FISDAP Paramedic Final 2022 revision past paper
with accurate answers
1.400. A 67 year old female with a suspected stroke, has difficulty swallowing and is unable
to speak. Which cranial nerve is affected?
A. Abducens
B. Hypoglossal
C. Trochlear
D. Vestibulocochlear: B. Hypoglossal
2.401. A 30 year old male complains of difficulty breathing with a productive cough and
brown sputum. He has had fever and chills for 3 days. Lung sounds reveal crackles in lower
lobes. Vital signs are BP 130/60, P 110, R 30. What should you do?
A. Transport in position of comfort without further treatment.
B. Place in position of comfort and apply oxygen by non-rebreather.
C. Nasally intubate the patient and assist with his respirations using a BVM.
D. Apply oxygen by non-rebreather and administer furosemide 40 mg IV.: B. Place in
position of comfort and apply oxygen by non-rebreather.
3.402. When assessing a supine patient involved in a motor vehicle collision, the patient
complains of left should pain. This indicates:
A. Grey Turner's sign
B. Kehr's sign
C. Murphy's sign
D. Cullen's sign: B. Kehr's sign
4.403. What will compromise your ability to develop rapport and trust with a patient?
A. Using the patient's name as often as possible
B. Speaking with a normal rate of speech
C. Asking closed-ended questions
D. Maintaining a calm appearance.: C. Asking closed-ended questions
5.404. What are agonal respirations?
A. Deep, rapid, and regular breaths.
B. Shallow, slow, and irregular gasping breaths.
C. Deep, very slow and irregular breaths.
D. Shallow, rapid, and regular panting breaths.: B. Shallow, slow, and irregular gasping
breaths.
6.405. A 67 year old female is unconscious at the bottom of a flight of stairs. She responds
to pain by stiffening her arms and legs but no external trauma is noted. Vital signs are BP
176/122, P 66, R 22 and irregular. What should you suspect?
A. A lung injury
B. Decompensated shock
,C. Hypovolemic shock
D. A head injury: D. A head injury
7.406. In asystole, what is the first medication you would administer?
A. Lidocaine
B. Sodium Bicarbonate
C. Atropine
D. Epinephrine: D. Epinephrine
8.407. A 25 year old male attempted to commit suicide by taking 6 mg Lo- razepam. What
is your greatest concern?
A. Circulatory alkalosis
B. Agitated outbursts of anger
C. Respiratory depression
D. Hyperemesis: C. Respiratory depression
9.408. Why are elderly trauma patients at risk for fluid overload and pulmonary edema as a
result of intravenous therapy?
A. Decreased chest wall compliance and movement
B. Decreased baroreceptor sensitivity to pressure
C. Decreased renal function and stroke volume
D. Decreased chemoreceptor sensitivity: C. Decreased renal function and stroke volume
10.409. What is the mechanism of action for amiodarone?
A. Inhibits cardiac action potential in phase 0
B. Slows AV conduction transmittance
C. Prolongs cardiac action potential in phase 3
D. Stabilizes all cardiac action potential membranes.: C. Prolongs cardiac action potential in
phase 3
11.410. Which of the following drugs is contraindicated in asthma patients?
A. Digitalis
B. Calcium Chloride
C. Epinephrine
D. Propranolol: D. Propranolol
12.411. A 57 year old male with CHF has shortness of breath, coughing, and blood-tinged
sputum. Vital signs are BP 140/88, P 86, R 28. What should you do?
A. Aspirin, sublingual nitroglycerin, CPAP
B. Morphine, aspirin, CPAP
C. CPAP, morphine, intramuscular nitroglycerin
D. Sublingual nitroglycerin, morphine, CPAP: A. Aspirin, sublingual nitroglycerin, CPAP
, 13.412. What is status epilepticus?
A. Two or more continuous seizures
B. When the patient sees an aura prior to a seizure
C. A seizure that occurs during a fever
D. A seizure affecting one area of the body: A. Two or more continuous seizures
14.413. A 60 year-old female presents with acute respiratory distress. She is conscious
and confused with rapid respirations and clear, equal breath sounds. What should you
do?
A. Assist her respirations with a BVM.
B. Provide oxygen via NRB mask.
C. Use a nasal cannula at 2 L/min.
D. Insert an oral airway adjunct.: B. Provide oxygen via NRB mask.
15. 414. Which complication of pregnancy can occur during the first trimester?
A. Placenta previa
B. Eclampsia
C. Abortion
D. Abruptio placenta: C. Abortion
16.415. What blood type is the universal donor? A. A
B. B
C. O
D. AB: C. O
17.416. Which of the following receptors are responsible for monitoring changes in
blood pressure?
A. Reticular activating receptors
B. Chemoreceptors
C. Baroreceptors
D. Carboxyhemoglobin receptors: C. Baroreceptors
18.417. A 35 year old male has been electrocuted. What other life threat should you be
prepared for?
A. internal bleeding
B. heat stroke
C. cardiac arrest
D. allergic reaction: C. cardiac arrest
19.418. At the scene of a multiple vehicle accident, what should you do first?
A. Treat the first patient you see
B. Start triage
C. Establish incident command
D. Set up a command post: C. Establish incident command
, 20.419. A 2 year old is conscious after ingesting an unknown quantity of bleach. What
should you suspect?
A. Bright, red skin on extremities
B. Chemical burns around the mouth
C. Hot, dry skin and diarrhea
D. Dilated pupils and labored breathing: B. Chemical burns around the mouth
21.420. What does insulin increase cell permeability to?
A. Glucagon
B. Glucose
C. Glycosuria
D. Glycogen: B. Glucose
22.421. The process of moving the responsibility for incident command from one Incident
Commander to another is called "transfer of command." The previous Incident Commander
should:
A. Continue as Co-Commander
B. Leave to eliminate confusion
C. Notify headquarters in person
D. Be given another assignment: D. Be given another assignment
23.422. What condition presents with a fruity, acetone-like odor on the breath?
A. Hypoglycemia
B. Hyperglycemia
C. Hyperosmolar hyperglycemic nonketotic coma (HHNC)
D. Diabetic ketoacidosis (DKA): D. Diabetic ketoacidosis (DKA)
24.423. You are ordered to give a medication based on weight. The transfer papers say the
patient weighs 155 lbs. How many kilograms does the patient weigh?
A. 71 kg
B. 78 kg
C. 77 kg
D. 70 kg: D. 70 kg
25.424. What are the structures in the lungs where carbon dioxide and oxygen exchanged
called?
A. Pleura
B. Bronchi
C. Lung parenchyma
D. Alveoli: D. Alveoli
26.425. A 21 year old female was lost in the woods for several hours. The ambient
temperature is 25 degrees Fahrenheit. She is lethargic and confused. The skin on her hands
is waxy and white. What should you do?
with accurate answers
1.400. A 67 year old female with a suspected stroke, has difficulty swallowing and is unable
to speak. Which cranial nerve is affected?
A. Abducens
B. Hypoglossal
C. Trochlear
D. Vestibulocochlear: B. Hypoglossal
2.401. A 30 year old male complains of difficulty breathing with a productive cough and
brown sputum. He has had fever and chills for 3 days. Lung sounds reveal crackles in lower
lobes. Vital signs are BP 130/60, P 110, R 30. What should you do?
A. Transport in position of comfort without further treatment.
B. Place in position of comfort and apply oxygen by non-rebreather.
C. Nasally intubate the patient and assist with his respirations using a BVM.
D. Apply oxygen by non-rebreather and administer furosemide 40 mg IV.: B. Place in
position of comfort and apply oxygen by non-rebreather.
3.402. When assessing a supine patient involved in a motor vehicle collision, the patient
complains of left should pain. This indicates:
A. Grey Turner's sign
B. Kehr's sign
C. Murphy's sign
D. Cullen's sign: B. Kehr's sign
4.403. What will compromise your ability to develop rapport and trust with a patient?
A. Using the patient's name as often as possible
B. Speaking with a normal rate of speech
C. Asking closed-ended questions
D. Maintaining a calm appearance.: C. Asking closed-ended questions
5.404. What are agonal respirations?
A. Deep, rapid, and regular breaths.
B. Shallow, slow, and irregular gasping breaths.
C. Deep, very slow and irregular breaths.
D. Shallow, rapid, and regular panting breaths.: B. Shallow, slow, and irregular gasping
breaths.
6.405. A 67 year old female is unconscious at the bottom of a flight of stairs. She responds
to pain by stiffening her arms and legs but no external trauma is noted. Vital signs are BP
176/122, P 66, R 22 and irregular. What should you suspect?
A. A lung injury
B. Decompensated shock
,C. Hypovolemic shock
D. A head injury: D. A head injury
7.406. In asystole, what is the first medication you would administer?
A. Lidocaine
B. Sodium Bicarbonate
C. Atropine
D. Epinephrine: D. Epinephrine
8.407. A 25 year old male attempted to commit suicide by taking 6 mg Lo- razepam. What
is your greatest concern?
A. Circulatory alkalosis
B. Agitated outbursts of anger
C. Respiratory depression
D. Hyperemesis: C. Respiratory depression
9.408. Why are elderly trauma patients at risk for fluid overload and pulmonary edema as a
result of intravenous therapy?
A. Decreased chest wall compliance and movement
B. Decreased baroreceptor sensitivity to pressure
C. Decreased renal function and stroke volume
D. Decreased chemoreceptor sensitivity: C. Decreased renal function and stroke volume
10.409. What is the mechanism of action for amiodarone?
A. Inhibits cardiac action potential in phase 0
B. Slows AV conduction transmittance
C. Prolongs cardiac action potential in phase 3
D. Stabilizes all cardiac action potential membranes.: C. Prolongs cardiac action potential in
phase 3
11.410. Which of the following drugs is contraindicated in asthma patients?
A. Digitalis
B. Calcium Chloride
C. Epinephrine
D. Propranolol: D. Propranolol
12.411. A 57 year old male with CHF has shortness of breath, coughing, and blood-tinged
sputum. Vital signs are BP 140/88, P 86, R 28. What should you do?
A. Aspirin, sublingual nitroglycerin, CPAP
B. Morphine, aspirin, CPAP
C. CPAP, morphine, intramuscular nitroglycerin
D. Sublingual nitroglycerin, morphine, CPAP: A. Aspirin, sublingual nitroglycerin, CPAP
, 13.412. What is status epilepticus?
A. Two or more continuous seizures
B. When the patient sees an aura prior to a seizure
C. A seizure that occurs during a fever
D. A seizure affecting one area of the body: A. Two or more continuous seizures
14.413. A 60 year-old female presents with acute respiratory distress. She is conscious
and confused with rapid respirations and clear, equal breath sounds. What should you
do?
A. Assist her respirations with a BVM.
B. Provide oxygen via NRB mask.
C. Use a nasal cannula at 2 L/min.
D. Insert an oral airway adjunct.: B. Provide oxygen via NRB mask.
15. 414. Which complication of pregnancy can occur during the first trimester?
A. Placenta previa
B. Eclampsia
C. Abortion
D. Abruptio placenta: C. Abortion
16.415. What blood type is the universal donor? A. A
B. B
C. O
D. AB: C. O
17.416. Which of the following receptors are responsible for monitoring changes in
blood pressure?
A. Reticular activating receptors
B. Chemoreceptors
C. Baroreceptors
D. Carboxyhemoglobin receptors: C. Baroreceptors
18.417. A 35 year old male has been electrocuted. What other life threat should you be
prepared for?
A. internal bleeding
B. heat stroke
C. cardiac arrest
D. allergic reaction: C. cardiac arrest
19.418. At the scene of a multiple vehicle accident, what should you do first?
A. Treat the first patient you see
B. Start triage
C. Establish incident command
D. Set up a command post: C. Establish incident command
, 20.419. A 2 year old is conscious after ingesting an unknown quantity of bleach. What
should you suspect?
A. Bright, red skin on extremities
B. Chemical burns around the mouth
C. Hot, dry skin and diarrhea
D. Dilated pupils and labored breathing: B. Chemical burns around the mouth
21.420. What does insulin increase cell permeability to?
A. Glucagon
B. Glucose
C. Glycosuria
D. Glycogen: B. Glucose
22.421. The process of moving the responsibility for incident command from one Incident
Commander to another is called "transfer of command." The previous Incident Commander
should:
A. Continue as Co-Commander
B. Leave to eliminate confusion
C. Notify headquarters in person
D. Be given another assignment: D. Be given another assignment
23.422. What condition presents with a fruity, acetone-like odor on the breath?
A. Hypoglycemia
B. Hyperglycemia
C. Hyperosmolar hyperglycemic nonketotic coma (HHNC)
D. Diabetic ketoacidosis (DKA): D. Diabetic ketoacidosis (DKA)
24.423. You are ordered to give a medication based on weight. The transfer papers say the
patient weighs 155 lbs. How many kilograms does the patient weigh?
A. 71 kg
B. 78 kg
C. 77 kg
D. 70 kg: D. 70 kg
25.424. What are the structures in the lungs where carbon dioxide and oxygen exchanged
called?
A. Pleura
B. Bronchi
C. Lung parenchyma
D. Alveoli: D. Alveoli
26.425. A 21 year old female was lost in the woods for several hours. The ambient
temperature is 25 degrees Fahrenheit. She is lethargic and confused. The skin on her hands
is waxy and white. What should you do?
