PARAMEDIC FISDAP FINAL QUESTIONS AND
ANSWERS UPDATED 2024 - 2025
1.,A,30,year,old,climber,is,experiencing,sever,shortness,of,breath,after,reaching,an,elevation,of,12000fe
et.,The,PT,is,very,anxious,and,has,rales,noted,to,all,quadrants,but,is,otherwise,healthy.,He,is,not,accusto
med,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,,,ANS,-
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,a
ccess,and,administer,a,fluid,challenge.,En,route,to,the,hospital,her,ECG,shows,a,widening,QRS.,You,shou
ld,administer
A.,amiodarone
B.,another,fluid,challenge
C.,calcium,chloride
D.,sodium,bicarbonate,,,ANS,-Sodium,Bicarbonate.
3.,You,PT,experienced,trauma,yesterday,and,you,are,transferring,her,to,a,larger,facility.,She,has,been,ex
periencing,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,,,ANS,-
Transport,emergency,and,continue,ventilation.
4.,An,alert,22,year,old,male,was,just,disentangled,from,debris,in,a,house,collapse.,He,denies,head,or,ne
ck,pain,,but,complains,of,server,hip,pain.,Vital,signs,are,BP,88/40.,P120,R,16,you,should,administer.
,A.,epinephrine
B.,lidocaine
C.,sodium,bicarbonate
D.,morphine,sulfate,,,ANS,-sodium,bicarbonate
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,,,ANS,-occur,in,the,second,trimester,and,are,false,labor.
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,,,ANS,-epidural,hematoma
7.,A,47,year,old,male,who,was,found,unconscious,on,the,side,of,the,road,respond,only,to,painful,stimul
us.,When,you,attempt,to,establish,IV,access,he,stiffens,his,arms,and,legs.,He,has,minor,abrasions,all,ove
r,his,body.,Vital,signs,are,BO,178/122,P56,R,irregular,ETCO2,30.,What,should,you,do?
A.,Mildly,hypoventilate,with,a,bag,valve,mask
B.,Assist,ventilations,at,12,breaths,per,minute
C.,Administer,a,250,mL,normal,saline,bolus
D.,Administer,25,g,of,dextrose,,,ANS,-Assist,ventilations,at,12,breaths,per,minHg.
8.,A,28,year,old,female,has,a,sudden,onset,of,tightness,in,her,chest,and,server,difficulty,breathing.,Her,t
ongue,face,and,neck,appear,swollen,and,she,has,red,itchy,hives,on,her,torso.,Her,signs,are,BP,80/40,P,1
30.,You,should,administer
A.,administer,25,mg,diphenhydramine,IV
,B.,transport,immediately,to,the,hospital
C.,administer,0.3,mg,epinephrine,IM
D.,administer,100,mg,Solumedrol,IV,,,ANS,-Epinephrine,0.3mg
9.,You,are,asked,to,set,up,a,patient,treatment,area,after,a,box,labeled,"radioactive",was,found,unattend
ed,in,a,park.,Which,of,the,following,would,be,the,best,location.
A.,An,open,area,in,the,park
B.,The,Emergency,Operations,Center
C.,The,Incident,Command,Center
D.,A,building,in,the,park,,,ANS,-Building,in,the,park
11.,What,is,the,most,common,cause,of,status,epilepticus,in,adults.
A.,Alcohol,withdrawal
B.,Sudden,elevation,in,body,temperature
C.,Failure,to,take,prescribed,medications
D.,Recent,history,of,head,trauma,,,ANS,-Failure,to,take,prescribed,medications
12.,A,58,year,old,male,with,history,of,renal,failure,complains,of,dizziness,lethargy,and,difficulty
breathing.,He,says,he,missed,his,last,dialysis,appointment.,Vital,signs,are,BP,160/90,P,100,R,28,with,rale
s,heard,in,the,basses.,SPO2,92%,you,should,suspect.
A.,fluid,overload
B.,hypokalemia
C.,respiratory,alkalosis
D.,hypermagnesemia,,,ANS,-Fluid,Overload.
16.,A,6,month,old,male,was,found,lying,face,down,in,the,crib.,He,is,cyanotic,and,apneic.,A,weak
brachial,pulse,is,present.,You,are,unable,to,see,a,chest,rise,with,your,second,attempt,at,rescue
breathing,after,repositioning,the,head.,What,should,you,do.
A.,perform,5,abdominal,thrusts
, B.,Start,CPR
C.,Perform,a,finger,sweep
D.,Give,five,back,slaps,,,ANS,-Start,CPR
17.,You,have,just,been,called,to,a,dialysis,clinic,for,a,58,year,old,male,in,cardiac,arrest.,The,online,physic
ian,may,order,you,to,administer,which,of,the,following,medications.
A.,Magnesium,sulfate
B.,Sodium,bicarbonate
C.,Furosemide
D.,Calcium,channel,blocker,,,ANS,-Sodium,Bicarbonate.
18.,A,27,year,old,male,has,been,assaulted,with,a,pen,in,the,supraclavicular,area.,He,is,anxious,and,pale,
and,his,vital,signs,are,BP,80/42,P,128,R,32,and,shallow.,First,responders,have,sealed,the,wound,with,a,b
andage.,Assessment,reveals,lung,sounds,on,the,right,and,poor,chest,rise,what,should,you,do.
A.,Perform,needle,decompression
B.,Lift,a,corner,of,the,occlusive,dressing
C.,Establish,two,large,bore,IV's,while,en,route,to,the,hospital
D.,Administer,high,flow,oxygen,and,transport,rapidly,,,ANS,-needle,decompression
20.,An,11,year,old,male,has,been,skateboarding,in,100,degrees,temperature,and,has,been,drinking,caffe
inated,soft,drinks.,He,complains,of,palpations.,The,cardiac,monitor,displays,a,narrow,QRS,tachycardia,at
,a,rate,of,160,beats.,Vitals,signs,BP,110/60,P160,R,20,What,should,you,do?
A.,transport,the,patient,by,ambulance,,monitor,closely,,and,administer,fluids,en,route
B.,suggest,the,father,drives,his,son,to,the,local,clinic,since,vital,signs,are,within,normal,limits
C.,perform,vagal,maneuvers,and,,if,unsuccessful,,administer,adenosine
D.,obtain,a,12,lead,ECG,and,,if,rhythm,unchanged,,perform,vagal,maneuvers,,,ANS,-
Transport,the,patient,by,ambulance,monitor,closely,and,administer,fluids,en,route.
21.,An,80,year,old,male,in,server,respiratory,distress.,He,has,a,history,of,hypertension,and,breathing,pr
oblems.,He,takes,inderal,daily.,Vital,signs,are,BP,170/70,P72,and,irregular,R40,and,extremely,labored,ski
n,warm,and,diaphoretic.,Lung,sounds,are,diffuse,bilateral,crackles,and,wheezing.,He,coughs,up,blood,ti
nged,sputum.,Which,of,the,following,is,most,important.
ANSWERS UPDATED 2024 - 2025
1.,A,30,year,old,climber,is,experiencing,sever,shortness,of,breath,after,reaching,an,elevation,of,12000fe
et.,The,PT,is,very,anxious,and,has,rales,noted,to,all,quadrants,but,is,otherwise,healthy.,He,is,not,accusto
med,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,,,ANS,-
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,a
ccess,and,administer,a,fluid,challenge.,En,route,to,the,hospital,her,ECG,shows,a,widening,QRS.,You,shou
ld,administer
A.,amiodarone
B.,another,fluid,challenge
C.,calcium,chloride
D.,sodium,bicarbonate,,,ANS,-Sodium,Bicarbonate.
3.,You,PT,experienced,trauma,yesterday,and,you,are,transferring,her,to,a,larger,facility.,She,has,been,ex
periencing,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,,,ANS,-
Transport,emergency,and,continue,ventilation.
4.,An,alert,22,year,old,male,was,just,disentangled,from,debris,in,a,house,collapse.,He,denies,head,or,ne
ck,pain,,but,complains,of,server,hip,pain.,Vital,signs,are,BP,88/40.,P120,R,16,you,should,administer.
,A.,epinephrine
B.,lidocaine
C.,sodium,bicarbonate
D.,morphine,sulfate,,,ANS,-sodium,bicarbonate
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,,,ANS,-occur,in,the,second,trimester,and,are,false,labor.
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,,,ANS,-epidural,hematoma
7.,A,47,year,old,male,who,was,found,unconscious,on,the,side,of,the,road,respond,only,to,painful,stimul
us.,When,you,attempt,to,establish,IV,access,he,stiffens,his,arms,and,legs.,He,has,minor,abrasions,all,ove
r,his,body.,Vital,signs,are,BO,178/122,P56,R,irregular,ETCO2,30.,What,should,you,do?
A.,Mildly,hypoventilate,with,a,bag,valve,mask
B.,Assist,ventilations,at,12,breaths,per,minute
C.,Administer,a,250,mL,normal,saline,bolus
D.,Administer,25,g,of,dextrose,,,ANS,-Assist,ventilations,at,12,breaths,per,minHg.
8.,A,28,year,old,female,has,a,sudden,onset,of,tightness,in,her,chest,and,server,difficulty,breathing.,Her,t
ongue,face,and,neck,appear,swollen,and,she,has,red,itchy,hives,on,her,torso.,Her,signs,are,BP,80/40,P,1
30.,You,should,administer
A.,administer,25,mg,diphenhydramine,IV
,B.,transport,immediately,to,the,hospital
C.,administer,0.3,mg,epinephrine,IM
D.,administer,100,mg,Solumedrol,IV,,,ANS,-Epinephrine,0.3mg
9.,You,are,asked,to,set,up,a,patient,treatment,area,after,a,box,labeled,"radioactive",was,found,unattend
ed,in,a,park.,Which,of,the,following,would,be,the,best,location.
A.,An,open,area,in,the,park
B.,The,Emergency,Operations,Center
C.,The,Incident,Command,Center
D.,A,building,in,the,park,,,ANS,-Building,in,the,park
11.,What,is,the,most,common,cause,of,status,epilepticus,in,adults.
A.,Alcohol,withdrawal
B.,Sudden,elevation,in,body,temperature
C.,Failure,to,take,prescribed,medications
D.,Recent,history,of,head,trauma,,,ANS,-Failure,to,take,prescribed,medications
12.,A,58,year,old,male,with,history,of,renal,failure,complains,of,dizziness,lethargy,and,difficulty
breathing.,He,says,he,missed,his,last,dialysis,appointment.,Vital,signs,are,BP,160/90,P,100,R,28,with,rale
s,heard,in,the,basses.,SPO2,92%,you,should,suspect.
A.,fluid,overload
B.,hypokalemia
C.,respiratory,alkalosis
D.,hypermagnesemia,,,ANS,-Fluid,Overload.
16.,A,6,month,old,male,was,found,lying,face,down,in,the,crib.,He,is,cyanotic,and,apneic.,A,weak
brachial,pulse,is,present.,You,are,unable,to,see,a,chest,rise,with,your,second,attempt,at,rescue
breathing,after,repositioning,the,head.,What,should,you,do.
A.,perform,5,abdominal,thrusts
, B.,Start,CPR
C.,Perform,a,finger,sweep
D.,Give,five,back,slaps,,,ANS,-Start,CPR
17.,You,have,just,been,called,to,a,dialysis,clinic,for,a,58,year,old,male,in,cardiac,arrest.,The,online,physic
ian,may,order,you,to,administer,which,of,the,following,medications.
A.,Magnesium,sulfate
B.,Sodium,bicarbonate
C.,Furosemide
D.,Calcium,channel,blocker,,,ANS,-Sodium,Bicarbonate.
18.,A,27,year,old,male,has,been,assaulted,with,a,pen,in,the,supraclavicular,area.,He,is,anxious,and,pale,
and,his,vital,signs,are,BP,80/42,P,128,R,32,and,shallow.,First,responders,have,sealed,the,wound,with,a,b
andage.,Assessment,reveals,lung,sounds,on,the,right,and,poor,chest,rise,what,should,you,do.
A.,Perform,needle,decompression
B.,Lift,a,corner,of,the,occlusive,dressing
C.,Establish,two,large,bore,IV's,while,en,route,to,the,hospital
D.,Administer,high,flow,oxygen,and,transport,rapidly,,,ANS,-needle,decompression
20.,An,11,year,old,male,has,been,skateboarding,in,100,degrees,temperature,and,has,been,drinking,caffe
inated,soft,drinks.,He,complains,of,palpations.,The,cardiac,monitor,displays,a,narrow,QRS,tachycardia,at
,a,rate,of,160,beats.,Vitals,signs,BP,110/60,P160,R,20,What,should,you,do?
A.,transport,the,patient,by,ambulance,,monitor,closely,,and,administer,fluids,en,route
B.,suggest,the,father,drives,his,son,to,the,local,clinic,since,vital,signs,are,within,normal,limits
C.,perform,vagal,maneuvers,and,,if,unsuccessful,,administer,adenosine
D.,obtain,a,12,lead,ECG,and,,if,rhythm,unchanged,,perform,vagal,maneuvers,,,ANS,-
Transport,the,patient,by,ambulance,monitor,closely,and,administer,fluids,en,route.
21.,An,80,year,old,male,in,server,respiratory,distress.,He,has,a,history,of,hypertension,and,breathing,pr
oblems.,He,takes,inderal,daily.,Vital,signs,are,BP,170/70,P72,and,irregular,R40,and,extremely,labored,ski
n,warm,and,diaphoretic.,Lung,sounds,are,diffuse,bilateral,crackles,and,wheezing.,He,coughs,up,blood,ti
nged,sputum.,Which,of,the,following,is,most,important.
