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FISDAP Paramedic Final: 600+ Q&A Bank –
200 Core Practice Questions with Clinical
Rationales for A-Grade Success
FISDAP Paramedic Final Exam: 200 Practice
Questions with ☑VERIFIED ANSWERs &
Rationales
SECTION 1: AIRWAY & RESPIRATORY
(Questions 1-30)
1. A 45-year-old male is found
unresponsive with gurgling respirations.
What is your FIRST action?
• A) Insert an oropharyngeal airway (OPA)
• B) Suction the oropharynx
• C) Bag-valve-mask ventilations
• D) Nasotracheal intubation
,2
☑VERIFIED ANSWER: B) Suction the
oropharynx
Rationale: Gurgling indicates fluid or
secretions in the airway. Suctioning must
precede any airway adjunct or ventilation to
prevent aspiration. The priority is to clear
the airway before securing it .
2. Which breath sound is typically heard
first in a developing tension
pneumothorax?
• A) Absent breath sounds bilaterally
• B) Diminished breath sounds on the
affected side
• C) Rhonchi on the affected side
• D) Wheezing on the unaffected side
,3
☑VERIFIED ANSWER: B) Diminished breath
sounds on the affected side
Rationale: As air accumulates in the pleural
space, ventilation is reduced on that side.
Absent breath sounds occur later in severe
tension pneumothorax .
3. A 56-year-old male is in severe
respiratory distress. He has diminished
lung sounds on the right side and tracheal
deviation to the left. What is the MOST
appropriate immediate intervention?
• A) Assist ventilations with a BVM
• B) Perform needle decompression of the
right chest
• C) Intubate with a 7.5 ETT
, 4
• D) Apply a non-rebreather mask at 15
LPM
☑VERIFIED ANSWER: B) Perform needle
decompression of the right chest
Rationale: Tracheal deviation away from
the affected side indicates a tension
pneumothorax. Needle decompression
(14ga, 2nd intercostal space, mid-clavicular
line) is the immediate life-saving
intervention to release pressure before it
causes cardiac arrest .
4. What is the correct rate for assisted
ventilations with a BVM in an adult?
• A) 6–8 breaths/min
• B) 10–12 breaths/min
FISDAP Paramedic Final: 600+ Q&A Bank –
200 Core Practice Questions with Clinical
Rationales for A-Grade Success
FISDAP Paramedic Final Exam: 200 Practice
Questions with ☑VERIFIED ANSWERs &
Rationales
SECTION 1: AIRWAY & RESPIRATORY
(Questions 1-30)
1. A 45-year-old male is found
unresponsive with gurgling respirations.
What is your FIRST action?
• A) Insert an oropharyngeal airway (OPA)
• B) Suction the oropharynx
• C) Bag-valve-mask ventilations
• D) Nasotracheal intubation
,2
☑VERIFIED ANSWER: B) Suction the
oropharynx
Rationale: Gurgling indicates fluid or
secretions in the airway. Suctioning must
precede any airway adjunct or ventilation to
prevent aspiration. The priority is to clear
the airway before securing it .
2. Which breath sound is typically heard
first in a developing tension
pneumothorax?
• A) Absent breath sounds bilaterally
• B) Diminished breath sounds on the
affected side
• C) Rhonchi on the affected side
• D) Wheezing on the unaffected side
,3
☑VERIFIED ANSWER: B) Diminished breath
sounds on the affected side
Rationale: As air accumulates in the pleural
space, ventilation is reduced on that side.
Absent breath sounds occur later in severe
tension pneumothorax .
3. A 56-year-old male is in severe
respiratory distress. He has diminished
lung sounds on the right side and tracheal
deviation to the left. What is the MOST
appropriate immediate intervention?
• A) Assist ventilations with a BVM
• B) Perform needle decompression of the
right chest
• C) Intubate with a 7.5 ETT
, 4
• D) Apply a non-rebreather mask at 15
LPM
☑VERIFIED ANSWER: B) Perform needle
decompression of the right chest
Rationale: Tracheal deviation away from
the affected side indicates a tension
pneumothorax. Needle decompression
(14ga, 2nd intercostal space, mid-clavicular
line) is the immediate life-saving
intervention to release pressure before it
causes cardiac arrest .
4. What is the correct rate for assisted
ventilations with a BVM in an adult?
• A) 6–8 breaths/min
• B) 10–12 breaths/min
