Paramedic FISDAP Final questions and answers

Paramedic FISDAP Final 1. A 30 year old climber is experiencing sever shortness of breath after reaching an elevation of 12000 feet. The PT 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-Administer oxygen while descending to a lower altitude. 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 approx 150 amitriptyline tables. Vital Signs are BP 88/50 R16. 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-Sodium Bicarbonate. 3. You PT 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 bilat