FISDAPgPARAMEDICgFINALgEXAMg100%gCOMPLETEgTESTgQUESTIONSgANDgANSW
ERSg(2024)
Questiong1
Ag30gyeargoldgclimbergisgexperiencinggsevergshortnessgofgbreathgaftergreachinggangelevationgofg1200
0feet.gThegPTgisgveryganxiousgandghasgralesgnotedgtogallgquadrantsgbutgisgotherwiseghealthy.gHegisgno
tgaccustomedgtoghighgaltitudes.gWhatgshouldgyougdo?
Administergoxygengwhilegdescendinggtogaglowergaltitude.
Questiong2
Ag26gyeargoldgfemalegdoesgnotgrespondgtogverbalgstimuligbutgmoansgingresponsegtogpain.gAgfriendgsta
tesgthegpatientghasgingestedgapproxg150gamitriptylinegtables.gVitalgSignsgaregBPg88/50gR16.gYougesta
blishgIVgaccessgandgadministergagfluidgchallenge.gEngroutegtogtheghospitalghergECGgshowsgagwidening
gQRS.gYougshouldgadminister
SodiumgBicarbonate.
Questiong3
YougPTgexperiencedgtraumagyesterdaygandgyougaregtransferringghergtogaglargergfacility.gSheghasgbeen
gexperiencinggprogressiveghypoxia.gYougnoticegcoarsegcracklesgingallglunggfieldsgongventilation.gVitalg
signsgaregBPg90/50gandgSPO2g90%.gYougshould
Transportgemergencygandgcontinuegventilation.
Questiong4
Angalertg22gyeargoldgmalegwasgjustgdisentangledgfromgdebrisgingaghousegcollapse.gHegdeniesgheadgor
gneckgpain,gbutgcomplainsgofgserverghipgpain.gVitalgsignsgaregBPg88/40.gP120gRg16gyougshouldgadminis
ter.
sodiumgbicarbonate
Questiong5
BraxtongHicksgcontractions
occurgingthegsecondgtrimestergandgaregfalseglabor.
Questiong6
Ag40gyeargoldgmalegcrashedghisgmotorcycle.gHeghadgagbriefglossgofgconsciousness,gwokegupgandgw
alkedghome.gYougfindghimg2ghoursglatergatghomegunconscious.gYougshouldgsuspect.
FISDAPgPARAMEDICgFINALgEXA
M
, epiduralghematoma
Questiong7
Ag47gyeargoldgmalegwhogwasgfoundgunconsciousgongthegsidegofgthegroadgrespondgonlygtogpainfulgsti
mulus.gWhengyougattemptgtogestablishgIVgaccessghegstiffensghisgarmsgandglegs.gHeghasgminorgabrasi
onsgallgoverghisgbody.gVitalgsignsgaregBOg178/122gP56gRgirregulargETCO2g30.gWhatgshouldgyougdo?
Assistgventilationsgatg12gbreathsgpergminHg.
Questiong8
Ag28gyeargoldgfemaleghasgagsuddengonsetgofgtightnessginghergchestgandgservergdifficultygbreathing.gHe
rgtonguegfacegandgneckgappeargswollengandgsheghasgredgitchyghivesgonghergtorso.gHergsignsgaregBPg80/
40gP
130.gYougshouldgadminister
Epinephrineg0.3mg
Questiong9
Yougaregaskedgtogsetgupgagpatientgtreatmentgareagaftergagboxglabeledg"radiogactive"gwasgfoundgunatt
endedgingagpark.gWhichgofgthegfollowinggwouldgbegthegbestglocation.
Buildinggingthegpark
Questiong10
Yougaregatgaghousegfiregwithgmultiplegpatients.gWhichgpatientgshouldgbegtransportedgFirstgtogagburng
center?
52gyeargoldgwithgsecondgdegreegburnsgtogfacegandgrightghand
Questiong11
Whatgisgthegmostgcommongcausegofgstatusgepilepticusgingadults.
Failuregtogtakegprescribedgmedications
Questiong12
Ag58gyeargoldgmalegwithghistorygofgrenalgfailuregcomplainsgofgdizzinessglethargygandgdifficulty
FISDAPgPARAMEDICgFINALgEXA
M
, breathing.gHegsaysghegmissedghisglastgdialysisgappointment.gVitalgsignsgaregBPg160/90gPg100gRg28gwit
hgralesgheardgingthegbasses.gSPO2g92%gyougshouldgsuspect.
FluidgOverload.
Questiong13
Ag12gyeargoldggirlgisgseizing.gHergmomgtellsgyougthatghergdaughterghasgbeengfeelinggtiredgforgdays.gHe
rgskingisgdrygandgsheghasgbeengverygthirsty.gVitalgsignsgaregBPg118/80gP115gR26gyougshouldgsuspect.
Diabeticgketoacidosis
Questiong14
Ag42gyeargoldgfemaleghasgfallengdowngagflightgofgstairs.gShegappearsganxiousghergskingisgcoolgandgcla
mmyghergradialgpulsesgaregweakgatg112gbeatsgpergmingandgshegcomplainsgofgabdominalgpaingingthegl
eftguppergquadrantgwithgradiationgtogthegleftgscapula.gYougshouldgsuspect.
Torngorglaceratedgspleen.
Questiong15
Emergencygmedicalgrespondersgaregventilatinggangapneicgmedicalgpatientgwithgagbaggvalvegmask.gYo
ugnotegabdominalgdistentiongandgminimalgchestgrise.gWhatgshouldgyougdo?
Repositiongtheghead.
Questiong16
Ag6gmonthgoldgmalegwasgfoundglyinggfacegdowngingthegcrib.gHegisgcyanoticgandgapneic.gAgweakg
brachialgpulsegisgpresent.gYougaregunablegtogseegagchestgrisegwithgyourgsecondgattemptgatgrescue
gbreathinggaftergrepositioninggtheghead.gWhatgshouldgyougdo.
StartgCPR
Questiong17
Youghavegjustgbeengcalledgtogagdialysisgclinicgforgag58gyeargoldgmalegingcardiacgarrest.gThegonlinegphy
siciangmaygordergyougtogadministergwhichgofgthegfollowinggmedications.
SodiumgBicarbonate.
FISDAPgPARAMEDICgFINALgEXA
M
, Questiong18
Ag27gyeargoldgmaleghasgbeengassaultedgwithgagpengingthegsupraclaviculargarea.gHegisganxiousgandgpa
legandghisgvitalgsignsgaregBPg80/42gPg128gRg32gandgshallow.gFirstgrespondersghavegsealedgthegwoundg
withgagbandage.gAssessmentgrevealsglunggsoundsgongthegrightgandgpoorgchestgrisegwhatgshouldgyoug
do.
Burpgdressing
Questiong19
Ag50gpoundgchildgisgunresponsivegpulselessgandgapneic.gThegcardiacgmonitorgdisplaysgventriculargfibri
llations.gCPRgisgingprogress.gTheginitialgdefibrillatorgshouldgbegat.
50gjoules.
Questiong20
Ang11gyeargoldgmaleghasgbeengskateboardingging100gdegreesgtemperaturegandghasgbeengdrinki
nggcaffeinatedgsoftgdrinks.gHegcomplainsgofgpalpations.gThegcardiacgmonitorgdisplaysgagnarro
wgQRSgtachycardiagatgagrategofg160gbeats.gVitalsgsignsgBPg110/60gP160gRg20gWhatgshouldgyou
gdo?
Transportgthegpatientgbygambulancegmonitorgcloselygandgadministergfluidsgengroute.
Questiong21
Ang80gyeargoldgmalegingservergrespiratorygdistress.gHeghasgaghistorygofghypertensiongandgbreathinggp
roblems.gHegtakesginderalgdaily.gVitalgsignsgaregBPg170/70gP72gandgirregulargR40gandgextremelyglabo
redgskingwarmgandgdiaphoretic.gLunggsoundsgaregdiffusegbilateralgcracklesgandgwheezing.gHegcoughsg
upgbloodgtingedgsputum.gWhichgofgthegfollowinggisgmostgimportant.
Decreasinggpreload
Questiong22
Ag50gyeargoldgpatientgisgfoundglyinggoutsidegongthegground.gThegambientgtemperaturegisg40gdegreesg
F.gYougthermometergreadsg20Cg86F.gHegisgingV-fibgandgpulselessgandgapneic.gYougshould
DefibrillategoncegperformgCPRgintubategandgtransportgrapidly.
Questiong23
Togsuccessfullygaccomplishgnasotrachealgintubationgyougshouldgadvancegthegendotrachealgtubegthou
ghgthegglotticgopeninggtogcoincidegwithgpatient
FISDAPgPARAMEDICgFINALgEXA
M
ERSg(2024)
Questiong1
Ag30gyeargoldgclimbergisgexperiencinggsevergshortnessgofgbreathgaftergreachinggangelevationgofg1200
0feet.gThegPTgisgveryganxiousgandghasgralesgnotedgtogallgquadrantsgbutgisgotherwiseghealthy.gHegisgno
tgaccustomedgtoghighgaltitudes.gWhatgshouldgyougdo?
Administergoxygengwhilegdescendinggtogaglowergaltitude.
Questiong2
Ag26gyeargoldgfemalegdoesgnotgrespondgtogverbalgstimuligbutgmoansgingresponsegtogpain.gAgfriendgsta
tesgthegpatientghasgingestedgapproxg150gamitriptylinegtables.gVitalgSignsgaregBPg88/50gR16.gYougesta
blishgIVgaccessgandgadministergagfluidgchallenge.gEngroutegtogtheghospitalghergECGgshowsgagwidening
gQRS.gYougshouldgadminister
SodiumgBicarbonate.
Questiong3
YougPTgexperiencedgtraumagyesterdaygandgyougaregtransferringghergtogaglargergfacility.gSheghasgbeen
gexperiencinggprogressiveghypoxia.gYougnoticegcoarsegcracklesgingallglunggfieldsgongventilation.gVitalg
signsgaregBPg90/50gandgSPO2g90%.gYougshould
Transportgemergencygandgcontinuegventilation.
Questiong4
Angalertg22gyeargoldgmalegwasgjustgdisentangledgfromgdebrisgingaghousegcollapse.gHegdeniesgheadgor
gneckgpain,gbutgcomplainsgofgserverghipgpain.gVitalgsignsgaregBPg88/40.gP120gRg16gyougshouldgadminis
ter.
sodiumgbicarbonate
Questiong5
BraxtongHicksgcontractions
occurgingthegsecondgtrimestergandgaregfalseglabor.
Questiong6
Ag40gyeargoldgmalegcrashedghisgmotorcycle.gHeghadgagbriefglossgofgconsciousness,gwokegupgandgw
alkedghome.gYougfindghimg2ghoursglatergatghomegunconscious.gYougshouldgsuspect.
FISDAPgPARAMEDICgFINALgEXA
M
, epiduralghematoma
Questiong7
Ag47gyeargoldgmalegwhogwasgfoundgunconsciousgongthegsidegofgthegroadgrespondgonlygtogpainfulgsti
mulus.gWhengyougattemptgtogestablishgIVgaccessghegstiffensghisgarmsgandglegs.gHeghasgminorgabrasi
onsgallgoverghisgbody.gVitalgsignsgaregBOg178/122gP56gRgirregulargETCO2g30.gWhatgshouldgyougdo?
Assistgventilationsgatg12gbreathsgpergminHg.
Questiong8
Ag28gyeargoldgfemaleghasgagsuddengonsetgofgtightnessginghergchestgandgservergdifficultygbreathing.gHe
rgtonguegfacegandgneckgappeargswollengandgsheghasgredgitchyghivesgonghergtorso.gHergsignsgaregBPg80/
40gP
130.gYougshouldgadminister
Epinephrineg0.3mg
Questiong9
Yougaregaskedgtogsetgupgagpatientgtreatmentgareagaftergagboxglabeledg"radiogactive"gwasgfoundgunatt
endedgingagpark.gWhichgofgthegfollowinggwouldgbegthegbestglocation.
Buildinggingthegpark
Questiong10
Yougaregatgaghousegfiregwithgmultiplegpatients.gWhichgpatientgshouldgbegtransportedgFirstgtogagburng
center?
52gyeargoldgwithgsecondgdegreegburnsgtogfacegandgrightghand
Questiong11
Whatgisgthegmostgcommongcausegofgstatusgepilepticusgingadults.
Failuregtogtakegprescribedgmedications
Questiong12
Ag58gyeargoldgmalegwithghistorygofgrenalgfailuregcomplainsgofgdizzinessglethargygandgdifficulty
FISDAPgPARAMEDICgFINALgEXA
M
, breathing.gHegsaysghegmissedghisglastgdialysisgappointment.gVitalgsignsgaregBPg160/90gPg100gRg28gwit
hgralesgheardgingthegbasses.gSPO2g92%gyougshouldgsuspect.
FluidgOverload.
Questiong13
Ag12gyeargoldggirlgisgseizing.gHergmomgtellsgyougthatghergdaughterghasgbeengfeelinggtiredgforgdays.gHe
rgskingisgdrygandgsheghasgbeengverygthirsty.gVitalgsignsgaregBPg118/80gP115gR26gyougshouldgsuspect.
Diabeticgketoacidosis
Questiong14
Ag42gyeargoldgfemaleghasgfallengdowngagflightgofgstairs.gShegappearsganxiousghergskingisgcoolgandgcla
mmyghergradialgpulsesgaregweakgatg112gbeatsgpergmingandgshegcomplainsgofgabdominalgpaingingthegl
eftguppergquadrantgwithgradiationgtogthegleftgscapula.gYougshouldgsuspect.
Torngorglaceratedgspleen.
Questiong15
Emergencygmedicalgrespondersgaregventilatinggangapneicgmedicalgpatientgwithgagbaggvalvegmask.gYo
ugnotegabdominalgdistentiongandgminimalgchestgrise.gWhatgshouldgyougdo?
Repositiongtheghead.
Questiong16
Ag6gmonthgoldgmalegwasgfoundglyinggfacegdowngingthegcrib.gHegisgcyanoticgandgapneic.gAgweakg
brachialgpulsegisgpresent.gYougaregunablegtogseegagchestgrisegwithgyourgsecondgattemptgatgrescue
gbreathinggaftergrepositioninggtheghead.gWhatgshouldgyougdo.
StartgCPR
Questiong17
Youghavegjustgbeengcalledgtogagdialysisgclinicgforgag58gyeargoldgmalegingcardiacgarrest.gThegonlinegphy
siciangmaygordergyougtogadministergwhichgofgthegfollowinggmedications.
SodiumgBicarbonate.
FISDAPgPARAMEDICgFINALgEXA
M
, Questiong18
Ag27gyeargoldgmaleghasgbeengassaultedgwithgagpengingthegsupraclaviculargarea.gHegisganxiousgandgpa
legandghisgvitalgsignsgaregBPg80/42gPg128gRg32gandgshallow.gFirstgrespondersghavegsealedgthegwoundg
withgagbandage.gAssessmentgrevealsglunggsoundsgongthegrightgandgpoorgchestgrisegwhatgshouldgyoug
do.
Burpgdressing
Questiong19
Ag50gpoundgchildgisgunresponsivegpulselessgandgapneic.gThegcardiacgmonitorgdisplaysgventriculargfibri
llations.gCPRgisgingprogress.gTheginitialgdefibrillatorgshouldgbegat.
50gjoules.
Questiong20
Ang11gyeargoldgmaleghasgbeengskateboardingging100gdegreesgtemperaturegandghasgbeengdrinki
nggcaffeinatedgsoftgdrinks.gHegcomplainsgofgpalpations.gThegcardiacgmonitorgdisplaysgagnarro
wgQRSgtachycardiagatgagrategofg160gbeats.gVitalsgsignsgBPg110/60gP160gRg20gWhatgshouldgyou
gdo?
Transportgthegpatientgbygambulancegmonitorgcloselygandgadministergfluidsgengroute.
Questiong21
Ang80gyeargoldgmalegingservergrespiratorygdistress.gHeghasgaghistorygofghypertensiongandgbreathinggp
roblems.gHegtakesginderalgdaily.gVitalgsignsgaregBPg170/70gP72gandgirregulargR40gandgextremelyglabo
redgskingwarmgandgdiaphoretic.gLunggsoundsgaregdiffusegbilateralgcracklesgandgwheezing.gHegcoughsg
upgbloodgtingedgsputum.gWhichgofgthegfollowinggisgmostgimportant.
Decreasinggpreload
Questiong22
Ag50gyeargoldgpatientgisgfoundglyinggoutsidegongthegground.gThegambientgtemperaturegisg40gdegreesg
F.gYougthermometergreadsg20Cg86F.gHegisgingV-fibgandgpulselessgandgapneic.gYougshould
DefibrillategoncegperformgCPRgintubategandgtransportgrapidly.
Questiong23
Togsuccessfullygaccomplishgnasotrachealgintubationgyougshouldgadvancegthegendotrachealgtubegthou
ghgthegglotticgopeninggtogcoincidegwithgpatient
FISDAPgPARAMEDICgFINALgEXA
M
