FISDAP MEDICAL EXAM 200 ACTUAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALE LATEST 2026
ALREADY GRADED A+ ASSURED PASS
This comprehensive 200-question FISDAP Medical exam bank is designed for
emergency medical technician (EMT) and paramedic students preparing for
the FISDAP medical assessment. It covers all core content areas including
medical emergencies, pharmacology, respiratory, cardiovascular,
neurological, endocrine, gastrointestinal, and behavioral emergencies. Each
unique question presents a realistic prehospital scenario with multiple-choice
options, a correct answer, and a detailed rationale explaining the underlying
pathophysiology and appropriate prehospital interventions. The content
emphasizes clinical reasoning, scene safety, patient assessment, and evidence-
based prehospital care. This resource helps students identify knowledge gaps,
practice critical thinking, and build confidence for the FISDAP medical
examination.
1. Which statement strongly indicates syncope?
A) I felt dizzy for a few seconds
B) I blacked out for a few seconds
C) I had a seizure
D) I fell asleep suddenly
Correct Answer: B) I blacked out for a few seconds
Rationale: Syncope is a temporary loss of consciousness, often described as
"blacking out." This classic description differentiates it from dizziness or other
conditions.
2. When assessing the patient for arm drift, you should ask the patient to:
A) Hold their arms out palms down, eyes open
B) Hold their arms out palms up, eyes closed
C) Raise their arms above their head
D) Cross their arms over their chest
Correct Answer: B) Hold their arms out palms up, eyes closed
,Rationale: The arm drift test is a component of stroke assessment. Palms up and
eyes closed allows the examiner to detect subtle drift or weakness indicative of a
neurological deficit.
3. A 68-year-old patient reports abdominal pain, vomiting, a loss of appetite, and
black, tarry stools. You should suspect:
A) Lower GI bleed
B) Upper GI bleed
C) Food poisoning
D) Pancreatitis
Correct Answer: B) Upper GI bleed
Rationale: Black, tarry stools (melena) indicate upper gastrointestinal bleeding
from sources like gastric ulcers. The blood has been digested, giving it the
characteristic dark, tarry appearance.
4. You are called to an outdoor garden center on a hot, humid day. Your patient is
pale, wheezing, and has hives. You should suspect:
A) Heat stroke
B) Anaphylaxis from a bee sting
C) Asthma exacerbation
D) Cardiac event
Correct Answer: B) Anaphylaxis from a bee sting
Rationale: The combination of wheezing, hives (urticaria), and pallor in an outdoor
setting strongly suggests anaphylaxis from an insect sting. This is a life-threatening
allergic reaction.
5. You have been dispatched to a behavioral emergency. The police are on the
scene and have asked you to evaluate the patient. You should:
A) Immediately enter the scene to assess the patient
B) Ask police to help secure the scene
C) Restrain the patient to the cot and transport
D) Wait outside for the police to bring the patient out
Correct Answer: B) Ask police to help secure the scene
Rationale: Scene safety is the priority in behavioral emergencies. Law enforcement
is responsible for scene security; they can help ensure the scene is safe before the
EMT enters to evaluate the patient.
,6. A patient was cleaning a bathroom when he came out gagging and coughing.
His eyes are red and watering, and he is complaining of dyspnea. You should:
A) Have the patient breathe into a paper bag
B) Move the patient to a well-ventilated area
C) Administer oxygen via non-rebreather mask
D) Perform a secondary assessment
Correct Answer: B) Move the patient to a well-ventilated area
Rationale: The patient is suffering from inhalation exposure to a chemical.
Removing the patient from the contaminated environment is the first and most
important intervention to prevent further exposure.
7. A 38-year-old patient has a history of hypothyroidism. She is hypertensive,
tachycardic, and hyperthermic. You find an empty bottle of Synthroid nearby. You
should:
A) Administer a beta-blocker
B) Administer oral glucose
C) Contact the poison center or medical command
D) Apply high-flow oxygen
Correct Answer: C) Contact the poison center or medical command
Rationale: The patient is likely experiencing a thyroid hormone overdose.
Contacting a poison center or medical command for specific management guidance
is the most appropriate action, as this is a complex and potentially life-threatening
overdose.
8. A patient's family member reports a glucometer reading of 57 mg/dL. How
should you interpret this reading?
A) High
B) Normal
C) Low
D) Borderline
Correct Answer: C) Low
Rationale: A blood glucose level of 57 mg/dL is below the normal range of 70-110
mg/dL. This indicates hypoglycemia and requires prompt treatment to prevent
deterioration.
9. A worker at a fertilizer plant has spilled lye all over his upper body. You should:
A) Brush the powder off the patient
, B) Flush the area with water
C) Cover the area with a dry bandage
D) Neutralize the lye with an acid
Correct Answer: A) Brush the powder off the patient
Rationale: For dry chemical burns like lye (alkali), the powder should be brushed
off before irrigation. Irrigating dry lye can activate the chemical and cause more
severe burns.
10. To assess a possible stroke patient for abnormal speech, you should:
A) Ask the patient to tell you their name
B) Ask the patient to repeat a common phrase
C) Listen to the patient's spontaneous speech
D) Ask the patient to count backward from ten
Correct Answer: B) Ask the patient to repeat a common phrase
Rationale: Asking the patient to repeat a common phrase tests for receptive and
expressive aphasia, which is a key sign of a stroke.
11. A patient was stung by a bee. You should:
A) Apply a warm compress to the area
B) Apply an ice cold compress to the affected area
C) Administer an EpiPen immediately
D) Remove the stinger by pulling it out
Correct Answer: B) Apply an ice cold compress to the affected area
Rationale: Applying a cold compress helps reduce localized pain and swelling.
However, if the patient shows signs of anaphylaxis, epinephrine administration is a
higher priority.
12. A 72-year-old male has weak hand grips, blurred vision, and is unable to tell
you the day of the week. He is a type 2 diabetic. What should you do?
A) Evaluate for facial droop
B) Administer oral glucose
C) Check his blood sugar
D) Transport immediately
Correct Answer: A) Evaluate for facial droop
Rationale: The patient's symptoms are concerning for a stroke. While checking
blood glucose is important to rule out hypoglycemia, performing a full stroke
CORRECT ANSWERS WITH RATIONALE LATEST 2026
ALREADY GRADED A+ ASSURED PASS
This comprehensive 200-question FISDAP Medical exam bank is designed for
emergency medical technician (EMT) and paramedic students preparing for
the FISDAP medical assessment. It covers all core content areas including
medical emergencies, pharmacology, respiratory, cardiovascular,
neurological, endocrine, gastrointestinal, and behavioral emergencies. Each
unique question presents a realistic prehospital scenario with multiple-choice
options, a correct answer, and a detailed rationale explaining the underlying
pathophysiology and appropriate prehospital interventions. The content
emphasizes clinical reasoning, scene safety, patient assessment, and evidence-
based prehospital care. This resource helps students identify knowledge gaps,
practice critical thinking, and build confidence for the FISDAP medical
examination.
1. Which statement strongly indicates syncope?
A) I felt dizzy for a few seconds
B) I blacked out for a few seconds
C) I had a seizure
D) I fell asleep suddenly
Correct Answer: B) I blacked out for a few seconds
Rationale: Syncope is a temporary loss of consciousness, often described as
"blacking out." This classic description differentiates it from dizziness or other
conditions.
2. When assessing the patient for arm drift, you should ask the patient to:
A) Hold their arms out palms down, eyes open
B) Hold their arms out palms up, eyes closed
C) Raise their arms above their head
D) Cross their arms over their chest
Correct Answer: B) Hold their arms out palms up, eyes closed
,Rationale: The arm drift test is a component of stroke assessment. Palms up and
eyes closed allows the examiner to detect subtle drift or weakness indicative of a
neurological deficit.
3. A 68-year-old patient reports abdominal pain, vomiting, a loss of appetite, and
black, tarry stools. You should suspect:
A) Lower GI bleed
B) Upper GI bleed
C) Food poisoning
D) Pancreatitis
Correct Answer: B) Upper GI bleed
Rationale: Black, tarry stools (melena) indicate upper gastrointestinal bleeding
from sources like gastric ulcers. The blood has been digested, giving it the
characteristic dark, tarry appearance.
4. You are called to an outdoor garden center on a hot, humid day. Your patient is
pale, wheezing, and has hives. You should suspect:
A) Heat stroke
B) Anaphylaxis from a bee sting
C) Asthma exacerbation
D) Cardiac event
Correct Answer: B) Anaphylaxis from a bee sting
Rationale: The combination of wheezing, hives (urticaria), and pallor in an outdoor
setting strongly suggests anaphylaxis from an insect sting. This is a life-threatening
allergic reaction.
5. You have been dispatched to a behavioral emergency. The police are on the
scene and have asked you to evaluate the patient. You should:
A) Immediately enter the scene to assess the patient
B) Ask police to help secure the scene
C) Restrain the patient to the cot and transport
D) Wait outside for the police to bring the patient out
Correct Answer: B) Ask police to help secure the scene
Rationale: Scene safety is the priority in behavioral emergencies. Law enforcement
is responsible for scene security; they can help ensure the scene is safe before the
EMT enters to evaluate the patient.
,6. A patient was cleaning a bathroom when he came out gagging and coughing.
His eyes are red and watering, and he is complaining of dyspnea. You should:
A) Have the patient breathe into a paper bag
B) Move the patient to a well-ventilated area
C) Administer oxygen via non-rebreather mask
D) Perform a secondary assessment
Correct Answer: B) Move the patient to a well-ventilated area
Rationale: The patient is suffering from inhalation exposure to a chemical.
Removing the patient from the contaminated environment is the first and most
important intervention to prevent further exposure.
7. A 38-year-old patient has a history of hypothyroidism. She is hypertensive,
tachycardic, and hyperthermic. You find an empty bottle of Synthroid nearby. You
should:
A) Administer a beta-blocker
B) Administer oral glucose
C) Contact the poison center or medical command
D) Apply high-flow oxygen
Correct Answer: C) Contact the poison center or medical command
Rationale: The patient is likely experiencing a thyroid hormone overdose.
Contacting a poison center or medical command for specific management guidance
is the most appropriate action, as this is a complex and potentially life-threatening
overdose.
8. A patient's family member reports a glucometer reading of 57 mg/dL. How
should you interpret this reading?
A) High
B) Normal
C) Low
D) Borderline
Correct Answer: C) Low
Rationale: A blood glucose level of 57 mg/dL is below the normal range of 70-110
mg/dL. This indicates hypoglycemia and requires prompt treatment to prevent
deterioration.
9. A worker at a fertilizer plant has spilled lye all over his upper body. You should:
A) Brush the powder off the patient
, B) Flush the area with water
C) Cover the area with a dry bandage
D) Neutralize the lye with an acid
Correct Answer: A) Brush the powder off the patient
Rationale: For dry chemical burns like lye (alkali), the powder should be brushed
off before irrigation. Irrigating dry lye can activate the chemical and cause more
severe burns.
10. To assess a possible stroke patient for abnormal speech, you should:
A) Ask the patient to tell you their name
B) Ask the patient to repeat a common phrase
C) Listen to the patient's spontaneous speech
D) Ask the patient to count backward from ten
Correct Answer: B) Ask the patient to repeat a common phrase
Rationale: Asking the patient to repeat a common phrase tests for receptive and
expressive aphasia, which is a key sign of a stroke.
11. A patient was stung by a bee. You should:
A) Apply a warm compress to the area
B) Apply an ice cold compress to the affected area
C) Administer an EpiPen immediately
D) Remove the stinger by pulling it out
Correct Answer: B) Apply an ice cold compress to the affected area
Rationale: Applying a cold compress helps reduce localized pain and swelling.
However, if the patient shows signs of anaphylaxis, epinephrine administration is a
higher priority.
12. A 72-year-old male has weak hand grips, blurred vision, and is unable to tell
you the day of the week. He is a type 2 diabetic. What should you do?
A) Evaluate for facial droop
B) Administer oral glucose
C) Check his blood sugar
D) Transport immediately
Correct Answer: A) Evaluate for facial droop
Rationale: The patient's symptoms are concerning for a stroke. While checking
blood glucose is important to rule out hypoglycemia, performing a full stroke
