FISDAP MEDICAL EXAM 2025/2026
QUESTIONS AND ANSWERS 100% PASS
When you arrive at a residence for a man who is "not acting right," you enter the house and
find him sitting on his couch. Which of the
following findings would be MOST indicative of an altered mental status?
A) Odor of alcohol
B) Closed eyes
C) Tired appearance
D) Slurred speech - ANS D) Slurred speech
Often, an altered mental status can be difficult to assess, especially if you do not know how the
patient normally acts. However, there are key findings that
should increase your index of suspicion. An abnormal speech pattern, such as slurring or
incoherent words, can be the result of a diabetic problem, alcohol
intoxication, or drug ingestion. All of these can cause an altered mental status. The odor of
alcohol suggests intoxication as a potential cause of his problem,
but cannot be quantified. Just because the patient's eyes are closed or he has a tired
appearance, does not necessarily indicate that he has an altered mental
status.
A young woman reports significant weight loss over the last month, persistent fever, and night
sweats. When you assess her, you note the
presence of dark purple lesions covering her trunk and upper extremities. You should suspect:
A) HIV infection.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,B) tuberculosis.
C) rheumatic fever.
D) end-stage cancer. - ANS A) HIV infection.
Weight loss, fever, and night sweats could indicate tuberculosis or HIV infection that has
progressed to acquired immunodeficiency syndrome (AIDS);
however, the dark purple lesions on the skin, which are called Kaposi's sarcoma, are malignant
skin tumors and are a classic finding in patients in the later
stages of AIDS.
A 19-year-old man is experiencing hallucinations and paranoia after abusing an unknown
substance. His heart rate is 170 beats/min, he
complains of a headache, and he is experiencing muscle twitching. Which of the fo llowing
substances would MOST likely explain his
presentation?
A) Heroin
B) Bath salts
C) Ketamine
D)Valium - ANS B) Bath salts
Of the drugs listed, the patient's clinical presentation is the most consistent with use of
synthetic cathinones (bath salts). Bath salts, not to be confused with
products such as Epsom salt, are a class of drugs similar to MDMA (ecstasy). Cloud Nine and
Ivory Wave are common streets names for bath salts. Bath salts
produce euphoria, increased mental clarity, and sexual arousal. Most users snort the drug.
Adverse effects include teeth grinding, loss of appetite, muscle
twitching, lip -smacking, confusion, paranoia, headache, tachycardia, and hallucinations. Heroin
(an opioid) and Valium (a benzodiazepine) are both central
nervous system depressant drugs; therefore, they would not explain the patient's presentation.
Ketamine (Ketalar) is a sedative-hypnotic drug; it would not
explain the patient's signs and symptoms.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,Unresponsiveness, shallow breathing, and constricted pupils are indicative of which type of
drug overdose?
A) Narcotic
B) Marijuana
C) Barbiturate
D) Amphetamine - ANS A) Narcotic
Signs of a narcotic (opiate/opioid) overdose from drugs such as heroin, morphine (Astromorph,
Duramorph), meperidine (Demerol), and codeine include
altered mental status; slow, shallow breathing; pupillary constriction (miosis), hypotension; and
bradycardia. Narcotics are central nervous system
depressants that, when taken in excess, suppress the vital functions necessary for life, such as
breathing, heart rate, and blood pressure. Barbiturates
produce the same effects; however, the pupils are typically dilated (mydriasis), not constricted.
Marijuana and amphetamine drugs are central nervous system
stimulants and, therefore, would cause the patient to become restless or even combative.
A man is experiencing a severe allergic reaction after being stung by a scorpion. He does not
have his own epinephrine; however, his wife is allergic to bees and has a prescribed
epinephrine auto-injector. You should:
A) provide rapid transport and consider an ALS intercept.
B) assist the patient with the wife's prescribed epinephrine.
C) administer an oral antihistamine and transport without delay.
D) request an ALS unit to respond to the scene to administer epinephrine. - ANS A) provide
rapid transport and consider an ALS intercept.
If a patient does not have a prescribed epinephrine auto-injector and is experiencing a severe
allergic reaction, you should administer supplemental oxygen,
assist the patient's ventilations if needed, and transport without delay. Closely monitor the
patient's airway and breathing status en route and coordinate an
ALS intercept if possible. If you carry an epinephrine auto-injector on your ambulance and your
protocols allow you to administer it, do so without delay.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, Otherwise, the ALS unit will be able to administer epinephrine via the intramuscular or
intravenous route. Never assist a patient with a medication that is not
prescribed to him or her specifically. Antihistamines are given after epinephrine; in most
systems, EMTs are not authorized to dispense oral medications
other than glucose and aspirin.
You are dispatched to a residence for a 20-year-old man with respiratory distress. When you
arrive, you find that the patient has a
tracheostomy tube and is ventilator dependent. His mother tells you that he was doing fine, but
then suddenly began experiencing
breathing difficulty. You should:
A) remove him from the mechanical ventilator and ventilate him manually.
B) check the settings on the ventilator to ensure that it is functioning properly.
C) detach the ventilator, suction the tracheostomy tube, and reassess the patient.
D) remove the ventilator tubing and place an oxygen mask over the tracheostomy tube. -
ANS A) remove him from the mechanical ventilator and ventilate him manually.
If a ventilator-dependent patient experiences a sudden onset of respiratory distress, you should
first remove him or her from the mechanical ventilator and
begin manual ventilation with a bag-mask device; attach the bag directly to the tracheostomy
tube. If the patient improves, you will know that the problem
was a malfunction with the mechanical ventilator. If the patient does not improve, the
tracheostomy tube is likely plugged with thick mucus secretions and
requires suctioning. Unless you are familiar with the mechanical ventilator (most EMTs are not),
do not attempt to troubleshoot the device by checking the
settings; this simply wastes time and could harm the patient if you do not know what you are
doing.
When treating an unresponsive man who was struck by lightning, you should:
A) begin CPR at once if he is apneic and pulseless.
B) apply full spinal precautions before moving him.
C) ensure that you and the patient are in a safe place.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
QUESTIONS AND ANSWERS 100% PASS
When you arrive at a residence for a man who is "not acting right," you enter the house and
find him sitting on his couch. Which of the
following findings would be MOST indicative of an altered mental status?
A) Odor of alcohol
B) Closed eyes
C) Tired appearance
D) Slurred speech - ANS D) Slurred speech
Often, an altered mental status can be difficult to assess, especially if you do not know how the
patient normally acts. However, there are key findings that
should increase your index of suspicion. An abnormal speech pattern, such as slurring or
incoherent words, can be the result of a diabetic problem, alcohol
intoxication, or drug ingestion. All of these can cause an altered mental status. The odor of
alcohol suggests intoxication as a potential cause of his problem,
but cannot be quantified. Just because the patient's eyes are closed or he has a tired
appearance, does not necessarily indicate that he has an altered mental
status.
A young woman reports significant weight loss over the last month, persistent fever, and night
sweats. When you assess her, you note the
presence of dark purple lesions covering her trunk and upper extremities. You should suspect:
A) HIV infection.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,B) tuberculosis.
C) rheumatic fever.
D) end-stage cancer. - ANS A) HIV infection.
Weight loss, fever, and night sweats could indicate tuberculosis or HIV infection that has
progressed to acquired immunodeficiency syndrome (AIDS);
however, the dark purple lesions on the skin, which are called Kaposi's sarcoma, are malignant
skin tumors and are a classic finding in patients in the later
stages of AIDS.
A 19-year-old man is experiencing hallucinations and paranoia after abusing an unknown
substance. His heart rate is 170 beats/min, he
complains of a headache, and he is experiencing muscle twitching. Which of the fo llowing
substances would MOST likely explain his
presentation?
A) Heroin
B) Bath salts
C) Ketamine
D)Valium - ANS B) Bath salts
Of the drugs listed, the patient's clinical presentation is the most consistent with use of
synthetic cathinones (bath salts). Bath salts, not to be confused with
products such as Epsom salt, are a class of drugs similar to MDMA (ecstasy). Cloud Nine and
Ivory Wave are common streets names for bath salts. Bath salts
produce euphoria, increased mental clarity, and sexual arousal. Most users snort the drug.
Adverse effects include teeth grinding, loss of appetite, muscle
twitching, lip -smacking, confusion, paranoia, headache, tachycardia, and hallucinations. Heroin
(an opioid) and Valium (a benzodiazepine) are both central
nervous system depressant drugs; therefore, they would not explain the patient's presentation.
Ketamine (Ketalar) is a sedative-hypnotic drug; it would not
explain the patient's signs and symptoms.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
,Unresponsiveness, shallow breathing, and constricted pupils are indicative of which type of
drug overdose?
A) Narcotic
B) Marijuana
C) Barbiturate
D) Amphetamine - ANS A) Narcotic
Signs of a narcotic (opiate/opioid) overdose from drugs such as heroin, morphine (Astromorph,
Duramorph), meperidine (Demerol), and codeine include
altered mental status; slow, shallow breathing; pupillary constriction (miosis), hypotension; and
bradycardia. Narcotics are central nervous system
depressants that, when taken in excess, suppress the vital functions necessary for life, such as
breathing, heart rate, and blood pressure. Barbiturates
produce the same effects; however, the pupils are typically dilated (mydriasis), not constricted.
Marijuana and amphetamine drugs are central nervous system
stimulants and, therefore, would cause the patient to become restless or even combative.
A man is experiencing a severe allergic reaction after being stung by a scorpion. He does not
have his own epinephrine; however, his wife is allergic to bees and has a prescribed
epinephrine auto-injector. You should:
A) provide rapid transport and consider an ALS intercept.
B) assist the patient with the wife's prescribed epinephrine.
C) administer an oral antihistamine and transport without delay.
D) request an ALS unit to respond to the scene to administer epinephrine. - ANS A) provide
rapid transport and consider an ALS intercept.
If a patient does not have a prescribed epinephrine auto-injector and is experiencing a severe
allergic reaction, you should administer supplemental oxygen,
assist the patient's ventilations if needed, and transport without delay. Closely monitor the
patient's airway and breathing status en route and coordinate an
ALS intercept if possible. If you carry an epinephrine auto-injector on your ambulance and your
protocols allow you to administer it, do so without delay.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
, Otherwise, the ALS unit will be able to administer epinephrine via the intramuscular or
intravenous route. Never assist a patient with a medication that is not
prescribed to him or her specifically. Antihistamines are given after epinephrine; in most
systems, EMTs are not authorized to dispense oral medications
other than glucose and aspirin.
You are dispatched to a residence for a 20-year-old man with respiratory distress. When you
arrive, you find that the patient has a
tracheostomy tube and is ventilator dependent. His mother tells you that he was doing fine, but
then suddenly began experiencing
breathing difficulty. You should:
A) remove him from the mechanical ventilator and ventilate him manually.
B) check the settings on the ventilator to ensure that it is functioning properly.
C) detach the ventilator, suction the tracheostomy tube, and reassess the patient.
D) remove the ventilator tubing and place an oxygen mask over the tracheostomy tube. -
ANS A) remove him from the mechanical ventilator and ventilate him manually.
If a ventilator-dependent patient experiences a sudden onset of respiratory distress, you should
first remove him or her from the mechanical ventilator and
begin manual ventilation with a bag-mask device; attach the bag directly to the tracheostomy
tube. If the patient improves, you will know that the problem
was a malfunction with the mechanical ventilator. If the patient does not improve, the
tracheostomy tube is likely plugged with thick mucus secretions and
requires suctioning. Unless you are familiar with the mechanical ventilator (most EMTs are not),
do not attempt to troubleshoot the device by checking the
settings; this simply wastes time and could harm the patient if you do not know what you are
doing.
When treating an unresponsive man who was struck by lightning, you should:
A) begin CPR at once if he is apneic and pulseless.
B) apply full spinal precautions before moving him.
C) ensure that you and the patient are in a safe place.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED
