FISDAP PARAMEDIC FINAL practice exam
Of the following, which item is acceptable and productive to ask a 14 year old female in the presence
of her parents
History of childhood illness
You are treating an 82 year old female who is having difficulty breathing in a nursing home. Her only
history is of a fever yesterday and frequent UTI. While listening to her chest you hear rhonci and slight
cradles in all fields. BP is 110/80 Pulse is 100 & regular RR- 30. Temp is 102F. Her jugular veins are flat
and there is no pedal edema. She denies chest pain or pressure. What condition is most likely causing
her symptoms
Pneumonia
You are treating an 82 year old female who is having difficulty breathing in a nursing home. Her only
history is of a fever yesterday and frequent UTI. While listening to her chest you hear rhonci and slight
cradles in all fields. BP is 110/80 Pulse is 100 & regular RR- 30. Temp is 102F. Her jugular veins are flat
and there is no pedal edema. She denies chest pain or pressure. What will be your treatment?
High flow oxygen, IV fluid bolus, & transport
You are treating an 82 year old female who is having difficulty breathing in a nursing home. Her only
history is of a fever yesterday and frequent UTI. While listening to her chest you hear rhonci and slight
cradles in all fields. BP is 110/80 Pulse is 100 & regular RR- 30. Temp is 102F. Her jugular veins are flat
and there is no pedal edema. She denies chest pain or pressure. After your initial treatment of the
patient she becomes unconscious. She is using accessory muscles to breath. How would you treat her
next?
Attempt insertion of an oral airway
Which of the following is least likely to cause crackles
Asthma
Which of the following medications is least likely to be a part of standard therapy for a patient
suffering from exacerbated emphysema
Nitrates
Which of the following is true about respiratory physiology?
Changes in PO2, PCO2, or pH stimulate chemoreceptors
What is the purpose of the Good Samaritan laws
Offer legal protection yo people who stop at an emergency scene
You are treating a thin elderly male complaining of SOB. He looks older than his stated age of 65,
leaning forward in a chair. You notice that he has an oxygen generator in the room and is on 2 rpm of
o2 via NC. RR is 20 and shallow. BP- 105/60. Pulse 125 & irregular. You are unable to hear any breath
sounds in the bases, with slight air movement & wheezing noted in the apices (top part of lung). the
patient has pink cheeks, takes short puffy breaths, and can only speak in short sentences. His
,FISDAP PARAMEDIC FINAL practice exam
medications include Proventil inhalers and Theo-duer. He us unable to give you a complete history.
What condition would you suspect?
Exacerbated emphysema
You are treating a thin elderly male complaining of SOB. He looks older than his stated age of 65,
leaning forward in a chair. You notice that he has an oxygen generator in the room and is on 2 rpm of
o2 via NC. RR is 20 and shallow. BP- 105/60. Pulse 125 & irregular. You are unable to hear any breath
sounds in the bases, with slight air movement & wheezing noted in the apices (top part of lung). the
patient has pink cheeks, takes short puffy breaths, and can only speak in short sentences. His
medications include Proventil inhalers and Theo-duer. He us unable to give you a complete history.
What should you do?
Switch him over to high flow oxygen
You are called to a junior high soccer game to evaluate a student who became acutely SOB during the
game. on exam, you note inspiratory & expiratory wheezes throughout the lungs. BP- 130/80, pulse
120 & Regular, RR- 30. Which medication will you consider using?
Oxygen, albuterol, and epi
the anatomical structure between the base of the tongue and the epiglottis into which the tip of a
curved blade is placed during orotracheal intubation is the
Vallecula
What is the name for the small, hairlike process o. the outer surface of some cells? These cells aid in
metabolism by producing motion or current in a fluid
Cilia
What is percutaneous transtracheal ventilation
Needle cricothyrotomy
You have orally intubated a patient. While your partner ventilates the patient with a BVM you
evaluate tube placement. Auscultation reveals sounds heard over epigastrium and an absence of
breath sounds over the right and left chest. What is your best course of action?
Deflate the ET tube cuff, remove the ET tube, pre oxygenate the pt with a BVM
A 67 year old man is complaining of sudden onset of difficulty breathing. Exam reveals pt is laboring to
breathe and his jugular veins are distended. His BP is 140/84, p 118, RR- 32, breath sounds clear and
equal bilaterally. Pts wife states he is recovering from hip surgery. What condition do you suspect?
Pulmonary Embolism
What is the name of the syndrome marked by increased capillary permeability & respiratory distress
usually due to trauma, inhaled toxins, or gastric aspiration?
Adult Respiratory Distress Syndrome (ADRS)
, FISDAP PARAMEDIC FINAL practice exam
For which of the following is nasotracheal intubation absolutely contraindicated
70 y/o male in cardiac arrest
You are called for a young man choking. On arrival, you find very scared parents desperately trying to
dislodge a piece of food from their 110 year old Childs airway by administering back lows and
abdominal thrusts. The child is limp. As you take over, you discover that the child is able to move
minimal amount of air. You should:
Continue with back blows & abdominal thrusts until the food is dislodged or the obstruction becomes
complete
You have just intubated an adult patient. You believe you have been successful. you are listening for
sounds in the epigastric area and hear nothing. What would you do?
Attach an ETCO2 monitoring device
What changes in blood gasses occur when a patient is hyperventilating
Decreased CO2: Increased PaO2
First responders are applying unusually long ventilations with oxygen resuscitator to an apnea adult
female. they are also passing in between breaths. What negative effects can this increased pressure
create?
Increased pulmonary elasticity
You are treating a cardiac arrest patient who you have successfully resuscitated. The patient is still
unconscious, apneic, and he is endotracheally intubated. The patient suddenly becomes cyanotic and
his SpO2 decreases from 98% to 82%. His heart rate decreases from 110 to 40. What caused these
sudden changes?
Dislodged endotracheal tube
What is the primary danger to the infant during a precipitous delivery
Cerebral Trauma
You are treating a 26 year old male victim of an assault. The patient was struck in the chest and
abdomen with a baseball bat. Vital Signs: P- 110, R- 6 with sonorous respirations. The patient is place
on high flow O2. While attempting an oral airway the patient gags. The oral airway is removed. How
are you attempting to secure his airway next?
Place an NPA and ventilate with a BVM
What effects does morphine sulfate have on the venous system?
increases venous pooling, resulting in decreased preload and after load
You are treating a 48 year old female with chest pain. On scene you administer oxygen, aspirin, and
two nitro tablets. En route to the hospital your patient states her pain decreases to a 1 on a scale of 0-
10. To provide the best care, you should:
Of the following, which item is acceptable and productive to ask a 14 year old female in the presence
of her parents
History of childhood illness
You are treating an 82 year old female who is having difficulty breathing in a nursing home. Her only
history is of a fever yesterday and frequent UTI. While listening to her chest you hear rhonci and slight
cradles in all fields. BP is 110/80 Pulse is 100 & regular RR- 30. Temp is 102F. Her jugular veins are flat
and there is no pedal edema. She denies chest pain or pressure. What condition is most likely causing
her symptoms
Pneumonia
You are treating an 82 year old female who is having difficulty breathing in a nursing home. Her only
history is of a fever yesterday and frequent UTI. While listening to her chest you hear rhonci and slight
cradles in all fields. BP is 110/80 Pulse is 100 & regular RR- 30. Temp is 102F. Her jugular veins are flat
and there is no pedal edema. She denies chest pain or pressure. What will be your treatment?
High flow oxygen, IV fluid bolus, & transport
You are treating an 82 year old female who is having difficulty breathing in a nursing home. Her only
history is of a fever yesterday and frequent UTI. While listening to her chest you hear rhonci and slight
cradles in all fields. BP is 110/80 Pulse is 100 & regular RR- 30. Temp is 102F. Her jugular veins are flat
and there is no pedal edema. She denies chest pain or pressure. After your initial treatment of the
patient she becomes unconscious. She is using accessory muscles to breath. How would you treat her
next?
Attempt insertion of an oral airway
Which of the following is least likely to cause crackles
Asthma
Which of the following medications is least likely to be a part of standard therapy for a patient
suffering from exacerbated emphysema
Nitrates
Which of the following is true about respiratory physiology?
Changes in PO2, PCO2, or pH stimulate chemoreceptors
What is the purpose of the Good Samaritan laws
Offer legal protection yo people who stop at an emergency scene
You are treating a thin elderly male complaining of SOB. He looks older than his stated age of 65,
leaning forward in a chair. You notice that he has an oxygen generator in the room and is on 2 rpm of
o2 via NC. RR is 20 and shallow. BP- 105/60. Pulse 125 & irregular. You are unable to hear any breath
sounds in the bases, with slight air movement & wheezing noted in the apices (top part of lung). the
patient has pink cheeks, takes short puffy breaths, and can only speak in short sentences. His
,FISDAP PARAMEDIC FINAL practice exam
medications include Proventil inhalers and Theo-duer. He us unable to give you a complete history.
What condition would you suspect?
Exacerbated emphysema
You are treating a thin elderly male complaining of SOB. He looks older than his stated age of 65,
leaning forward in a chair. You notice that he has an oxygen generator in the room and is on 2 rpm of
o2 via NC. RR is 20 and shallow. BP- 105/60. Pulse 125 & irregular. You are unable to hear any breath
sounds in the bases, with slight air movement & wheezing noted in the apices (top part of lung). the
patient has pink cheeks, takes short puffy breaths, and can only speak in short sentences. His
medications include Proventil inhalers and Theo-duer. He us unable to give you a complete history.
What should you do?
Switch him over to high flow oxygen
You are called to a junior high soccer game to evaluate a student who became acutely SOB during the
game. on exam, you note inspiratory & expiratory wheezes throughout the lungs. BP- 130/80, pulse
120 & Regular, RR- 30. Which medication will you consider using?
Oxygen, albuterol, and epi
the anatomical structure between the base of the tongue and the epiglottis into which the tip of a
curved blade is placed during orotracheal intubation is the
Vallecula
What is the name for the small, hairlike process o. the outer surface of some cells? These cells aid in
metabolism by producing motion or current in a fluid
Cilia
What is percutaneous transtracheal ventilation
Needle cricothyrotomy
You have orally intubated a patient. While your partner ventilates the patient with a BVM you
evaluate tube placement. Auscultation reveals sounds heard over epigastrium and an absence of
breath sounds over the right and left chest. What is your best course of action?
Deflate the ET tube cuff, remove the ET tube, pre oxygenate the pt with a BVM
A 67 year old man is complaining of sudden onset of difficulty breathing. Exam reveals pt is laboring to
breathe and his jugular veins are distended. His BP is 140/84, p 118, RR- 32, breath sounds clear and
equal bilaterally. Pts wife states he is recovering from hip surgery. What condition do you suspect?
Pulmonary Embolism
What is the name of the syndrome marked by increased capillary permeability & respiratory distress
usually due to trauma, inhaled toxins, or gastric aspiration?
Adult Respiratory Distress Syndrome (ADRS)
, FISDAP PARAMEDIC FINAL practice exam
For which of the following is nasotracheal intubation absolutely contraindicated
70 y/o male in cardiac arrest
You are called for a young man choking. On arrival, you find very scared parents desperately trying to
dislodge a piece of food from their 110 year old Childs airway by administering back lows and
abdominal thrusts. The child is limp. As you take over, you discover that the child is able to move
minimal amount of air. You should:
Continue with back blows & abdominal thrusts until the food is dislodged or the obstruction becomes
complete
You have just intubated an adult patient. You believe you have been successful. you are listening for
sounds in the epigastric area and hear nothing. What would you do?
Attach an ETCO2 monitoring device
What changes in blood gasses occur when a patient is hyperventilating
Decreased CO2: Increased PaO2
First responders are applying unusually long ventilations with oxygen resuscitator to an apnea adult
female. they are also passing in between breaths. What negative effects can this increased pressure
create?
Increased pulmonary elasticity
You are treating a cardiac arrest patient who you have successfully resuscitated. The patient is still
unconscious, apneic, and he is endotracheally intubated. The patient suddenly becomes cyanotic and
his SpO2 decreases from 98% to 82%. His heart rate decreases from 110 to 40. What caused these
sudden changes?
Dislodged endotracheal tube
What is the primary danger to the infant during a precipitous delivery
Cerebral Trauma
You are treating a 26 year old male victim of an assault. The patient was struck in the chest and
abdomen with a baseball bat. Vital Signs: P- 110, R- 6 with sonorous respirations. The patient is place
on high flow O2. While attempting an oral airway the patient gags. The oral airway is removed. How
are you attempting to secure his airway next?
Place an NPA and ventilate with a BVM
What effects does morphine sulfate have on the venous system?
increases venous pooling, resulting in decreased preload and after load
You are treating a 48 year old female with chest pain. On scene you administer oxygen, aspirin, and
two nitro tablets. En route to the hospital your patient states her pain decreases to a 1 on a scale of 0-
10. To provide the best care, you should:
