FISDAP Paramedic Practice Exam
FISDAP PARAMEDIC FINAL LATEST EXAM
2026 /2027 /PARAMEDIC FISDAP FINAL
EXAM REAL EXAM QUESTIONS AND
CORRECT ANSWERS.
QUESTION 1
A 30 year old climber is experiencing severe shortness of breath after
reaching an elevation of 12000 feet. The patient is very anxious and has
rales noted to all quadrants but is otherwise healthy. He is not
accustomed to high altitudes. What should you do?
A) Administer oxygen while descending to a lower altitude
B) Coach the patient to slow his respirations
C) Apply CPAP while the patient adapts to the elevations
D) Evacuate the patient to a hyperbaric chamber
Correct Answer: A) Administer oxygen while descending to a lower
altitude
Rationale: The patient is showing signs of High Altitude Pulmonary
Edema (HAPE), indicated by rales in all lung fields and severe dyspnea
after rapid ascent. The definitive treatment for HAPE is immediate
descent to a lower altitude combined with high-flow oxygen. CPAP may
help temporarily but does not address the underlying cause. Hyperbaric
chambers are not typically available in the field, and descent remains
the priority intervention.
QUESTION 2
A 26 year old female does not respond to verbal stimuli but moans in
response to pain. A friend states the patient has ingested approximately
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, FISDAP Paramedic Practice Exam
150 amitriptyline tablets. Vital signs are BP 88/50, R 16. You establish
IV access and administer a fluid challenge. En route to the hospital her
ECG shows a widening QRS. You should administer:
A) Amiodarone
B) Another fluid challenge
C) Calcium chloride
D) Sodium bicarbonate
Correct Answer: D) Sodium bicarbonate
Rationale: Amitriptyline is a tricyclic antidepressant (TCA) that causes
sodium channel blockade in overdose, leading to widened QRS complex
and risk of ventricular dysrhythmias. Sodium bicarbonate is the
treatment of choice for TCA overdose with wide QRS because it
increases serum pH, which dissociates the drug from sodium channels.
Amiodarone is not indicated and could worsen the condition.
QUESTION 3
Your patient experienced trauma yesterday and you are transferring her
to a larger facility. She has been experiencing progressive hypoxia. You
notice coarse crackles in all lung fields on ventilation. Vital signs are BP
90/50 and SpO2 90%. You should:
A) Increase IV fluid administration rate
B) Extubate and re-intubate the patient
C) Transport emergently and continue ventilation
D) Perform bilateral chest decompression and reassess
Correct Answer: C) Transport emergently and continue ventilation
Rationale: Coarse crackles in all lung fields following trauma suggest
developing acute respiratory distress syndrome (ARDS) or pulmonary
contusion. The priority is rapid transport to a definitive care facility
while maintaining adequate ventilation. Bilateral chest decompression is
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, FISDAP Paramedic Practice Exam
not indicated without signs of tension pneumothorax. Increasing fluids
could worsen pulmonary edema in this context.
QUESTION 4
An alert 22 year old male was just disentangled from debris in a house
collapse. He denies head or neck pain, but complains of severe hip pain.
Vital signs are BP 88/40, P 120, R 16. You should administer:
A) Epinephrine
B) Lidocaine
C) Sodium bicarbonate
D) Morphine sulfate
Correct Answer: C) Sodium bicarbonate
Rationale: Crush injury from entrapment can cause rhabdomyolysis and
release of intracellular contents, leading to metabolic acidosis and
hyperkalemia. Sodium bicarbonate helps correct acidosis and drives
potassium back into cells. The hypotension is likely due to distributive
shock from reperfusion injury. Morphine could worsen hypotension.
QUESTION 5
Braxton Hicks contractions:
A) Are mild and signal the beginning of labor
B) Occur in the second trimester and are false labor
C) Cause extreme back and abdominal discomfort
D) Cause dilation and effacement of the cervix
Correct Answer: B) Occur in the second trimester and are false
labor
Rationale: Braxton Hicks contractions are irregular, painless uterine
contractions that occur during the second and third trimesters but do not
cause cervical change. They are often described as "false labor" and
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, FISDAP Paramedic Practice Exam
typically resolve with position change or hydration. True labor
contractions become regular, increase in intensity, and cause
progressive cervical dilation and effacement.
QUESTION 6
A 40 year old male crashed his motorcycle. He had a brief loss of
consciousness, woke up and walked home. You find him 2 hours later at
home unconscious. You should suspect:
A) Subdural hematoma
B) Subarachnoid bleed
C) Basilar skull fracture
D) Epidural hematoma
Correct Answer: D) Epidural hematoma
Rationale: Epidural hematoma classically presents with a lucid interval
following head trauma, where the patient briefly regains consciousness
before deteriorating neurologically. This occurs because arterial
bleeding (typically from the middle meningeal artery) accumulates
rapidly between the skull and dura mater. Subdural hematoma typically
has a slower onset without a lucid interval in elderly or alcoholic
patients.
QUESTION 7
A 47 year old male who was found unconscious on the side of the road
responds only to painful stimulus. When you attempt to establish IV
access he stiffens his arms and legs. He has minor abrasions all over his
body. Vital signs are BP 178/122, P 56, R irregular, ETCO2 30. What
should you do?
A) Mildly hypoventilate with a bag valve mask
B) Assist ventilations at 12 breaths per minute
Page 4
FISDAP PARAMEDIC FINAL LATEST EXAM
2026 /2027 /PARAMEDIC FISDAP FINAL
EXAM REAL EXAM QUESTIONS AND
CORRECT ANSWERS.
QUESTION 1
A 30 year old climber is experiencing severe shortness of breath after
reaching an elevation of 12000 feet. The patient is very anxious and has
rales noted to all quadrants but is otherwise healthy. He is not
accustomed to high altitudes. What should you do?
A) Administer oxygen while descending to a lower altitude
B) Coach the patient to slow his respirations
C) Apply CPAP while the patient adapts to the elevations
D) Evacuate the patient to a hyperbaric chamber
Correct Answer: A) Administer oxygen while descending to a lower
altitude
Rationale: The patient is showing signs of High Altitude Pulmonary
Edema (HAPE), indicated by rales in all lung fields and severe dyspnea
after rapid ascent. The definitive treatment for HAPE is immediate
descent to a lower altitude combined with high-flow oxygen. CPAP may
help temporarily but does not address the underlying cause. Hyperbaric
chambers are not typically available in the field, and descent remains
the priority intervention.
QUESTION 2
A 26 year old female does not respond to verbal stimuli but moans in
response to pain. A friend states the patient has ingested approximately
Page 1
, FISDAP Paramedic Practice Exam
150 amitriptyline tablets. Vital signs are BP 88/50, R 16. You establish
IV access and administer a fluid challenge. En route to the hospital her
ECG shows a widening QRS. You should administer:
A) Amiodarone
B) Another fluid challenge
C) Calcium chloride
D) Sodium bicarbonate
Correct Answer: D) Sodium bicarbonate
Rationale: Amitriptyline is a tricyclic antidepressant (TCA) that causes
sodium channel blockade in overdose, leading to widened QRS complex
and risk of ventricular dysrhythmias. Sodium bicarbonate is the
treatment of choice for TCA overdose with wide QRS because it
increases serum pH, which dissociates the drug from sodium channels.
Amiodarone is not indicated and could worsen the condition.
QUESTION 3
Your patient experienced trauma yesterday and you are transferring her
to a larger facility. She has been experiencing progressive hypoxia. You
notice coarse crackles in all lung fields on ventilation. Vital signs are BP
90/50 and SpO2 90%. You should:
A) Increase IV fluid administration rate
B) Extubate and re-intubate the patient
C) Transport emergently and continue ventilation
D) Perform bilateral chest decompression and reassess
Correct Answer: C) Transport emergently and continue ventilation
Rationale: Coarse crackles in all lung fields following trauma suggest
developing acute respiratory distress syndrome (ARDS) or pulmonary
contusion. The priority is rapid transport to a definitive care facility
while maintaining adequate ventilation. Bilateral chest decompression is
Page 2
, FISDAP Paramedic Practice Exam
not indicated without signs of tension pneumothorax. Increasing fluids
could worsen pulmonary edema in this context.
QUESTION 4
An alert 22 year old male was just disentangled from debris in a house
collapse. He denies head or neck pain, but complains of severe hip pain.
Vital signs are BP 88/40, P 120, R 16. You should administer:
A) Epinephrine
B) Lidocaine
C) Sodium bicarbonate
D) Morphine sulfate
Correct Answer: C) Sodium bicarbonate
Rationale: Crush injury from entrapment can cause rhabdomyolysis and
release of intracellular contents, leading to metabolic acidosis and
hyperkalemia. Sodium bicarbonate helps correct acidosis and drives
potassium back into cells. The hypotension is likely due to distributive
shock from reperfusion injury. Morphine could worsen hypotension.
QUESTION 5
Braxton Hicks contractions:
A) Are mild and signal the beginning of labor
B) Occur in the second trimester and are false labor
C) Cause extreme back and abdominal discomfort
D) Cause dilation and effacement of the cervix
Correct Answer: B) Occur in the second trimester and are false
labor
Rationale: Braxton Hicks contractions are irregular, painless uterine
contractions that occur during the second and third trimesters but do not
cause cervical change. They are often described as "false labor" and
Page 3
, FISDAP Paramedic Practice Exam
typically resolve with position change or hydration. True labor
contractions become regular, increase in intensity, and cause
progressive cervical dilation and effacement.
QUESTION 6
A 40 year old male crashed his motorcycle. He had a brief loss of
consciousness, woke up and walked home. You find him 2 hours later at
home unconscious. You should suspect:
A) Subdural hematoma
B) Subarachnoid bleed
C) Basilar skull fracture
D) Epidural hematoma
Correct Answer: D) Epidural hematoma
Rationale: Epidural hematoma classically presents with a lucid interval
following head trauma, where the patient briefly regains consciousness
before deteriorating neurologically. This occurs because arterial
bleeding (typically from the middle meningeal artery) accumulates
rapidly between the skull and dura mater. Subdural hematoma typically
has a slower onset without a lucid interval in elderly or alcoholic
patients.
QUESTION 7
A 47 year old male who was found unconscious on the side of the road
responds only to painful stimulus. When you attempt to establish IV
access he stiffens his arms and legs. He has minor abrasions all over his
body. Vital signs are BP 178/122, P 56, R irregular, ETCO2 30. What
should you do?
A) Mildly hypoventilate with a bag valve mask
B) Assist ventilations at 12 breaths per minute
Page 4
