Paramedic FISDAP Final exam witht t t t
correct answers
t t
1. tA t30 tyear told tclimber tis texperiencing tsever tshortness tof tbreath tafter treaching tan televation tof
t12000feet. tThe tPT tis tvery tanxious tand thas trales tnoted tto tall tquadrants tbut tis totherwise thealthy.
tHe tis tnot taccustomed tto thigh taltitudes. tWhat tshould tyou tdo?
A. tAdminister toxygen twhile tdescending tto ta tlower taltitude
B. tCoach tthe tpatient tto tslow this trespirations
C. tApply tCPAP twhile tthe tpatient tadapts tto tthe televations
D. tEvacuate tthe tpatient tto ta thyperbaric tchamber t- tCorrect t tAnswer t- tAdminister toxygen twhile
tdescending tto ta tlower taltitude.
2. tA t26 tyear told tfemale tdoes tnot trespond tto tverbal tstimuli tbut tmoans tin tresponse tto tpain. tA
tfriend tstates tthe tpatient thas tingested tapprox t150 tamitriptyline ttables. tVital tSigns tare tBP t88/50
tR16. tYou testablish tIV taccess tand tadminister ta tfluid tchallenge. tEn troute tto tthe thospital ther tECG
tshows ta twidening tQRS. tYou tshould tadminister
A. tamiodarone
B. tanother tfluid tchallenge
C. tcalcium tchloride
D. tsodium tbicarbonate t- tCorrect t tAnswer t- tSodium tBicarbonate.
3. tYou tPT texperienced ttrauma tyesterday tand tyou tare ttransferring ther tto ta tlarger tfacility. tShe thas
tbeen texperiencing tprogressive thypoxia. tYou tnotice tcoarse tcrackles tin tall tlung tfields ton tventilation.
tVital tsigns tare tBP t90/50 tand tSPO2 t90%. tYou tshould
A. tincrease tIV tfluid tadministration trate
B. textubate tand tre-intubate tthe tpatient
C. ttransport temergently tand tcontinue tventilation
,D. tperform tbilateral tchest tdecompression tand treassess t- tCorrect t tAnswer t- tTransport temergency
tand tcontinue tventilation.
4. tAn talert t22 tyear told tmale twas tjust tdisentangled tfrom tdebris tin ta thouse tcollapse. tHe tdenies
thead tor tneck tpain, tbut tcomplains tof tserver thip tpain. tVital tsigns tare tBP t88/40. tP120 tR t16 tyou
tshould tadminister.
A. tepinephrine
B. tlidocaine
C. tsodium tbicarbonate
D. tmorphine tsulfate t- tCorrect t tAnswer t- tsodium tbicarbonate
5. tBraxton tHicks tcontractions
A. tare tmild tand tsignal tthe tbeginning tof tlabor
B. toccur tin tthe tsecond ttrimester tand tare tfalse tlabor
C. tcause textreme tback tand tabdominal tdiscomfort
D. tcause tdilation tand teffacement tof tthe tcervix t- tCorrect t tAnswer t- toccur tin tthe tsecond ttrimester
tand tare tfalse tlabor.
6. tA t40 tyear told tmale tcrashed this tmotorcycle. tHe thad ta tbrief tloss tof tconsciousness, twoke tup tand
walked thome. tYou tfind thim t2 thours tlater tat thome tunconscious. tYou tshould tsuspect.
A. tSubdural thematoma
B. tSubarachnoid tBleed.
C. tBasilar tskull tfracture
D. tEpidural tHematoma t- tCorrect t tAnswer t- tepidural thematoma
7. tA t47 tyear told tmale twho twas tfound tunconscious ton tthe tside tof tthe troad trespond tonly tto
tpainful tstimulus. tWhen tyou tattempt tto testablish tIV taccess the tstiffens this tarms tand tlegs. tHe thas
,tminor tabrasions tall tover this tbody. tVital tsigns tare tBO t178/122 tP56 tR tirregular tETCO2 t30. tWhat
tshould tyou tdo?
A. tMildly thypoventilate twith ta tbag tvalve tmask
B. tAssist tventilations tat t12 tbreaths tper tminute
C. tAdminister ta t250 tmL tnormal tsaline tbolus
D. tAdminister t25 tg tof tdextrose t- tCorrect t tAnswer t- tAssist tventilations tat t12 tbreaths tper tminHg.
8. tA t28 tyear told tfemale thas ta tsudden tonset tof ttightness tin ther tchest tand tserver tdifficulty
tbreathing. tHer ttongue tface tand tneck tappear tswollen tand tshe thas tred titchy thives ton ther ttorso.
tHer tsigns tare tBP t80/40 tP t130. tYou tshould tadminister
A. tadminister t25 tmg tdiphenhydramine tIV
B. ttransport timmediately tto tthe thospital
C. tadminister t0.3 tmg tepinephrine tIM
D. tadminister t100 tmg tSolumedrol tIV t- tCorrect t tAnswer t- tEpinephrine t0.3mg
9. tYou tare tasked tto tset tup ta tpatient ttreatment tarea tafter ta tbox tlabeled t"radioactive" twas tfound
tunattended tin ta tpark. tWhich tof tthe tfollowing twould tbe tthe tbest tlocation.
A. tAn topen tarea tin tthe tpark
B. tThe tEmergency tOperations tCenter
C. tThe tIncident tCommand tCenter
D. tA tbuilding tin tthe tpark t- tCorrect t tAnswer t- tBuilding tin tthe tpark
11. tWhat tis tthe tmost tcommon tcause tof tstatus tepilepticus tin tadults.
A. tAlcohol twithdrawal
B. tSudden televation tin tbody ttemperature
C. tFailure tto ttake tprescribed tmedications
D. tRecent thistory tof thead ttrauma t- tCorrect t tAnswer t- tFailure tto ttake tprescribed tmedications
, 12. tA t58 tyear told tmale twith thistory tof trenal tfailure tcomplains tof tdizziness tlethargy tand tdifficulty
breathing. tHe tsays the tmissed this tlast tdialysis tappointment. tVital tsigns tare tBP t160/90 tP t100 tR t28
twith trales theard tin tthe tbasses. tSPO2 t92% tyou tshould tsuspect.
A. tfluid toverload
B. thypokalemia
C. trespiratory talkalosis
D. thypermagnesemia t- tCorrect t tAnswer t- tFluid tOverload.
16. tA t6 tmonth told tmale twas tfound tlying tface tdown tin tthe tcrib. tHe tis tcyanotic tand tapneic. tA
tweak
brachial tpulse tis tpresent. tYou tare tunable tto tsee ta tchest trise twith tyour tsecond tattempt tat trescue
breathing tafter trepositioning tthe thead. tWhat tshould tyou tdo.
A. tperform t5 tabdominal tthrusts
B. tStart tCPR
C. tPerform ta tfinger tsweep
D. tGive tfive tback tslaps t- tCorrect t tAnswer t- tStart tCPR
17. tYou thave tjust tbeen tcalled tto ta tdialysis tclinic tfor ta t58 tyear told tmale tin tcardiac tarrest. tThe
tonline tphysician tmay torder tyou tto tadminister twhich tof tthe tfollowing tmedications.
A. tMagnesium tsulfate
B. tSodium tbicarbonate
C. tFurosemide
D. tCalcium tchannel tblocker t- tCorrect t tAnswer t- tSodium tBicarbonate.
18. tA t27 tyear told tmale thas tbeen tassaulted twith ta tpen tin tthe tsupraclavicular tarea. tHe tis tanxious
tand tpale tand this tvital tsigns tare tBP t80/42 tP t128 tR t32 tand tshallow. tFirst tresponders thave tsealed
correct answers
t t
1. tA t30 tyear told tclimber tis texperiencing tsever tshortness tof tbreath tafter treaching tan televation tof
t12000feet. tThe tPT tis tvery tanxious tand thas trales tnoted tto tall tquadrants tbut tis totherwise thealthy.
tHe tis tnot taccustomed tto thigh taltitudes. tWhat tshould tyou tdo?
A. tAdminister toxygen twhile tdescending tto ta tlower taltitude
B. tCoach tthe tpatient tto tslow this trespirations
C. tApply tCPAP twhile tthe tpatient tadapts tto tthe televations
D. tEvacuate tthe tpatient tto ta thyperbaric tchamber t- tCorrect t tAnswer t- tAdminister toxygen twhile
tdescending tto ta tlower taltitude.
2. tA t26 tyear told tfemale tdoes tnot trespond tto tverbal tstimuli tbut tmoans tin tresponse tto tpain. tA
tfriend tstates tthe tpatient thas tingested tapprox t150 tamitriptyline ttables. tVital tSigns tare tBP t88/50
tR16. tYou testablish tIV taccess tand tadminister ta tfluid tchallenge. tEn troute tto tthe thospital ther tECG
tshows ta twidening tQRS. tYou tshould tadminister
A. tamiodarone
B. tanother tfluid tchallenge
C. tcalcium tchloride
D. tsodium tbicarbonate t- tCorrect t tAnswer t- tSodium tBicarbonate.
3. tYou tPT texperienced ttrauma tyesterday tand tyou tare ttransferring ther tto ta tlarger tfacility. tShe thas
tbeen texperiencing tprogressive thypoxia. tYou tnotice tcoarse tcrackles tin tall tlung tfields ton tventilation.
tVital tsigns tare tBP t90/50 tand tSPO2 t90%. tYou tshould
A. tincrease tIV tfluid tadministration trate
B. textubate tand tre-intubate tthe tpatient
C. ttransport temergently tand tcontinue tventilation
,D. tperform tbilateral tchest tdecompression tand treassess t- tCorrect t tAnswer t- tTransport temergency
tand tcontinue tventilation.
4. tAn talert t22 tyear told tmale twas tjust tdisentangled tfrom tdebris tin ta thouse tcollapse. tHe tdenies
thead tor tneck tpain, tbut tcomplains tof tserver thip tpain. tVital tsigns tare tBP t88/40. tP120 tR t16 tyou
tshould tadminister.
A. tepinephrine
B. tlidocaine
C. tsodium tbicarbonate
D. tmorphine tsulfate t- tCorrect t tAnswer t- tsodium tbicarbonate
5. tBraxton tHicks tcontractions
A. tare tmild tand tsignal tthe tbeginning tof tlabor
B. toccur tin tthe tsecond ttrimester tand tare tfalse tlabor
C. tcause textreme tback tand tabdominal tdiscomfort
D. tcause tdilation tand teffacement tof tthe tcervix t- tCorrect t tAnswer t- toccur tin tthe tsecond ttrimester
tand tare tfalse tlabor.
6. tA t40 tyear told tmale tcrashed this tmotorcycle. tHe thad ta tbrief tloss tof tconsciousness, twoke tup tand
walked thome. tYou tfind thim t2 thours tlater tat thome tunconscious. tYou tshould tsuspect.
A. tSubdural thematoma
B. tSubarachnoid tBleed.
C. tBasilar tskull tfracture
D. tEpidural tHematoma t- tCorrect t tAnswer t- tepidural thematoma
7. tA t47 tyear told tmale twho twas tfound tunconscious ton tthe tside tof tthe troad trespond tonly tto
tpainful tstimulus. tWhen tyou tattempt tto testablish tIV taccess the tstiffens this tarms tand tlegs. tHe thas
,tminor tabrasions tall tover this tbody. tVital tsigns tare tBO t178/122 tP56 tR tirregular tETCO2 t30. tWhat
tshould tyou tdo?
A. tMildly thypoventilate twith ta tbag tvalve tmask
B. tAssist tventilations tat t12 tbreaths tper tminute
C. tAdminister ta t250 tmL tnormal tsaline tbolus
D. tAdminister t25 tg tof tdextrose t- tCorrect t tAnswer t- tAssist tventilations tat t12 tbreaths tper tminHg.
8. tA t28 tyear told tfemale thas ta tsudden tonset tof ttightness tin ther tchest tand tserver tdifficulty
tbreathing. tHer ttongue tface tand tneck tappear tswollen tand tshe thas tred titchy thives ton ther ttorso.
tHer tsigns tare tBP t80/40 tP t130. tYou tshould tadminister
A. tadminister t25 tmg tdiphenhydramine tIV
B. ttransport timmediately tto tthe thospital
C. tadminister t0.3 tmg tepinephrine tIM
D. tadminister t100 tmg tSolumedrol tIV t- tCorrect t tAnswer t- tEpinephrine t0.3mg
9. tYou tare tasked tto tset tup ta tpatient ttreatment tarea tafter ta tbox tlabeled t"radioactive" twas tfound
tunattended tin ta tpark. tWhich tof tthe tfollowing twould tbe tthe tbest tlocation.
A. tAn topen tarea tin tthe tpark
B. tThe tEmergency tOperations tCenter
C. tThe tIncident tCommand tCenter
D. tA tbuilding tin tthe tpark t- tCorrect t tAnswer t- tBuilding tin tthe tpark
11. tWhat tis tthe tmost tcommon tcause tof tstatus tepilepticus tin tadults.
A. tAlcohol twithdrawal
B. tSudden televation tin tbody ttemperature
C. tFailure tto ttake tprescribed tmedications
D. tRecent thistory tof thead ttrauma t- tCorrect t tAnswer t- tFailure tto ttake tprescribed tmedications
, 12. tA t58 tyear told tmale twith thistory tof trenal tfailure tcomplains tof tdizziness tlethargy tand tdifficulty
breathing. tHe tsays the tmissed this tlast tdialysis tappointment. tVital tsigns tare tBP t160/90 tP t100 tR t28
twith trales theard tin tthe tbasses. tSPO2 t92% tyou tshould tsuspect.
A. tfluid toverload
B. thypokalemia
C. trespiratory talkalosis
D. thypermagnesemia t- tCorrect t tAnswer t- tFluid tOverload.
16. tA t6 tmonth told tmale twas tfound tlying tface tdown tin tthe tcrib. tHe tis tcyanotic tand tapneic. tA
tweak
brachial tpulse tis tpresent. tYou tare tunable tto tsee ta tchest trise twith tyour tsecond tattempt tat trescue
breathing tafter trepositioning tthe thead. tWhat tshould tyou tdo.
A. tperform t5 tabdominal tthrusts
B. tStart tCPR
C. tPerform ta tfinger tsweep
D. tGive tfive tback tslaps t- tCorrect t tAnswer t- tStart tCPR
17. tYou thave tjust tbeen tcalled tto ta tdialysis tclinic tfor ta t58 tyear told tmale tin tcardiac tarrest. tThe
tonline tphysician tmay torder tyou tto tadminister twhich tof tthe tfollowing tmedications.
A. tMagnesium tsulfate
B. tSodium tbicarbonate
C. tFurosemide
D. tCalcium tchannel tblocker t- tCorrect t tAnswer t- tSodium tBicarbonate.
18. tA t27 tyear told tmale thas tbeen tassaulted twith ta tpen tin tthe tsupraclavicular tarea. tHe tis tanxious
tand tpale tand this tvital tsigns tare tBP t80/42 tP t128 tR t32 tand tshallow. tFirst tresponders thave tsealed
