Paramedic Exam Study Prep - Airway and Breathing/
FISDAP Paramedic Airway and Breathing Exam V2 With
complete solu"on RATED A+ 2025/2026 NEW EDITION
A child in respiratory distress may grunt as the child breathes. This is a result of
(A) increase dal volume.
(B) an increased respiratory rate.
(C) crea ng pressure to help maintain open airways.
(D) an indica on that the child is red and will progress to respiratory arrest. - Ans C. Grun ng
involves exhaling against a par ally closed glo#s. This creates pressure to help maintain open
lower airways similar to pursed-lip breathing in adults with COPD. This short low-pitched sound
is o&en mistaken for whimpering and suggests severe hypoxia.
Respiratory acidosis is caused by
(A) an excess of bicarbonate.
(B) excess carbon dioxide reten on.
(C) a loss of bicarbonate.
(D) excess carbon dioxide excre on. - Ans B. Respiratory acidosis is caused by excess carbon
dioxide reten on.
Scenario:
You are using an end- dal carbon dioxide detector as a tool to assist for proper endotracheal
intuba on placement.
,Ques on:
The absence of carbon dioxide in exhaled air indicates the endotracheal tube has been
(A) placed in the right mainstem bronchus.
(B) correctly placed in the trachea.
(C) placed in the esophagus.
(D) placed in the le& mainstem bronchus. - Ans C. The absence of carbon dioxide likely indicates
that the endotracheal tube has been placed in the esophagus. Verifying correct endotracheal
tube placement is absolutely essen al. ETCO2 is only one method to assist in verifica on.
Scenario:
You are using an end- dal carbon dioxide detector as a tool to assist for proper endotracheal
intuba on placement.
Ques on:
Your next ac on is to
(A) deflate the cuff, pull the endotracheal tube back 2 cm, and reassess placement.
(B) secure the endotracheal tube and confirm correct placement by ausculta on.
(C) inflate the distal cuff with 7-10 cc of air and secure the endotracheal tube.
(D) remove the endotracheal tube and provide several ven la ons prior to a7emp ng
intuba on again. - Ans D. The endotracheal tube is likely placed in the esophagus. Your next
ac on is to remove the endotracheal tube and provide several ven la ons with supplemental
oxygen prior to a7emp ng another intuba on.
,Which of the following drugs is used for rapid sequence intuba on?
(A) Vecuronium
(B) Succinylcholine
(C) Lidocaine and atropine
(D) All of the above - Ans D. All of the above. Vecuronium is a common nondepolarizing
neuromuscular blocker. Lidocaine is commonly used in RSI to prevent dysrhythmias associated
with s mula on of the glo#s associated with intuba on. Atropine is o&en administered to
decrease the incidence of bradycardia associated with the administra on of succinylcholine.
You are called for a 54-year-old woman who is unconscious. Your assessment reveals the
pa ent to be apneic and pulseless. Ini al management of this pa ent's airway should include
(A) assisted ven la on with a bag-valve device at 6-10 LPM.
(B) assisted ven la on with a nonrebreather mask at 10-15 LPM.
(C)immediate nasotracheal intuba on and ven la on with a bag-valve device.
(D) inser on of an oropharyngeal airway and ven la on with a bag-valve device. - Ans D. Of the
choice listed, inser on of an oropharyngeal airway and ven la ng with a bag-valve device is the
best answer. (A). is incorrect because it u lizes a nonrebreather mask to assist ven la ons.
nonrebreather are not designed for or capable of assis ng ven la ons. (C). is incorrect because
an apneic pa ent cannot be nasotracheally intubated.
The Esophageal Tracheal Combitube (ETCT) and the pharyngotracheal lumen airway (PTL) are
similar because
(A) neither requires assessment for accurate placement.
(B)both require manipula on of the head and neck for inser on.
(C)neither is inserted blindly.
, (D) None of the above. - Ans D. None of the above are correct. (A). is in correct because both
devices require assessment for accurate placement. With the PTL you begin ven la on though a
short tube (the one without the stylet); with the Combitube, you begin ven la on through a
longer blue tube. If chest rise and presence of breath sounds are not observe, you must switch
immediately to the other ven la on port and reassess. (B). is incorrect because both are
inserted in the neutral posi on and no manipula on of the head and neck is required for
inser on. (C). is incorrect because both devices are inserted blindly.
Breath sounds such as crackles and rhonchi that are not normally heard are defined as -----
breath sounds.
(A) bronchial
(B) adven ous
(C) vesicular
(D) bronchovesicular - Ans B. Adven ous breath sounds are considered abnormal sounds such
as crackles and rhonchi.
Which of the following correctly describes the flow of air from outside the body into the
trachea?
(A) Nose, nasopharynx, laryngopharynx, oropharynx, larynx, trachea
(B) Nose, nasopharynx, larynx, laryngopharynx, oropharynx, trachea
(C) Nose, nasal cavi es, nasopharynx, oropharynx, laryngopharynx, larynx, trachea
(D) Nose, nasal cavi es, laryngopharynx, nasopharynx, oropharynx, larynx, trachea - Ans C. This
is a simple anatomy and physiology ques on. The nose, nasal cavi es, nasopharynx,
oropharynx, larynx, and trachea correctly described the flow of air.
You are called for an unresponsive 29-year-old man. Bystanders report he has been drinking
heavily all day. Assessment reveals the pa ent to be responsive only to painful s muli. His
breathing is shallow at a rate of four mes per minute. How would you manage this pa ent?
FISDAP Paramedic Airway and Breathing Exam V2 With
complete solu"on RATED A+ 2025/2026 NEW EDITION
A child in respiratory distress may grunt as the child breathes. This is a result of
(A) increase dal volume.
(B) an increased respiratory rate.
(C) crea ng pressure to help maintain open airways.
(D) an indica on that the child is red and will progress to respiratory arrest. - Ans C. Grun ng
involves exhaling against a par ally closed glo#s. This creates pressure to help maintain open
lower airways similar to pursed-lip breathing in adults with COPD. This short low-pitched sound
is o&en mistaken for whimpering and suggests severe hypoxia.
Respiratory acidosis is caused by
(A) an excess of bicarbonate.
(B) excess carbon dioxide reten on.
(C) a loss of bicarbonate.
(D) excess carbon dioxide excre on. - Ans B. Respiratory acidosis is caused by excess carbon
dioxide reten on.
Scenario:
You are using an end- dal carbon dioxide detector as a tool to assist for proper endotracheal
intuba on placement.
,Ques on:
The absence of carbon dioxide in exhaled air indicates the endotracheal tube has been
(A) placed in the right mainstem bronchus.
(B) correctly placed in the trachea.
(C) placed in the esophagus.
(D) placed in the le& mainstem bronchus. - Ans C. The absence of carbon dioxide likely indicates
that the endotracheal tube has been placed in the esophagus. Verifying correct endotracheal
tube placement is absolutely essen al. ETCO2 is only one method to assist in verifica on.
Scenario:
You are using an end- dal carbon dioxide detector as a tool to assist for proper endotracheal
intuba on placement.
Ques on:
Your next ac on is to
(A) deflate the cuff, pull the endotracheal tube back 2 cm, and reassess placement.
(B) secure the endotracheal tube and confirm correct placement by ausculta on.
(C) inflate the distal cuff with 7-10 cc of air and secure the endotracheal tube.
(D) remove the endotracheal tube and provide several ven la ons prior to a7emp ng
intuba on again. - Ans D. The endotracheal tube is likely placed in the esophagus. Your next
ac on is to remove the endotracheal tube and provide several ven la ons with supplemental
oxygen prior to a7emp ng another intuba on.
,Which of the following drugs is used for rapid sequence intuba on?
(A) Vecuronium
(B) Succinylcholine
(C) Lidocaine and atropine
(D) All of the above - Ans D. All of the above. Vecuronium is a common nondepolarizing
neuromuscular blocker. Lidocaine is commonly used in RSI to prevent dysrhythmias associated
with s mula on of the glo#s associated with intuba on. Atropine is o&en administered to
decrease the incidence of bradycardia associated with the administra on of succinylcholine.
You are called for a 54-year-old woman who is unconscious. Your assessment reveals the
pa ent to be apneic and pulseless. Ini al management of this pa ent's airway should include
(A) assisted ven la on with a bag-valve device at 6-10 LPM.
(B) assisted ven la on with a nonrebreather mask at 10-15 LPM.
(C)immediate nasotracheal intuba on and ven la on with a bag-valve device.
(D) inser on of an oropharyngeal airway and ven la on with a bag-valve device. - Ans D. Of the
choice listed, inser on of an oropharyngeal airway and ven la ng with a bag-valve device is the
best answer. (A). is incorrect because it u lizes a nonrebreather mask to assist ven la ons.
nonrebreather are not designed for or capable of assis ng ven la ons. (C). is incorrect because
an apneic pa ent cannot be nasotracheally intubated.
The Esophageal Tracheal Combitube (ETCT) and the pharyngotracheal lumen airway (PTL) are
similar because
(A) neither requires assessment for accurate placement.
(B)both require manipula on of the head and neck for inser on.
(C)neither is inserted blindly.
, (D) None of the above. - Ans D. None of the above are correct. (A). is in correct because both
devices require assessment for accurate placement. With the PTL you begin ven la on though a
short tube (the one without the stylet); with the Combitube, you begin ven la on through a
longer blue tube. If chest rise and presence of breath sounds are not observe, you must switch
immediately to the other ven la on port and reassess. (B). is incorrect because both are
inserted in the neutral posi on and no manipula on of the head and neck is required for
inser on. (C). is incorrect because both devices are inserted blindly.
Breath sounds such as crackles and rhonchi that are not normally heard are defined as -----
breath sounds.
(A) bronchial
(B) adven ous
(C) vesicular
(D) bronchovesicular - Ans B. Adven ous breath sounds are considered abnormal sounds such
as crackles and rhonchi.
Which of the following correctly describes the flow of air from outside the body into the
trachea?
(A) Nose, nasopharynx, laryngopharynx, oropharynx, larynx, trachea
(B) Nose, nasopharynx, larynx, laryngopharynx, oropharynx, trachea
(C) Nose, nasal cavi es, nasopharynx, oropharynx, laryngopharynx, larynx, trachea
(D) Nose, nasal cavi es, laryngopharynx, nasopharynx, oropharynx, larynx, trachea - Ans C. This
is a simple anatomy and physiology ques on. The nose, nasal cavi es, nasopharynx,
oropharynx, larynx, and trachea correctly described the flow of air.
You are called for an unresponsive 29-year-old man. Bystanders report he has been drinking
heavily all day. Assessment reveals the pa ent to be responsive only to painful s muli. His
breathing is shallow at a rate of four mes per minute. How would you manage this pa ent?
