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ACTUAL TEST PARAMEDIC FISDAP FINAL
EXAM AND STUDY
GUIDE COMPLETE 300 ACCURATE
QUESTIONS WITH WELL ELABORATED
ANSWERS (CORRECT VERIFIED SOLUTIONS)
A NEW UPDATED VERSION |GUARANTEED
PASS. (FULL REVISED!)
Q1. A 58-year-old male presents with stridor, hoarseness,
and progressive dyspnea after eating shrimp. He has hives
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and facial edema. Lung sounds are diminished but present.
Which intervention is MOST appropriate FIRST?
A) High-flow non-rebreather mask
B) Subcutaneous epinephrine 1:1000, 0.3 mg
C) Rapid sequence intubation with ketamine
D) Needle cricothyrotomy at the cricothyroid membrane
Answer: B
Rationale: Stridor + angioedema = anaphylaxis with upper
airway compromise. Epinephrine is first-line to reverse
vasodilation and bronchospasm. Intubation may become
necessary but try epinephrine first. Needle cricothyrotomy is a
rescue procedure for complete obstruction.
Q2. You are ventilating an apneic 44-year-old overdose
patient via BVM. Gastric distension is worsening. What is the
BEST technique to minimize this?
A) Increase ventilation rate to 24 breaths/min
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B) Perform cricoid pressure during each breath
C) Use two-person BVM with jaw thrust and smaller tidal
volumes
D) Insert an OPA and ventilate faster
Answer: C
Rationale: Two-person BVM provides better mask seal and
allows slower, smaller tidal volumes (just enough to see chest
rise). Cricoid pressure is controversial and not proven to
prevent gastric inflation. Faster rates worsen distension.
Q3. A 72-year-old with COPD is on a CPAP device for
pulmonary edema. He becomes lethargic, BP 80/50, and
SpO2 drops to 78% despite FiO2 100%. Breath sounds are
absent on the left. What is the priority?
A) Increase CPAP to 15 cmH2O
B) Perform immediate needle decompression of the left chest
C) Intubate and initiate mechanical ventilation
D) Turn patient to left lateral recumbent position
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Answer: B
Rationale: Absent breath sounds + hypotension +
deteriorating on CPAP = tension pneumothorax, likely from
barotrauma. Needle decompression (14ga, 2nd intercostal
space, midclavicular line) is life-saving before positive
pressure ventilation.
Q4. During RSI, you administer 1.5 mg/kg of succinylcholine.
The patient develops masseter muscle spasm and generalized
rigidity. HR increases from 88 to 140. What is the MOST likely
cause?
A) Normal fasciculation phase of depolarizing agent
B) Malignant hyperthermia susceptibility
C) Inadequate sedation prior to paralytic
D) Succinylcholine-induced hyperkalemia
ACTUAL TEST PARAMEDIC FISDAP FINAL
EXAM AND STUDY
GUIDE COMPLETE 300 ACCURATE
QUESTIONS WITH WELL ELABORATED
ANSWERS (CORRECT VERIFIED SOLUTIONS)
A NEW UPDATED VERSION |GUARANTEED
PASS. (FULL REVISED!)
Q1. A 58-year-old male presents with stridor, hoarseness,
and progressive dyspnea after eating shrimp. He has hives
,Page 2 of 207
and facial edema. Lung sounds are diminished but present.
Which intervention is MOST appropriate FIRST?
A) High-flow non-rebreather mask
B) Subcutaneous epinephrine 1:1000, 0.3 mg
C) Rapid sequence intubation with ketamine
D) Needle cricothyrotomy at the cricothyroid membrane
Answer: B
Rationale: Stridor + angioedema = anaphylaxis with upper
airway compromise. Epinephrine is first-line to reverse
vasodilation and bronchospasm. Intubation may become
necessary but try epinephrine first. Needle cricothyrotomy is a
rescue procedure for complete obstruction.
Q2. You are ventilating an apneic 44-year-old overdose
patient via BVM. Gastric distension is worsening. What is the
BEST technique to minimize this?
A) Increase ventilation rate to 24 breaths/min
,Page 3 of 207
B) Perform cricoid pressure during each breath
C) Use two-person BVM with jaw thrust and smaller tidal
volumes
D) Insert an OPA and ventilate faster
Answer: C
Rationale: Two-person BVM provides better mask seal and
allows slower, smaller tidal volumes (just enough to see chest
rise). Cricoid pressure is controversial and not proven to
prevent gastric inflation. Faster rates worsen distension.
Q3. A 72-year-old with COPD is on a CPAP device for
pulmonary edema. He becomes lethargic, BP 80/50, and
SpO2 drops to 78% despite FiO2 100%. Breath sounds are
absent on the left. What is the priority?
A) Increase CPAP to 15 cmH2O
B) Perform immediate needle decompression of the left chest
C) Intubate and initiate mechanical ventilation
D) Turn patient to left lateral recumbent position
, Page 4 of 207
Answer: B
Rationale: Absent breath sounds + hypotension +
deteriorating on CPAP = tension pneumothorax, likely from
barotrauma. Needle decompression (14ga, 2nd intercostal
space, midclavicular line) is life-saving before positive
pressure ventilation.
Q4. During RSI, you administer 1.5 mg/kg of succinylcholine.
The patient develops masseter muscle spasm and generalized
rigidity. HR increases from 88 to 140. What is the MOST likely
cause?
A) Normal fasciculation phase of depolarizing agent
B) Malignant hyperthermia susceptibility
C) Inadequate sedation prior to paralytic
D) Succinylcholine-induced hyperkalemia
