FINAL PARAMEDIC FISDAP COMPLETE Actual Exam 2026/2027
Trauma, Medical, Airway, Cardiology, OBGYN, Operations Complete
Certification Exam | Actual Questions & Verified Answers | All
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SECTION 1: TRAUMA (Questions 1-30)
1. Dispatch/Scene:
23:40 - EMS dispatched to single-vehicle MVC, car vs. tree, 35 mph. Driver-side
airbag deployed, windshield starred on passenger side. 26-year-old male
restrained driver found ambulating, complaining of "severe right thigh pain."
Ambient temp 34 °F.
Primary: Alert, oriented; RR 24; radial pulses strong; skin cool, pale; obvious right
mid-thigh deformity with 2 cm wound, bone ends visible.
Vitals: BP 118/70, HR 116, RR 24, SpO₂ 98 % RA, temp 35.8 °C.
Secondary: No other pain; denies head strike; no LOC.
Question: After airway assessment, the NEXT priority is:
A. Long-board immobilization
B. Traction splint application
C. Hemorrhage control & wound covering
D. IV morphine 10 mg
Correct Answer: C
Rationale: Open femur → potential major bleeding & contamination; direct
pressure/sterile dressing precedes splinting; no indication of spine injury.
2. MOI: 12-ft fall from ladder, landing on feet. 44-y/o complains of severe heel pain,
unable to stand. Vitals: BP 90/60, HR 120, RR 22, SpO₂ 97 %. Skin diaphoretic.
Question: The mechanism MOST suggests monitoring for:
A. Lumbar compression fracture
B. Calcaneus fracture only
C. Primary blast injury
D. Cardiac contusion
Correct Answer: A
Rationale: Axial load from fall on feet transmits force through calcaneus to
lumbar spine; rule-out Chance fracture.
3. High-speed MVC, intrusion 12 in. on driver door. 30-y/o female alert, hypotensive
80/50, HR 140, RR 28, SpO₂ 94 %. Breath sounds decreased left, trachea deviated
right, JVD flat, absent radial pulses.
Question: Immediate field intervention is:
, A. Bilateral needle decompression
B. Occlusive dressing to chest wound
C. 2 L NS wide open
D. RSI and hyperventilation
Correct Answer: A
Rationale: Tension pneumothorax classic; needle before fluids; JVD may be flat
due to hypovolemia but mechanics & unilateral signs mandate decompression.
4. Law enforcement requests medics to enter a scene where an active shooter is
contained but not yet secured. Which operational principle applies?
A. Warm zone requires ballistic protection
B. Cold zone allows immediate treatment
C. Treat first, extract second
D. Wait in ambulance until police declare Code Green
Correct Answer: A
Rationale: Warm zone (threat contained but not eliminated) allows limited EMS
with PPE under rescue task force model.
5. 8-year-old female, pedestrian vs. SUV, bumper impact right thigh. She is alert,
crying, HR 150, BP 90/50, RR 30, SpO₂ 98 %. Right thigh swollen, shortened. No
other injuries. Estimated blood loss?
A. 100 mL
B. 250 mL
C. 500-750 mL
D. >1000 mL
Correct Answer: C
Rationale: Pediatric total blood volume ~80 mL/kg (≈2 L); femur fracture can lose
500-1000 mL; vitals show early compensated shock.
6. 19-y/o male, GSW to right lower chest, no exit. BP 70/palp, HR 150, RR 32, SpO₂
92 %. Breath sounds equal, abdomen soft, FAST positive in RUQ. Most
appropriate destination?
A. Level IV trauma center 10 min away
B. Level I trauma center 25 min away
C. Community hospital 5 min away
D. Stand-by for helicopter
Correct Answer: B
Rationale: STEP triage: penetrating torso + hemodynamic instability + positive
FAST = highest level available within 30 min.
7. Burn patient: 70 kg male, flame injury in garage. Burns: anterior chest/abdomen,
both arms anterior, anterior right thigh. Rule of nines estimate:
A. 18 %
, B. 27 %
C. 36 %
D. 45 %
Correct Answer: B
Rationale: Anterior trunk 18 % + both arms 9 % + anterior R thigh 9 % → 27 %
TBSA.
8. Same burn, occurred 30 min ago, cool water applied. Vitals: BP 130/80, HR 110,
RR 22, SpO₂ 98 %. Parkland formula start time:
A. Now
B. At hospital arrival
C. Post-escharotomy
D. After intubation
Correct Answer: A
Rationale: Parkland clock starts at time of injury, not arrival; fluid resuscitation
must begin in field for >20 % burns.
9. 25-y/o restrained driver, deployed airbag, complains chest pain, seat-belt sign
across sternum. Vitals stable, 12-lead normal, bedside echo shows anterior wall
motion abnormality. Next step:
A. Transport to PCI-capable facility
B. Needle decompression
C. Apply PASG
D. Spinal immobilization only
Correct Answer: A
Rationale: Traumatic wall-motion abnormality = possible contusion/rupture; PCI
center has cardiac surgery backup.
10. Tourniquet applied for 45 min to bleeding arm. Patient now complains of
numbness and severe pain distal to tourniquet. Vitals stable. Management:
A. Remove tourniquet in hospital only
B. Loosen tourniquet 1 cm every 10 min
C. Replace with pressure dressing now
D. Document neurovascular status and leave in place
Correct Answer: A
Rationale: Tourniquet removal requires surgical readiness for re-bleeding; field
conversion risks exsanguination.
11. 30-y/o male, industrial explosion, amputation right lower leg proximal tibia.
Bleeding controlled with CAT. Vitals: BP 80/50, HR 140, RR 26. Transport time 25
min. Fluid strategy:
A. 2 L NS wide open
B. 250 mL boluses to maintain SBP 90 mmHg
, C. No fluids until hospital
D. 1 unit PRBC field transfusion
Correct Answer: B
Rationale: Permissive hypotension (target SBP 90) reduces clot disruption; 250
mL aliquots guide resuscitation.
12. GSW to buttock, no exit, BP 90/60, HR 130, FAST negative, Hb 8 g/dL. High
suspicion:
A. Rectal injury
B. Femur fracture
C. Tension pneumothorax
D. Cardiac tamponade
Correct Answer: A
Rationale: Pelvic projectile trajectory risks rectum/colon, major vessels; digital
rectal exam indicated.
13. 40-y/o motorcyclist, helmeted, 30 mph, side-impact. Complains pelvic pain, pelvis
unstable on palpation. Vitals: BP 80/50, HR 130, RR 24. No other bleeding. First
intervention:
A. Apply PASG and inflate
B. Bind pelvis with sheet
C. Start dopamine drip
D. Insert pelvic X-ray
Correct Answer: B
Rationale: Pelvic binding reduces volume and bleeding; PASG not routinely used;
fluids follow.
14. 5-y/o child, passenger, high-speed MVC, booster seat. Alert, complaining neck
pain. No neurological deficit. Which immobilization appropriate?
A. Rigid backboard only
B. Padding under torso, cervical collar, secure to board
C. No collar, allow parent to hold
D. Vacuum mattress without collar
Correct Answer: B
Rationale: Pediatric spine immobilization requires occipital padding to maintain
neutral alignment due to large head.
15. 22-y/o male, diving accident, hit head on sand bottom. Complains neck pain,
weak grip both hands. Vitals stable. Motor: grip 3/5, elbow flex 4/5, elbow ext
4/5, lower limbs 0/5. Sensory: absent below clavicles. Likely level:
A. C4
B. C5
C. C6
Trauma, Medical, Airway, Cardiology, OBGYN, Operations Complete
Certification Exam | Actual Questions & Verified Answers | All
Domains Covered | Pass Guarantee
SECTION 1: TRAUMA (Questions 1-30)
1. Dispatch/Scene:
23:40 - EMS dispatched to single-vehicle MVC, car vs. tree, 35 mph. Driver-side
airbag deployed, windshield starred on passenger side. 26-year-old male
restrained driver found ambulating, complaining of "severe right thigh pain."
Ambient temp 34 °F.
Primary: Alert, oriented; RR 24; radial pulses strong; skin cool, pale; obvious right
mid-thigh deformity with 2 cm wound, bone ends visible.
Vitals: BP 118/70, HR 116, RR 24, SpO₂ 98 % RA, temp 35.8 °C.
Secondary: No other pain; denies head strike; no LOC.
Question: After airway assessment, the NEXT priority is:
A. Long-board immobilization
B. Traction splint application
C. Hemorrhage control & wound covering
D. IV morphine 10 mg
Correct Answer: C
Rationale: Open femur → potential major bleeding & contamination; direct
pressure/sterile dressing precedes splinting; no indication of spine injury.
2. MOI: 12-ft fall from ladder, landing on feet. 44-y/o complains of severe heel pain,
unable to stand. Vitals: BP 90/60, HR 120, RR 22, SpO₂ 97 %. Skin diaphoretic.
Question: The mechanism MOST suggests monitoring for:
A. Lumbar compression fracture
B. Calcaneus fracture only
C. Primary blast injury
D. Cardiac contusion
Correct Answer: A
Rationale: Axial load from fall on feet transmits force through calcaneus to
lumbar spine; rule-out Chance fracture.
3. High-speed MVC, intrusion 12 in. on driver door. 30-y/o female alert, hypotensive
80/50, HR 140, RR 28, SpO₂ 94 %. Breath sounds decreased left, trachea deviated
right, JVD flat, absent radial pulses.
Question: Immediate field intervention is:
, A. Bilateral needle decompression
B. Occlusive dressing to chest wound
C. 2 L NS wide open
D. RSI and hyperventilation
Correct Answer: A
Rationale: Tension pneumothorax classic; needle before fluids; JVD may be flat
due to hypovolemia but mechanics & unilateral signs mandate decompression.
4. Law enforcement requests medics to enter a scene where an active shooter is
contained but not yet secured. Which operational principle applies?
A. Warm zone requires ballistic protection
B. Cold zone allows immediate treatment
C. Treat first, extract second
D. Wait in ambulance until police declare Code Green
Correct Answer: A
Rationale: Warm zone (threat contained but not eliminated) allows limited EMS
with PPE under rescue task force model.
5. 8-year-old female, pedestrian vs. SUV, bumper impact right thigh. She is alert,
crying, HR 150, BP 90/50, RR 30, SpO₂ 98 %. Right thigh swollen, shortened. No
other injuries. Estimated blood loss?
A. 100 mL
B. 250 mL
C. 500-750 mL
D. >1000 mL
Correct Answer: C
Rationale: Pediatric total blood volume ~80 mL/kg (≈2 L); femur fracture can lose
500-1000 mL; vitals show early compensated shock.
6. 19-y/o male, GSW to right lower chest, no exit. BP 70/palp, HR 150, RR 32, SpO₂
92 %. Breath sounds equal, abdomen soft, FAST positive in RUQ. Most
appropriate destination?
A. Level IV trauma center 10 min away
B. Level I trauma center 25 min away
C. Community hospital 5 min away
D. Stand-by for helicopter
Correct Answer: B
Rationale: STEP triage: penetrating torso + hemodynamic instability + positive
FAST = highest level available within 30 min.
7. Burn patient: 70 kg male, flame injury in garage. Burns: anterior chest/abdomen,
both arms anterior, anterior right thigh. Rule of nines estimate:
A. 18 %
, B. 27 %
C. 36 %
D. 45 %
Correct Answer: B
Rationale: Anterior trunk 18 % + both arms 9 % + anterior R thigh 9 % → 27 %
TBSA.
8. Same burn, occurred 30 min ago, cool water applied. Vitals: BP 130/80, HR 110,
RR 22, SpO₂ 98 %. Parkland formula start time:
A. Now
B. At hospital arrival
C. Post-escharotomy
D. After intubation
Correct Answer: A
Rationale: Parkland clock starts at time of injury, not arrival; fluid resuscitation
must begin in field for >20 % burns.
9. 25-y/o restrained driver, deployed airbag, complains chest pain, seat-belt sign
across sternum. Vitals stable, 12-lead normal, bedside echo shows anterior wall
motion abnormality. Next step:
A. Transport to PCI-capable facility
B. Needle decompression
C. Apply PASG
D. Spinal immobilization only
Correct Answer: A
Rationale: Traumatic wall-motion abnormality = possible contusion/rupture; PCI
center has cardiac surgery backup.
10. Tourniquet applied for 45 min to bleeding arm. Patient now complains of
numbness and severe pain distal to tourniquet. Vitals stable. Management:
A. Remove tourniquet in hospital only
B. Loosen tourniquet 1 cm every 10 min
C. Replace with pressure dressing now
D. Document neurovascular status and leave in place
Correct Answer: A
Rationale: Tourniquet removal requires surgical readiness for re-bleeding; field
conversion risks exsanguination.
11. 30-y/o male, industrial explosion, amputation right lower leg proximal tibia.
Bleeding controlled with CAT. Vitals: BP 80/50, HR 140, RR 26. Transport time 25
min. Fluid strategy:
A. 2 L NS wide open
B. 250 mL boluses to maintain SBP 90 mmHg
, C. No fluids until hospital
D. 1 unit PRBC field transfusion
Correct Answer: B
Rationale: Permissive hypotension (target SBP 90) reduces clot disruption; 250
mL aliquots guide resuscitation.
12. GSW to buttock, no exit, BP 90/60, HR 130, FAST negative, Hb 8 g/dL. High
suspicion:
A. Rectal injury
B. Femur fracture
C. Tension pneumothorax
D. Cardiac tamponade
Correct Answer: A
Rationale: Pelvic projectile trajectory risks rectum/colon, major vessels; digital
rectal exam indicated.
13. 40-y/o motorcyclist, helmeted, 30 mph, side-impact. Complains pelvic pain, pelvis
unstable on palpation. Vitals: BP 80/50, HR 130, RR 24. No other bleeding. First
intervention:
A. Apply PASG and inflate
B. Bind pelvis with sheet
C. Start dopamine drip
D. Insert pelvic X-ray
Correct Answer: B
Rationale: Pelvic binding reduces volume and bleeding; PASG not routinely used;
fluids follow.
14. 5-y/o child, passenger, high-speed MVC, booster seat. Alert, complaining neck
pain. No neurological deficit. Which immobilization appropriate?
A. Rigid backboard only
B. Padding under torso, cervical collar, secure to board
C. No collar, allow parent to hold
D. Vacuum mattress without collar
Correct Answer: B
Rationale: Pediatric spine immobilization requires occipital padding to maintain
neutral alignment due to large head.
15. 22-y/o male, diving accident, hit head on sand bottom. Complains neck pain,
weak grip both hands. Vitals stable. Motor: grip 3/5, elbow flex 4/5, elbow ext
4/5, lower limbs 0/5. Sensory: absent below clavicles. Likely level:
A. C4
B. C5
C. C6
