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FISDAP PARAMEDIC FINAL EXAM TEST
BANK REAL EXAM QUESTIONS AND
CORRECT ANSWERS|A GRADE
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?
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 - CORRECT
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
A. amiodarone
B. another fluid challenge
C. calcium chloride
D. sodium bicarbonate - CORRECT 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
A. increase IV fluid administration rate
B. extubate and re-intubate the patient
C. transport emergently and continue ventilation
2|Page
D. perform bilateral chest decompression and reassess - CORRECT
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.
A. epinephrine
B. lidocaine
C. sodium bicarbonate
D. morphine sulfate - CORRECT ANSWER>>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 - CORRECT 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.
A. Subdural hematoma
B. Subarachnoid Bleed.
C. Basilar skull fracture
,D. Epidural Hematoma - CORRECT 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?
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 - CORRECT ANSWER>>Assist ventilations at 12
breaths per minHg.
3|Page
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
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 - CORRECT ANSWER>>Epinephrine
0.3mg
9. You are asked to set up a patient treatment area after a box labeled
"radioactive" was found unattended 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 - CORRECT ANSWER>>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 - CORRECT 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.
A. fluid overload
B. hypokalemia
C. respiratory alkalosis
D. hypermagnesemia - CORRECT ANSWER>>Fluid Overload.
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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 - CORRECT 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.
A. Magnesium sulfate
B. Sodium bicarbonate
,C. Furosemide
D. Calcium channel blocker - CORRECT 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.
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 - CORRECT
ANSWER>>needle decompression
20. An 11 year old male has been skateboarding in 100 degrees temperature
and has been drinking caffeinated 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
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C. perform vagal maneuvers and, if unsuccessful, administer adenosine
D. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers -
CORRECT ANSWER>>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 problems. He takes inderal daily. Vital signs are
BP 170/70 P72 and irregular R40 and extremely labored skin warm and
diaphoretic. Lung sounds are diffuse bilateral crackles and wheezing. He
coughs up blood tinged sputum. Which of the following is most important.
A. Endotracheally intubating
B. Restoring a normal sinus rhythm
C. Decreasing preload
D. Increasing preload - CORRECT ANSWER>>Decreasing preload
22. A 50 year old patient is found lying outside on the ground. The ambient
temperature is 40 degrees F. You thermometer reads 20C 86F. He is in V-fib
and pulseless and apneic. You should
A. ventilate via bag valve mask, administer warm IV infusion, and transport
rapidly
B. perform CPR, administer warm IV infusion, and transport rapidly
C. defibrillate, intubate, administer 1mg EPI ETT, and transport rapidly
D. defibrillate once, perform CPR, Intubate, and transport rapidly - CORRECT
ANSWER>>Defibrillate once perform CPR intubate and transport rapidly.
23. To successfully accomplish nasotracheal intubation you should advance
the endotracheal tube though the glottic opening to coincide with patient
A. swallow
B. expiration
C. inspiration
D. cough - CORRECT ANSWER>>Inhalation
25. An alert 23 year old male presents with a sudden onset of shortness of
breath and chest pain after running upstairs. Breath sounds are diminished in
the right side. The most likely cause is.
A. pleural effusion
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B. tension pneumothorax
C. subcutaneous emphysema
D. spontaneous pneumothorax - CORRECT ANSWER>>Spontaneous
pneumothorax
, 26. First responders are treating an apneic adult female. You notice that they
are applying frequent long ventilations with an oxygen resuscitator. What
effects with their actions create.
A. Increased capillary elasticity
B. Increased venous return
C. Decreased venous return
D. Decreased intracranial pressure - CORRECT ANSWER>>decreased venous
return
27. You are called to a nursing home on a hot summer day for a 88 year old
male. The nurse tells you he missed his dialysis appointment because he was
complaining of nausea vomiting headache and running a fever. Which
differential diagnosis should you consider first.
A. Heart attack and stroke
B. Sepsis and hyperkalemia
C. Hypotension and severe flu
D. Hemolytic anemia and heat stroke - CORRECT ANSWER>>Sepsis and
hyperkalemia
28. You have just administered adenosine to a 62 year old patient with
narrow complex tach. The ECG shows an irregular rate of 50 then steadily
climbs back to a rate of 169. What would should suspect
A. sinus tachycardia with aberrancy
B. paroxysmal supraventricular tachycardia
C. rapid atrial fibrillation
D. a rhythm of ventricular origin - CORRECT ANSWER>>rapid atrial
fibrillation.
29. A 63 year old male is having a diabetic emergency . He is unresponsive
R12 glucometer 28. You cannot establish IV access. You should
A. administer glucose paste PO
7|Page
B. administer glucagon IM
C. transport emergently
D. administer D 50W 10 - CORRECT ANSWER>>administer glucagon IM
30. When setting up a night time landing zone for a helicopter what is the
recommended area needed.
A. 100x100 feet
B. 25x25 feet
C. 50x50 feet
D. 300x300 feet - CORRECT ANSWER>>100x100
31. A 67 year old with hypo-tension and bradycardia has no responded to
pacing or atropine. You should
A. an epinephrine infusion at 5-20 mcg/min
B. 40 units vasopressin via intravenous infusion
C. 1 mg epinephrine via intravenous infusion
D. a dopamine infusion at 2-10 mcg/kg/min - CORRECT
ANSWER>>administer dopamine infusion
32. A 19 year old male has suffered blunt trauma on his left chest. He
complains of server dyspnea and pain over the affected area. Vital signs are
BP 92/60 P 128 R 32. Breath sounds are very diminished over the left chest.
You should
A. perform a needle thoracostomy
B. perform an endotracheal intubation
C. initiate two large bore IVs of normal saline (NS)
D. perform a pericardiocentesis - CORRECT ANSWER>>perform needle
thoracostomy
33. A 44 year old patient has a persistent cough and occasional spits up
bloody sputum . He has been living in a a shelter for the past three weeks and
he smells like alcohol you should.
FISDAP PARAMEDIC FINAL EXAM TEST
BANK REAL EXAM QUESTIONS AND
CORRECT ANSWERS|A GRADE
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?
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 - CORRECT
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
A. amiodarone
B. another fluid challenge
C. calcium chloride
D. sodium bicarbonate - CORRECT 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
A. increase IV fluid administration rate
B. extubate and re-intubate the patient
C. transport emergently and continue ventilation
2|Page
D. perform bilateral chest decompression and reassess - CORRECT
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.
A. epinephrine
B. lidocaine
C. sodium bicarbonate
D. morphine sulfate - CORRECT ANSWER>>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 - CORRECT 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.
A. Subdural hematoma
B. Subarachnoid Bleed.
C. Basilar skull fracture
,D. Epidural Hematoma - CORRECT 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?
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 - CORRECT ANSWER>>Assist ventilations at 12
breaths per minHg.
3|Page
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
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 - CORRECT ANSWER>>Epinephrine
0.3mg
9. You are asked to set up a patient treatment area after a box labeled
"radioactive" was found unattended 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 - CORRECT ANSWER>>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 - CORRECT 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.
A. fluid overload
B. hypokalemia
C. respiratory alkalosis
D. hypermagnesemia - CORRECT ANSWER>>Fluid Overload.
4|Page
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 - CORRECT 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.
A. Magnesium sulfate
B. Sodium bicarbonate
,C. Furosemide
D. Calcium channel blocker - CORRECT 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.
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 - CORRECT
ANSWER>>needle decompression
20. An 11 year old male has been skateboarding in 100 degrees temperature
and has been drinking caffeinated 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
5|Page
C. perform vagal maneuvers and, if unsuccessful, administer adenosine
D. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers -
CORRECT ANSWER>>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 problems. He takes inderal daily. Vital signs are
BP 170/70 P72 and irregular R40 and extremely labored skin warm and
diaphoretic. Lung sounds are diffuse bilateral crackles and wheezing. He
coughs up blood tinged sputum. Which of the following is most important.
A. Endotracheally intubating
B. Restoring a normal sinus rhythm
C. Decreasing preload
D. Increasing preload - CORRECT ANSWER>>Decreasing preload
22. A 50 year old patient is found lying outside on the ground. The ambient
temperature is 40 degrees F. You thermometer reads 20C 86F. He is in V-fib
and pulseless and apneic. You should
A. ventilate via bag valve mask, administer warm IV infusion, and transport
rapidly
B. perform CPR, administer warm IV infusion, and transport rapidly
C. defibrillate, intubate, administer 1mg EPI ETT, and transport rapidly
D. defibrillate once, perform CPR, Intubate, and transport rapidly - CORRECT
ANSWER>>Defibrillate once perform CPR intubate and transport rapidly.
23. To successfully accomplish nasotracheal intubation you should advance
the endotracheal tube though the glottic opening to coincide with patient
A. swallow
B. expiration
C. inspiration
D. cough - CORRECT ANSWER>>Inhalation
25. An alert 23 year old male presents with a sudden onset of shortness of
breath and chest pain after running upstairs. Breath sounds are diminished in
the right side. The most likely cause is.
A. pleural effusion
6|Page
B. tension pneumothorax
C. subcutaneous emphysema
D. spontaneous pneumothorax - CORRECT ANSWER>>Spontaneous
pneumothorax
, 26. First responders are treating an apneic adult female. You notice that they
are applying frequent long ventilations with an oxygen resuscitator. What
effects with their actions create.
A. Increased capillary elasticity
B. Increased venous return
C. Decreased venous return
D. Decreased intracranial pressure - CORRECT ANSWER>>decreased venous
return
27. You are called to a nursing home on a hot summer day for a 88 year old
male. The nurse tells you he missed his dialysis appointment because he was
complaining of nausea vomiting headache and running a fever. Which
differential diagnosis should you consider first.
A. Heart attack and stroke
B. Sepsis and hyperkalemia
C. Hypotension and severe flu
D. Hemolytic anemia and heat stroke - CORRECT ANSWER>>Sepsis and
hyperkalemia
28. You have just administered adenosine to a 62 year old patient with
narrow complex tach. The ECG shows an irregular rate of 50 then steadily
climbs back to a rate of 169. What would should suspect
A. sinus tachycardia with aberrancy
B. paroxysmal supraventricular tachycardia
C. rapid atrial fibrillation
D. a rhythm of ventricular origin - CORRECT ANSWER>>rapid atrial
fibrillation.
29. A 63 year old male is having a diabetic emergency . He is unresponsive
R12 glucometer 28. You cannot establish IV access. You should
A. administer glucose paste PO
7|Page
B. administer glucagon IM
C. transport emergently
D. administer D 50W 10 - CORRECT ANSWER>>administer glucagon IM
30. When setting up a night time landing zone for a helicopter what is the
recommended area needed.
A. 100x100 feet
B. 25x25 feet
C. 50x50 feet
D. 300x300 feet - CORRECT ANSWER>>100x100
31. A 67 year old with hypo-tension and bradycardia has no responded to
pacing or atropine. You should
A. an epinephrine infusion at 5-20 mcg/min
B. 40 units vasopressin via intravenous infusion
C. 1 mg epinephrine via intravenous infusion
D. a dopamine infusion at 2-10 mcg/kg/min - CORRECT
ANSWER>>administer dopamine infusion
32. A 19 year old male has suffered blunt trauma on his left chest. He
complains of server dyspnea and pain over the affected area. Vital signs are
BP 92/60 P 128 R 32. Breath sounds are very diminished over the left chest.
You should
A. perform a needle thoracostomy
B. perform an endotracheal intubation
C. initiate two large bore IVs of normal saline (NS)
D. perform a pericardiocentesis - CORRECT ANSWER>>perform needle
thoracostomy
33. A 44 year old patient has a persistent cough and occasional spits up
bloody sputum . He has been living in a a shelter for the past three weeks and
he smells like alcohol you should.
