ACTUAL FISDAP PARAMEDIC FINAL LATEST EXAM
2026-2027/PARAMEDIC FISDAP FINAL EXAM TEST
BANK REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE
41. A 43 year old female has been stuck in the chest with a baseball bat. There is a
large bruise over her sternum. She is obversely in pain an states her heart feels like it
is beating funny Vital signs are BP 109/80 P 124 and irregular R 22 The ECG show
sinus tachycardia with ST elevation and frequent PVC's. You should suspect
A. aortic dissection
B. myocardial infarction
C.myocardial contusion
D. pericardial tamponade - ANSWER myocardial contusion
44. A 3 month old infant who weighs 6kg has a history of congenital heart disease.
Vital signs are R60 the ECG hows a narrow complex tachycardia at a rate or 240
cyandic nail beds and spo2 at 88% what should you administer.
A. 0.1mg of atropine, IV dirp
B. 30mg of amiodarone, IV push
C. 72mg of acetaminophen, orally
D. 0.6mg of adenosine, IV push - ANSWER 0.6 mg adenosine IVP
45. A 44 year old male fell from a ladder and is now complaining of pain in the middle
of his back at the level of his shoulders blades. He responds to verbal stimulus and
vitals signs are BP 70/50 P64 R 20. The patient is most likely suffering from
A. central cord syndrome
B. Brown-Sequard syndrome
,C. hypovolemic shock
D. neurogenic shock - ANSWER neurogenic shock
46. A 63 year old female chocked on a piece of steak and is apneic. You partner has
visualized a partial obstruction in the trachea. He has been trying to grab it with
forceps for more than 2 minutes. What should you advise him to do? - ANSWER
Remove the blade and attempt to ventilate.
47. An unconscious 13 year old patient has minor abrasion on his torso after being
struck by a vehicle. The child's parents are not on scene law enforcement and an
EMS supervisor are on scene You should?
A. transport the patient to the hospital
B. have law enforcement assume custody
C. delay transport until parental consent is given
D. consult with the EMS supervisor - ANSWER transport the patent to hospital
48. A 38 year old female is crowing. You note the amniotic fluid contains a substance
resembling pea soup. An apneic blue limp infant with a heart rate of 80 beats is
delivers. How should you treat the infant.
A. Provide positive-pressure ventilation with 100% oxygen via bag-valve mask
B. Perform endotracheal intubation using the endotracheal tube as a suction catheter
C. Suction with bulb syringe and ventilate
D. Stimulate the infant by flicking the soles of the feet - ANSWER Suction with a bulb
syringe and ventilate.
49. A 56 year old female has a sudden onset of substernal chest pressure. She denies
any shortness of breath or nausea. She has a history of arthrosporic heart disease
and is talking verapamil. Vital signs are BP 160/90 pulse matches the ECG rhythm
below R 16 skin warm and dry. and lungs clear bilateral. What should you do.
,A. Administer Lidocaine and transport
B. Sedate and perform synchronized cardioversion
C. Administer nitroglycerin
D. Perform vagal maneuvers - ANSWER Nitroglycerin
50. A 64 year old is sitting in his living room in moderate distress. He is able to speak
to you in full sentences but claims he is not feeling right. Vitals signs are BP 1110/64
R 16. Pulse matches monitor (super vertical tachycardia) what should you do. -
ANSWER vagal fluids adenosine.
51. Which I V will be able to administer the most fluid in the least amount of time. -
ANSWER 14 gauge 1/2 inch IV catheter.
52. A 30 year old man is breathing fast and deep. He works at a preschool and
believes that the
children plan to harm him. Which of the following statement is most helpful when
treating the patient. - ANSWER I understand that you are concerned. Can you tell me
more about why you fell this way.
53. A 67 year old man has collapsed and is on the floor. He is pale clammy and
moaning with vomit around his mouth. Vital signs are BP 180/30 P110 and weak R28
and shallow. Oropharynx is clear and lungs are clear bilaterally. His ECG shows
ventricular tachycardia. That should you do?
A. Administer amiodarone 150 mg IV
B. Administer adenosine 6 mg IV
C. Insert an endotracheal tube
D. Synchronized cardioversion at 100 J - ANSWER Synchronized cardio100J
, 54. You arrive at the scene of a single vehicle crash. A woman walks up to a your
ambulance with a cut on her forehead. You should
A. perform a rapid trauma assessment
B. fully immobilize from a standing position
C. determine if she is the only victim
D. determine her level of consciousness - ANSWER determine if she is the only
victim
55. A 73 year old male has several fractured ribs on his right side with unequal chest
wall movement. He has dyspnea and diminished breath sounds on the right. Vital
signs are BP 124/76 P124 R 26 and shallow. His trachea is mid line and neck veins are
flat. Most likely has
A. a tension Pneumothorax
B. cardiac tamponade
C. pulmonary occlusion
D. a flail chest segment - ANSWER a flail chest segment
56. You have just converted a 318 lb cardiac arrest patient into a normal sinus
rhythm. She is
hypotensive and you have been ordered to start the an epinephrine drip at 3mcg/min
using a 60 drip set. You have mixed a 4:1 concentration of epinephrine and should
set the drip rate at - ANSWER 45 drops/min (clock)
57. You are assisting with a deliver and the infants head has been deviled. You notice
the umbilical cord is wrapped around the infants neck. You should
A. instruct the mother to push as hard as possible to facilitate rapid delivery of the
infant
B. administer oxygen to the mother and transport rapidly to the closest appropriate
facility
2026-2027/PARAMEDIC FISDAP FINAL EXAM TEST
BANK REAL EXAM QUESTIONS AND CORRECT
ANSWERS|AGRADE
41. A 43 year old female has been stuck in the chest with a baseball bat. There is a
large bruise over her sternum. She is obversely in pain an states her heart feels like it
is beating funny Vital signs are BP 109/80 P 124 and irregular R 22 The ECG show
sinus tachycardia with ST elevation and frequent PVC's. You should suspect
A. aortic dissection
B. myocardial infarction
C.myocardial contusion
D. pericardial tamponade - ANSWER myocardial contusion
44. A 3 month old infant who weighs 6kg has a history of congenital heart disease.
Vital signs are R60 the ECG hows a narrow complex tachycardia at a rate or 240
cyandic nail beds and spo2 at 88% what should you administer.
A. 0.1mg of atropine, IV dirp
B. 30mg of amiodarone, IV push
C. 72mg of acetaminophen, orally
D. 0.6mg of adenosine, IV push - ANSWER 0.6 mg adenosine IVP
45. A 44 year old male fell from a ladder and is now complaining of pain in the middle
of his back at the level of his shoulders blades. He responds to verbal stimulus and
vitals signs are BP 70/50 P64 R 20. The patient is most likely suffering from
A. central cord syndrome
B. Brown-Sequard syndrome
,C. hypovolemic shock
D. neurogenic shock - ANSWER neurogenic shock
46. A 63 year old female chocked on a piece of steak and is apneic. You partner has
visualized a partial obstruction in the trachea. He has been trying to grab it with
forceps for more than 2 minutes. What should you advise him to do? - ANSWER
Remove the blade and attempt to ventilate.
47. An unconscious 13 year old patient has minor abrasion on his torso after being
struck by a vehicle. The child's parents are not on scene law enforcement and an
EMS supervisor are on scene You should?
A. transport the patient to the hospital
B. have law enforcement assume custody
C. delay transport until parental consent is given
D. consult with the EMS supervisor - ANSWER transport the patent to hospital
48. A 38 year old female is crowing. You note the amniotic fluid contains a substance
resembling pea soup. An apneic blue limp infant with a heart rate of 80 beats is
delivers. How should you treat the infant.
A. Provide positive-pressure ventilation with 100% oxygen via bag-valve mask
B. Perform endotracheal intubation using the endotracheal tube as a suction catheter
C. Suction with bulb syringe and ventilate
D. Stimulate the infant by flicking the soles of the feet - ANSWER Suction with a bulb
syringe and ventilate.
49. A 56 year old female has a sudden onset of substernal chest pressure. She denies
any shortness of breath or nausea. She has a history of arthrosporic heart disease
and is talking verapamil. Vital signs are BP 160/90 pulse matches the ECG rhythm
below R 16 skin warm and dry. and lungs clear bilateral. What should you do.
,A. Administer Lidocaine and transport
B. Sedate and perform synchronized cardioversion
C. Administer nitroglycerin
D. Perform vagal maneuvers - ANSWER Nitroglycerin
50. A 64 year old is sitting in his living room in moderate distress. He is able to speak
to you in full sentences but claims he is not feeling right. Vitals signs are BP 1110/64
R 16. Pulse matches monitor (super vertical tachycardia) what should you do. -
ANSWER vagal fluids adenosine.
51. Which I V will be able to administer the most fluid in the least amount of time. -
ANSWER 14 gauge 1/2 inch IV catheter.
52. A 30 year old man is breathing fast and deep. He works at a preschool and
believes that the
children plan to harm him. Which of the following statement is most helpful when
treating the patient. - ANSWER I understand that you are concerned. Can you tell me
more about why you fell this way.
53. A 67 year old man has collapsed and is on the floor. He is pale clammy and
moaning with vomit around his mouth. Vital signs are BP 180/30 P110 and weak R28
and shallow. Oropharynx is clear and lungs are clear bilaterally. His ECG shows
ventricular tachycardia. That should you do?
A. Administer amiodarone 150 mg IV
B. Administer adenosine 6 mg IV
C. Insert an endotracheal tube
D. Synchronized cardioversion at 100 J - ANSWER Synchronized cardio100J
, 54. You arrive at the scene of a single vehicle crash. A woman walks up to a your
ambulance with a cut on her forehead. You should
A. perform a rapid trauma assessment
B. fully immobilize from a standing position
C. determine if she is the only victim
D. determine her level of consciousness - ANSWER determine if she is the only
victim
55. A 73 year old male has several fractured ribs on his right side with unequal chest
wall movement. He has dyspnea and diminished breath sounds on the right. Vital
signs are BP 124/76 P124 R 26 and shallow. His trachea is mid line and neck veins are
flat. Most likely has
A. a tension Pneumothorax
B. cardiac tamponade
C. pulmonary occlusion
D. a flail chest segment - ANSWER a flail chest segment
56. You have just converted a 318 lb cardiac arrest patient into a normal sinus
rhythm. She is
hypotensive and you have been ordered to start the an epinephrine drip at 3mcg/min
using a 60 drip set. You have mixed a 4:1 concentration of epinephrine and should
set the drip rate at - ANSWER 45 drops/min (clock)
57. You are assisting with a deliver and the infants head has been deviled. You notice
the umbilical cord is wrapped around the infants neck. You should
A. instruct the mother to push as hard as possible to facilitate rapid delivery of the
infant
B. administer oxygen to the mother and transport rapidly to the closest appropriate
facility
