EMT FISDAP MAIN EXAM ALL QUESTIONS AND ANSWERS
SURE A+
✔✔You are transporting a pt with chest discomfort. En route he becomes unresponsive.
What is the most appropriate action?
Confirm pulselessness, start cpr, apply AED, stop vehicle and shock if necessary
Stop vehicle, confirm pulselessness, apply an AED and shock if necessary
Confirm pulselessness, apply an AED, advise partner to drive vehicle
Start CPR while you assess for pulselessness, then apply AED and shock necessary -
✔✔Confirm pulselessness, start cpr, apply AED, stop vehicle and shock if necessary
✔✔A 64 year old pt is pale, complains of shortness of breath, and has pedal edema.
You should
Transport pt sitting up, obtain baseline vitals, and assist pt with prescribed nitro
Transport patient with feet elevated, obtain baseline vitals, and contact medical control
Listen to the lung sounds, transport pt sitting up, and contact medical control
Obtain baseline vitals and assist pt with prescribed nitro - ✔✔Listen to the lung sounds,
transport pt sitting up, and contact medical control
✔✔As you arrive on the scene of a water treatment plant, you notice a large cloud
coming from the building. Your primary concern is to
Decontaminate patients.
Move bystanders from the scene
Maintain a safe distance
Locate the Hazmat classification sign - ✔✔Maintain a safe distance
✔✔You have repeatedly attempted to ventilate an infant who is choking on a penny.
The chest is not rising. You should:
Administer chest compressions
Insert an oral airway and reattempt
Apply an automatic external defibrillator
Perform abdominal thrust - ✔✔Perform abdominal thrust
✔✔A four year old male with complete foreign body airway obstruction becomes
unconscious as you are treating him. You place him supine on the ground and attempt
ventilations, but the child's chest does not rise. You should:
Reposition his head a reattempt ventilations
Open his airways and perform a finger sweep
Perform five abdominal thrust and reassess
Deliver 5 back blows and five chest thrust - ✔✔Reposition his head a reattempt
ventilations
✔✔A 28 year old patient complains of back pain after falling 20 feet from a balcony.
First responders placed a C-collar and splinted bilateral fractured femurs with padded
board splints. You should:
,Check pulses and carefully re-splint the legs
Perform a detailed assessment on scene
Take patient to the closest hospital
Transport to a level 1 trauma center - ✔✔Transport to a level 1 trauma center
✔✔A very large man in restaurant is clutching his throat and unable to speak. You are
unable to reach your arms around his abdomen. You should:
Use your portable suction equipment to dislodge the object
Perform the heimlich by wrapping your arms around his chest
Ask your partner to assist you with the heimlich maneuver
Administer multiple back blows and quickly sweep the mouth - ✔✔Ask your partner to
assist you with the heimlich maneuver
✔✔American heart association studies show improved survival to discharge rates with
the use of what kind of early cardiac arrest treatment?
Advanced airway management
Induced hypothermia
Transport
Chest compressions - ✔✔Chest compressions
✔✔25 year old male asthmatic is short of breath. He has audible wheezes. Vital signs
are BP 132/80, P 132, R 24, SpO2 96%. You should:
Ventilate using the bag-valve mask
Administer high-flow oxygen
Assist with a prescribed bronchodilator
Administer an Epipen - ✔✔Assist with a prescribed bronchodilator
✔✔You are treating a patient for heat exposure. She is sweating profusely and
complaining of abdominal cramps. En route to the hospital. She begins to shiver. You
should:
Turn off the air conditioning in the ambulance
Discontinue high concentration oxygen
Wrap the patient in blankets
Transport the patient with lights and sirens - ✔✔Turn off the air conditioning in the
ambulance
✔✔40 year old male was found confused and wandering around. Vital signs are BP
90/60, P 140, R 30 and shallow skin is hot and dry. You should suspect
Alcohol abuse
Heat exhaustion
Heat stroke
Drug abuse - ✔✔Heat stroke
, ✔✔30 year old female was in a car crash and has a severely angulated left lower leg.
She has just been extricated after entrapment. The limb is cool and pulseless. Vital
signs BP 100/40, P 90, R 20. You should:
Apply manual traction and reassess the patient
Administer high flow oxygen and transport rapidly
Apply cold packs, elevate the limb, and transport
Splint the extremity in the position found and transport rapidly - ✔✔Splint the extremity
in the position found and transport rapidly
✔✔An 11 year old male has been injured. He is crying, sucking his thumb, and acting
fearful. You should:
Speak calmly and explain all treatment beforehand
Reassure the child that you can relieve his pain.
Ask the parent if they can get the child to stop crying
Ask the parent to hold the child during the exam - ✔✔Speak calmly and explain all
treatment beforehand
✔✔Which of the following is TRUE regarding the use of the flow-restricted, oxygen-
powered ventilation device?
It should have a standard 10/20 millimeter coupling
It can be used on children or adults
It rarely causes gastric distention
It can cause significant lung injury when used improperly - ✔✔It can be used on children
or adults
✔✔Belted patient was involved in a rollover vehicle crash. She is responsive to pain.
Vital signs are BP 95/70, P 60, R 23 and an uninjured passenger tells you that she "has
her appendix taken out" 3 months ago. Which of the following should MOST lead you to
suspect internal bleeding?
Level of consciousness
Mechanism of Injury
Past medical history
Vitals signs - ✔✔Mechanism of Injury
✔✔When informing an 18 year old of a treatment that is needed and the associated
risks, what type of consent are you seeking?
Advised
Implied
Expressed
Emancipated - ✔✔Expressed
✔✔Your patient has a mental illness and says she is hearing voices. You should:
Ask her what the voices are saying
Ask her if she can direct the voices
Tell her she should not be hearing voices
SURE A+
✔✔You are transporting a pt with chest discomfort. En route he becomes unresponsive.
What is the most appropriate action?
Confirm pulselessness, start cpr, apply AED, stop vehicle and shock if necessary
Stop vehicle, confirm pulselessness, apply an AED and shock if necessary
Confirm pulselessness, apply an AED, advise partner to drive vehicle
Start CPR while you assess for pulselessness, then apply AED and shock necessary -
✔✔Confirm pulselessness, start cpr, apply AED, stop vehicle and shock if necessary
✔✔A 64 year old pt is pale, complains of shortness of breath, and has pedal edema.
You should
Transport pt sitting up, obtain baseline vitals, and assist pt with prescribed nitro
Transport patient with feet elevated, obtain baseline vitals, and contact medical control
Listen to the lung sounds, transport pt sitting up, and contact medical control
Obtain baseline vitals and assist pt with prescribed nitro - ✔✔Listen to the lung sounds,
transport pt sitting up, and contact medical control
✔✔As you arrive on the scene of a water treatment plant, you notice a large cloud
coming from the building. Your primary concern is to
Decontaminate patients.
Move bystanders from the scene
Maintain a safe distance
Locate the Hazmat classification sign - ✔✔Maintain a safe distance
✔✔You have repeatedly attempted to ventilate an infant who is choking on a penny.
The chest is not rising. You should:
Administer chest compressions
Insert an oral airway and reattempt
Apply an automatic external defibrillator
Perform abdominal thrust - ✔✔Perform abdominal thrust
✔✔A four year old male with complete foreign body airway obstruction becomes
unconscious as you are treating him. You place him supine on the ground and attempt
ventilations, but the child's chest does not rise. You should:
Reposition his head a reattempt ventilations
Open his airways and perform a finger sweep
Perform five abdominal thrust and reassess
Deliver 5 back blows and five chest thrust - ✔✔Reposition his head a reattempt
ventilations
✔✔A 28 year old patient complains of back pain after falling 20 feet from a balcony.
First responders placed a C-collar and splinted bilateral fractured femurs with padded
board splints. You should:
,Check pulses and carefully re-splint the legs
Perform a detailed assessment on scene
Take patient to the closest hospital
Transport to a level 1 trauma center - ✔✔Transport to a level 1 trauma center
✔✔A very large man in restaurant is clutching his throat and unable to speak. You are
unable to reach your arms around his abdomen. You should:
Use your portable suction equipment to dislodge the object
Perform the heimlich by wrapping your arms around his chest
Ask your partner to assist you with the heimlich maneuver
Administer multiple back blows and quickly sweep the mouth - ✔✔Ask your partner to
assist you with the heimlich maneuver
✔✔American heart association studies show improved survival to discharge rates with
the use of what kind of early cardiac arrest treatment?
Advanced airway management
Induced hypothermia
Transport
Chest compressions - ✔✔Chest compressions
✔✔25 year old male asthmatic is short of breath. He has audible wheezes. Vital signs
are BP 132/80, P 132, R 24, SpO2 96%. You should:
Ventilate using the bag-valve mask
Administer high-flow oxygen
Assist with a prescribed bronchodilator
Administer an Epipen - ✔✔Assist with a prescribed bronchodilator
✔✔You are treating a patient for heat exposure. She is sweating profusely and
complaining of abdominal cramps. En route to the hospital. She begins to shiver. You
should:
Turn off the air conditioning in the ambulance
Discontinue high concentration oxygen
Wrap the patient in blankets
Transport the patient with lights and sirens - ✔✔Turn off the air conditioning in the
ambulance
✔✔40 year old male was found confused and wandering around. Vital signs are BP
90/60, P 140, R 30 and shallow skin is hot and dry. You should suspect
Alcohol abuse
Heat exhaustion
Heat stroke
Drug abuse - ✔✔Heat stroke
, ✔✔30 year old female was in a car crash and has a severely angulated left lower leg.
She has just been extricated after entrapment. The limb is cool and pulseless. Vital
signs BP 100/40, P 90, R 20. You should:
Apply manual traction and reassess the patient
Administer high flow oxygen and transport rapidly
Apply cold packs, elevate the limb, and transport
Splint the extremity in the position found and transport rapidly - ✔✔Splint the extremity
in the position found and transport rapidly
✔✔An 11 year old male has been injured. He is crying, sucking his thumb, and acting
fearful. You should:
Speak calmly and explain all treatment beforehand
Reassure the child that you can relieve his pain.
Ask the parent if they can get the child to stop crying
Ask the parent to hold the child during the exam - ✔✔Speak calmly and explain all
treatment beforehand
✔✔Which of the following is TRUE regarding the use of the flow-restricted, oxygen-
powered ventilation device?
It should have a standard 10/20 millimeter coupling
It can be used on children or adults
It rarely causes gastric distention
It can cause significant lung injury when used improperly - ✔✔It can be used on children
or adults
✔✔Belted patient was involved in a rollover vehicle crash. She is responsive to pain.
Vital signs are BP 95/70, P 60, R 23 and an uninjured passenger tells you that she "has
her appendix taken out" 3 months ago. Which of the following should MOST lead you to
suspect internal bleeding?
Level of consciousness
Mechanism of Injury
Past medical history
Vitals signs - ✔✔Mechanism of Injury
✔✔When informing an 18 year old of a treatment that is needed and the associated
risks, what type of consent are you seeking?
Advised
Implied
Expressed
Emancipated - ✔✔Expressed
✔✔Your patient has a mental illness and says she is hearing voices. You should:
Ask her what the voices are saying
Ask her if she can direct the voices
Tell her she should not be hearing voices
