PARAMEDIC FISDAP FINAL
1.70A703070year70old70climber70is70experiencing70sever70shortness70of70breath70after70re
aching70an70elevation70of7012000feet.70The70PT70is70very70anxious70and70has70rales70no
ted70to70all70quadrants70but70is70otherwise70healthy.70He70is70not70accustomed70to70high
70altitudes.70What70should70you70do?
A.70Administer70oxygen70while70descending70to70a70lower70altitude
B.70Coach70the70patient70to70slow70his70respirations
C.70Apply70CPAP70while70the70patient70adapts70to70the70elevations
D.70Evacuate70the70patient70to70a70hyperbaric70chamber70-70answer--
Administer70oxygen70while70descending70to70a70lower70altitude.
2.70A702670year70old70female70does70not70respond70to70verbal70stimuli70but70moans70in70
response70to70pain.70A70friend70states70the70patient70has70ingested70approx7015070amitri
ptyline70tables.70Vital70Signs70are70BP7088/5070R16.70You70establish70IV70access70and70
administer70a70fluid70challenge.70En70route70to70the70hospital70her70ECG70shows70a70wid
ening70QRS.70You70should70administer
A.70amiodarone
B.70another70fluid70challenge
C.70calcium70chloride
D.70sodium70bicarbonate70-70answer--Sodium70Bicarbonate.
3.70You70PT70experienced70trauma70yesterday70and70you70are70transferring70her70to70a7
0larger70facility.70She70has70been70experiencing70progressive70hypoxia.70You70notice70c
oarse70crackles70in70all70lung70fields70on70ventilation.70Vital70signs70are70BP7090/5070and
70SPO27090%.70You70should
A.70increase70IV70fluid70administration70rate
B.70extubate70and70re-intubate70the70patient
C.70transport70emergently70and70continue70ventilation
D.70perform70bilateral70chest70decompression70and70reassess70-70answer--
Transport70emergency70and70continue70ventilation.
4.70An70alert702270year70old70male70was70just70disentangled70from70debris70in70a70house
70collapse.70He70denies70head70or70neck70pain,70but70complains70of70server70hip70pain.70
Vital70signs70are70BP7088/40.70P12070R701670you70should70administer.
A.70epinephrine
B.70lidocaine
C.70sodium70bicarbonate
D.70morphine70sulfate70-70answer--sodium70bicarbonate
,5.70Braxton70Hicks70contractions
A.70are70mild70and70signal70the70beginning70of70labor
B.70occur70in70the70second70trimester70and70are70false70labor
C.70cause70extreme70back70and70abdominal70discomfort
D.70cause70dilation70and70effacement70of70the70cervix70-70answer--
occur70in70the70second70trimester70and70are70false70labor.
6.70A704070year70old70male70crashed70his70motorcycle.70He70had70a70brief70loss70of70con
sciousness,70woke70up70and
walked70home.70You70find70him70270hours70later70at70home70unconscious.70You70should
70suspect.
A.70Subdural70hematoma
B.70Subarachnoid70Bleed.
C.70Basilar70skull70fracture
D.70Epidural70Hematoma70-70answer--epidural70hematoma
7.70A704770year70old70male70who70was70found70unconscious70on70the70side70of70the70roa
d70respond70only70to70painful70stimulus.70When70you70attempt70to70establish70IV70acces
s70he70stiffens70his70arms70and70legs.70He70has70minor70abrasions70all70over70his70body.
70Vital70signs70are70BO70178/12270P5670R70irregular70ETCO27030.70What70should70you70
do?
A.70Mildly70hypoventilate70with70a70bag70valve70mask
B.70Assist70ventilations70at701270breaths70per70minute
C.70Administer70a7025070mL70normal70saline70bolus
D.70Administer702570g70of70dextrose70-70answer--
Assist70ventilations70at701270breaths70per70minHg.
8.70A702870year70old70female70has70a70sudden70onset70of70tightness70in70her70chest70an
d70server70difficulty70breathing.70Her70tongue70face70and70neck70appear70swollen70and70
she70has70red70itchy70hives70on70her70torso.70Her70signs70are70BP7080/4070P70130.70You
70should70administer
A.70administer702570mg70diphenhydramine70IV
B.70transport70immediately70to70the70hospital
C.70administer700.370mg70epinephrine70IM
D.70administer7010070mg70Solumedrol70IV70-70answer--Epinephrine700.3mg
9.70You70are70asked70to70set70up70a70patient70treatment70area70after70a70box70labeled70"
radioactive"70was70found70unattended70in70a70park.70Which70of70the70following70would70
be70the70best70location.
A.70An70open70area70in70the70park
B.70The70Emergency70Operations70Center
C.70The70Incident70Command70Center
D.70A70building70in70the70park70-70answer--Building70in70the70park
11.70What70is70the70most70common70cause70of70status70epilepticus70in70adults.
, A.70Alcohol70withdrawal
B.70Sudden70elevation70in70body70temperature
C.70Failure70to70take70prescribed70medications
D.70Recent70history70of70head70trauma70-70answer--
Failure70to70take70prescribed70medications
12.70A705870year70old70male70with70history70of70renal70failure70complains70of70dizziness70
lethargy70and70difficulty
breathing.70He70says70he70missed70his70last70dialysis70appointment.70Vital70signs70are70
BP70160/9070P7010070R702870with70rales70heard70in70the70basses.70SPO27092%70you70s
hould70suspect.
A.70fluid70overload
B.70hypokalemia
C.70respiratory70alkalosis
D.70hypermagnesemia70-70answer--Fluid70Overload.
16.70A70670month70old70male70was70found70lying70face70down70in70the70crib.70He70is70cy
anotic70and70apneic.70A70weak
brachial70pulse70is70present.70You70are70unable70to70see70a70chest70rise70with70your70se
cond70attempt70at70rescue
breathing70after70repositioning70the70head.70What70should70you70do.
A.70perform70570abdominal70thrusts
B.70Start70CPR
C.70Perform70a70finger70sweep
D.70Give70five70back70slaps70-70answer--Start70CPR
17.70You70have70just70been70called70to70a70dialysis70clinic70for70a705870year70old70male70
in70cardiac70arrest.70The70online70physician70may70order70you70to70administer70which70of
70the70following70medications.
A.70Magnesium70sulfate
B.70Sodium70bicarbonate
C.70Furosemide
D.70Calcium70channel70blocker70-70answer--Sodium70Bicarbonate.
18.70A702770year70old70male70has70been70assaulted70with70a70pen70in70the70supraclavicu
lar70area.70He70is70anxious70and70pale70and70his70vital70signs70are70BP7080/4270P7012870
R703270and70shallow.70First70responders70have70sealed70the70wound70with70a70bandage.
70Assessment70reveals70lung70sounds70on70the70right70and70poor70chest70rise70what70sh
ould70you70do.
A.70Perform70needle70decompression
B.70Lift70a70corner70of70the70occlusive70dressing
C.70Establish70two70large70bore70IV's70while70en70route70to70the70hospital
D.70Administer70high70flow70oxygen70and70transport70rapidly70-70answer--
needle70decompression
1.70A703070year70old70climber70is70experiencing70sever70shortness70of70breath70after70re
aching70an70elevation70of7012000feet.70The70PT70is70very70anxious70and70has70rales70no
ted70to70all70quadrants70but70is70otherwise70healthy.70He70is70not70accustomed70to70high
70altitudes.70What70should70you70do?
A.70Administer70oxygen70while70descending70to70a70lower70altitude
B.70Coach70the70patient70to70slow70his70respirations
C.70Apply70CPAP70while70the70patient70adapts70to70the70elevations
D.70Evacuate70the70patient70to70a70hyperbaric70chamber70-70answer--
Administer70oxygen70while70descending70to70a70lower70altitude.
2.70A702670year70old70female70does70not70respond70to70verbal70stimuli70but70moans70in70
response70to70pain.70A70friend70states70the70patient70has70ingested70approx7015070amitri
ptyline70tables.70Vital70Signs70are70BP7088/5070R16.70You70establish70IV70access70and70
administer70a70fluid70challenge.70En70route70to70the70hospital70her70ECG70shows70a70wid
ening70QRS.70You70should70administer
A.70amiodarone
B.70another70fluid70challenge
C.70calcium70chloride
D.70sodium70bicarbonate70-70answer--Sodium70Bicarbonate.
3.70You70PT70experienced70trauma70yesterday70and70you70are70transferring70her70to70a7
0larger70facility.70She70has70been70experiencing70progressive70hypoxia.70You70notice70c
oarse70crackles70in70all70lung70fields70on70ventilation.70Vital70signs70are70BP7090/5070and
70SPO27090%.70You70should
A.70increase70IV70fluid70administration70rate
B.70extubate70and70re-intubate70the70patient
C.70transport70emergently70and70continue70ventilation
D.70perform70bilateral70chest70decompression70and70reassess70-70answer--
Transport70emergency70and70continue70ventilation.
4.70An70alert702270year70old70male70was70just70disentangled70from70debris70in70a70house
70collapse.70He70denies70head70or70neck70pain,70but70complains70of70server70hip70pain.70
Vital70signs70are70BP7088/40.70P12070R701670you70should70administer.
A.70epinephrine
B.70lidocaine
C.70sodium70bicarbonate
D.70morphine70sulfate70-70answer--sodium70bicarbonate
,5.70Braxton70Hicks70contractions
A.70are70mild70and70signal70the70beginning70of70labor
B.70occur70in70the70second70trimester70and70are70false70labor
C.70cause70extreme70back70and70abdominal70discomfort
D.70cause70dilation70and70effacement70of70the70cervix70-70answer--
occur70in70the70second70trimester70and70are70false70labor.
6.70A704070year70old70male70crashed70his70motorcycle.70He70had70a70brief70loss70of70con
sciousness,70woke70up70and
walked70home.70You70find70him70270hours70later70at70home70unconscious.70You70should
70suspect.
A.70Subdural70hematoma
B.70Subarachnoid70Bleed.
C.70Basilar70skull70fracture
D.70Epidural70Hematoma70-70answer--epidural70hematoma
7.70A704770year70old70male70who70was70found70unconscious70on70the70side70of70the70roa
d70respond70only70to70painful70stimulus.70When70you70attempt70to70establish70IV70acces
s70he70stiffens70his70arms70and70legs.70He70has70minor70abrasions70all70over70his70body.
70Vital70signs70are70BO70178/12270P5670R70irregular70ETCO27030.70What70should70you70
do?
A.70Mildly70hypoventilate70with70a70bag70valve70mask
B.70Assist70ventilations70at701270breaths70per70minute
C.70Administer70a7025070mL70normal70saline70bolus
D.70Administer702570g70of70dextrose70-70answer--
Assist70ventilations70at701270breaths70per70minHg.
8.70A702870year70old70female70has70a70sudden70onset70of70tightness70in70her70chest70an
d70server70difficulty70breathing.70Her70tongue70face70and70neck70appear70swollen70and70
she70has70red70itchy70hives70on70her70torso.70Her70signs70are70BP7080/4070P70130.70You
70should70administer
A.70administer702570mg70diphenhydramine70IV
B.70transport70immediately70to70the70hospital
C.70administer700.370mg70epinephrine70IM
D.70administer7010070mg70Solumedrol70IV70-70answer--Epinephrine700.3mg
9.70You70are70asked70to70set70up70a70patient70treatment70area70after70a70box70labeled70"
radioactive"70was70found70unattended70in70a70park.70Which70of70the70following70would70
be70the70best70location.
A.70An70open70area70in70the70park
B.70The70Emergency70Operations70Center
C.70The70Incident70Command70Center
D.70A70building70in70the70park70-70answer--Building70in70the70park
11.70What70is70the70most70common70cause70of70status70epilepticus70in70adults.
, A.70Alcohol70withdrawal
B.70Sudden70elevation70in70body70temperature
C.70Failure70to70take70prescribed70medications
D.70Recent70history70of70head70trauma70-70answer--
Failure70to70take70prescribed70medications
12.70A705870year70old70male70with70history70of70renal70failure70complains70of70dizziness70
lethargy70and70difficulty
breathing.70He70says70he70missed70his70last70dialysis70appointment.70Vital70signs70are70
BP70160/9070P7010070R702870with70rales70heard70in70the70basses.70SPO27092%70you70s
hould70suspect.
A.70fluid70overload
B.70hypokalemia
C.70respiratory70alkalosis
D.70hypermagnesemia70-70answer--Fluid70Overload.
16.70A70670month70old70male70was70found70lying70face70down70in70the70crib.70He70is70cy
anotic70and70apneic.70A70weak
brachial70pulse70is70present.70You70are70unable70to70see70a70chest70rise70with70your70se
cond70attempt70at70rescue
breathing70after70repositioning70the70head.70What70should70you70do.
A.70perform70570abdominal70thrusts
B.70Start70CPR
C.70Perform70a70finger70sweep
D.70Give70five70back70slaps70-70answer--Start70CPR
17.70You70have70just70been70called70to70a70dialysis70clinic70for70a705870year70old70male70
in70cardiac70arrest.70The70online70physician70may70order70you70to70administer70which70of
70the70following70medications.
A.70Magnesium70sulfate
B.70Sodium70bicarbonate
C.70Furosemide
D.70Calcium70channel70blocker70-70answer--Sodium70Bicarbonate.
18.70A702770year70old70male70has70been70assaulted70with70a70pen70in70the70supraclavicu
lar70area.70He70is70anxious70and70pale70and70his70vital70signs70are70BP7080/4270P7012870
R703270and70shallow.70First70responders70have70sealed70the70wound70with70a70bandage.
70Assessment70reveals70lung70sounds70on70the70right70and70poor70chest70rise70what70sh
ould70you70do.
A.70Perform70needle70decompression
B.70Lift70a70corner70of70the70occlusive70dressing
C.70Establish70two70large70bore70IV's70while70en70route70to70the70hospital
D.70Administer70high70flow70oxygen70and70transport70rapidly70-70answer--
needle70decompression
