FISDAP PARAMEDIC FINAL ACTUAL EXAM NEWEST 2025/2026
COMPLETE 200+ QUESTIONS AND CORRECT ANSWERS
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1. What is the most common cause of status epilepticus in adults.
A. Alcohol withdrawal
B. Sudden elevation in body temperature
C. Failure to take prescribed medications
D. Recent history of head trauma - ANSWER-Failure to take prescribed
medications
2. 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.
A. fluid overload
B. hypokalemia
C. respiratory alkalosis
D. hypermagnesemia - ANSWER-Fluid Overload.
6. 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.
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A. perform 5 abdominal thrusts
B. Start CPR
C. Perform a finger sweep
D. Give five back slaps - ANSWER-Start CPR
7. 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.
A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker - ANSWER-Sodium Bicarbonate.
8. 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.
A. Perform needle decompression
B. Lift a corner of the occlusive dressing
C. Establish two large bore IV's while en route to the hospital
D. Administer high flow oxygen and transport rapidly - ANSWER-needle
decompression
10. 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
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monitor displays a narrow QRS tachycardia at a rate of 160 beats. Vitals signs BP
110/60 P160 R 20 What should you do?
A. transport the patient by ambulance, monitor closely, and administer fluids en
route
B. suggest the father drives his son to the local clinic since vital signs are within
normal limits
C. perform vagal maneuvers and, if unsuccessful, administer adenosine
D. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers -
ANSWER-Transport the patient by ambulance monitor closely and administer
fluids en route.
11. 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?
A. Administer oxygen while descending to a lower altitude
B. Coach the patient to slow his respirations
C. Apply CPAP while the patient adapts to the elevations
D. Evacuate the patient to a hyperbaric chamber - ANSWER-Administer oxygen
while descending to a lower altitude.
12. 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
A. amiodarone
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B. another fluid challenge
C. calcium chloride
D. sodium bicarbonate - ANSWER-Sodium Bicarbonate.
13. 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
A. increase IV fluid administration rate
B. extubate and re-intubate the patient
C. transport emergently and continue ventilation
D. perform bilateral chest decompression and reassess - ANSWER-Transport
emergency and continue ventilation.
14. 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.
A. epinephrine
B. lidocaine
C. sodium bicarbonate
D. morphine sulfate - ANSWER-sodium bicarbonate
15. Braxton Hicks contractions
A. are mild and signal the beginning of labor
B. occur in the second trimester and are false labor
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