FISDAP Paramedic EXAM 5 QUESTIONS WITH
COMPLETE SOLUTIONS
401. A 30 year old male complains of difficulty breathing with a productive cough and brown
sputum. He has had fever and chills for 3 days. Lung sounds reveal crackles in lower lobes.
Vital signs are BP 130/60, P 110, R 30. What should you do?
A. Transport in position of comfort without further treatment.
B. Place in position of comfort and apply oxygen by non-rebreather.
C. Nasally intubate the patient and assist with his respirations using a BVM.
D. Apply oxygen by non-rebreather and administer furosemide 40 mg IV.
B. Place in position of comfort and apply oxygen by non-rebreather.
402. When assessing a supine patient involved in a motor vehicle collision, the patient
complains of left should pain. This indicates:
A. Grey Turner's sign
B. Kehr's sign
C. Murphy's sign
D. Cullen's sign
B. Kehr's sign
403. What will compromise your ability to develop rapport and trust with a patient?
A. Using the patient's name as often as possible
B. Speaking with a normal rate of speech
C. Asking closed-ended questions
D. Maintaining a calm appearance.
C. Asking closed-ended questions
404. What are agonal respirations?
A. Deep, rapid, and regular breaths.
B. Shallow, slow, and irregular gasping breaths.
,C. Deep, very slow and irregular breaths.
D. Shallow, rapid, and regular panting breaths.
B. Shallow, slow, and irregular gasping breaths.
405. A 67 year old female is unconscious at the bottom of a flight of stairs. She responds to
pain by stiffening her arms and legs but no external trauma is noted. Vital signs are BP
176/122, P 66, R 22 and irregular. What should you suspect?
A. A lung injury
B. Decompensated shock
C. Hypovolemic shock
D. A head injury
D. A head injury
406. In asystole, what is the first medication you would administer?
A. Lidocaine
B. Sodium Bicarbonate
C. Atropine
D. Epinephrine
D. Epinephrine
407. A 25 year old male attempted to commit suicide by taking 6 mg Lorazepam. What is your
greatest concern?
A. Circulatory alkalosis
B. Agitated outbursts of anger
C. Respiratory depression
D. Hyperemesis
C. Respiratory depression
408. Why are elderly trauma patients at risk for fluid overload and pulmonary edema as a
result of intravenous therapy?
, A. Decreased chest wall compliance and movement
B. Decreased baroreceptor sensitivity to pressure
C. Decreased renal function and stroke volume
D. Decreased chemoreceptor sensitivity
C. Decreased renal function and stroke volume
409. What is the mechanism of action for amiodarone?
A. Inhibits cardiac action potential in phase 0
B. Slows AV conduction transmittance
C. Prolongs cardiac action potential in phase 3
D. Stabilizes all cardiac action potential membranes.
C. Prolongs cardiac action potential in phase 3
410. Which of the following drugs is contraindicated in asthma patients?
A. Digitalis
B. Calcium Chloride
C. Epinephrine
D. Propranolol
D. Propranolol
411. A 57 year old male with CHF has shortness of breath, coughing, and blood-tinged
sputum. Vital signs are BP 140/88, P 86, R 28. What should you do?
A. Aspirin, sublingual nitroglycerin, CPAP
B. Morphine, aspirin, CPAP
C. CPAP, morphine, intramuscular nitroglycerin
D. Sublingual nitroglycerin, morphine, CPAP
A. Aspirin, sublingual nitroglycerin, CPAP
412. What is status epilepticus?
A. Two or more continuous seizures
COMPLETE SOLUTIONS
401. A 30 year old male complains of difficulty breathing with a productive cough and brown
sputum. He has had fever and chills for 3 days. Lung sounds reveal crackles in lower lobes.
Vital signs are BP 130/60, P 110, R 30. What should you do?
A. Transport in position of comfort without further treatment.
B. Place in position of comfort and apply oxygen by non-rebreather.
C. Nasally intubate the patient and assist with his respirations using a BVM.
D. Apply oxygen by non-rebreather and administer furosemide 40 mg IV.
B. Place in position of comfort and apply oxygen by non-rebreather.
402. When assessing a supine patient involved in a motor vehicle collision, the patient
complains of left should pain. This indicates:
A. Grey Turner's sign
B. Kehr's sign
C. Murphy's sign
D. Cullen's sign
B. Kehr's sign
403. What will compromise your ability to develop rapport and trust with a patient?
A. Using the patient's name as often as possible
B. Speaking with a normal rate of speech
C. Asking closed-ended questions
D. Maintaining a calm appearance.
C. Asking closed-ended questions
404. What are agonal respirations?
A. Deep, rapid, and regular breaths.
B. Shallow, slow, and irregular gasping breaths.
,C. Deep, very slow and irregular breaths.
D. Shallow, rapid, and regular panting breaths.
B. Shallow, slow, and irregular gasping breaths.
405. A 67 year old female is unconscious at the bottom of a flight of stairs. She responds to
pain by stiffening her arms and legs but no external trauma is noted. Vital signs are BP
176/122, P 66, R 22 and irregular. What should you suspect?
A. A lung injury
B. Decompensated shock
C. Hypovolemic shock
D. A head injury
D. A head injury
406. In asystole, what is the first medication you would administer?
A. Lidocaine
B. Sodium Bicarbonate
C. Atropine
D. Epinephrine
D. Epinephrine
407. A 25 year old male attempted to commit suicide by taking 6 mg Lorazepam. What is your
greatest concern?
A. Circulatory alkalosis
B. Agitated outbursts of anger
C. Respiratory depression
D. Hyperemesis
C. Respiratory depression
408. Why are elderly trauma patients at risk for fluid overload and pulmonary edema as a
result of intravenous therapy?
, A. Decreased chest wall compliance and movement
B. Decreased baroreceptor sensitivity to pressure
C. Decreased renal function and stroke volume
D. Decreased chemoreceptor sensitivity
C. Decreased renal function and stroke volume
409. What is the mechanism of action for amiodarone?
A. Inhibits cardiac action potential in phase 0
B. Slows AV conduction transmittance
C. Prolongs cardiac action potential in phase 3
D. Stabilizes all cardiac action potential membranes.
C. Prolongs cardiac action potential in phase 3
410. Which of the following drugs is contraindicated in asthma patients?
A. Digitalis
B. Calcium Chloride
C. Epinephrine
D. Propranolol
D. Propranolol
411. A 57 year old male with CHF has shortness of breath, coughing, and blood-tinged
sputum. Vital signs are BP 140/88, P 86, R 28. What should you do?
A. Aspirin, sublingual nitroglycerin, CPAP
B. Morphine, aspirin, CPAP
C. CPAP, morphine, intramuscular nitroglycerin
D. Sublingual nitroglycerin, morphine, CPAP
A. Aspirin, sublingual nitroglycerin, CPAP
412. What is status epilepticus?
A. Two or more continuous seizures
