FISDAP PARAMEDIC FINAL EXAMINATION — STUDY
GUIDE | LATEST UPDATE 2026/2027 | ACTUAL EXAM |
PRACTICE QUESTIONS AND ANSWERS | EXAM
REVIEW | 100% CORRECT ANSWERS | VERIFIED
SOLUTIONS
Course/Program: FISDAP Paramedic Final Examination
Field of Study: Emergency Medical Services, Paramedicine, Prehospital Emergency
Care, Advanced Life Support
Level: Paramedic, NREMT-P, Advanced EMT Certification Examination Preparation
Edition: 2026–2027
Table of Contents
1. Airway Management and Ventilation
2. Cardiology and ECG Interpretation
3. Medical Emergencies and Pathophysiology
4. Trauma and Shock Management
5. Pharmacology and Medication Administration
6. Special Populations: Pediatrics, Geriatrics, and Obstetrics
7. Operations, Safety, and Incident Management
8. Patient Assessment and Clinical Decision Making
9. Respiratory Emergencies
10.Neurology, Endocrine, and Environmental Emergencies
1. Airway Management and Ventilation
2.
,A 45-year-old male is found unresponsive with snoring respirations. What is the
most appropriate initial airway maneuver?
A) Head-tilt/chin-lift
B) Jaw-thrust maneuver
C) Oropharyngeal airway insertion
D) Endotracheal intubation
Correct Answer: A
The head-tilt/chin-lift is the initial airway maneuver for an unresponsive patient
without suspected cervical spine injury. The jaw-thrust is used when trauma is
suspected. OPA and intubation are advanced interventions after basic maneuvers.
2.
Which of the following indicates proper endotracheal tube placement?
A) Bilateral breath sounds and absence of epigastric sounds
B) Presence of breath sounds over the epigastrium only
C) Decreasing oxygen saturation
D) Absence of chest rise
Correct Answer: A
Proper ET tube placement is confirmed by bilateral breath sounds, absent
epigastric sounds, chest rise, and capnography showing exhaled CO₂. Epigastric
sounds, desaturation, or no chest rise indicate esophageal intubation.
3.
A patient with a suspected cervical spine injury requires intubation. Which airway
maneuver is most appropriate?
A) Head-tilt/chin-lift
B) Jaw-thrust without head extension
C) Hyperextension of the neck
D) Nasopharyngeal airway only
Correct Answer: B
The jaw-thrust without head extension is used to open the airway while
,maintaining cervical spine immobilization. Head-tilt/chin-lift and hyperextension
may worsen spinal injury.
4.
What is the maximum suction time for an adult patient during airway suctioning?
A) 5 seconds
B) 10 seconds
C) 15 seconds
D) 20 seconds
Correct Answer: B
The recommended maximum suction time for adults is 10 seconds to minimize
hypoxia and airway trauma. Longer times increase the risk of complications.
5.
A patient has a tracheostomy tube that becomes dislodged. What is the first
action?
A) Attempt reinsertion of the tracheostomy tube
B) Insert an oropharyngeal airway
C) Perform a cricothyrotomy
D) Ventilate with a bag-valve-mask over the nose and mouth
Correct Answer: A
If a tracheostomy tube becomes dislodged, the first action is to attempt
reinsertion of a new tracheostomy tube if within the paramedic's scope and
protocol. BVM over the stoma may be needed if reinsertion fails.
6.
Which of the following is a sign of inadequate ventilation?
A) Oxygen saturation of 98%
B) End-tidal CO₂ of 40 mm Hg
C) Cyanosis and altered mental status
D) Respiratory rate of 16 breaths/min
, Correct Answer: C
Cyanosis and altered mental status indicate severe hypoxemia and inadequate
ventilation. SpO₂ 98%, EtCO₂ 40, and respiratory rate 16 are normal findings.
7.
A patient is being ventilated with a bag-valve-mask. What is the appropriate tidal
volume for an adult?
A) 200–300 mL
B) 400–500 mL
C) 600–800 mL
D) 900–1000 mL
Correct Answer: C
The appropriate tidal volume for BVM ventilation in an adult is 600–800 mL,
enough to produce visible chest rise while avoiding gastric insufflation.
8.
Which of the following is a contraindication to nasopharyngeal airway insertion?
A) Intact gag reflex
B) Suspected basilar skull fracture
C) Unconscious patient
D) Seizure activity
Correct Answer: B
A nasopharyngeal airway is contraindicated in suspected basilar skull fracture or
facial trauma due to the risk of intracranial insertion. It may be used in conscious
patients with an intact gag reflex.
9.
A patient has a foreign body airway obstruction and becomes unresponsive. What
is the next action?
A) Perform abdominal thrusts
B) Begin CPR and attempt to visualize the obstruction
GUIDE | LATEST UPDATE 2026/2027 | ACTUAL EXAM |
PRACTICE QUESTIONS AND ANSWERS | EXAM
REVIEW | 100% CORRECT ANSWERS | VERIFIED
SOLUTIONS
Course/Program: FISDAP Paramedic Final Examination
Field of Study: Emergency Medical Services, Paramedicine, Prehospital Emergency
Care, Advanced Life Support
Level: Paramedic, NREMT-P, Advanced EMT Certification Examination Preparation
Edition: 2026–2027
Table of Contents
1. Airway Management and Ventilation
2. Cardiology and ECG Interpretation
3. Medical Emergencies and Pathophysiology
4. Trauma and Shock Management
5. Pharmacology and Medication Administration
6. Special Populations: Pediatrics, Geriatrics, and Obstetrics
7. Operations, Safety, and Incident Management
8. Patient Assessment and Clinical Decision Making
9. Respiratory Emergencies
10.Neurology, Endocrine, and Environmental Emergencies
1. Airway Management and Ventilation
2.
,A 45-year-old male is found unresponsive with snoring respirations. What is the
most appropriate initial airway maneuver?
A) Head-tilt/chin-lift
B) Jaw-thrust maneuver
C) Oropharyngeal airway insertion
D) Endotracheal intubation
Correct Answer: A
The head-tilt/chin-lift is the initial airway maneuver for an unresponsive patient
without suspected cervical spine injury. The jaw-thrust is used when trauma is
suspected. OPA and intubation are advanced interventions after basic maneuvers.
2.
Which of the following indicates proper endotracheal tube placement?
A) Bilateral breath sounds and absence of epigastric sounds
B) Presence of breath sounds over the epigastrium only
C) Decreasing oxygen saturation
D) Absence of chest rise
Correct Answer: A
Proper ET tube placement is confirmed by bilateral breath sounds, absent
epigastric sounds, chest rise, and capnography showing exhaled CO₂. Epigastric
sounds, desaturation, or no chest rise indicate esophageal intubation.
3.
A patient with a suspected cervical spine injury requires intubation. Which airway
maneuver is most appropriate?
A) Head-tilt/chin-lift
B) Jaw-thrust without head extension
C) Hyperextension of the neck
D) Nasopharyngeal airway only
Correct Answer: B
The jaw-thrust without head extension is used to open the airway while
,maintaining cervical spine immobilization. Head-tilt/chin-lift and hyperextension
may worsen spinal injury.
4.
What is the maximum suction time for an adult patient during airway suctioning?
A) 5 seconds
B) 10 seconds
C) 15 seconds
D) 20 seconds
Correct Answer: B
The recommended maximum suction time for adults is 10 seconds to minimize
hypoxia and airway trauma. Longer times increase the risk of complications.
5.
A patient has a tracheostomy tube that becomes dislodged. What is the first
action?
A) Attempt reinsertion of the tracheostomy tube
B) Insert an oropharyngeal airway
C) Perform a cricothyrotomy
D) Ventilate with a bag-valve-mask over the nose and mouth
Correct Answer: A
If a tracheostomy tube becomes dislodged, the first action is to attempt
reinsertion of a new tracheostomy tube if within the paramedic's scope and
protocol. BVM over the stoma may be needed if reinsertion fails.
6.
Which of the following is a sign of inadequate ventilation?
A) Oxygen saturation of 98%
B) End-tidal CO₂ of 40 mm Hg
C) Cyanosis and altered mental status
D) Respiratory rate of 16 breaths/min
, Correct Answer: C
Cyanosis and altered mental status indicate severe hypoxemia and inadequate
ventilation. SpO₂ 98%, EtCO₂ 40, and respiratory rate 16 are normal findings.
7.
A patient is being ventilated with a bag-valve-mask. What is the appropriate tidal
volume for an adult?
A) 200–300 mL
B) 400–500 mL
C) 600–800 mL
D) 900–1000 mL
Correct Answer: C
The appropriate tidal volume for BVM ventilation in an adult is 600–800 mL,
enough to produce visible chest rise while avoiding gastric insufflation.
8.
Which of the following is a contraindication to nasopharyngeal airway insertion?
A) Intact gag reflex
B) Suspected basilar skull fracture
C) Unconscious patient
D) Seizure activity
Correct Answer: B
A nasopharyngeal airway is contraindicated in suspected basilar skull fracture or
facial trauma due to the risk of intracranial insertion. It may be used in conscious
patients with an intact gag reflex.
9.
A patient has a foreign body airway obstruction and becomes unresponsive. What
is the next action?
A) Perform abdominal thrusts
B) Begin CPR and attempt to visualize the obstruction
