FINAL PARAMEDIC FISDAP COMPLETE Actual Exam
2026/2027Trauma, Medical, Airway, Cardiology, OBGYN, Operations
Complete Certification Exam | Actual Questions & Verified Answers |
All Domains Covered | Pass Guarantee
SECTION 1: TRAUMA (Q1–Q30)
Q1.
Dispatch: “Vehicle vs. tree, 60 mph, driver still in car, airbags deployed.”
Scene: Car upright, heavy front-end damage, steering wheel bent.
Patient: 19-year-old male, seat belt on, conscious, screaming.
Primary: RR 28, shallow; chest wall bruise; absent breath sounds left base; SpO₂ 88%
RA; BP 88/50; HR 132; skin pale/cool.
MOI: Rapid deceleration, chest impact.
Secondary: Trachea deviated right, JVD present, chest dull to percussion left.
Pelvis/stable, abdomen soft, no obvious deformity.
Vitals 5 min later: BP 78/40, HR 138, RR 32, SpO₂ 84% RA.
Which intervention is MOST urgent?
A. 2 L NS bolus via 18-gauge IV
B. Apply non-rebreather at 15 L/min
C. Immediate needle decompression left 2nd ICS MCL
,D. Spinal motion restriction with KED
Correct Answer: C
Rationale: Per PHTLS, tension pneumothorax (deviated trachea, JVD, unilateral absence
of breath sounds, shock) demands immediate decompression before fluid or oxygen
alone. Distractor A delays life-saving procedure; B insufficient; D does not address
tension physiology.
Q2.
Dispatch: “25-foot fall from roof, patient conscious, complaining of back pain.”
Scene: Uneven ground, prone patient, helmet 3 ft away.
Primary: GCS 15, RR 24, equal breath sounds, BP 90/60, HR 120, SpO₂ 94% RA.
Secondary: Deformity T8–T10, no paradoxical motion, pelvis stable, neuro: motor 5/5
bilateral upper, 0/5 bilateral lower, sensory loss below umbilicus.
Vitals 10 min later: BP 82/58, HR 128, unchanged neuro.
Next action:
A. 1 L NS bolus, reassess neuro
B. Apply traction splint to lower limbs
C. Administer 250 mL hypertonic saline
D. Initiate dopamine infusion at 20 µg/kg/min
Correct Answer: A
,Rationale: Spinal shock with neurogenic hypotension warrants gentle isotonic fluid
resuscitation (PHTLS 10 mL/kg boluses). Distractor C not supported for initial
management; B irrelevant; D excessive starting dose risks tachyarrhythmia.
Q3.
Dispatch: “Industrial explosion, multiple patients, 29-year-old female 10 m from blast.”
Scene: Primary survey: GCS 12 (E3 V4 M5), multiple penetrating shrapnel to
chest/abdomen, RR 36, absent radial pulses, femoral pulse weak, BP 70 palp, HR 150,
SpO₂ 86% RA.
Tourniquets already proximal to bilateral lower-arm amputations.
STEP triage tag: Red.
Most appropriate immediate intervention:
A. Bilateral chest needle decompression
B. 2 g TXA IV over 10 min
C. Rapid transport without IV
D. Spinal immobilization on long board
Correct Answer: B
Rationale: TXA within 3 h reduces mortality in severe hemorrhage (CRASH-2). Distractor
A no current tension signs; C delays TXA; D time-consuming in shock.
Q4.
, Dispatch: “MC, motorcycle vs. guardrail, rider thrown 30 ft.”
Scene: Helmet cracked, patient supine, GCS 3.
Primary: RR 0, pulseless, asystole on monitor.
Secondary: Deformity mandible bilaterally, no other obvious bleeding.
Appropriate action:
A. BVM via nasal airway
B. Surgical cricothyrotomy, continue CPR, transport
C. Terminate resuscitation on scene
D. Bilateral needle decompression
Correct Answer: C
Rationale: Traumatic arrest with no signs of life, airway obstruction not rapidly
correctable, asystole without organized rhythm = termination criteria per NAEMSP/AHA.
Distractor B futile without perfusion; A impossible with bilateral mandibular fractures.
Q5.
Dispatch: “House fire, patient self-extricated, 45-year-old male, burned.”
Scene: Soot around mouth, singed nasal hairs.
Burns: anterior chest 9%, entire left arm 9%, anterior right leg 9%, partial thickness.
Vitals: RR 26, hoarse voice, SpO₂ 92% RA, BP 140/80, HR 110.
2026/2027Trauma, Medical, Airway, Cardiology, OBGYN, Operations
Complete Certification Exam | Actual Questions & Verified Answers |
All Domains Covered | Pass Guarantee
SECTION 1: TRAUMA (Q1–Q30)
Q1.
Dispatch: “Vehicle vs. tree, 60 mph, driver still in car, airbags deployed.”
Scene: Car upright, heavy front-end damage, steering wheel bent.
Patient: 19-year-old male, seat belt on, conscious, screaming.
Primary: RR 28, shallow; chest wall bruise; absent breath sounds left base; SpO₂ 88%
RA; BP 88/50; HR 132; skin pale/cool.
MOI: Rapid deceleration, chest impact.
Secondary: Trachea deviated right, JVD present, chest dull to percussion left.
Pelvis/stable, abdomen soft, no obvious deformity.
Vitals 5 min later: BP 78/40, HR 138, RR 32, SpO₂ 84% RA.
Which intervention is MOST urgent?
A. 2 L NS bolus via 18-gauge IV
B. Apply non-rebreather at 15 L/min
C. Immediate needle decompression left 2nd ICS MCL
,D. Spinal motion restriction with KED
Correct Answer: C
Rationale: Per PHTLS, tension pneumothorax (deviated trachea, JVD, unilateral absence
of breath sounds, shock) demands immediate decompression before fluid or oxygen
alone. Distractor A delays life-saving procedure; B insufficient; D does not address
tension physiology.
Q2.
Dispatch: “25-foot fall from roof, patient conscious, complaining of back pain.”
Scene: Uneven ground, prone patient, helmet 3 ft away.
Primary: GCS 15, RR 24, equal breath sounds, BP 90/60, HR 120, SpO₂ 94% RA.
Secondary: Deformity T8–T10, no paradoxical motion, pelvis stable, neuro: motor 5/5
bilateral upper, 0/5 bilateral lower, sensory loss below umbilicus.
Vitals 10 min later: BP 82/58, HR 128, unchanged neuro.
Next action:
A. 1 L NS bolus, reassess neuro
B. Apply traction splint to lower limbs
C. Administer 250 mL hypertonic saline
D. Initiate dopamine infusion at 20 µg/kg/min
Correct Answer: A
,Rationale: Spinal shock with neurogenic hypotension warrants gentle isotonic fluid
resuscitation (PHTLS 10 mL/kg boluses). Distractor C not supported for initial
management; B irrelevant; D excessive starting dose risks tachyarrhythmia.
Q3.
Dispatch: “Industrial explosion, multiple patients, 29-year-old female 10 m from blast.”
Scene: Primary survey: GCS 12 (E3 V4 M5), multiple penetrating shrapnel to
chest/abdomen, RR 36, absent radial pulses, femoral pulse weak, BP 70 palp, HR 150,
SpO₂ 86% RA.
Tourniquets already proximal to bilateral lower-arm amputations.
STEP triage tag: Red.
Most appropriate immediate intervention:
A. Bilateral chest needle decompression
B. 2 g TXA IV over 10 min
C. Rapid transport without IV
D. Spinal immobilization on long board
Correct Answer: B
Rationale: TXA within 3 h reduces mortality in severe hemorrhage (CRASH-2). Distractor
A no current tension signs; C delays TXA; D time-consuming in shock.
Q4.
, Dispatch: “MC, motorcycle vs. guardrail, rider thrown 30 ft.”
Scene: Helmet cracked, patient supine, GCS 3.
Primary: RR 0, pulseless, asystole on monitor.
Secondary: Deformity mandible bilaterally, no other obvious bleeding.
Appropriate action:
A. BVM via nasal airway
B. Surgical cricothyrotomy, continue CPR, transport
C. Terminate resuscitation on scene
D. Bilateral needle decompression
Correct Answer: C
Rationale: Traumatic arrest with no signs of life, airway obstruction not rapidly
correctable, asystole without organized rhythm = termination criteria per NAEMSP/AHA.
Distractor B futile without perfusion; A impossible with bilateral mandibular fractures.
Q5.
Dispatch: “House fire, patient self-extricated, 45-year-old male, burned.”
Scene: Soot around mouth, singed nasal hairs.
Burns: anterior chest 9%, entire left arm 9%, anterior right leg 9%, partial thickness.
Vitals: RR 26, hoarse voice, SpO₂ 92% RA, BP 140/80, HR 110.
