FISDAP Paramedic Final Exam Practice 2026/2027
Complete Practice Exam | Actual Questions & Verified
Answers | Trauma, Medical, Airway, Cardiology, OBGYN,
Operations | Pass Guarantee
TRAUMA (Questions 1–20)
1. 0430 hrs. You are dispatched to a single-vehicle MVC. A sedan struck a utility pole at
40 mph (driver air-bag deployed). Scene is safe, HazMat absent. You find a 24-year-old
male driver still belted, steering-wheel deformity noted. Patient is A&O×4 but slow to
respond, complains of “bad” chest and belly pain. Skin pale/cool, radial pulses 120,
strong. BP 92/60, RR 26, SpO₂ 96 % RA. Breath sounds equal, abdomen tense with
diffuse tenderness, seat-belt sign present. Pelvis stable, bilateral femurs intact. Which
finding BEST predicts the need for immediate transport to a trauma center?
A. Heart rate 120 beats/min
B. Systolic BP < 100 mmHg
C. SpO₂ 96 % on room air
D. RR 26 breaths/min
Correct Answer: B
,Rationale: Systolic BP < 100 mmHg in an adult blunt-trauma patient meets CDC Field
Triage Step-2 criteria (hypotension with suspicion of hemorrhage). Tachycardia and
tachypnea are supportive but not threshold values; SpO₂ is normal.
2. You are caring for a 34-year-old female ejected from a rollover. She has a 6-cm
stellate laceration on her parietal scalp actively oozing dark blood. Which statement
regarding scalp hemorrhage is MOST accurate?
A. Scalp bleeding is primarily venous; direct pressure is usually sufficient.
B. Scalp vessels are end-arteries; delayed closure increases infection risk only.
C. Profuse scalp bleeding can produce class-III shock despite an intact skull.
D. Scalp lacerations rarely contribute to hypovolemia because vessels constrict rapidly.
Correct Answer: C
Rationale: Rich vascular supply (both arterial & venous) can bleed briskly; blood loss >
500 mL is common and can precipitate shock. Direct pressure may be insufficient;
bleeding is not primarily end-arterial.
3. A 5-year-old is struck by an SUV, thrown 10 ft. He arrives at your ambulance
conscious but restless, HR 150, RR 36, systolic 70, cap refill 4 s. According to ATLS
pediatric vital-sign tables, these values indicate:
A. Compensated shock, class II
B. Decompensated shock, class III
C. Respiratory failure, class IV
,D. Normal response to fear
Correct Answer: B
Rationale: Hypotension (SBP < 70 + [age×2]) plus tachycardia and delayed capillary refill
places the child in decompensated (class-III) hemorrhagic shock.
4. During extrication of a 40-year-old restrained driver you note foot-well intrusion and
bilateral femur fractures. Before moving the patient you should:
A. Apply traction splints to both femurs to reduce pain.
B. Secure long-board then splint; manual stabilization of femurs en route.
C. Expedite extrication; defer femur splinting until hospital arrival.
D. Administer 10 µg IV fentanyl and splint on scene for 15 min.
Correct Answer: B
Rationale: Scene time must be < 10 min for multisystem trauma. Femur fractures are
splinted quickly on the board with in-line traction to limit blood loss without prolonging
scene time.
5. A motorcyclist collides with a guardrail at 55 mph, wearing a full-face helmet. He is
alert, GCS 15, but complains of neck pain. Helmet is intact, straps tight, no airway
compromise. You should:
A. Remove helmet on scene to allow full c-spine assessment.
B. Leave helmet in place; remove only if airway deteriorates.
C. Remove helmet only after applying a cervical collar.
, D. Remove visor but leave helmet; do not apply collar.
Correct Answer: B
Rationale: Intact, well-fitted helmet provides inline stabilization; removal risks motion.
Per PHTLS, remove only if airway compromise, vomiting, or improper fit prevents neutral
alignment.
6. Which of the following blunt-trauma findings mandates the HIGHEST priority for
immediate thoracotomy capability (trauma center that performs resuscitative
thoracotomy) per CDC guidelines?
A. Penetrating chest wound with prehospital loss of pulses
B. Systolic BP 80 mmHg after 2 L crystalloid
C. Radiographic evidence of widened mediastinum
D. Blunt cardiac arrest with asystole > 5 min
Correct Answer: A
Rationale: Penetrating chest trauma with witnessed loss of pulses is the subset with
best salvage after ED thoracotomy; blunt arrest > 5 min has near-zero survival.
7. A 28-year-old male is stabbed in the right anterior chest at the 5th ICS, mid-clavicular
line. He is anxious, RR 32, distended neck veins, trachea midline, BP 80/60, heart
sounds faint. Most appropriate sequence is:
A. 2 L NS bolus, then intubate, then needle decompression
B. Immediate needle decompression, 250 mL NS bolus, rapid transport
Complete Practice Exam | Actual Questions & Verified
Answers | Trauma, Medical, Airway, Cardiology, OBGYN,
Operations | Pass Guarantee
TRAUMA (Questions 1–20)
1. 0430 hrs. You are dispatched to a single-vehicle MVC. A sedan struck a utility pole at
40 mph (driver air-bag deployed). Scene is safe, HazMat absent. You find a 24-year-old
male driver still belted, steering-wheel deformity noted. Patient is A&O×4 but slow to
respond, complains of “bad” chest and belly pain. Skin pale/cool, radial pulses 120,
strong. BP 92/60, RR 26, SpO₂ 96 % RA. Breath sounds equal, abdomen tense with
diffuse tenderness, seat-belt sign present. Pelvis stable, bilateral femurs intact. Which
finding BEST predicts the need for immediate transport to a trauma center?
A. Heart rate 120 beats/min
B. Systolic BP < 100 mmHg
C. SpO₂ 96 % on room air
D. RR 26 breaths/min
Correct Answer: B
,Rationale: Systolic BP < 100 mmHg in an adult blunt-trauma patient meets CDC Field
Triage Step-2 criteria (hypotension with suspicion of hemorrhage). Tachycardia and
tachypnea are supportive but not threshold values; SpO₂ is normal.
2. You are caring for a 34-year-old female ejected from a rollover. She has a 6-cm
stellate laceration on her parietal scalp actively oozing dark blood. Which statement
regarding scalp hemorrhage is MOST accurate?
A. Scalp bleeding is primarily venous; direct pressure is usually sufficient.
B. Scalp vessels are end-arteries; delayed closure increases infection risk only.
C. Profuse scalp bleeding can produce class-III shock despite an intact skull.
D. Scalp lacerations rarely contribute to hypovolemia because vessels constrict rapidly.
Correct Answer: C
Rationale: Rich vascular supply (both arterial & venous) can bleed briskly; blood loss >
500 mL is common and can precipitate shock. Direct pressure may be insufficient;
bleeding is not primarily end-arterial.
3. A 5-year-old is struck by an SUV, thrown 10 ft. He arrives at your ambulance
conscious but restless, HR 150, RR 36, systolic 70, cap refill 4 s. According to ATLS
pediatric vital-sign tables, these values indicate:
A. Compensated shock, class II
B. Decompensated shock, class III
C. Respiratory failure, class IV
,D. Normal response to fear
Correct Answer: B
Rationale: Hypotension (SBP < 70 + [age×2]) plus tachycardia and delayed capillary refill
places the child in decompensated (class-III) hemorrhagic shock.
4. During extrication of a 40-year-old restrained driver you note foot-well intrusion and
bilateral femur fractures. Before moving the patient you should:
A. Apply traction splints to both femurs to reduce pain.
B. Secure long-board then splint; manual stabilization of femurs en route.
C. Expedite extrication; defer femur splinting until hospital arrival.
D. Administer 10 µg IV fentanyl and splint on scene for 15 min.
Correct Answer: B
Rationale: Scene time must be < 10 min for multisystem trauma. Femur fractures are
splinted quickly on the board with in-line traction to limit blood loss without prolonging
scene time.
5. A motorcyclist collides with a guardrail at 55 mph, wearing a full-face helmet. He is
alert, GCS 15, but complains of neck pain. Helmet is intact, straps tight, no airway
compromise. You should:
A. Remove helmet on scene to allow full c-spine assessment.
B. Leave helmet in place; remove only if airway deteriorates.
C. Remove helmet only after applying a cervical collar.
, D. Remove visor but leave helmet; do not apply collar.
Correct Answer: B
Rationale: Intact, well-fitted helmet provides inline stabilization; removal risks motion.
Per PHTLS, remove only if airway compromise, vomiting, or improper fit prevents neutral
alignment.
6. Which of the following blunt-trauma findings mandates the HIGHEST priority for
immediate thoracotomy capability (trauma center that performs resuscitative
thoracotomy) per CDC guidelines?
A. Penetrating chest wound with prehospital loss of pulses
B. Systolic BP 80 mmHg after 2 L crystalloid
C. Radiographic evidence of widened mediastinum
D. Blunt cardiac arrest with asystole > 5 min
Correct Answer: A
Rationale: Penetrating chest trauma with witnessed loss of pulses is the subset with
best salvage after ED thoracotomy; blunt arrest > 5 min has near-zero survival.
7. A 28-year-old male is stabbed in the right anterior chest at the 5th ICS, mid-clavicular
line. He is anxious, RR 32, distended neck veins, trachea midline, BP 80/60, heart
sounds faint. Most appropriate sequence is:
A. 2 L NS bolus, then intubate, then needle decompression
B. Immediate needle decompression, 250 mL NS bolus, rapid transport
