EMT FISDAP PARAMEDIC ENTRANCE EXAM – QUESTIONS AND ANSWERS |
VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED
PASS | LATEST EXAM UPDATE
CORE DOMAINS
Airway, Respiration, and Ventilation
Cardiology and Resuscitation
Trauma Management
Medical and Obstetrics/Gynecology
EMS Operations and Safety
Pharmacology and Pathophysiology
INTRODUCTION
The purpose of this assessment is to evaluate the readiness of Emergency Medical
Technicians
entering advanced paramedic training. It focuses on the mastery of foundational
BLS skills,
critical thinking, and the ability to integrate pathophysiology with clinical decision-
making.
The exam utilizes a combination of multiple-choice questions and complex clinical
scenarios
, to mirror real-world prehospital environments. Candidates are expected to
demonstrate
competency in legal standards, ethical considerations, and high-pressure
intervention
strategies. Success on this exam indicates a strong aptitude for the rigorous clinical
requirements of a paramedic curriculum and a commitment to patient safety and
excellence.
SECTION ONE: QUESTIONS 1–100
1. A 64-year-old male presents with sudden onset of crushing chest pain and
diaphoresis. He has a history of angina and takes nitroglycerin as needed. What is
the primary physiological effect of nitroglycerin in this patient?
A. Increasing the heart rate to improve cardiac output
B. Vasoconstriction to increase coronary perfusion pressure
🟢 C. Vasodilation to decrease preload and myocardial oxygen demand
D. Decreasing the respiratory rate to improve oxygen saturation
🔴 Explanation: Nitroglycerin is a potent vasodilator that relaxes smooth muscle in blood
vessel walls, primarily reducing preload, which decreases the workload and oxygen
demand of the heart.
, 2. During a multi-casualty incident, which of the following patients should be tagged
with a red "Immediate" tag?
A. A patient with a broken femur and controlled bleeding
B. A patient who is pulseless and apneic with massive head trauma
🟢 C. A patient with a respiratory rate of 32 and absent radial pulses
D. A patient who follows simple commands and has minor lacerations
🔴 Explanation: Under the START triage algorithm, a respiratory rate over 30 or absent
radial pulses (indicating shock) categorizes a patient as Immediate (Red).
3. You are treating a 5-year-old child in respiratory distress. The child is in a "tripod"
position, drooling, and has a high-pitched inspiratory sound. What condition should
you suspect?
A. Croup
🟢 B. Epiglottitis
C. Asthma exacerbation
D. Bronchiolitis
🔴 Explanation: Epiglottitis is characterized by a rapid onset, high fever, drooling, and
the tripod position. Croup typically presents with a "seal-bark" cough, which is absent
here.
, 4. What is the minimum recommended depth for chest compressions on an adult
victim during CPR?
A. At least 1 inch
B. At least 1.5 inches
🟢 C. At least 2 inches
D. Exactly 3 inches
🔴 Explanation: AHA guidelines specify that adult chest compressions must be at least 2
inches (5 cm) deep but no more than 2.4 inches (6 cm) to be effective.
5. A patient who has been submerged in cold water for 15 minutes is rescued. After
confirming apnea and pulselessness, what is the most appropriate next step?
🟢 A. Begin CPR and apply the AED
B. Provide rescue breaths only for 5 minutes
C. Withhold CPR until the patient is rewarmed to 90 degrees
D. Declare the patient deceased due to prolonged submersion
🔴 Explanation: Patients submerged in cold water have higher survival rates due to the
mammalian dive reflex; resuscitation efforts should be initiated immediately.
6. Which of the following is a sign of compensated shock in a pediatric patient?
VERIFIED AND WELL DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED
PASS | LATEST EXAM UPDATE
CORE DOMAINS
Airway, Respiration, and Ventilation
Cardiology and Resuscitation
Trauma Management
Medical and Obstetrics/Gynecology
EMS Operations and Safety
Pharmacology and Pathophysiology
INTRODUCTION
The purpose of this assessment is to evaluate the readiness of Emergency Medical
Technicians
entering advanced paramedic training. It focuses on the mastery of foundational
BLS skills,
critical thinking, and the ability to integrate pathophysiology with clinical decision-
making.
The exam utilizes a combination of multiple-choice questions and complex clinical
scenarios
, to mirror real-world prehospital environments. Candidates are expected to
demonstrate
competency in legal standards, ethical considerations, and high-pressure
intervention
strategies. Success on this exam indicates a strong aptitude for the rigorous clinical
requirements of a paramedic curriculum and a commitment to patient safety and
excellence.
SECTION ONE: QUESTIONS 1–100
1. A 64-year-old male presents with sudden onset of crushing chest pain and
diaphoresis. He has a history of angina and takes nitroglycerin as needed. What is
the primary physiological effect of nitroglycerin in this patient?
A. Increasing the heart rate to improve cardiac output
B. Vasoconstriction to increase coronary perfusion pressure
🟢 C. Vasodilation to decrease preload and myocardial oxygen demand
D. Decreasing the respiratory rate to improve oxygen saturation
🔴 Explanation: Nitroglycerin is a potent vasodilator that relaxes smooth muscle in blood
vessel walls, primarily reducing preload, which decreases the workload and oxygen
demand of the heart.
, 2. During a multi-casualty incident, which of the following patients should be tagged
with a red "Immediate" tag?
A. A patient with a broken femur and controlled bleeding
B. A patient who is pulseless and apneic with massive head trauma
🟢 C. A patient with a respiratory rate of 32 and absent radial pulses
D. A patient who follows simple commands and has minor lacerations
🔴 Explanation: Under the START triage algorithm, a respiratory rate over 30 or absent
radial pulses (indicating shock) categorizes a patient as Immediate (Red).
3. You are treating a 5-year-old child in respiratory distress. The child is in a "tripod"
position, drooling, and has a high-pitched inspiratory sound. What condition should
you suspect?
A. Croup
🟢 B. Epiglottitis
C. Asthma exacerbation
D. Bronchiolitis
🔴 Explanation: Epiglottitis is characterized by a rapid onset, high fever, drooling, and
the tripod position. Croup typically presents with a "seal-bark" cough, which is absent
here.
, 4. What is the minimum recommended depth for chest compressions on an adult
victim during CPR?
A. At least 1 inch
B. At least 1.5 inches
🟢 C. At least 2 inches
D. Exactly 3 inches
🔴 Explanation: AHA guidelines specify that adult chest compressions must be at least 2
inches (5 cm) deep but no more than 2.4 inches (6 cm) to be effective.
5. A patient who has been submerged in cold water for 15 minutes is rescued. After
confirming apnea and pulselessness, what is the most appropriate next step?
🟢 A. Begin CPR and apply the AED
B. Provide rescue breaths only for 5 minutes
C. Withhold CPR until the patient is rewarmed to 90 degrees
D. Declare the patient deceased due to prolonged submersion
🔴 Explanation: Patients submerged in cold water have higher survival rates due to the
mammalian dive reflex; resuscitation efforts should be initiated immediately.
6. Which of the following is a sign of compensated shock in a pediatric patient?
