EMT FISDAP Readiness Exam Actual Exam
2026/2027 | Complete Exam-Style Questions |
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TABLE OF CONTENTS
Section 1 | Airway, Respiration, and Ventilation | Q1 – Q31
Section 2 | Cardiology and Resuscitation | Q32 – Q62
Section 3 | Trauma | Q63 – Q93
Section 4 | Medical Emergencies | Q94 – Q124
Section 5 | EMS Operations and Professionalism | Q125 – Q151
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SECTION 1: AIRWAY, RESPIRATION, AND VENTILATION Q1 – Q31
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Question 1 of 151
You arrive on scene to find a 34-year-old male unresponsive on the floor after a seizure. He is
snoring loudly and his airway appears obstructed by his tongue. You attempt to open his airway
with a head-tilt chin-lift, but he has extensive facial trauma from the fall. Which device is most
appropriate to secure his airway?
A. Oropharyngeal airway
B. Nasopharyngeal airway
C. Supraglottic airway
D. Bag-valve-mask with oropharyngeal adjunct
Correct Answer: C
Rationale: A supraglottic airway is the device of choice for patients with facial trauma or a
suspected basilar skull fracture where manual maneuvers or standard adjuncts are ineffective or
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contraindicated. An oropharyngeal airway is contraindicated with significant facial trauma, and a
nasopharyngeal airway requires a intact midface.
Question 2 of 151
You are ventilating a 68-year-old female patient with a BVM device. You notice significant
resistance during ventilation and no chest rise is present despite a good seal. You suspect an
airway obstruction. Which is the most appropriate immediate intervention?
A. Re-position the head and suction the oropharynx
B. Perform a jaw-thrust maneuver
C. Insert a nasopharyngeal airway
D. Increase the ventilation pressure
Correct Answer: A
Rationale: Difficulty with chest rise during BVM ventilation often results from improper head
positioning or airway obstruction from secretions or the tongue. Re-positioning the head and
suctioning clears the obstruction and allows for better airway patency. Increasing pressure may
cause gastric distension without resolving the blockage.
Question 3 of 151
You are treating a 5-year-old child with severe respiratory distress. You note tripod positioning,
suprasternal retractions, and audible wheezing. The child has a history of asthma. Which breath
sound finding requires immediate intervention?
A. Bilateral expiratory wheezing
B. Absence of breath sounds in the left lung
C. Fine crackles at the bases
D. Stridor on inspiration
Correct Answer: B
Rationale: The absence of breath sounds in one lung suggests a severe complication such as a
pneumothorax or mucous plug, which requires immediate attention like needle decompression or
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suctioning. Wheezing and crackles are common in asthma and pneumonia but do not indicate
imminent respiratory failure like absent lung sounds do.
Question 4 of 151
A 22-year-old female has an acute onset of stridor and drooling after eating a peanut butter
sandwich. She appears anxious and is sitting in a tripod position. Vital signs are stable. Which
intervention is the priority?
A. Perform a blind finger sweep
B. Visualize the airway with direct laryngoscopy
C. Administer a nebulized bronchodilator
D. Encourage her to drink small sips of water
Correct Answer: B
Rationale: This patient likely has a foreign body airway obstruction causing respiratory distress,
so direct visualization is necessary to remove the object. A blind finger sweep can force the
object deeper, and fluids or bronchodilators will not relieve a physical obstruction.
Question 5 of 151
You are managing a 45-year-old male with a tracheostomy who is in respiratory distress. The
suction catheter becomes occluded, and you are unable to withdraw it. What is the most
appropriate action?
A. Pull forcefully to remove the catheter
B. Disconnect the suction from the catheter
C. Leave the catheter in place and ventilate through a new tracheostomy
D. Pull the tracheostomy tube and replace it
Correct Answer: B
Rationale: Disconnecting the suction from the catheter releases the negative pressure, allowing
the patient to breathe through the patent catheter while you prepare to remove it carefully.
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Pulling forcefully can cause severe mucosal damage, and leaving it in place without
disconnecting suction continues the vacuum.
Question 6 of 151
A 60-year-old male is apneic and pulseless. You begin CPR. What is the correct compression-to-
ventilation ratio for a single rescuer performing CPR?
A. 15:2
B. 30:2
C. 30:1
D. 15:1
Correct Answer: B
Rationale: The AHA recommendation for adult CPR with a single rescuer is 30 compressions to
2 ventilations. This ratio maximizes coronary perfusion pressure while minimizing interruptions
for breaths.
Question 7 of 151
You are transporting a patient who was intubated prior to your arrival. The waveform
capnography shows a sudden drop in ETCO2 to zero, with no chest rise. You notice the
ventilator circuit is disconnected. What should you do first?
A. Re-attach the circuit and resume ventilation
B. Suction the endotracheal tube
C. Perform a needle decompression
D. Check endotracheal tube placement
Correct Answer: A
Rationale: A sudden drop to zero on capnography with no chest rise combined with a visual
finding of a disconnection indicates a mechanical issue. Re-attaching the circuit immediately
restores ventilation. Other interventions should only be pursued if re-attachment does not resolve
the issue.