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FISDAP PARAMEDIC FINAL LATEST EXAM
/PARAMEDIC FISDAP FINAL EXAM TEST BANK
REAL EXAM 600+QUESTIONS AND CORRECT
ANSWERS|AGRADE,,,,FINAL TESTBANK
QUESTION 1
A 30 year old climber is experiencing severe shortness of breath after reaching an
elevation of 12000 feet. The patient is very anxious and has rales noted to all
quadrants but is otherwise healthy. He is not accustomed to high altitudes. What
should you do?
A) Administer oxygen while descending to a lower altitude
B) Coach the patient to slow his respirations
C) Apply CPAP while the patient adapts to the elevations
D) Evacuate the patient to a hyperbaric chamber
Correct ,,,ANSWER,,,: A) Administer oxygen while descending to a lower
altitude
Rationale: The patient is showing signs of High Altitude Pulmonary Edema
(HAPE), indicated by rales in all lung fields and severe dyspnea after rapid ascent.
The definitive treatment for HAPE is immediate descent to a lower altitude
combined with high-flow oxygen. CPAP may help temporarily but does not
address the underlying cause. Hyperbaric chambers are not typically available in
the field, and descent remains the priority intervention.
QUESTION 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, R 16. You establish IV access and administer a
, 2
fluid challenge. En route to the hospital her ECG shows a widening QRS. You
should administer:
A) Amiodarone
B) Another fluid challenge
C) Calcium chloride
D) Sodium bicarbonate
Correct ,,,ANSWER,,,: D) Sodium bicarbonate
Rationale: Amitriptyline is a tricyclic antidepressant (TCA) that causes sodium
channel blockade in overdose, leading to widened QRS complex and risk of
ventricular dysrhythmias. Sodium bicarbonate is the treatment of choice for TCA
overdose with wide QRS because it increases serum pH, which dissociates the drug
from sodium channels. Amiodarone is not indicated and could worsen the
condition.
QUESTION 3
Your patient experienced trauma yesterday and you are transferring her 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) Extubate and re-intubate the patient
C) Transport emergently and continue ventilation
D) Perform bilateral chest decompression and reassess
Correct ,,,ANSWER,,,: C) Transport emergently and continue ventilation
Rationale: Coarse crackles in all lung fields following trauma suggest developing
acute respiratory distress syndrome (ARDS) or pulmonary contusion. The priority
is rapid transport to a definitive care facility while maintaining adequate
ventilation. Bilateral chest decompression is not indicated without signs of tension
pneumothorax. Increasing fluids could worsen pulmonary edema in this context.
, 3
QUESTION 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, P 120, R 16. You should administer:
A) Epinephrine
B) Lidocaine
C) Sodium bicarbonate
D) Morphine sulfate
Correct ,,,ANSWER,,,: C) Sodium bicarbonate
Rationale: Crush injury from entrapment can cause rhabdomyolysis and release of
intracellular contents, leading to metabolic acidosis and hyperkalemia. Sodium
bicarbonate helps correct acidosis and drives potassium back into cells. The
hypotension is likely due to distributive shock from reperfusion injury. Morphine
could worsen hypotension.
QUESTION 5
Braxton Hicks contractions:
A) Are mild and signal the beginning of labor
B) Occur in the second trimester and are false labor
C) Cause extreme back and abdominal discomfort
D) Cause dilation and effacement of the cervix
Correct ,,,ANSWER,,,: B) Occur in the second trimester and are false labor
Rationale: Braxton Hicks contractions are irregular, painless uterine contractions
that occur during the second and third trimesters but do not cause cervical change.
They are often described as "false labor" and typically resolve with position change
or hydration. True labor contractions become regular, increase in intensity, and
cause progressive cervical dilation and effacement.
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QUESTION 6
A 40 year old male crashed his motorcycle. He had a brief loss of consciousness,
woke up and walked home. You find him 2 hours later at home unconscious. You
should suspect:
A) Subdural hematoma
B) Subarachnoid bleed
C) Basilar skull fracture
D) Epidural hematoma
Correct ,,,ANSWER,,,: D) Epidural hematoma
Rationale: Epidural hematoma classically presents with a lucid interval following
head trauma, where the patient briefly regains consciousness before deteriorating
neurologically. This occurs because arterial bleeding (typically from the middle
meningeal artery) accumulates rapidly between the skull and dura mater. Subdural
hematoma typically has a slower onset without a lucid interval in elderly or
alcoholic patients.
QUESTION 7
A 47 year old male who was found unconscious on the side of the road responds
only to painful stimulus. When you attempt to establish IV access he stiffens his
arms and legs. He has minor abrasions all over his body. Vital signs are BP
178/122, P 56, R irregular, ETCO2 30. What should you do?
A) Mildly hypoventilate with a bag valve mask
B) Assist ventilations at 12 breaths per minute
C) Administer a 250 mL normal saline bolus
D) Administer 25 g of dextrose
Correct ,,,ANSWER,,,: B) Assist ventilations at 12 breaths per minute
FISDAP PARAMEDIC FINAL LATEST EXAM
/PARAMEDIC FISDAP FINAL EXAM TEST BANK
REAL EXAM 600+QUESTIONS AND CORRECT
ANSWERS|AGRADE,,,,FINAL TESTBANK
QUESTION 1
A 30 year old climber is experiencing severe shortness of breath after reaching an
elevation of 12000 feet. The patient is very anxious and has rales noted to all
quadrants but is otherwise healthy. He is not accustomed to high altitudes. What
should you do?
A) Administer oxygen while descending to a lower altitude
B) Coach the patient to slow his respirations
C) Apply CPAP while the patient adapts to the elevations
D) Evacuate the patient to a hyperbaric chamber
Correct ,,,ANSWER,,,: A) Administer oxygen while descending to a lower
altitude
Rationale: The patient is showing signs of High Altitude Pulmonary Edema
(HAPE), indicated by rales in all lung fields and severe dyspnea after rapid ascent.
The definitive treatment for HAPE is immediate descent to a lower altitude
combined with high-flow oxygen. CPAP may help temporarily but does not
address the underlying cause. Hyperbaric chambers are not typically available in
the field, and descent remains the priority intervention.
QUESTION 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, R 16. You establish IV access and administer a
, 2
fluid challenge. En route to the hospital her ECG shows a widening QRS. You
should administer:
A) Amiodarone
B) Another fluid challenge
C) Calcium chloride
D) Sodium bicarbonate
Correct ,,,ANSWER,,,: D) Sodium bicarbonate
Rationale: Amitriptyline is a tricyclic antidepressant (TCA) that causes sodium
channel blockade in overdose, leading to widened QRS complex and risk of
ventricular dysrhythmias. Sodium bicarbonate is the treatment of choice for TCA
overdose with wide QRS because it increases serum pH, which dissociates the drug
from sodium channels. Amiodarone is not indicated and could worsen the
condition.
QUESTION 3
Your patient experienced trauma yesterday and you are transferring her 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) Extubate and re-intubate the patient
C) Transport emergently and continue ventilation
D) Perform bilateral chest decompression and reassess
Correct ,,,ANSWER,,,: C) Transport emergently and continue ventilation
Rationale: Coarse crackles in all lung fields following trauma suggest developing
acute respiratory distress syndrome (ARDS) or pulmonary contusion. The priority
is rapid transport to a definitive care facility while maintaining adequate
ventilation. Bilateral chest decompression is not indicated without signs of tension
pneumothorax. Increasing fluids could worsen pulmonary edema in this context.
, 3
QUESTION 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, P 120, R 16. You should administer:
A) Epinephrine
B) Lidocaine
C) Sodium bicarbonate
D) Morphine sulfate
Correct ,,,ANSWER,,,: C) Sodium bicarbonate
Rationale: Crush injury from entrapment can cause rhabdomyolysis and release of
intracellular contents, leading to metabolic acidosis and hyperkalemia. Sodium
bicarbonate helps correct acidosis and drives potassium back into cells. The
hypotension is likely due to distributive shock from reperfusion injury. Morphine
could worsen hypotension.
QUESTION 5
Braxton Hicks contractions:
A) Are mild and signal the beginning of labor
B) Occur in the second trimester and are false labor
C) Cause extreme back and abdominal discomfort
D) Cause dilation and effacement of the cervix
Correct ,,,ANSWER,,,: B) Occur in the second trimester and are false labor
Rationale: Braxton Hicks contractions are irregular, painless uterine contractions
that occur during the second and third trimesters but do not cause cervical change.
They are often described as "false labor" and typically resolve with position change
or hydration. True labor contractions become regular, increase in intensity, and
cause progressive cervical dilation and effacement.
, 4
QUESTION 6
A 40 year old male crashed his motorcycle. He had a brief loss of consciousness,
woke up and walked home. You find him 2 hours later at home unconscious. You
should suspect:
A) Subdural hematoma
B) Subarachnoid bleed
C) Basilar skull fracture
D) Epidural hematoma
Correct ,,,ANSWER,,,: D) Epidural hematoma
Rationale: Epidural hematoma classically presents with a lucid interval following
head trauma, where the patient briefly regains consciousness before deteriorating
neurologically. This occurs because arterial bleeding (typically from the middle
meningeal artery) accumulates rapidly between the skull and dura mater. Subdural
hematoma typically has a slower onset without a lucid interval in elderly or
alcoholic patients.
QUESTION 7
A 47 year old male who was found unconscious on the side of the road responds
only to painful stimulus. When you attempt to establish IV access he stiffens his
arms and legs. He has minor abrasions all over his body. Vital signs are BP
178/122, P 56, R irregular, ETCO2 30. What should you do?
A) Mildly hypoventilate with a bag valve mask
B) Assist ventilations at 12 breaths per minute
C) Administer a 250 mL normal saline bolus
D) Administer 25 g of dextrose
Correct ,,,ANSWER,,,: B) Assist ventilations at 12 breaths per minute
