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FISDAP PARAMEDIC FINAL PRACTICE EXAM / PAR j j j j j j
ADEMIC FISDAP EXAM RECENT AND COMPLETE VE j j j j j j
RSION ALL 400 QUESTIONS AND CORRECT ANSWER j j j j j j
S/ BEST GRADED A+
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1. A 30 year old climber is experiencing sever shortness of breath after reaching an elev
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ation of 12000feet. The PT is very anxious and has rales noted to all quadrants but is othe
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rwise healthy. He is not accustomed to high altitudes. What should you do? -
j j j j j j j j j j j j j
ANSWER: Administer oxygen while descending to a lower altitude.
j j j j j j j j j
2. A 26 year old female does not respond to verbal stimuli but moans in response to pai
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n. A friend states the patient has ingested approx 150 amitriptyline tables. Vital Signs
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are BP 88/50 R16. You establish IV access and administer a fluid challenge. En route
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to the hospital her ECG shows a widening QRS. You should administer -
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ANSWER: Sodium Bicarbonate.
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3. You PT experienced trauma yesterday and you are transferring her to a larger facilit
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y. She has been experiencing progressive hypoxia. You notice coarse crackles in all lu
j j j j j j j j j j j j j
ng fields on ventilation. Vital signs are BP 90/50 and SPO2 90%. You should -
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ANSWER: Transport emergency and continue ventilation.
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4. An alert 22 year old male was just disentangled from debris in a house collapse. He d
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enies head or neck pain, but complains of server hip pain. Vital signs are BP 88/40. P12
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0 R 16 you should administer. - ANSWER: sodium bicarbonate
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5. Braxton Hicks contractions - j j j
ANSWER: occur in the second trimester and are false labor.
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6. A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke
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up and
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walked home. You find him 2 hours later at home unconscious. You should suspect. -
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ANSWER: epidural hematoma
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7. A 47 year old male who was found unconscious on the side of the road respond only t
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o painful stimulus. When you attempt to establish IV access he stiffens his arms and le
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gs. He has minor abrasions all over his body. Vital signs are BO 178/122 P56 R irregul
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ar ETCO2 30. What should you do? -
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ANSWER: Assist ventilations at 12 breaths per minHg.
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8. A 28 year old female has a sudden onset of tightness in her chest and server difficulty
j j j j j j j j j j j j j j j j j
breathing. Her tongue face and neck appear swollen and she has red itchy hives on her tor
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so. Her signs are BP 80/40 P 130. You should administer -
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ANSWER: Epinephrine 0.3mg
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9. You are asked to set up a patient treatment area after a box labeled "radio active" was f
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ound unattended in a park. Which of the following would be the best location.
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- ANSWER: Building in the park
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10. You are at a house fire with multiple patients. Which patient should be transport
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ed First to a burn center? -
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ANSWER: 52 year old with second degree burns to face and right hand
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11. What is the most common cause of status epilepticus in adults. - ANSWER:
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Failure to take prescribed medications j j j j
12. A 58 year old male with history of renal failure complains of dizziness lethargy and
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difficulty
breathing. He says he missed his last dialysis appointment. Vital signs are BP 160/90 P 1
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00 R 28 with rales heard in the basses. SPO2 92% you should suspect. -
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ANSWER: Fluid Overload.
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,Pagej3jofj46
13. A 12 year old girl is seizing. Her mom tells you that her daughter has been feeling ti
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red for days. Her skin is dry and she has been very thirsty. Vital signs are BP 118/80 P11
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5 R26 you should suspect. - ANSWER: Diabetic ketoacidosis
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14. A 42 year old female has fallen down a flight of stairs. She appears anxious her skin i
j j j j j j j j j j j j j j j j j
s cool and clammy her radial pulses are weak at 112 beats per min and she complains of a
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bdominal pain in the left upper quadrant with radiation to the left scapula. You should s
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uspect. - ANSWER: Torn or lacerated spleen.
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15. Emergency medical responders are ventilating an apneic medical patient with a bag j j j j j j j j j j j j
valve mask. You note abdominal distention and minimal chest rise. What should you d
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o? - ANSWER: Reposition the head.
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16. A 6 month old male was found lying face down in the crib. He is cyanotic and apnei
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c. A weak j j
brachial pulse is present. You are unable to see a chest rise with your second attempt at r
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escue
breathing after repositioning the head. What should you do. - ANSWER: Start CPR
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17. You have just been called to a dialysis clinic for a 58 year old male in cardiac arrest.
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The online physician may order you to administer which of the following medication
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s. - ANSWER: Sodium Bicarbonate.
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18. A 27 year old male has been assaulted with a pen in the supraclavicular area. He is
j j j j j j j j j j j j j j j j j
anxious and pale and his vital signs are BP 80/42 P 128 R 32 and shallow. First respon
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ders have sealed the wound with a bandage. Assessment reveals lung sounds on the ri
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ght and poor chest rise what should you do. - ANSWER: Burp dressing
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, Pagej4jofj46
19. A 50 pound child is unresponsive pulseless and apneic. The cardiac monitor display
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s ventricular fibrillations. CPR is in progress. The initial defibrillator should be at. -
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ANSWER: 50 joules.
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20. An 11 year old male has been skateboarding in 100 degrees temperature and has be
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en drinking caffeinated soft drinks. He complains of palpations. The cardiac monitor di
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splays a narrow QRS tachycardia at a rate of 160 beats. Vitals signs BP 110/60 P160 R
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20 What should you do? -
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ANSWER: Transport the patient by ambulance monitor closely and administer fluid
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s en route.
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21. An 80 year old male in server respiratory distress. He has a history of hypertension a
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nd breathing problems. He takes inderal daily. Vital signs are BP 170/70 P72 and irregul
j j j j j j j j j j j j j j
ar R40 and extremely labored skin warm and diaphoretic. Lung sounds are diffuse bilat
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eral crackles and wheezing. He coughs up blood tinged sputum. Which of the following
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is most important. - ANSWER: Decreasing preload
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22. A 50 year old patient is found lying outside on the ground. The ambient temperatu
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re is 40 degrees F. You thermometer reads 20C 86F. He is in V-
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fib and pulseless and apneic. You should -
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ANSWER: Defibrillate once perform CPR intubate and transport rapidly.
j j j j j j j j j
23. To successfully accomplish nasotracheal intubation you should advance the endot
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racheal tube though the glottic opening to coincide with patient -
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ANSWER: Inhalation
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25. An alert 23 year old male presents with a sudden onset of shortness of breath and c
j j j j j j j j j j j j j j j j
hest pain after running upstairs. Breath sounds are diminished in the right side. The m
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ost likely cause is. - ANSWER: Spontaneous pneumothorax
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FISDAP PARAMEDIC FINAL PRACTICE EXAM / PAR j j j j j j
ADEMIC FISDAP EXAM RECENT AND COMPLETE VE j j j j j j
RSION ALL 400 QUESTIONS AND CORRECT ANSWER j j j j j j
S/ BEST GRADED A+
j j j
1. A 30 year old climber is experiencing sever shortness of breath after reaching an elev
j j j j j j j j j j j j j j
ation of 12000feet. The PT is very anxious and has rales noted to all quadrants but is othe
j j j j j j j j j j j j j j j j j
rwise healthy. He is not accustomed to high altitudes. What should you do? -
j j j j j j j j j j j j j
ANSWER: Administer oxygen while descending to a lower altitude.
j j j j j j j j j
2. A 26 year old female does not respond to verbal stimuli but moans in response to pai
j j j j j j j j j j j j j j j j
n. A friend states the patient has ingested approx 150 amitriptyline tables. Vital Signs
j j j j j j j j j j j j j j
are BP 88/50 R16. You establish IV access and administer a fluid challenge. En route
j j j j j j j j j j j j j j j
to the hospital her ECG shows a widening QRS. You should administer -
j j j j j j j j j j j j
ANSWER: Sodium Bicarbonate.
j j j
3. You PT experienced trauma yesterday and you are transferring her to a larger facilit
j j j j j j j j j j j j j
y. She has been experiencing progressive hypoxia. You notice coarse crackles in all lu
j j j j j j j j j j j j j
ng fields on ventilation. Vital signs are BP 90/50 and SPO2 90%. You should -
j j j j j j j j j j j j j j
ANSWER: Transport emergency and continue ventilation.
j j j j j j
4. An alert 22 year old male was just disentangled from debris in a house collapse. He d
j j j j j j j j j j j j j j j j
enies head or neck pain, but complains of server hip pain. Vital signs are BP 88/40. P12
j j j j j j j j j j j j j j j j
0 R 16 you should administer. - ANSWER: sodium bicarbonate
j j j j j j j j j
5. Braxton Hicks contractions - j j j
ANSWER: occur in the second trimester and are false labor.
j j j j j j j j j j
6. A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke
j j j j j j j j j j j j j j j
up and
j j
,Pagej2jofj46
walked home. You find him 2 hours later at home unconscious. You should suspect. -
j j j j j j j j j j j j j j
ANSWER: epidural hematoma
j j j
7. A 47 year old male who was found unconscious on the side of the road respond only t
j j j j j j j j j j j j j j j j j
o painful stimulus. When you attempt to establish IV access he stiffens his arms and le
j j j j j j j j j j j j j j j
gs. He has minor abrasions all over his body. Vital signs are BO 178/122 P56 R irregul
j j j j j j j j j j j j j j j j
ar ETCO2 30. What should you do? -
j j j j j j j
ANSWER: Assist ventilations at 12 breaths per minHg.
j j j j j j j j
8. A 28 year old female has a sudden onset of tightness in her chest and server difficulty
j j j j j j j j j j j j j j j j j
breathing. Her tongue face and neck appear swollen and she has red itchy hives on her tor
j j j j j j j j j j j j j j j j
so. Her signs are BP 80/40 P 130. You should administer -
j j j j j j j j j j j
ANSWER: Epinephrine 0.3mg
j j j
9. You are asked to set up a patient treatment area after a box labeled "radio active" was f
j j j j j j j j j j j j j j j j j
ound unattended in a park. Which of the following would be the best location.
j j j j j j j j j j j j j
- ANSWER: Building in the park
j j j j j
10. You are at a house fire with multiple patients. Which patient should be transport
j j j j j j j j j j j j j
ed First to a burn center? -
j j j j j j
ANSWER: 52 year old with second degree burns to face and right hand
j j j j j j j j j j j j j
11. What is the most common cause of status epilepticus in adults. - ANSWER:
j j j j j j j j j j j j
Failure to take prescribed medications j j j j
12. A 58 year old male with history of renal failure complains of dizziness lethargy and
j j j j j j j j j j j j j j j
difficulty
breathing. He says he missed his last dialysis appointment. Vital signs are BP 160/90 P 1
j j j j j j j j j j j j j j j
00 R 28 with rales heard in the basses. SPO2 92% you should suspect. -
j j j j j j j j j j j j j j
ANSWER: Fluid Overload.
j j j
,Pagej3jofj46
13. A 12 year old girl is seizing. Her mom tells you that her daughter has been feeling ti
j j j j j j j j j j j j j j j j j
red for days. Her skin is dry and she has been very thirsty. Vital signs are BP 118/80 P11
j j j j j j j j j j j j j j j j j j
5 R26 you should suspect. - ANSWER: Diabetic ketoacidosis
j j j j j j j j
14. A 42 year old female has fallen down a flight of stairs. She appears anxious her skin i
j j j j j j j j j j j j j j j j j
s cool and clammy her radial pulses are weak at 112 beats per min and she complains of a
j j j j j j j j j j j j j j j j j j
bdominal pain in the left upper quadrant with radiation to the left scapula. You should s
j j j j j j j j j j j j j j j
uspect. - ANSWER: Torn or lacerated spleen.
j j j j j j
15. Emergency medical responders are ventilating an apneic medical patient with a bag j j j j j j j j j j j j
valve mask. You note abdominal distention and minimal chest rise. What should you d
j j j j j j j j j j j j j
o? - ANSWER: Reposition the head.
j j j j j
16. A 6 month old male was found lying face down in the crib. He is cyanotic and apnei
j j j j j j j j j j j j j j j j j
c. A weak j j
brachial pulse is present. You are unable to see a chest rise with your second attempt at r
j j j j j j j j j j j j j j j j j
escue
breathing after repositioning the head. What should you do. - ANSWER: Start CPR
j j j j j j j j j j j j
17. You have just been called to a dialysis clinic for a 58 year old male in cardiac arrest.
j j j j j j j j j j j j j j j j j
The online physician may order you to administer which of the following medication
j j j j j j j j j j j j j
s. - ANSWER: Sodium Bicarbonate.
j j j j
18. A 27 year old male has been assaulted with a pen in the supraclavicular area. He is
j j j j j j j j j j j j j j j j j
anxious and pale and his vital signs are BP 80/42 P 128 R 32 and shallow. First respon
j j j j j j j j j j j j j j j j j
ders have sealed the wound with a bandage. Assessment reveals lung sounds on the ri
j j j j j j j j j j j j j j
ght and poor chest rise what should you do. - ANSWER: Burp dressing
j j j j j j j j j j j j
, Pagej4jofj46
19. A 50 pound child is unresponsive pulseless and apneic. The cardiac monitor display
j j j j j j j j j j j j
s ventricular fibrillations. CPR is in progress. The initial defibrillator should be at. -
j j j j j j j j j j j j j
ANSWER: 50 joules.
j j j
20. An 11 year old male has been skateboarding in 100 degrees temperature and has be
j j j j j j j j j j j j j j
en drinking caffeinated soft drinks. He complains of palpations. The cardiac monitor di
j j j j j j j j j j j j
splays a narrow QRS tachycardia at a rate of 160 beats. Vitals signs BP 110/60 P160 R
j j j j j j j j j j j j j j j j j
20 What should you do? -
j j j j j
ANSWER: Transport the patient by ambulance monitor closely and administer fluid
j j j j j j j j j j j
s en route.
j j
21. An 80 year old male in server respiratory distress. He has a history of hypertension a
j j j j j j j j j j j j j j j
nd breathing problems. He takes inderal daily. Vital signs are BP 170/70 P72 and irregul
j j j j j j j j j j j j j j
ar R40 and extremely labored skin warm and diaphoretic. Lung sounds are diffuse bilat
j j j j j j j j j j j j j
eral crackles and wheezing. He coughs up blood tinged sputum. Which of the following
j j j j j j j j j j j j j j
is most important. - ANSWER: Decreasing preload
j j j j j j
22. A 50 year old patient is found lying outside on the ground. The ambient temperatu
j j j j j j j j j j j j j j
re is 40 degrees F. You thermometer reads 20C 86F. He is in V-
j j j j j j j j j j j j j
fib and pulseless and apneic. You should -
j j j j j j j
ANSWER: Defibrillate once perform CPR intubate and transport rapidly.
j j j j j j j j j
23. To successfully accomplish nasotracheal intubation you should advance the endot
j j j j j j j j j
racheal tube though the glottic opening to coincide with patient -
j j j j j j j j j j
ANSWER: Inhalation
j j
25. An alert 23 year old male presents with a sudden onset of shortness of breath and c
j j j j j j j j j j j j j j j j
hest pain after running upstairs. Breath sounds are diminished in the right side. The m
j j j j j j j j j j j j j j
ost likely cause is. - ANSWER: Spontaneous pneumothorax
j j j j j j j
