1
PARAMEDIC FISDAP FINAL EXAM LATEST ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS
•
1. A 30 year old climber is experiencing sever shortness of breath after reaching
an elevation of 12000feet. 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? - (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 - (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 - (answer)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 neck pain, but complains of server hip pain. Vital
signs are BP 88/40. P120 R 16 you should administer. - (answer)sodium
bicarbonate
, 2
5. Braxton Hicks contractions - (answer)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. - (answer)epidural hematoma
7. A 47 year old male who was found unconscious on the side of the road
respond only to painful stimulus. When you attempt to establish IV access he
stiffens his arms and legs. He has minor abrasions all over his body. Vital signs
are BO 178/122 P56 R irregular ETCO2 30. What should you do? -
(answer)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 tongue face and neck appear swollen and she has red
itchy hives on her torso. Her signs are BP 80/40 P 130. You should administer -
(answer)Epinephrine 0.3mg
9. You are asked to set up a patient treatment area after a box labeled "radio
active" was found unattended in a park. Which of the following would be the
best location. - (answer)Building in the park
, 3
10. You are at a house fire with multiple patients. Which patient should be
transported First to a burn center? - (answer)52 year old with second degree
burns to face and right hand
11. What is the most common cause of status epilepticus in adults. -
(answer)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 rales heard in the basses. SPO2 92% you should
suspect. - (answer)Fluid Overload.
13. A 12 year old girl is seizing. Her mom tells you that her daughter has been
feeling tired for days. Her skin is dry and she has been very thirsty. Vital signs
are BP 118/80 P115 R26 you should suspect. - (answer)Diabetic ketoacidosis
14. A 42 year old female has fallen down a flight of stairs. She appears anxious
her skin is cool and clammy her radial pulses are weak at 112 beats per min
and she complains of abdominal pain in the left upper quadrant with radiation
to the left scapula. You should suspect. - (answer)Torn or lacerated spleen.
, 4
15. Emergency medical responders are ventilating an apneic medical patient
with a bag valve mask. You note abdominal distention and minimal chest rise.
What should you do? - (answer)Reposition the head.
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. - (answer)Start
CPR
17. You have just been called to a dialysis clinic for a 58 year old male in cardiac
arrest. The online physician may order you to administer which of the following
medications. - (answer)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 bandage. Assessment
reveals lung sounds on the right and poor chest rise what should you do. -
(answer)Burp dressing
19. A 50 pound child is unresponsive pulseless and apneic. The cardiac monitor
displays ventricular fibrillations. CPR is in progress. The initial defibrillator
should be at. - (answer)50 joules.
PARAMEDIC FISDAP FINAL EXAM LATEST ACTUAL
EXAM 200 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED ANSWERS
•
1. A 30 year old climber is experiencing sever shortness of breath after reaching
an elevation of 12000feet. 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? - (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 - (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 - (answer)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 neck pain, but complains of server hip pain. Vital
signs are BP 88/40. P120 R 16 you should administer. - (answer)sodium
bicarbonate
, 2
5. Braxton Hicks contractions - (answer)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. - (answer)epidural hematoma
7. A 47 year old male who was found unconscious on the side of the road
respond only to painful stimulus. When you attempt to establish IV access he
stiffens his arms and legs. He has minor abrasions all over his body. Vital signs
are BO 178/122 P56 R irregular ETCO2 30. What should you do? -
(answer)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 tongue face and neck appear swollen and she has red
itchy hives on her torso. Her signs are BP 80/40 P 130. You should administer -
(answer)Epinephrine 0.3mg
9. You are asked to set up a patient treatment area after a box labeled "radio
active" was found unattended in a park. Which of the following would be the
best location. - (answer)Building in the park
, 3
10. You are at a house fire with multiple patients. Which patient should be
transported First to a burn center? - (answer)52 year old with second degree
burns to face and right hand
11. What is the most common cause of status epilepticus in adults. -
(answer)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 rales heard in the basses. SPO2 92% you should
suspect. - (answer)Fluid Overload.
13. A 12 year old girl is seizing. Her mom tells you that her daughter has been
feeling tired for days. Her skin is dry and she has been very thirsty. Vital signs
are BP 118/80 P115 R26 you should suspect. - (answer)Diabetic ketoacidosis
14. A 42 year old female has fallen down a flight of stairs. She appears anxious
her skin is cool and clammy her radial pulses are weak at 112 beats per min
and she complains of abdominal pain in the left upper quadrant with radiation
to the left scapula. You should suspect. - (answer)Torn or lacerated spleen.
, 4
15. Emergency medical responders are ventilating an apneic medical patient
with a bag valve mask. You note abdominal distention and minimal chest rise.
What should you do? - (answer)Reposition the head.
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. - (answer)Start
CPR
17. You have just been called to a dialysis clinic for a 58 year old male in cardiac
arrest. The online physician may order you to administer which of the following
medications. - (answer)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 bandage. Assessment
reveals lung sounds on the right and poor chest rise what should you do. -
(answer)Burp dressing
19. A 50 pound child is unresponsive pulseless and apneic. The cardiac monitor
displays ventricular fibrillations. CPR is in progress. The initial defibrillator
should be at. - (answer)50 joules.
