FISDAP MEDICAL EMERGENCIES PRACTICE
Q&A ACTUAL EXAM PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
1. A patient complains of a persistent metallic taste in her mouth. What
should you suspect?
• A) Anaphylaxis
• B) Hypoglycemia
• C) A seizure may occur (aura)
• D) Migraine headache
Correct ,,,,answer,,,: C) A seizure may occur (aura)
Rationale: A metallic taste can be an aura—a sensory warning sign
preceding a seizure. Auras may include olfactory or auditory sensations
that occur before the tonic-clonic phase. Recognizing auras allows the
patient to get to a safe position .
2. A female patient is in status epilepticus. What medication should
you administer?
• A) 100 mg Dilantin
• B) 5 mg Diazepam
• C) 2 mg Magnesium Sulfate
• D) 6 mg Narcan
,Correct ,,,,answer,,,: B) 5 mg Diazepam
Rationale: Status epilepticus is a continuous seizure lasting more than 5
minutes or multiple seizures without recovery between them. Diazepam
(Valium) is a benzodiazepine that enhances GABA activity to stop seizure
activity. ALS providers administer IV benzodiazepines as first-line
treatment .
3. What is the first step in managing a patient having a tonic-clonic
seizure?
• A) Insert an oral airway
• B) Restrain the patient
• C) Protect the patient from injury
• D) Administer oxygen
Correct ,,,,answer,,,: C) Protect the patient from injury
Rationale: During a seizure, the priority is preventing injury by moving
furniture away, padding the head, and loosening tight clothing. Do NOT
restrain the patient or place anything in the mouth. After the seizure ends,
manage the airway .
4. A 33-year-old female has sudden onset of weakness and numbness
to the left side of her face. There is excessive tearing to the left eye. She
takes Valtrex and has a history of hypertension. What is the most likely
cause?
, • A) Thyroid Storm
• B) Bell's Palsy
• C) Grave's Disease
• D) Stroke
Correct ,,,,answer,,,: B) Bell's Palsy
Rationale: Bell's palsy is a peripheral facial nerve (CN VII) paralysis.
Features include unilateral facial weakness, drooping mouth, inability to
close the eye, and excessive tearing (epiphora). It is often associated with
viral reactivation (HSV-1). Unlike stroke, Bell's palsy typically affects the
entire half of the face including the forehead (forehead sparing in stroke) .
5. A 28-year-old male hears voices and appears to be hallucinating.
What question would be most helpful in further assessing this patient?
• A) What are the voices telling you?
• B) What allergies do you have?
• C) Is there a family history of mental illness?
• D) Why didn't you take your medications?
Correct ,,,,answer,,,: A) What are the voices telling you?
Rationale: Asking about the content of hallucinations helps assess
danger to self or others (e.g., command hallucinations telling the patient
to harm someone). This is essential for safety assessment and disposition
decisions .
, 6. A 32-year-old patient is found unresponsive. He is lying supine and
responding to voice commands with unintelligible gurgling noises. His
wife states he is an epileptic and had a seizure. What should you do
first?
• A) Obtain a detailed history
• B) Load him onto the stretcher
• C) Apply a C-collar and long backboard
• D) Roll him on his side and suction his airway
Correct ,,,,answer,,,: D) Roll him on his side and suction his airway
Rationale: The postictal patient with gurgling respirations has an airway
obstructed by secretions. Placing the patient in the recovery position
(lateral recumbent) and suctioning are immediate priorities. Airway
management always takes precedence over history or spinal precautions
when no trauma mechanism is present .
7. A 34-year-old male is on the floor with his hands and feet
rhythmically jerking. He is staring to the right with eye twitching and is
incontinent of urine. Vitals: BP 130/92, P 134, R 14. Blood glucose is 70
mg/dL. What should you administer?
• A) Valium IV 2 mg increments
• B) Dextrose 25 g IV
• C) Glucagon 1 mg IM
• D) Naloxone IV 0.4 mg increments
Correct ,,,,answer,,,: A) Valium IV 2 mg increments
Q&A ACTUAL EXAM PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
1. A patient complains of a persistent metallic taste in her mouth. What
should you suspect?
• A) Anaphylaxis
• B) Hypoglycemia
• C) A seizure may occur (aura)
• D) Migraine headache
Correct ,,,,answer,,,: C) A seizure may occur (aura)
Rationale: A metallic taste can be an aura—a sensory warning sign
preceding a seizure. Auras may include olfactory or auditory sensations
that occur before the tonic-clonic phase. Recognizing auras allows the
patient to get to a safe position .
2. A female patient is in status epilepticus. What medication should
you administer?
• A) 100 mg Dilantin
• B) 5 mg Diazepam
• C) 2 mg Magnesium Sulfate
• D) 6 mg Narcan
,Correct ,,,,answer,,,: B) 5 mg Diazepam
Rationale: Status epilepticus is a continuous seizure lasting more than 5
minutes or multiple seizures without recovery between them. Diazepam
(Valium) is a benzodiazepine that enhances GABA activity to stop seizure
activity. ALS providers administer IV benzodiazepines as first-line
treatment .
3. What is the first step in managing a patient having a tonic-clonic
seizure?
• A) Insert an oral airway
• B) Restrain the patient
• C) Protect the patient from injury
• D) Administer oxygen
Correct ,,,,answer,,,: C) Protect the patient from injury
Rationale: During a seizure, the priority is preventing injury by moving
furniture away, padding the head, and loosening tight clothing. Do NOT
restrain the patient or place anything in the mouth. After the seizure ends,
manage the airway .
4. A 33-year-old female has sudden onset of weakness and numbness
to the left side of her face. There is excessive tearing to the left eye. She
takes Valtrex and has a history of hypertension. What is the most likely
cause?
, • A) Thyroid Storm
• B) Bell's Palsy
• C) Grave's Disease
• D) Stroke
Correct ,,,,answer,,,: B) Bell's Palsy
Rationale: Bell's palsy is a peripheral facial nerve (CN VII) paralysis.
Features include unilateral facial weakness, drooping mouth, inability to
close the eye, and excessive tearing (epiphora). It is often associated with
viral reactivation (HSV-1). Unlike stroke, Bell's palsy typically affects the
entire half of the face including the forehead (forehead sparing in stroke) .
5. A 28-year-old male hears voices and appears to be hallucinating.
What question would be most helpful in further assessing this patient?
• A) What are the voices telling you?
• B) What allergies do you have?
• C) Is there a family history of mental illness?
• D) Why didn't you take your medications?
Correct ,,,,answer,,,: A) What are the voices telling you?
Rationale: Asking about the content of hallucinations helps assess
danger to self or others (e.g., command hallucinations telling the patient
to harm someone). This is essential for safety assessment and disposition
decisions .
, 6. A 32-year-old patient is found unresponsive. He is lying supine and
responding to voice commands with unintelligible gurgling noises. His
wife states he is an epileptic and had a seizure. What should you do
first?
• A) Obtain a detailed history
• B) Load him onto the stretcher
• C) Apply a C-collar and long backboard
• D) Roll him on his side and suction his airway
Correct ,,,,answer,,,: D) Roll him on his side and suction his airway
Rationale: The postictal patient with gurgling respirations has an airway
obstructed by secretions. Placing the patient in the recovery position
(lateral recumbent) and suctioning are immediate priorities. Airway
management always takes precedence over history or spinal precautions
when no trauma mechanism is present .
7. A 34-year-old male is on the floor with his hands and feet
rhythmically jerking. He is staring to the right with eye twitching and is
incontinent of urine. Vitals: BP 130/92, P 134, R 14. Blood glucose is 70
mg/dL. What should you administer?
• A) Valium IV 2 mg increments
• B) Dextrose 25 g IV
• C) Glucagon 1 mg IM
• D) Naloxone IV 0.4 mg increments
Correct ,,,,answer,,,: A) Valium IV 2 mg increments
