FISDAP PARAMEDIC FINAL LATEST EXAM
/PARAMEDIC FISDAP FINAL EXAM TEST
BANK REAL EXAM 100+QUESTIONS AND
CORRECT ANSWERS.
---
**1. A 30-year-old climber is experiencing severe shortness of breath
after reaching an elevation of 12,000 feet. The patient is very anxious
and has rales noted in all quadrants but is otherwise healthy. He is not
accustomed to high altitudes. What should you do?**
A. Administer oxygen while ascending further
B. Administer oxygen while descending to a lower altitude
C. Encourage the patient to rest at the current altitude
D. Administer diuretics
**Answer: B. Administer oxygen while descending to a lower altitude**
**Rationale:** The patient is likely experiencing high-altitude
pulmonary edema (HAPE), which presents with dyspnea, rales, and
anxiety at high altitudes. The priority is to administer oxygen and
,descend to a lower altitude to reduce hypoxia and prevent further
complications. Remaining at altitude or ascending further would
worsen the condition .
---
**2. A 26-year-old female does not respond to verbal stimuli but moans
in response to pain. A friend states the patient has ingested
approximately 150 amitriptyline tablets. Vital signs are BP 88/50, R16.
You establish IV access and administer a fluid challenge. En route to the
hospital, her ECG shows a widening QRS. You should administer:**
A. Amiodarone
B. Sodium bicarbonate
C. Calcium chloride
D. Lidocaine
**Answer: B. Sodium bicarbonate**
**Rationale:** A widening QRS complex in tricyclic antidepressant
(TCA) overdose indicates cardiotoxicity from sodium channel blockade.
Sodium bicarbonate is administered to alkalinize the blood, which
increases protein binding of the drug and reduces cardiotoxic effects.
This is the standard treatment for TCA-induced cardiac toxicity .
,---
**3. Your patient experienced trauma yesterday and is being
transferred to a larger facility. She has been experiencing progressive
hypoxia. You notice coarse crackles in all lung fields on ventilation. Vital
signs are BP 90/50 and SpO2 90%. You should:**
A. Increase IV fluid administration rate
B. Transport emergently and continue ventilation
C. Perform bilateral chest decompression
D. Extubate and re-intubate the patient
**Answer: B. Transport emergently and continue ventilation**
**Rationale:** The patient likely has pulmonary contusions or acute
respiratory distress syndrome (ARDS) developing from the trauma.
Continued positive pressure ventilation and rapid transport to a facility
capable of managing these complex injuries are critical to maintain
oxygenation. The crackles indicate pulmonary edema or contusion .
---
**4. An alert 22-year-old male was just disentangled from debris in a
house collapse. He denies head or neck pain but complains of severe
hip pain. Vital signs are BP 88/40, P120, R16. You should administer:**
, A. Epinephrine
B. Isotonic crystalloid IV
C. Sodium bicarbonate
D. Morphine sulfate
**Answer: B. Isotonic crystalloid IV**
**Rationale:** The patient is hypotensive and tachycardic, likely due to
hypovolemia from internal bleeding or crush injury. Fluid resuscitation
with isotonic crystalloid (normal saline or lactated Ringer's) is indicated
to restore intravascular volume and maintain tissue perfusion. The
severe hip pain suggests possible pelvic fracture with associated
hemorrhage .
---
**5. What are Braxton Hicks contractions?**
A. Mild contractions that signal the beginning of labor
B. False labor contractions occurring in the second trimester
C. Contractions causing extreme back and abdominal discomfort
D. Contractions that cause dilation and effacement of the cervix
/PARAMEDIC FISDAP FINAL EXAM TEST
BANK REAL EXAM 100+QUESTIONS AND
CORRECT ANSWERS.
---
**1. A 30-year-old climber is experiencing severe shortness of breath
after reaching an elevation of 12,000 feet. The patient is very anxious
and has rales noted in all quadrants but is otherwise healthy. He is not
accustomed to high altitudes. What should you do?**
A. Administer oxygen while ascending further
B. Administer oxygen while descending to a lower altitude
C. Encourage the patient to rest at the current altitude
D. Administer diuretics
**Answer: B. Administer oxygen while descending to a lower altitude**
**Rationale:** The patient is likely experiencing high-altitude
pulmonary edema (HAPE), which presents with dyspnea, rales, and
anxiety at high altitudes. The priority is to administer oxygen and
,descend to a lower altitude to reduce hypoxia and prevent further
complications. Remaining at altitude or ascending further would
worsen the condition .
---
**2. A 26-year-old female does not respond to verbal stimuli but moans
in response to pain. A friend states the patient has ingested
approximately 150 amitriptyline tablets. Vital signs are BP 88/50, R16.
You establish IV access and administer a fluid challenge. En route to the
hospital, her ECG shows a widening QRS. You should administer:**
A. Amiodarone
B. Sodium bicarbonate
C. Calcium chloride
D. Lidocaine
**Answer: B. Sodium bicarbonate**
**Rationale:** A widening QRS complex in tricyclic antidepressant
(TCA) overdose indicates cardiotoxicity from sodium channel blockade.
Sodium bicarbonate is administered to alkalinize the blood, which
increases protein binding of the drug and reduces cardiotoxic effects.
This is the standard treatment for TCA-induced cardiac toxicity .
,---
**3. Your patient experienced trauma yesterday and is being
transferred to a larger facility. She has been experiencing progressive
hypoxia. You notice coarse crackles in all lung fields on ventilation. Vital
signs are BP 90/50 and SpO2 90%. You should:**
A. Increase IV fluid administration rate
B. Transport emergently and continue ventilation
C. Perform bilateral chest decompression
D. Extubate and re-intubate the patient
**Answer: B. Transport emergently and continue ventilation**
**Rationale:** The patient likely has pulmonary contusions or acute
respiratory distress syndrome (ARDS) developing from the trauma.
Continued positive pressure ventilation and rapid transport to a facility
capable of managing these complex injuries are critical to maintain
oxygenation. The crackles indicate pulmonary edema or contusion .
---
**4. An alert 22-year-old male was just disentangled from debris in a
house collapse. He denies head or neck pain but complains of severe
hip pain. Vital signs are BP 88/40, P120, R16. You should administer:**
, A. Epinephrine
B. Isotonic crystalloid IV
C. Sodium bicarbonate
D. Morphine sulfate
**Answer: B. Isotonic crystalloid IV**
**Rationale:** The patient is hypotensive and tachycardic, likely due to
hypovolemia from internal bleeding or crush injury. Fluid resuscitation
with isotonic crystalloid (normal saline or lactated Ringer's) is indicated
to restore intravascular volume and maintain tissue perfusion. The
severe hip pain suggests possible pelvic fracture with associated
hemorrhage .
---
**5. What are Braxton Hicks contractions?**
A. Mild contractions that signal the beginning of labor
B. False labor contractions occurring in the second trimester
C. Contractions causing extreme back and abdominal discomfort
D. Contractions that cause dilation and effacement of the cervix
