Paramedic FISDAP Final Exam|
200 Questions and Answers|
2024 Update
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. 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. 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. 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. Braxton Hicks contractions - -occur in the second trimester and are
false labor.
-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. 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. 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. 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
-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. What is the most common cause of status epilepticus in adults. - -
Failure to take prescribed medications
-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. 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. 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. 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. 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. 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. A 27 year old male has been assaulted with a pen in the
supraclavicular 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. A 50 pound child is unresponsive pulseless and apneic. The cardiac
monitor displays ventricular fibrillations. CPR is in progress. The initial
defibrillator should be at. - -50 joules.
-20. An 11 year old male has been skateboarding in 100 degrees
temperature 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. 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. 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. To successfully accomplish nasotracheal intubation you should
advance the endotracheal tube though the glottic opening to coincide
with patient - -Inhalation
-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
-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.
-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
-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.
200 Questions and Answers|
2024 Update
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. 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. 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. 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. Braxton Hicks contractions - -occur in the second trimester and are
false labor.
-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. 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. 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. 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
-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. What is the most common cause of status epilepticus in adults. - -
Failure to take prescribed medications
-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. 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. 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. 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. 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. 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. A 27 year old male has been assaulted with a pen in the
supraclavicular 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. A 50 pound child is unresponsive pulseless and apneic. The cardiac
monitor displays ventricular fibrillations. CPR is in progress. The initial
defibrillator should be at. - -50 joules.
-20. An 11 year old male has been skateboarding in 100 degrees
temperature 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. 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. 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. To successfully accomplish nasotracheal intubation you should
advance the endotracheal tube though the glottic opening to coincide
with patient - -Inhalation
-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
-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.
-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
-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.
