Paramedic FISDAP Final Exam Questions and Answers
1. 1. A 30 year old climber is experiencing sever shortness of breath after
reaching an elevation of 12000feet. The PT 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?: Administer oxygen while descending to a lower
altitude.
2. 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 approx 150
amitriptyline tables. 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: Sodium Bicarbonate.
3. 3. You PT 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: Transport emergency and continue ventilation.
4. 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 server hip pain. Vital
signs are BP 88/40. P120 R 16 you should administer.: sodium bicarbonate
5. 5. Braxton Hicks contractions: occur in the second trimester and are false
labor.
6. 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.: epidural hematoma
7. 7. A 47 year old male who was found unconscious on the side of the road
respond 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 BO 178/122 P56 R irregular ETCO2 30. What should you do?: Assist
ventilations at 12 breaths per minHg.
8. 8. A 28 year old female has a sudden onset of tightness in her chest and
server difficulty breathing. Her tongue face and neck appear swollen and she
has red itchy hives on her torso. Her signs are BP 80/40 P 130. You should
administer: Epinephrine 0.3mg
9. 9. You are asked to set up a patient treatment area after a box labeled "radio
active" was found unattended in a park. Which of the following would be the
best location.: Building in the park
, Paramedic FISDAP Final Exam Questions and Answers
10. 10. You are at a house fire with multiple patients. Which patient should be
transported First to a burn center?: 52 year old with second degree burns to
face and right hand
11. 11. What is the most common cause of status epilepticus in adults.: Fail-
ure to take prescribed medications
12. 12. A 58 year old male with history of renal failure complains of dizziness
lethargy and difficulty
breathing. He says he missed his last dialysis appointment. Vital signs are
BP 160/90 P 100 R 28 with rales heard in the basses. SPO2 92% you should
suspect.: Fluid Overload.
13. 13. A 12 year old girl is seizing. Her mom tells you that her daughter has
been feeling tired for days. Her skin is dry and she has been very thirsty. Vital
signs are BP 118/80 P115 R26 you should suspect.: Diabetic ketoacidosis
14. 14. A 42 year old female has fallen down a flight of stairs. She appears
anxious her skin is cool and clammy her radial pulses are weak at 112 beats
per min and she complains of abdominal pain in the left upper quadrant with
radiation to the left scapula. You should suspect.: Torn or lacerated spleen.
15. 15. Emergency medical responders are ventilating an apneic medical
patient with a bag valve mask. You note abdominal distention and minimal
chest rise. What should you do?: Reposition the head.
16. 16. A 6 month old male was found lying face down in the crib. He is
cyanotic and apneic. A weak
brachial pulse is present.You are unable to see a chest rise with your second
attempt at rescue
breathing after repositioning the head. What should you do.: Start CPR
17. 17. You have just been called to a dialysis clinic for a 58 year old male in
cardiac arrest. The online physician may order you to administer which of
the following medications.: Sodium Bicarbonate.
18. 18. A 27 year old male has been assaulted with a pen in the supraclav-
icular area. He is anxious and pale and his vital signs are BP 80/42 P 128
R 32 and shallow. First responders have sealed the wound with a bandage.
Assessment reveals lung sounds on the right and poor chest rise what
should you do.: Burp dressing
19. 19. A 50 pound child is unresponsive pulseless and apneic. The cardiac
monitor displays ventricular fibrillations. CPR is in progress. The initial de-
fibrillator should be at.: 50 joules.
, Paramedic FISDAP Final Exam Questions and Answers
20. 20. An 11 year old male has been skateboarding in 100 degrees tem-
perature and has been drinking caffeinated soft drinks. He complains of
palpations. The cardiac monitor displays a narrow QRS tachycardia at a rate
of 160 beats. Vitals signs BP 110/60 P160 R 20 What should you do?: Transport
the patient by ambulance monitor closely and administer fluids en route.
21. 21. An 80 year old male in server respiratory distress. He has a history
of hypertension and breathing problems. He takes inderal daily. Vital signs
are BP 170/70 P72 and irregular R40 and extremely labored skin warm and
diaphoretic. Lung sounds are diffuse bilateral crackles and wheezing. He
coughs up blood tinged sputum. Which of the following is most important.-
: Decreasing preload
22. 22. A 50 year old patient is found lying outside on the ground. The ambient
temperature is 40 degrees F. You thermometer reads 20C 86F. He is in V-fib
and pulseless and apneic. You should: Defibrillate once perform CPR intubate
and transport rapidly.
23. 23. To successfully accomplish nasotracheal intubation you should ad-
vance the endotracheal tube though the glottic opening to coincide with
patient: Inhalation
24. 25. An alert 23 year old male presents with a sudden onset of shortness of
breath and chest pain after running upstairs. Breath sounds are diminished
in the right side. The most likely cause is.: Spontaneous pneumothorax
25. 26. First responders are treating an apneic adult female. You notice that
they are applying frequent long ventilations with an oxygen resuscitator.
What effects with their actions create.: Increased capillary elasticity.
26. 27. You are called to a nursing home on a hot summer day for a 88 year
old male. The nurse tells you he missed his dialysis appointment because he
was complaining of nausea vomiting headache and running a fever. Which
differential diagnosis should you consider first.: Sepsis and hyperkalemia
27. 28. You have just administered adenosine to a 62 year old patient with
narrow complex tach. The ECG shows an irregular rate of 50 then steadily
climbs back to a rate of 169. What would should suspect: rapid atrial fibrillation.
28. 29. A 63 year old male is having a diabetic emergency . He is unresponsive
R12 glucometer 28. You cannot establish IV access. You should: administer
glucagon IM
29. 30. When setting up a night time landing zone for a helicopter what is the
recommended area needed.: 100x100
1. 1. A 30 year old climber is experiencing sever shortness of breath after
reaching an elevation of 12000feet. The PT 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?: Administer oxygen while descending to a lower
altitude.
2. 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 approx 150
amitriptyline tables. 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: Sodium Bicarbonate.
3. 3. You PT 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: Transport emergency and continue ventilation.
4. 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 server hip pain. Vital
signs are BP 88/40. P120 R 16 you should administer.: sodium bicarbonate
5. 5. Braxton Hicks contractions: occur in the second trimester and are false
labor.
6. 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.: epidural hematoma
7. 7. A 47 year old male who was found unconscious on the side of the road
respond 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 BO 178/122 P56 R irregular ETCO2 30. What should you do?: Assist
ventilations at 12 breaths per minHg.
8. 8. A 28 year old female has a sudden onset of tightness in her chest and
server difficulty breathing. Her tongue face and neck appear swollen and she
has red itchy hives on her torso. Her signs are BP 80/40 P 130. You should
administer: Epinephrine 0.3mg
9. 9. You are asked to set up a patient treatment area after a box labeled "radio
active" was found unattended in a park. Which of the following would be the
best location.: Building in the park
, Paramedic FISDAP Final Exam Questions and Answers
10. 10. You are at a house fire with multiple patients. Which patient should be
transported First to a burn center?: 52 year old with second degree burns to
face and right hand
11. 11. What is the most common cause of status epilepticus in adults.: Fail-
ure to take prescribed medications
12. 12. A 58 year old male with history of renal failure complains of dizziness
lethargy and difficulty
breathing. He says he missed his last dialysis appointment. Vital signs are
BP 160/90 P 100 R 28 with rales heard in the basses. SPO2 92% you should
suspect.: Fluid Overload.
13. 13. A 12 year old girl is seizing. Her mom tells you that her daughter has
been feeling tired for days. Her skin is dry and she has been very thirsty. Vital
signs are BP 118/80 P115 R26 you should suspect.: Diabetic ketoacidosis
14. 14. A 42 year old female has fallen down a flight of stairs. She appears
anxious her skin is cool and clammy her radial pulses are weak at 112 beats
per min and she complains of abdominal pain in the left upper quadrant with
radiation to the left scapula. You should suspect.: Torn or lacerated spleen.
15. 15. Emergency medical responders are ventilating an apneic medical
patient with a bag valve mask. You note abdominal distention and minimal
chest rise. What should you do?: Reposition the head.
16. 16. A 6 month old male was found lying face down in the crib. He is
cyanotic and apneic. A weak
brachial pulse is present.You are unable to see a chest rise with your second
attempt at rescue
breathing after repositioning the head. What should you do.: Start CPR
17. 17. You have just been called to a dialysis clinic for a 58 year old male in
cardiac arrest. The online physician may order you to administer which of
the following medications.: Sodium Bicarbonate.
18. 18. A 27 year old male has been assaulted with a pen in the supraclav-
icular area. He is anxious and pale and his vital signs are BP 80/42 P 128
R 32 and shallow. First responders have sealed the wound with a bandage.
Assessment reveals lung sounds on the right and poor chest rise what
should you do.: Burp dressing
19. 19. A 50 pound child is unresponsive pulseless and apneic. The cardiac
monitor displays ventricular fibrillations. CPR is in progress. The initial de-
fibrillator should be at.: 50 joules.
, Paramedic FISDAP Final Exam Questions and Answers
20. 20. An 11 year old male has been skateboarding in 100 degrees tem-
perature and has been drinking caffeinated soft drinks. He complains of
palpations. The cardiac monitor displays a narrow QRS tachycardia at a rate
of 160 beats. Vitals signs BP 110/60 P160 R 20 What should you do?: Transport
the patient by ambulance monitor closely and administer fluids en route.
21. 21. An 80 year old male in server respiratory distress. He has a history
of hypertension and breathing problems. He takes inderal daily. Vital signs
are BP 170/70 P72 and irregular R40 and extremely labored skin warm and
diaphoretic. Lung sounds are diffuse bilateral crackles and wheezing. He
coughs up blood tinged sputum. Which of the following is most important.-
: Decreasing preload
22. 22. A 50 year old patient is found lying outside on the ground. The ambient
temperature is 40 degrees F. You thermometer reads 20C 86F. He is in V-fib
and pulseless and apneic. You should: Defibrillate once perform CPR intubate
and transport rapidly.
23. 23. To successfully accomplish nasotracheal intubation you should ad-
vance the endotracheal tube though the glottic opening to coincide with
patient: Inhalation
24. 25. An alert 23 year old male presents with a sudden onset of shortness of
breath and chest pain after running upstairs. Breath sounds are diminished
in the right side. The most likely cause is.: Spontaneous pneumothorax
25. 26. First responders are treating an apneic adult female. You notice that
they are applying frequent long ventilations with an oxygen resuscitator.
What effects with their actions create.: Increased capillary elasticity.
26. 27. You are called to a nursing home on a hot summer day for a 88 year
old male. The nurse tells you he missed his dialysis appointment because he
was complaining of nausea vomiting headache and running a fever. Which
differential diagnosis should you consider first.: Sepsis and hyperkalemia
27. 28. You have just administered adenosine to a 62 year old patient with
narrow complex tach. The ECG shows an irregular rate of 50 then steadily
climbs back to a rate of 169. What would should suspect: rapid atrial fibrillation.
28. 29. A 63 year old male is having a diabetic emergency . He is unresponsive
R12 glucometer 28. You cannot establish IV access. You should: administer
glucagon IM
29. 30. When setting up a night time landing zone for a helicopter what is the
recommended area needed.: 100x100
