FISDAP Paramedic Final 2022
You have received an order for a dopamine drip. You carry 500cc bags of D5W. How much
dopamine should you add to the bag to create a 1600mcg/1mL dilution?
A. 800mg
B. 1600mcg
C. 1600mg
D. 400mcg - correct answer-A. 800 mg
2. During the absolute refractory period, what happens to the cardiac cell?
A. It is unable to be stimulated.
B. The cell is vulnerable to partial stimulation.
C. Potassium is being pumped out of the cell.
D. Calcium has just rushed into the cell. - correct answer-A. It is unable to be stimulated.
3. A 29 year old female fell from an 18 foot roof. During your rapid trauma assessment,
where are you most likely to find life-threatening injuries?
A. Head, neck, extremities
B. Head, chest, abdomen
C. Abdomen, pelvis, arms
D. Chest, pelvis, extremities - correct answer-B. Head, chest, abdomen
4. Unequal pupils are a result of pressure on which structure?
A. Central medulla
B. Trochlear membrane
C. Vagus nerve
D. Occulomotor nerve - correct answer-D. Occulomotor nerve
5. What is an abnormally high level of carbon dioxide in the blood called?
A. Pneumonia
B. Hypoxia
C. Hypercapnia
D. Emphysema - correct answer-C. Hypercapnia
6. What is oxygen deficiency in the body called?
A. Hypercarbia
B. Hyperoxia
C. Hypoxia
D. Hypoxemia - correct answer-C. Hypoxia
7. What is your initial priority at a trench collapse?
A. Establishing medical command
B. Maintaining control of the crowd
C. Preventing a secondary collapse
D. Protecting the patient's airway - correct answer-A. Establishing medical command
,8. A 23 year old male complains of neck stiffness and flu symptoms for the past few days. He
also describes a high fever with a severe headache, dizziness and blurred vision. What
should you suspect?
A. Hemorrhagic stroke
B. Migraine
C. Meningitis
D. Influenza - correct answer-C. Meningitis
9. What causes an emphysema patient to have a pink appearance?
A. Elevated PCO2 level
B. Polycythemia
C. Anemia
D. Elevated PO2 level - correct answer-B. Polycythemia
10. Which of the following is a musical, squeaking or whistling sound heard in inspiration and
expiration while auscultating lung fields?
A. Wheezing
B. Snoring
C. Stridor
D. Gurgling - correct answer-A. Wheezing
11. You are treating a 82 year old male in hypovolemic shock. In order to increase their blood
pressure you should administer:
A. 0.45% NaCl via IV
B. isotonic fluids orally
C. dextrose 5% in water via IO
D. isotonic crystalloid via IV - correct answer-D. isotonic crystalloid via IV
12. A 35 year old man is pulseless and apneic. He was found in a lake after falling through
the ice. His wife says he left the house 3 hours ago. His is cold and rigid. What should you
do?
A. Perform chest compressions
B. Begin active rewarming techniques
C. Obtain IO access and administer a warm fluid bolus
D. Contact the medical examiner - correct answer-A. Perform chest compressions
13. What does a pulsating mass in the abdomen suggest?
A. Abdominal aortic aneurysm
B. Perforated ulcer
C. Hernia
D. Ruptured ectopic pregnancy - correct answer-A. Abdominal aortic aneurysm
14. What is the safest and most effective landing pattern for a helicopter?
A. At a slight angle like that of a jet
B. Nose of the helicopter pointing up with a tail wind
C. Straight up and down in a vertical motion
,D. Nose of the helicopter pointing down with a slow descent - correct answer-A. At a slight
angle like that of a jet
15. During inspiration, what happens to blood flow in the thoracic cavity?
A. afterload increases
B. blood flow increases to the right atrium
C. blood flow through the vena cava is reduced
D. pressure in the aorta increases - correct answer-B. blood flow increases to the right atrium
16. What is the period of the cardiac cycle when stimulation will not produce any
depolarization?
A. Impulse refractory period
B. Absolute refractory period
C. Relative refractory period
D. Transient refractory period - correct answer-B. Absolute refractory period
17. While treating a 56 year old male for chest pain, you note a few PVCs on the monitor.
You print a strip and measure the distance between the normal beats on each side of the
PVC. The normal sinus rhythm continues on both sides of the PVC as if it were the normal
beat, even though the PVC happens sooner than the sinus beat would have. The pause after
the PVC would be:
A. A sign of continued ischemia
B. A compensatory pause
C. A non-compensatory pause
D. Reynaud's Pause - correct answer-B. A compensatory pause
18. A 5 month old male is in cardiac arrest. Resuscitation efforts have been ongoing for 30
minutes. His heart rhythm is and has been asystolic throughout treatment. What should you
do?
A. Continue CPR and ACLS drugs for another thirty minutes
B. Begin termination of resuscitative efforts
C. Report suspected child abuse to the police
D. Wait for the coroner before stopping CPR - correct answer-B. Begin termination of
resuscitative efforts
19. Which of the following requires ATP?
A. Active transport
B. Osmosis
C. Diffusion
D. Facilitated diffusion - correct answer-A. Active transport
20. A 52 year old male was the unrestrained driver in a frontal impact car crash. Which of the
following injuries would lead you to believe the patient traveled "up and over" the dashboard
instead of "down and under"?
A. Patellar dislocation
B. Cervical spine fracture
C. Ruptured diaphragm
D. Flail chest - correct answer-C. Ruptured diaphragm
, 21. How does the blood flow through the heart?
A. Right ventricle to right atrium to lungs to left ventricle to left atrium
B. Right atrium to right ventricle to lungs to left atrium to left ventricle
C. Left ventricle to left atrium to lungs to right ventricle to right atrium
D. Left atrium to left ventricle to lungs to right atrium to right ventricle - correct answer-B.
Right atrium to right ventricle to lungs to left atrium to left ventricle
22. As soon as an infant's head is delivered, what should you do?
A. Determine the location of the umbilical cord.
B. Rotate the shoulders to the anterolateral position.
C. Examine the vulva and perineum for lacerations.
D. Exert strong steady pressure on the fundus. - correct answer-A. Determine the location of
the umbilical cord.
23. A patient has aphasia following a stroke, which lobe of the brain was affected?
A. Temporal
B. Occipital
C. Parietal
D. Frontal - correct answer-A. Temporal
24. What does the P wave represent with an ECG?
A. Ventricular depolarization
B. Atrial depolarization
C. Ventricular repolarization
D. Atrial repolarization - correct answer-B. Atrial depolarization
25. A lethargic 22 month old male presents with hoarseness and coughing. He has sternal
retractions and his belly and chest move in opposite directions with each breath. He is
breathing at a rate of 64. What should you suspect?
A. Cardiopulmonary failure.
B. Respiratory failure.
C. Cardiopulmonary arrest.
D. Respiratory distress. - correct answer-B. Respiratory failure.
26. A patient was ejected from an automobile and is apneic and pulseless. ECG reveals a
regular rhythm with an R-R interval of 1.24 seconds and a QRS width of 110 milliseconds.
You should consider
A. transcutaneous pacing.
B. atropine 0.5 mg IV.
C. epinephrine 1 mg IV.
D. adenosine 6 mg rapid IV. - correct answer-C. epinephrine 1 mg IV.
27. What organ is located in the upper right quadrant?
A. Kidney
B. Liver
C. Pancreas
D. Spleen - correct answer-B. Liver
You have received an order for a dopamine drip. You carry 500cc bags of D5W. How much
dopamine should you add to the bag to create a 1600mcg/1mL dilution?
A. 800mg
B. 1600mcg
C. 1600mg
D. 400mcg - correct answer-A. 800 mg
2. During the absolute refractory period, what happens to the cardiac cell?
A. It is unable to be stimulated.
B. The cell is vulnerable to partial stimulation.
C. Potassium is being pumped out of the cell.
D. Calcium has just rushed into the cell. - correct answer-A. It is unable to be stimulated.
3. A 29 year old female fell from an 18 foot roof. During your rapid trauma assessment,
where are you most likely to find life-threatening injuries?
A. Head, neck, extremities
B. Head, chest, abdomen
C. Abdomen, pelvis, arms
D. Chest, pelvis, extremities - correct answer-B. Head, chest, abdomen
4. Unequal pupils are a result of pressure on which structure?
A. Central medulla
B. Trochlear membrane
C. Vagus nerve
D. Occulomotor nerve - correct answer-D. Occulomotor nerve
5. What is an abnormally high level of carbon dioxide in the blood called?
A. Pneumonia
B. Hypoxia
C. Hypercapnia
D. Emphysema - correct answer-C. Hypercapnia
6. What is oxygen deficiency in the body called?
A. Hypercarbia
B. Hyperoxia
C. Hypoxia
D. Hypoxemia - correct answer-C. Hypoxia
7. What is your initial priority at a trench collapse?
A. Establishing medical command
B. Maintaining control of the crowd
C. Preventing a secondary collapse
D. Protecting the patient's airway - correct answer-A. Establishing medical command
,8. A 23 year old male complains of neck stiffness and flu symptoms for the past few days. He
also describes a high fever with a severe headache, dizziness and blurred vision. What
should you suspect?
A. Hemorrhagic stroke
B. Migraine
C. Meningitis
D. Influenza - correct answer-C. Meningitis
9. What causes an emphysema patient to have a pink appearance?
A. Elevated PCO2 level
B. Polycythemia
C. Anemia
D. Elevated PO2 level - correct answer-B. Polycythemia
10. Which of the following is a musical, squeaking or whistling sound heard in inspiration and
expiration while auscultating lung fields?
A. Wheezing
B. Snoring
C. Stridor
D. Gurgling - correct answer-A. Wheezing
11. You are treating a 82 year old male in hypovolemic shock. In order to increase their blood
pressure you should administer:
A. 0.45% NaCl via IV
B. isotonic fluids orally
C. dextrose 5% in water via IO
D. isotonic crystalloid via IV - correct answer-D. isotonic crystalloid via IV
12. A 35 year old man is pulseless and apneic. He was found in a lake after falling through
the ice. His wife says he left the house 3 hours ago. His is cold and rigid. What should you
do?
A. Perform chest compressions
B. Begin active rewarming techniques
C. Obtain IO access and administer a warm fluid bolus
D. Contact the medical examiner - correct answer-A. Perform chest compressions
13. What does a pulsating mass in the abdomen suggest?
A. Abdominal aortic aneurysm
B. Perforated ulcer
C. Hernia
D. Ruptured ectopic pregnancy - correct answer-A. Abdominal aortic aneurysm
14. What is the safest and most effective landing pattern for a helicopter?
A. At a slight angle like that of a jet
B. Nose of the helicopter pointing up with a tail wind
C. Straight up and down in a vertical motion
,D. Nose of the helicopter pointing down with a slow descent - correct answer-A. At a slight
angle like that of a jet
15. During inspiration, what happens to blood flow in the thoracic cavity?
A. afterload increases
B. blood flow increases to the right atrium
C. blood flow through the vena cava is reduced
D. pressure in the aorta increases - correct answer-B. blood flow increases to the right atrium
16. What is the period of the cardiac cycle when stimulation will not produce any
depolarization?
A. Impulse refractory period
B. Absolute refractory period
C. Relative refractory period
D. Transient refractory period - correct answer-B. Absolute refractory period
17. While treating a 56 year old male for chest pain, you note a few PVCs on the monitor.
You print a strip and measure the distance between the normal beats on each side of the
PVC. The normal sinus rhythm continues on both sides of the PVC as if it were the normal
beat, even though the PVC happens sooner than the sinus beat would have. The pause after
the PVC would be:
A. A sign of continued ischemia
B. A compensatory pause
C. A non-compensatory pause
D. Reynaud's Pause - correct answer-B. A compensatory pause
18. A 5 month old male is in cardiac arrest. Resuscitation efforts have been ongoing for 30
minutes. His heart rhythm is and has been asystolic throughout treatment. What should you
do?
A. Continue CPR and ACLS drugs for another thirty minutes
B. Begin termination of resuscitative efforts
C. Report suspected child abuse to the police
D. Wait for the coroner before stopping CPR - correct answer-B. Begin termination of
resuscitative efforts
19. Which of the following requires ATP?
A. Active transport
B. Osmosis
C. Diffusion
D. Facilitated diffusion - correct answer-A. Active transport
20. A 52 year old male was the unrestrained driver in a frontal impact car crash. Which of the
following injuries would lead you to believe the patient traveled "up and over" the dashboard
instead of "down and under"?
A. Patellar dislocation
B. Cervical spine fracture
C. Ruptured diaphragm
D. Flail chest - correct answer-C. Ruptured diaphragm
, 21. How does the blood flow through the heart?
A. Right ventricle to right atrium to lungs to left ventricle to left atrium
B. Right atrium to right ventricle to lungs to left atrium to left ventricle
C. Left ventricle to left atrium to lungs to right ventricle to right atrium
D. Left atrium to left ventricle to lungs to right atrium to right ventricle - correct answer-B.
Right atrium to right ventricle to lungs to left atrium to left ventricle
22. As soon as an infant's head is delivered, what should you do?
A. Determine the location of the umbilical cord.
B. Rotate the shoulders to the anterolateral position.
C. Examine the vulva and perineum for lacerations.
D. Exert strong steady pressure on the fundus. - correct answer-A. Determine the location of
the umbilical cord.
23. A patient has aphasia following a stroke, which lobe of the brain was affected?
A. Temporal
B. Occipital
C. Parietal
D. Frontal - correct answer-A. Temporal
24. What does the P wave represent with an ECG?
A. Ventricular depolarization
B. Atrial depolarization
C. Ventricular repolarization
D. Atrial repolarization - correct answer-B. Atrial depolarization
25. A lethargic 22 month old male presents with hoarseness and coughing. He has sternal
retractions and his belly and chest move in opposite directions with each breath. He is
breathing at a rate of 64. What should you suspect?
A. Cardiopulmonary failure.
B. Respiratory failure.
C. Cardiopulmonary arrest.
D. Respiratory distress. - correct answer-B. Respiratory failure.
26. A patient was ejected from an automobile and is apneic and pulseless. ECG reveals a
regular rhythm with an R-R interval of 1.24 seconds and a QRS width of 110 milliseconds.
You should consider
A. transcutaneous pacing.
B. atropine 0.5 mg IV.
C. epinephrine 1 mg IV.
D. adenosine 6 mg rapid IV. - correct answer-C. epinephrine 1 mg IV.
27. What organ is located in the upper right quadrant?
A. Kidney
B. Liver
C. Pancreas
D. Spleen - correct answer-B. Liver
