAL FINAL TEST 2026 QUESTIONS
WITH CORRECT ANSWERS GRADED A+
● Of the following, which item is acceptable and productive to ask a 14 y/o female in the
presence of her parents? A) possibility of child abuse B) date of LMP C) history of childhood
illnesses D) drug and alcohol use. Answer: C) history of childhood illnesses
● You are treating an 82 y/o female who is having difficulty breathing at a nursing home. Her
only history is a fever since yesterday and frequent urinary tract infections. While listening to
her chest, you hear rhonchi and slight crackles in all fields. Vital signs are BP 110/80, HR 100
bpm and regular, RR 30/min, temperature 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? A) septic shock B) emphysema C) pneumonia D) CHF. Answer: C) pneumonia
● For the previous patient, what will be your treatment? A) high flow O2, IV at TKO, EKG,
transport, nebulized albuterol B) high flow oxygen, NTG, IV Lasix, EKG, transport C) oxygen
via NC at 6 lpm, IV, and transport D) high flow oxygen, IV fluid bolus, and transport. Answer:
C) oxygen via NC at 6 lpm, IV, and transport
● The previous patient becomes unconscious after your initial treatment. She is using
accessory muscles to breathe. How would you treat her next? A) discontinue previous
treatments B) ventilate 8-12/min with PPV C) ventilate 12-20/min with PPV D) attempt
insertion of an oral airway. Answer: B) ventilate 8-12/min with PPV
● Which of the following is least likely to cause crackles? A) toxic inhalation B) asthma C)
alcoholic cardiomyopathy D) pneumonia. Answer: B) asthma
● Which of the following medications is least likely to be a part of standard therapy for a
patient suffering from exacerbated emphysema? A) beta agonists B) oxygen C) inhaled
anticholinergics D) nitrates. Answer: D) nitrates
● Which of the following is true about respiratory physiology? A) changes in PO2, PCO2, or
pH stimulate chemoreceptors B) the primary muscles of respiration are the diaphragm and
sternocleidomastoid C) the vagus nerve is responsible for diaphragmatic movement D) the
hypothalamus regulates breathing. Answer: A) changes in PO2, PCO2, or pH stimulate
chemoreceptors
, ● What is the purpose of Good Samaritan Laws?. Answer: to offer legal protection to 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 lpm of oxygen per NC. His RR is 20/min and shallow, BP 105/60, P 125 bpm and
irregular. You are unable to hear any breath sounds in the bases, with slight air movement
and wheezing noted in the apices. The patient has pink cheeks, takes short puffy breaths, and
can only speak in short sentences. His medications include Proventil inhalers and Theo-dur.
He is unable to give you a complete history. What condition would you suspect? A) CHF B)
PE C) exacerbated emphysema D) chronic bronchitis. Answer: C) exacerbated emphysema
● The previous patient is unable to give you a complete history. What should you do? A)
administer terbutaline SQ B) switch him over to high-flow oxygen C) load the patient for
immediate transport D) administer NTG SL. Answer: B) switch him over to high-flow oxygen
● You are called to a junior high soccer game to evaluate a student who became acutely
short of breath during the game. On exam, you note inspiratory and expiratory wheezes
throughout the lungs. BP 130/80, HR 120 and regular, RR 30/min. Which of these
medications will you consider using? A) oxygen, NTG, Lasix B) oxygen, albuterol, ASA C)
oxygen, albuterol, epinephrine D) rebreathing CO2 and calm the patient down. Answer: C)
oxygen, albuterol, epinephrine
● The anatomical structure between the base of the tongue and the epiglottis into which the
tip of a curved laryngoscope blade is placed during orotracheal intubation is the: A) carina B)
glottis C) arytenoid cartilage D) vallecula. Answer: D) vallecula
● What is percutaneous transtracheal ventilation? A) needle decompression B) surgical
airway C) surgical cricothyrotomy D) needle cricothyrotomy. Answer: D) needle
cricothyrotomy
● You have orally intubated a patient. While your partner ventilates with a BVM, you evaluate
tube placement. Auscultation reveals sounds heard over the epigastrium and an absence of
breath sounds over the right and left chest. What is your best course of action? A)
preoxygenate the patient and prepare the equipment necessary for a surgical cricothyrotomy
B) deflate the ET tube cuff, withdraw the tube slightly, reinflate the cuff, and reevaluate breath
sounds C) re-visualize for confirmation and apply an EtCO2 detector D) deflate the ET tube
cuff, remove the ET tube, and pre oxygenate the patient with a BVM. Answer: D) deflate the
ET tube cuff, remove the ET tube, and pre oxygenate the patient with a BVM
WITH CORRECT ANSWERS GRADED A+
● Of the following, which item is acceptable and productive to ask a 14 y/o female in the
presence of her parents? A) possibility of child abuse B) date of LMP C) history of childhood
illnesses D) drug and alcohol use. Answer: C) history of childhood illnesses
● You are treating an 82 y/o female who is having difficulty breathing at a nursing home. Her
only history is a fever since yesterday and frequent urinary tract infections. While listening to
her chest, you hear rhonchi and slight crackles in all fields. Vital signs are BP 110/80, HR 100
bpm and regular, RR 30/min, temperature 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? A) septic shock B) emphysema C) pneumonia D) CHF. Answer: C) pneumonia
● For the previous patient, what will be your treatment? A) high flow O2, IV at TKO, EKG,
transport, nebulized albuterol B) high flow oxygen, NTG, IV Lasix, EKG, transport C) oxygen
via NC at 6 lpm, IV, and transport D) high flow oxygen, IV fluid bolus, and transport. Answer:
C) oxygen via NC at 6 lpm, IV, and transport
● The previous patient becomes unconscious after your initial treatment. She is using
accessory muscles to breathe. How would you treat her next? A) discontinue previous
treatments B) ventilate 8-12/min with PPV C) ventilate 12-20/min with PPV D) attempt
insertion of an oral airway. Answer: B) ventilate 8-12/min with PPV
● Which of the following is least likely to cause crackles? A) toxic inhalation B) asthma C)
alcoholic cardiomyopathy D) pneumonia. Answer: B) asthma
● Which of the following medications is least likely to be a part of standard therapy for a
patient suffering from exacerbated emphysema? A) beta agonists B) oxygen C) inhaled
anticholinergics D) nitrates. Answer: D) nitrates
● Which of the following is true about respiratory physiology? A) changes in PO2, PCO2, or
pH stimulate chemoreceptors B) the primary muscles of respiration are the diaphragm and
sternocleidomastoid C) the vagus nerve is responsible for diaphragmatic movement D) the
hypothalamus regulates breathing. Answer: A) changes in PO2, PCO2, or pH stimulate
chemoreceptors
, ● What is the purpose of Good Samaritan Laws?. Answer: to offer legal protection to 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 lpm of oxygen per NC. His RR is 20/min and shallow, BP 105/60, P 125 bpm and
irregular. You are unable to hear any breath sounds in the bases, with slight air movement
and wheezing noted in the apices. The patient has pink cheeks, takes short puffy breaths, and
can only speak in short sentences. His medications include Proventil inhalers and Theo-dur.
He is unable to give you a complete history. What condition would you suspect? A) CHF B)
PE C) exacerbated emphysema D) chronic bronchitis. Answer: C) exacerbated emphysema
● The previous patient is unable to give you a complete history. What should you do? A)
administer terbutaline SQ B) switch him over to high-flow oxygen C) load the patient for
immediate transport D) administer NTG SL. Answer: B) switch him over to high-flow oxygen
● You are called to a junior high soccer game to evaluate a student who became acutely
short of breath during the game. On exam, you note inspiratory and expiratory wheezes
throughout the lungs. BP 130/80, HR 120 and regular, RR 30/min. Which of these
medications will you consider using? A) oxygen, NTG, Lasix B) oxygen, albuterol, ASA C)
oxygen, albuterol, epinephrine D) rebreathing CO2 and calm the patient down. Answer: C)
oxygen, albuterol, epinephrine
● The anatomical structure between the base of the tongue and the epiglottis into which the
tip of a curved laryngoscope blade is placed during orotracheal intubation is the: A) carina B)
glottis C) arytenoid cartilage D) vallecula. Answer: D) vallecula
● What is percutaneous transtracheal ventilation? A) needle decompression B) surgical
airway C) surgical cricothyrotomy D) needle cricothyrotomy. Answer: D) needle
cricothyrotomy
● You have orally intubated a patient. While your partner ventilates with a BVM, you evaluate
tube placement. Auscultation reveals sounds heard over the epigastrium and an absence of
breath sounds over the right and left chest. What is your best course of action? A)
preoxygenate the patient and prepare the equipment necessary for a surgical cricothyrotomy
B) deflate the ET tube cuff, withdraw the tube slightly, reinflate the cuff, and reevaluate breath
sounds C) re-visualize for confirmation and apply an EtCO2 detector D) deflate the ET tube
cuff, remove the ET tube, and pre oxygenate the patient with a BVM. Answer: D) deflate the
ET tube cuff, remove the ET tube, and pre oxygenate the patient with a BVM
