FISDAP Paramedic LATEST UPDATED REAL FINAL EXAM
2024-2025 WITH COMPLETE COMPETENT QUESTIONS
You have received an order for a dopamine drip. You carry 500cc bags of D5W. How much dopamine
should you add to the bag to create a 1600mcg/1mL dilution?
A. 800mg
B. 1600mcg
C. 1600mg
D. 400mcg - ANSWER - A. 800 mg
2. During the absolute refractory period, what happens to the cardiac cell?
A. It is unable to be stimulated.
B. The cell is vulnerable to partial stimulation.
C. Potassium is being pumped out of the cell.
D. Calcium has just rushed into the cell. - ANSWER - A. It is unable to be stimulated.
3. A 29 year old female fell from an 18 foot roof. During your rapid trauma assessment, where are you
most likely to find life-threatening injuries?
A. Head, neck, extremities
B. Head, chest, abdomen
C. Abdomen, pelvis, arms
D. Chest, pelvis, extremities - ANSWER - B. Head, chest, abdomen
4. Unequal pupils are a result of pressure on which structure?
A. Central medulla
B. Trochlear membrane
C. Vagus nerve
D. Occulomotor nerve - ANSWER - D. Occulomotor nerve
pg. 1
,5. What is an abnormally high level of carbon dioxide in the blood called?
A. Pneumonia
B. Hypoxia
C. Hypercapnia
D. Emphysema - ANSWER - C. Hypercapnia
6. What is oxygen deficiency in the body called?
A. Hypercarbia
B. Hyperoxia
C. Hypoxia
D. Hypoxemia - ANSWER - C. Hypoxia
7. What is your initial priority at a trench collapse?
A. Establishing medical command
B. Maintaining control of the crowd
C. Preventing a secondary collapse
D. Protecting the patient's airway - ANSWER - A. Establishing medical command
8. A 23 year old male complains of neck stiffness and flu symptoms for the past few days. He also
describes a high fever with a severe headache, dizziness and blurred vision. What should you suspect?
A. Hemorrhagic stroke
B. Migraine
C. Meningitis
D. Influenza - ANSWER - C. Meningitis
9. What causes an emphysema patient to have a pink appearance?
A. Elevated PCO2 level
pg. 2
,B. Polycythemia
C. Anemia
D. Elevated PO2 level - ANSWER - B. Polycythemia
10. Which of the following is a musical, squeaking or whistling sound heard in inspiration and expiration
while auscultating lung fields?
A. Wheezing
B. Snoring
C. Stridor
D. Gurgling - ANSWER - A. Wheezing
11. You are treating a 82 year old male in hypovolemic shock. In order to increase their blood pressure
you should administer:
A. 0.45% NaCl via IV
B. isotonic fluids orally
C. dextrose 5% in water via IO
D. isotonic crystalloid via IV - ANSWER - D. isotonic crystalloid via IV
12. A 35 year old man is pulseless and apneic. He was found in a lake after falling through the ice. His
wife says he left the house 3 hours ago. His is cold and rigid. What should you do?
A. Perform chest compressions
B. Begin active rewarming techniques
C. Obtain IO access and administer a warm fluid bolus
D. Contact the medical examiner - ANSWER - A. Perform chest compressions
13. What does a pulsating mass in the abdomen suggest?
A. Abdominal aortic aneurysm
B. Perforated ulcer
C. Hernia
D. Ruptured ectopic pregnancy - ANSWER - A. Abdominal aortic aneurysm
pg. 3
, 14. What is the safest and most effective landing pattern for a helicopter?
A. At a slight angle like that of a jet
B. Nose of the helicopter pointing up with a tail wind
C. Straight up and down in a vertical motion
D. Nose of the helicopter pointing down with a slow descent - ANSWER - A. At a slight angle like that of a
jet
15. During inspiration, what happens to blood flow in the thoracic cavity?
A. afterload increases
B. blood flow increases to the right atrium
C. blood flow through the vena cava is reduced
D. pressure in the aorta increases - ANSWER - B. blood flow increases to the right atrium
16. What is the period of the cardiac cycle when stimulation will not produce any depolarization?
A. Impulse refractory period
B. Absolute refractory period
C. Relative refractory period
D. Transient refractory period - ANSWER - B. Absolute refractory period
17. While treating a 56 year old male for chest pain, you note a few PVCs on the monitor. You print a
strip and measure the distance between the normal beats on each side of the PVC. The normal sinus
rhythm continues on both sides of the PVC as if it were the normal beat, even though the PVC happens
sooner than the sinus beat would have. The pause after the PVC would be:
A. A sign of continued ischemia
B. A compensatory pause
C. A non-compensatory pause
D. Reynaud's Pause - ANSWER - B. A compensatory pause
pg. 4
2024-2025 WITH COMPLETE COMPETENT QUESTIONS
You have received an order for a dopamine drip. You carry 500cc bags of D5W. How much dopamine
should you add to the bag to create a 1600mcg/1mL dilution?
A. 800mg
B. 1600mcg
C. 1600mg
D. 400mcg - ANSWER - A. 800 mg
2. During the absolute refractory period, what happens to the cardiac cell?
A. It is unable to be stimulated.
B. The cell is vulnerable to partial stimulation.
C. Potassium is being pumped out of the cell.
D. Calcium has just rushed into the cell. - ANSWER - A. It is unable to be stimulated.
3. A 29 year old female fell from an 18 foot roof. During your rapid trauma assessment, where are you
most likely to find life-threatening injuries?
A. Head, neck, extremities
B. Head, chest, abdomen
C. Abdomen, pelvis, arms
D. Chest, pelvis, extremities - ANSWER - B. Head, chest, abdomen
4. Unequal pupils are a result of pressure on which structure?
A. Central medulla
B. Trochlear membrane
C. Vagus nerve
D. Occulomotor nerve - ANSWER - D. Occulomotor nerve
pg. 1
,5. What is an abnormally high level of carbon dioxide in the blood called?
A. Pneumonia
B. Hypoxia
C. Hypercapnia
D. Emphysema - ANSWER - C. Hypercapnia
6. What is oxygen deficiency in the body called?
A. Hypercarbia
B. Hyperoxia
C. Hypoxia
D. Hypoxemia - ANSWER - C. Hypoxia
7. What is your initial priority at a trench collapse?
A. Establishing medical command
B. Maintaining control of the crowd
C. Preventing a secondary collapse
D. Protecting the patient's airway - ANSWER - A. Establishing medical command
8. A 23 year old male complains of neck stiffness and flu symptoms for the past few days. He also
describes a high fever with a severe headache, dizziness and blurred vision. What should you suspect?
A. Hemorrhagic stroke
B. Migraine
C. Meningitis
D. Influenza - ANSWER - C. Meningitis
9. What causes an emphysema patient to have a pink appearance?
A. Elevated PCO2 level
pg. 2
,B. Polycythemia
C. Anemia
D. Elevated PO2 level - ANSWER - B. Polycythemia
10. Which of the following is a musical, squeaking or whistling sound heard in inspiration and expiration
while auscultating lung fields?
A. Wheezing
B. Snoring
C. Stridor
D. Gurgling - ANSWER - A. Wheezing
11. You are treating a 82 year old male in hypovolemic shock. In order to increase their blood pressure
you should administer:
A. 0.45% NaCl via IV
B. isotonic fluids orally
C. dextrose 5% in water via IO
D. isotonic crystalloid via IV - ANSWER - D. isotonic crystalloid via IV
12. A 35 year old man is pulseless and apneic. He was found in a lake after falling through the ice. His
wife says he left the house 3 hours ago. His is cold and rigid. What should you do?
A. Perform chest compressions
B. Begin active rewarming techniques
C. Obtain IO access and administer a warm fluid bolus
D. Contact the medical examiner - ANSWER - A. Perform chest compressions
13. What does a pulsating mass in the abdomen suggest?
A. Abdominal aortic aneurysm
B. Perforated ulcer
C. Hernia
D. Ruptured ectopic pregnancy - ANSWER - A. Abdominal aortic aneurysm
pg. 3
, 14. What is the safest and most effective landing pattern for a helicopter?
A. At a slight angle like that of a jet
B. Nose of the helicopter pointing up with a tail wind
C. Straight up and down in a vertical motion
D. Nose of the helicopter pointing down with a slow descent - ANSWER - A. At a slight angle like that of a
jet
15. During inspiration, what happens to blood flow in the thoracic cavity?
A. afterload increases
B. blood flow increases to the right atrium
C. blood flow through the vena cava is reduced
D. pressure in the aorta increases - ANSWER - B. blood flow increases to the right atrium
16. What is the period of the cardiac cycle when stimulation will not produce any depolarization?
A. Impulse refractory period
B. Absolute refractory period
C. Relative refractory period
D. Transient refractory period - ANSWER - B. Absolute refractory period
17. While treating a 56 year old male for chest pain, you note a few PVCs on the monitor. You print a
strip and measure the distance between the normal beats on each side of the PVC. The normal sinus
rhythm continues on both sides of the PVC as if it were the normal beat, even though the PVC happens
sooner than the sinus beat would have. The pause after the PVC would be:
A. A sign of continued ischemia
B. A compensatory pause
C. A non-compensatory pause
D. Reynaud's Pause - ANSWER - B. A compensatory pause
pg. 4
