EMT FISDAP READINESS UPDATED EXAM QUESTIONS AND
ANSWERS SURE A+
✔✔Your are called to an office building for a pt with an altered mental status. When you
arrive, several people in the parking lot tell you that a few of their coworkers began to
feel ill with headaches, nausea, and vomiting. Concerned, they left the building but think
that there may still be a dozen people inside. You should
Request a hazmat team on scene
Clear the building of all people
Begin triaging patients in the parking lot
Set up a decontamination area - ✔✔Clear the building of all people
✔✔A 79 year old pt is in cardiac arrest. No one has started CPR. you should
Apply and AED and analyze the rhythm
Call the hospital for medial direction
Perform several quick rescue breaths - ✔✔Begin CPR
✔✔A pt has a black substance around her mouth, but says that she has not been
exposed to any burning material. After initial assessment, you should
Take a sample of the substance
Ask if she knows what the substance is
Apply an N95 mask to the pt
Take the pt blood pressure - ✔✔Ask if she knows what the substance is
✔✔Which of the following signs would you expect in a pt with a stab wound on the right
side of the chest
Increased respiratory effort
Spontaneous pneumothorax
Decreased heart rate
Paradoxical chest movement - ✔✔Increased respiratory effort
✔✔A seven year old boy was struck by a car. He is unresponsive and apneic, bleeding
from the head, nose, and mouth, with obvious deformity to his right mid-femur. You
should
Apply direct pressure to the wound
Perform rapid sweep of the mouth
Administer high flow oxygen
Open the airway and suction - ✔✔Open the airway and suction
✔✔A 68 year old pt complains of chest pain. Vital signs are BP 146/90, P 92, R 20. You
should
Provide supplemental oxygen via BVM
Administer oxygen via nasal cannula at 6 lpm
Administer oxygen via non-rebreather mask at 6lpm
,Use flow restricted oxygen powered ventilation device - ✔✔Administer oxygen via nasal
cannula at 6 lpm
✔✔Your motorcycle accident victim is anxious, short of breath and tachycardic, with
unequal chest expansion. There are no wounds present. Your administration of high
flow oxygen does not seem to be helping. You suspect,
A pleural rub
Neurogenic shock
An open pneumothorax
A flail chest - ✔✔A flail chest
✔✔You arrive at a campsite where there has been an explosion. Your patients clothing
is still burning, and she is gasping for air. You should
Extinguish burning clothing
Open the pts airway
Ventilation via bag-valve mask
Begin to administer oxygen - ✔✔Extinguish burning clothing
✔✔You have just assisted in the delivery of a healthy newborn girl. Which of the
following is the most important?
Wrap the newborn in a blanket to keep her warm
Note the exact time and location of birth
Give the newborn high concentrated oxygen via non rebreather mask
Give the newborn to her mother to begin binding - ✔✔Wrap the newborn in a blanket to
keep her warm
✔✔A 20 year old male collapsed while eating a hot dog. He appears cyanotic. You
should
Begin abdominal thrusts
Open his airway
Begin chest compressions
Check responsiveness - ✔✔Check responsiveness
✔✔Your patient is unconscious. The nurse on scene states : " the pt is bradycardic,
please attach your AED and transport." what should you do?
Explain that use of an AED is not appropriate at this time
Assess the pts breathing and pulse
Obtain vital signs and request the nurses order in writing
Apply the AED and transport immediately - ✔✔Assess the pts breathing and pulse
✔✔A pt has sustained multiple traumatic injuries. In a "load and go: situation, the
fastest, most appropriate method of splinting would be securing
The entire body to a spine board
The injured limb to an uninjured limb
Pulse oximetry readings after splinting
,A KED - ✔✔The injured limb to an uninjured limb
✔✔When giving the hospital a radio report, you should
Provide a complete medical history
Speak quickly and be brief
Only report life threatening conditions
Maintain a clear and steady tone - ✔✔Maintain a clear and steady tone
✔✔A three year old pt has been sick for several days. Her mother tells you that she has
been vomiting and has diarrhea. The child appears tired but withdraws from you during
your exam. She is breathing quickly and looks pale. Vital signs are 90/50, P 133, R36.
you should
Encourage active rehydration
Observe the pt and transport routine to the hospital
Apply high concentration oxygen and transport rapidly
Ask if she could have ingested a poison - ✔✔Apply high concentration oxygen and
transport rapidly
✔✔A semi- conscious trauma pt with a suspected cervical spine injury has a significant
amount of blood in her mouth. You should
Perform jaw thrust
Fully immobilize the pt
Suction using a rigid catheter
Insert an OPA - ✔✔Suction using a rigid catheter
✔✔The best treatment for a pt exposed to an absorbed poison is to
Remove the poison from the skin
Administer activated charcoal
"Neutralize" the poison with vinegar
Apply a tourniquet - ✔✔Remove the poison from the skin
✔✔Signs and symptoms of early hypoperfusion can include
Decreased blood pressure
Bradycardia
Anxiousness
Unresponsiveness - ✔✔Decreased blood pressure
✔✔The following pts are all complaining of shortness of breath. Which of the following
pts is MOST likely to be hypoxic
68 year old male with a history of emphysema: SpO2 of 95%
23 year old asthmatic female exposed to cold temperature: SpO2 90%
12 year old female exposed to cold temperatures : SpO2 of 88%
35 year old male assaulted in the chest: SpO2 of 96% - ✔✔23 year old asthmatic
female exposed to cold temperature: SpO2 90%
, ✔✔A 27 year old female with a history of asthma complains of difficulty breathing. She
has used her prescribed inhaler multiple times in the last nine hours. She has been in
an argument with her boyfriend and is quite upset. Vital signs are P 140, R 60, SpO2
100%, breath sounds clear with no wheezing. You should suspect
COPD
An acute asthma attack
Hyperventilation
A medication overdose - ✔✔Hyperventilation
✔✔You just assisted a mother delivering a baby who is blue and flaccid. You should
Position and warm him
Apply blow by oxygen
Perform tactile stimulation
Ventilate by BVM - ✔✔Ventilate by BVM
✔✔A pt is pulseless and apneic. You should
Contact medical control for permission to assist nitroglycerine
Begin chest compressions and apply the automated external defibrillator
Immediately apply the automated external defibrillator
Open the airway, insert an OPA, begin ventilations - ✔✔Begin chest compressions and
apply the automated external defibrillator
✔✔Which of the following diabetic patients should receive oral glucose?
A 73 year old male who is unresponsive
A 25 year old female who is acting inappropriately
A 12 year old male who responds to pain by moaning
A 34 year old female who is alert and complains of abdominal pain - ✔✔A 25 year old
female who is acting inappropriately
✔✔A 28 year old female pt with a history of asthma has stopped breathing. You initiate
positive pressure ventilations with BVM mask. Which ventilation rate would be most
appropriate?
24 breaths per min
10 breaths per min
20 breaths per min
30 breaths per min - ✔✔10 breaths per min
✔✔An immobilization trauma patient starts vomiting en route to hospital. You should
Use a yankauer catheter to suction vigorously
Have your partner pull over and help you
Turn the long spine board on its side
Rapidly suction with a 12 french catheter - ✔✔Use a yankauer catheter to suction
vigorously
ANSWERS SURE A+
✔✔Your are called to an office building for a pt with an altered mental status. When you
arrive, several people in the parking lot tell you that a few of their coworkers began to
feel ill with headaches, nausea, and vomiting. Concerned, they left the building but think
that there may still be a dozen people inside. You should
Request a hazmat team on scene
Clear the building of all people
Begin triaging patients in the parking lot
Set up a decontamination area - ✔✔Clear the building of all people
✔✔A 79 year old pt is in cardiac arrest. No one has started CPR. you should
Apply and AED and analyze the rhythm
Call the hospital for medial direction
Perform several quick rescue breaths - ✔✔Begin CPR
✔✔A pt has a black substance around her mouth, but says that she has not been
exposed to any burning material. After initial assessment, you should
Take a sample of the substance
Ask if she knows what the substance is
Apply an N95 mask to the pt
Take the pt blood pressure - ✔✔Ask if she knows what the substance is
✔✔Which of the following signs would you expect in a pt with a stab wound on the right
side of the chest
Increased respiratory effort
Spontaneous pneumothorax
Decreased heart rate
Paradoxical chest movement - ✔✔Increased respiratory effort
✔✔A seven year old boy was struck by a car. He is unresponsive and apneic, bleeding
from the head, nose, and mouth, with obvious deformity to his right mid-femur. You
should
Apply direct pressure to the wound
Perform rapid sweep of the mouth
Administer high flow oxygen
Open the airway and suction - ✔✔Open the airway and suction
✔✔A 68 year old pt complains of chest pain. Vital signs are BP 146/90, P 92, R 20. You
should
Provide supplemental oxygen via BVM
Administer oxygen via nasal cannula at 6 lpm
Administer oxygen via non-rebreather mask at 6lpm
,Use flow restricted oxygen powered ventilation device - ✔✔Administer oxygen via nasal
cannula at 6 lpm
✔✔Your motorcycle accident victim is anxious, short of breath and tachycardic, with
unequal chest expansion. There are no wounds present. Your administration of high
flow oxygen does not seem to be helping. You suspect,
A pleural rub
Neurogenic shock
An open pneumothorax
A flail chest - ✔✔A flail chest
✔✔You arrive at a campsite where there has been an explosion. Your patients clothing
is still burning, and she is gasping for air. You should
Extinguish burning clothing
Open the pts airway
Ventilation via bag-valve mask
Begin to administer oxygen - ✔✔Extinguish burning clothing
✔✔You have just assisted in the delivery of a healthy newborn girl. Which of the
following is the most important?
Wrap the newborn in a blanket to keep her warm
Note the exact time and location of birth
Give the newborn high concentrated oxygen via non rebreather mask
Give the newborn to her mother to begin binding - ✔✔Wrap the newborn in a blanket to
keep her warm
✔✔A 20 year old male collapsed while eating a hot dog. He appears cyanotic. You
should
Begin abdominal thrusts
Open his airway
Begin chest compressions
Check responsiveness - ✔✔Check responsiveness
✔✔Your patient is unconscious. The nurse on scene states : " the pt is bradycardic,
please attach your AED and transport." what should you do?
Explain that use of an AED is not appropriate at this time
Assess the pts breathing and pulse
Obtain vital signs and request the nurses order in writing
Apply the AED and transport immediately - ✔✔Assess the pts breathing and pulse
✔✔A pt has sustained multiple traumatic injuries. In a "load and go: situation, the
fastest, most appropriate method of splinting would be securing
The entire body to a spine board
The injured limb to an uninjured limb
Pulse oximetry readings after splinting
,A KED - ✔✔The injured limb to an uninjured limb
✔✔When giving the hospital a radio report, you should
Provide a complete medical history
Speak quickly and be brief
Only report life threatening conditions
Maintain a clear and steady tone - ✔✔Maintain a clear and steady tone
✔✔A three year old pt has been sick for several days. Her mother tells you that she has
been vomiting and has diarrhea. The child appears tired but withdraws from you during
your exam. She is breathing quickly and looks pale. Vital signs are 90/50, P 133, R36.
you should
Encourage active rehydration
Observe the pt and transport routine to the hospital
Apply high concentration oxygen and transport rapidly
Ask if she could have ingested a poison - ✔✔Apply high concentration oxygen and
transport rapidly
✔✔A semi- conscious trauma pt with a suspected cervical spine injury has a significant
amount of blood in her mouth. You should
Perform jaw thrust
Fully immobilize the pt
Suction using a rigid catheter
Insert an OPA - ✔✔Suction using a rigid catheter
✔✔The best treatment for a pt exposed to an absorbed poison is to
Remove the poison from the skin
Administer activated charcoal
"Neutralize" the poison with vinegar
Apply a tourniquet - ✔✔Remove the poison from the skin
✔✔Signs and symptoms of early hypoperfusion can include
Decreased blood pressure
Bradycardia
Anxiousness
Unresponsiveness - ✔✔Decreased blood pressure
✔✔The following pts are all complaining of shortness of breath. Which of the following
pts is MOST likely to be hypoxic
68 year old male with a history of emphysema: SpO2 of 95%
23 year old asthmatic female exposed to cold temperature: SpO2 90%
12 year old female exposed to cold temperatures : SpO2 of 88%
35 year old male assaulted in the chest: SpO2 of 96% - ✔✔23 year old asthmatic
female exposed to cold temperature: SpO2 90%
, ✔✔A 27 year old female with a history of asthma complains of difficulty breathing. She
has used her prescribed inhaler multiple times in the last nine hours. She has been in
an argument with her boyfriend and is quite upset. Vital signs are P 140, R 60, SpO2
100%, breath sounds clear with no wheezing. You should suspect
COPD
An acute asthma attack
Hyperventilation
A medication overdose - ✔✔Hyperventilation
✔✔You just assisted a mother delivering a baby who is blue and flaccid. You should
Position and warm him
Apply blow by oxygen
Perform tactile stimulation
Ventilate by BVM - ✔✔Ventilate by BVM
✔✔A pt is pulseless and apneic. You should
Contact medical control for permission to assist nitroglycerine
Begin chest compressions and apply the automated external defibrillator
Immediately apply the automated external defibrillator
Open the airway, insert an OPA, begin ventilations - ✔✔Begin chest compressions and
apply the automated external defibrillator
✔✔Which of the following diabetic patients should receive oral glucose?
A 73 year old male who is unresponsive
A 25 year old female who is acting inappropriately
A 12 year old male who responds to pain by moaning
A 34 year old female who is alert and complains of abdominal pain - ✔✔A 25 year old
female who is acting inappropriately
✔✔A 28 year old female pt with a history of asthma has stopped breathing. You initiate
positive pressure ventilations with BVM mask. Which ventilation rate would be most
appropriate?
24 breaths per min
10 breaths per min
20 breaths per min
30 breaths per min - ✔✔10 breaths per min
✔✔An immobilization trauma patient starts vomiting en route to hospital. You should
Use a yankauer catheter to suction vigorously
Have your partner pull over and help you
Turn the long spine board on its side
Rapidly suction with a 12 french catheter - ✔✔Use a yankauer catheter to suction
vigorously
