1
300 EMT OB/Pediatric FISDAP Exam Questions (Latest 2025–2026) |
Real Exam Q&A + Detailed Rationales | Updated & Verified A+ Review
1.
A 36-week pregnant woman complains of painless vaginal bleeding. Vitals:
HR 110, BP 98/60. What’s the most likely cause?
A) Placenta previa
B) Abruptio placentae
C) Ectopic pregnancy
D) Uterine rupture
✅ Answer: A
Rationale: Painless bleeding after 20 weeks suggests placenta previa.
Abruptio is usually painful.
2.
You’re called for a 5-year-old with high-pitched inspiratory stridor, barking
cough, and low-grade fever. What is the most appropriate first intervention?
A) Intubation
, 2
B) Nebulized albuterol
C) Cool mist and dexamethasone
D) Chest x-ray
✅ Answer: C
Rationale: This is classic croup. Cool mist and steroids reduce
inflammation. Albuterol is for wheezing.
3.
A newborn is not breathing, heart rate 80. After 30 seconds of stimulation
and warming, no change. Next step?
A) Chest compressions
B) Continue stimulation
C) Start positive pressure ventilation (PPV)
D) Administer epinephrine
✅ Answer: C
Rationale: HR <100 requires PPV. Chest compressions only if HR <60.
4.
A 9-year-old has 3-day history of vomiting and diarrhea. Cap refill is 4
seconds, BP is 84/50. What’s your best initial action?
A) Encourage fluids
B) High-flow O2
C) Begin fluid resuscitation
D) Administer antiemetic
, 3
✅ Answer: C
Rationale: Signs of hypovolemic shock. IV fluid bolus is priority.
5.
A 32-year-old pregnant woman is in labor. You see the baby’s foot
emerging first. What’s your next move?
A) Attempt delivery
B) Insert gloved hand and push foot back
C) Transport immediately with hips elevated
D) Push on fundus to speed delivery
✅ Answer: C
Rationale: Breech footling presentation requires rapid transport and OB
support.
6.
A 3-week-old infant presents with fever, poor feeding, and lethargy. Vitals:
HR 180, Temp 38.9°C. You suspect:
A) Meningitis
B) GERD
C) Sepsis
D) Pneumonia
✅ Answer: C
Rationale: Neonatal sepsis often presents subtly. All fevers in <28 days =
emergency.
, 4
7.
During a home birth, a baby is born limp, blue, and apneic. After drying and
stimulating, HR is 60. You:
A) Start compressions
B) Begin PPV
C) Administer O2 via blow-by
D) Observe for 30 seconds
✅ Answer: B
Rationale: HR <100 = PPV. HR <60 = compressions.
8.
A 4-year-old with a peanut allergy suddenly develops hives, wheezing, and
hypotension. What’s your immediate intervention?
A) Albuterol
B) Diphenhydramine
C) Epinephrine IM
D) IV fluids
✅ Answer: C
Rationale: Epinephrine is first-line for anaphylaxis. Others are supportive.
9.
300 EMT OB/Pediatric FISDAP Exam Questions (Latest 2025–2026) |
Real Exam Q&A + Detailed Rationales | Updated & Verified A+ Review
1.
A 36-week pregnant woman complains of painless vaginal bleeding. Vitals:
HR 110, BP 98/60. What’s the most likely cause?
A) Placenta previa
B) Abruptio placentae
C) Ectopic pregnancy
D) Uterine rupture
✅ Answer: A
Rationale: Painless bleeding after 20 weeks suggests placenta previa.
Abruptio is usually painful.
2.
You’re called for a 5-year-old with high-pitched inspiratory stridor, barking
cough, and low-grade fever. What is the most appropriate first intervention?
A) Intubation
, 2
B) Nebulized albuterol
C) Cool mist and dexamethasone
D) Chest x-ray
✅ Answer: C
Rationale: This is classic croup. Cool mist and steroids reduce
inflammation. Albuterol is for wheezing.
3.
A newborn is not breathing, heart rate 80. After 30 seconds of stimulation
and warming, no change. Next step?
A) Chest compressions
B) Continue stimulation
C) Start positive pressure ventilation (PPV)
D) Administer epinephrine
✅ Answer: C
Rationale: HR <100 requires PPV. Chest compressions only if HR <60.
4.
A 9-year-old has 3-day history of vomiting and diarrhea. Cap refill is 4
seconds, BP is 84/50. What’s your best initial action?
A) Encourage fluids
B) High-flow O2
C) Begin fluid resuscitation
D) Administer antiemetic
, 3
✅ Answer: C
Rationale: Signs of hypovolemic shock. IV fluid bolus is priority.
5.
A 32-year-old pregnant woman is in labor. You see the baby’s foot
emerging first. What’s your next move?
A) Attempt delivery
B) Insert gloved hand and push foot back
C) Transport immediately with hips elevated
D) Push on fundus to speed delivery
✅ Answer: C
Rationale: Breech footling presentation requires rapid transport and OB
support.
6.
A 3-week-old infant presents with fever, poor feeding, and lethargy. Vitals:
HR 180, Temp 38.9°C. You suspect:
A) Meningitis
B) GERD
C) Sepsis
D) Pneumonia
✅ Answer: C
Rationale: Neonatal sepsis often presents subtly. All fevers in <28 days =
emergency.
, 4
7.
During a home birth, a baby is born limp, blue, and apneic. After drying and
stimulating, HR is 60. You:
A) Start compressions
B) Begin PPV
C) Administer O2 via blow-by
D) Observe for 30 seconds
✅ Answer: B
Rationale: HR <100 = PPV. HR <60 = compressions.
8.
A 4-year-old with a peanut allergy suddenly develops hives, wheezing, and
hypotension. What’s your immediate intervention?
A) Albuterol
B) Diphenhydramine
C) Epinephrine IM
D) IV fluids
✅ Answer: C
Rationale: Epinephrine is first-line for anaphylaxis. Others are supportive.
9.
