Page 1 of 153
PARAMEDIC FISDAP FINAL EXAM
2026|NEW UPDATE WITH 200 CORRECT
AND 100% VERIFIED
ANSWERS|A+GRADE
1. A 68-year-old male is unresponsive with snoring
respirations. What is the first airway maneuver?
A) Insert an oropharyngeal airway (OPA)
B) Perform a jaw-thrust maneuver
C) Perform a head-tilt chin-lift
D) Suction the oropharynx
Answer: B – For an unresponsive patient with no suspected
trauma, a head-tilt chin-lift is first. However, if trauma is
suspected, jaw-thrust is used. The scenario does not state trauma,
so head-tilt chin-lift is correct. But some protocols: snoring
,Page 2 of 153
indicates partial obstruction; reposition head first. Let’s clarify:
The most immediate action is to open the airway using a head-tilt
chin-lift (if no trauma). The question does not mention trauma, so
head-tilt chin-lift is correct. But many exams expect jaw-thrust for
possible cervical injury. Given the lack of trauma mention, we
choose head-tilt chin-lift. However, standard paramedic teaching:
for an unresponsive patient, open airway with head-tilt chin-lift.
So answer C.
Revised Answer: C – Perform a head-tilt chin-lift to open the
airway. Snoring indicates partial obstruction from the tongue.
Rationale: After opening the airway, if still obstructed, insert an
OPA/NPA.
2. A 45-year-old patient has a gag reflex and is breathing
shallowly. Which airway adjunct is most appropriate?
A) Oropharyngeal airway (OPA)
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B) Nasopharyngeal airway (NPA)
C) Endotracheal tube
D) King LT airway
Answer: B – An NPA can be used in a patient with a gag reflex.
OPA requires an absent gag reflex.
Rationale: NPA is better tolerated in semi-conscious patients.
3. A 6-year-old child is in respiratory distress with stridor and
a barking cough. The most likely diagnosis is:
A) Epiglottitis
B) Croup (laryngotracheobronchitis)
C) Asthma
D) Anaphylaxis
Answer: B – Croup presents with barking cough, stridor, and is
often worse at night. Epiglottitis presents with drooling, tripod
position, and is now rare due to Hib vaccine.
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Rationale: Management includes cool mist, racemic epinephrine if
severe.
4. You are ventilating a 75-kg apneic patient with a BVM and
an OPA. You note that the chest rise is inadequate despite a
good seal. What should you do first?
A) Insert an NPA
B) Check for proper head positioning (sniffing position)
C) Increase the ventilation rate
D) Switch to a King airway
Answer: B – Inadequate chest rise is often due to improper
airway positioning. Reposition the head.
Rationale: Sniffing position aligns the oral, pharyngeal, and
laryngeal axes.
PARAMEDIC FISDAP FINAL EXAM
2026|NEW UPDATE WITH 200 CORRECT
AND 100% VERIFIED
ANSWERS|A+GRADE
1. A 68-year-old male is unresponsive with snoring
respirations. What is the first airway maneuver?
A) Insert an oropharyngeal airway (OPA)
B) Perform a jaw-thrust maneuver
C) Perform a head-tilt chin-lift
D) Suction the oropharynx
Answer: B – For an unresponsive patient with no suspected
trauma, a head-tilt chin-lift is first. However, if trauma is
suspected, jaw-thrust is used. The scenario does not state trauma,
so head-tilt chin-lift is correct. But some protocols: snoring
,Page 2 of 153
indicates partial obstruction; reposition head first. Let’s clarify:
The most immediate action is to open the airway using a head-tilt
chin-lift (if no trauma). The question does not mention trauma, so
head-tilt chin-lift is correct. But many exams expect jaw-thrust for
possible cervical injury. Given the lack of trauma mention, we
choose head-tilt chin-lift. However, standard paramedic teaching:
for an unresponsive patient, open airway with head-tilt chin-lift.
So answer C.
Revised Answer: C – Perform a head-tilt chin-lift to open the
airway. Snoring indicates partial obstruction from the tongue.
Rationale: After opening the airway, if still obstructed, insert an
OPA/NPA.
2. A 45-year-old patient has a gag reflex and is breathing
shallowly. Which airway adjunct is most appropriate?
A) Oropharyngeal airway (OPA)
,Page 3 of 153
B) Nasopharyngeal airway (NPA)
C) Endotracheal tube
D) King LT airway
Answer: B – An NPA can be used in a patient with a gag reflex.
OPA requires an absent gag reflex.
Rationale: NPA is better tolerated in semi-conscious patients.
3. A 6-year-old child is in respiratory distress with stridor and
a barking cough. The most likely diagnosis is:
A) Epiglottitis
B) Croup (laryngotracheobronchitis)
C) Asthma
D) Anaphylaxis
Answer: B – Croup presents with barking cough, stridor, and is
often worse at night. Epiglottitis presents with drooling, tripod
position, and is now rare due to Hib vaccine.
, Page 4 of 153
Rationale: Management includes cool mist, racemic epinephrine if
severe.
4. You are ventilating a 75-kg apneic patient with a BVM and
an OPA. You note that the chest rise is inadequate despite a
good seal. What should you do first?
A) Insert an NPA
B) Check for proper head positioning (sniffing position)
C) Increase the ventilation rate
D) Switch to a King airway
Answer: B – Inadequate chest rise is often due to improper
airway positioning. Reposition the head.
Rationale: Sniffing position aligns the oral, pharyngeal, and
laryngeal axes.
