FISDAP PARAMEDIC FINAL LATEST
EXAM 2025-2026 WITH QUESTIONS
AND VERIFIED ANSWERS GRADED A+
1. ,A ,30 ,year ,old ,climber ,is ,experiencing ,severe ,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
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.
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.
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
EXAM 2025-2026 WITH QUESTIONS
AND VERIFIED ANSWERS GRADED A+
1. ,A ,30 ,year ,old ,climber ,is ,experiencing ,severe ,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
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.
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.
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
