FISDAP EMT Comprehensive Final Exam
(88 Questions)
---
*QUESTION 1:*
A 45-year-old male is found unresponsive in a parked car with the engine running. He has a heart rate of
110 bpm, respirations of 24/min, and a cherry-red skin color. What is the priority?
A) Administer oxygen via non-rebreather mask
B) Remove the patient from the vehicle
C) Start an IV of normal saline
D) Check for a pulse
> 🎯 *CORRECT ANSWER:* B) Remove the patient from the vehicle
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Scene safety is paramount; the patient must be removed from the CO
environment.
> * *Why Distractors Fail:* Oxygen is given after removal; IV is secondary.
> * *Core Takeaway:* Remove the patient from the source of CO before treatment.
---
*QUESTION 2:*
A 22-year-old male has a knife wound to the chest. He is in respiratory distress with absent breath
sounds on the left side. The trachea is deviated to the right. What is the immediate action?
A) Apply an occlusive dressing
B) Perform needle decompression
C) Insert a chest tube
,D) Administer oxygen
> 🎯 *CORRECT ANSWER:* B) Perform needle decompression
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Tracheal deviation indicates tension pneumothorax; needle decompression is life-
saving.
> * *Why Distractors Fail:* Occlusive dressing is for open pneumothorax; oxygen is not sufficient.
> * *Core Takeaway:* Needle decompression is the immediate treatment for tension pneumothorax.
---
*QUESTION 3:*
A 60-year-old female complains of sudden, severe chest pain that radiates to her back. Her blood
pressure is 160/100 in the right arm and 100/70 in the left arm. What is the most likely diagnosis?
A) Myocardial infarction
B) Aortic dissection
C) Pulmonary embolism
D) Pericarditis
> 🎯 *CORRECT ANSWER:* B) Aortic dissection
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* BP differential and tearing back pain are classic for aortic dissection.
> * *Why Distractors Fail:* MI pain is pressure-like; PE has respiratory symptoms.
> * *Core Takeaway:* Aortic dissection is a surgical emergency.
---
*QUESTION 4:*
A 35-year-old male is stung by a bee and develops hives, wheezing, and difficulty swallowing. What is
the first medication to administer?
,A) Diphenhydramine
B) Epinephrine 0.3 mg IM
C) Albuterol
D) Methylprednisolone
> 🎯 *CORRECT ANSWER:* B) Epinephrine 0.3 mg IM
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Anaphylaxis with respiratory symptoms requires immediate IM epinephrine.
> * *Why Distractors Fail:* Diphenhydramine and steroids are adjunctive, not first-line.
> * *Core Takeaway:* IM epinephrine is the first-line treatment for anaphylaxis.
---
*QUESTION 5:*
A 3-year-old child is choking and is unable to cough or speak. The child is conscious. What is the correct
maneuver?
A) Abdominal thrusts
B) Back blows and chest thrusts
C) Finger sweep
D) Heimlich maneuver
> 🎯 *CORRECT ANSWER:* B) Back blows and chest thrusts
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Back blows and chest thrusts are the recommended sequence for conscious
children.
> * *Why Distractors Fail:* Abdominal thrusts are for adults; finger sweep is for unconscious.
> * *Core Takeaway:* Use back blows and chest thrusts for a choking child.
---
, *QUESTION 6:*
A 55-year-old male is in cardiac arrest. The cardiac monitor shows ventricular fibrillation. What is the
first step?
A) Administer epinephrine
B) Perform defibrillation
C) Begin chest compressions
D) Administer amiodarone
> 🎯 *CORRECT ANSWER:* B) Perform defibrillation
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* VF is a shockable rhythm requiring immediate defibrillation.
> * *Why Distractors Fail:* Epinephrine and amiodarone are given after the first shock.
> * *Core Takeaway:* Defibrillate VF/pulseless VT immediately.
---
*QUESTION 7:*
A 50-year-old male is complaining of chest pain. He has a history of angina and takes nitroglycerin. He
has taken three doses without relief. What is the most appropriate action?
A) Administer aspirin
B) Administer a fourth dose of nitroglycerin
C) Transport immediately
D) Administer oxygen and transport
> 🎯 *CORRECT ANSWER:* A) Administer aspirin
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Unrelieved angina after 3 doses suggests MI; aspirin is indicated.
> * *Why Distractors Fail:* A fourth dose is not recommended; transport is important but aspirin is first.
> * *Core Takeaway:* Aspirin is given for suspected MI.
(88 Questions)
---
*QUESTION 1:*
A 45-year-old male is found unresponsive in a parked car with the engine running. He has a heart rate of
110 bpm, respirations of 24/min, and a cherry-red skin color. What is the priority?
A) Administer oxygen via non-rebreather mask
B) Remove the patient from the vehicle
C) Start an IV of normal saline
D) Check for a pulse
> 🎯 *CORRECT ANSWER:* B) Remove the patient from the vehicle
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Scene safety is paramount; the patient must be removed from the CO
environment.
> * *Why Distractors Fail:* Oxygen is given after removal; IV is secondary.
> * *Core Takeaway:* Remove the patient from the source of CO before treatment.
---
*QUESTION 2:*
A 22-year-old male has a knife wound to the chest. He is in respiratory distress with absent breath
sounds on the left side. The trachea is deviated to the right. What is the immediate action?
A) Apply an occlusive dressing
B) Perform needle decompression
C) Insert a chest tube
,D) Administer oxygen
> 🎯 *CORRECT ANSWER:* B) Perform needle decompression
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Tracheal deviation indicates tension pneumothorax; needle decompression is life-
saving.
> * *Why Distractors Fail:* Occlusive dressing is for open pneumothorax; oxygen is not sufficient.
> * *Core Takeaway:* Needle decompression is the immediate treatment for tension pneumothorax.
---
*QUESTION 3:*
A 60-year-old female complains of sudden, severe chest pain that radiates to her back. Her blood
pressure is 160/100 in the right arm and 100/70 in the left arm. What is the most likely diagnosis?
A) Myocardial infarction
B) Aortic dissection
C) Pulmonary embolism
D) Pericarditis
> 🎯 *CORRECT ANSWER:* B) Aortic dissection
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* BP differential and tearing back pain are classic for aortic dissection.
> * *Why Distractors Fail:* MI pain is pressure-like; PE has respiratory symptoms.
> * *Core Takeaway:* Aortic dissection is a surgical emergency.
---
*QUESTION 4:*
A 35-year-old male is stung by a bee and develops hives, wheezing, and difficulty swallowing. What is
the first medication to administer?
,A) Diphenhydramine
B) Epinephrine 0.3 mg IM
C) Albuterol
D) Methylprednisolone
> 🎯 *CORRECT ANSWER:* B) Epinephrine 0.3 mg IM
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Anaphylaxis with respiratory symptoms requires immediate IM epinephrine.
> * *Why Distractors Fail:* Diphenhydramine and steroids are adjunctive, not first-line.
> * *Core Takeaway:* IM epinephrine is the first-line treatment for anaphylaxis.
---
*QUESTION 5:*
A 3-year-old child is choking and is unable to cough or speak. The child is conscious. What is the correct
maneuver?
A) Abdominal thrusts
B) Back blows and chest thrusts
C) Finger sweep
D) Heimlich maneuver
> 🎯 *CORRECT ANSWER:* B) Back blows and chest thrusts
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Back blows and chest thrusts are the recommended sequence for conscious
children.
> * *Why Distractors Fail:* Abdominal thrusts are for adults; finger sweep is for unconscious.
> * *Core Takeaway:* Use back blows and chest thrusts for a choking child.
---
, *QUESTION 6:*
A 55-year-old male is in cardiac arrest. The cardiac monitor shows ventricular fibrillation. What is the
first step?
A) Administer epinephrine
B) Perform defibrillation
C) Begin chest compressions
D) Administer amiodarone
> 🎯 *CORRECT ANSWER:* B) Perform defibrillation
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* VF is a shockable rhythm requiring immediate defibrillation.
> * *Why Distractors Fail:* Epinephrine and amiodarone are given after the first shock.
> * *Core Takeaway:* Defibrillate VF/pulseless VT immediately.
---
*QUESTION 7:*
A 50-year-old male is complaining of chest pain. He has a history of angina and takes nitroglycerin. He
has taken three doses without relief. What is the most appropriate action?
A) Administer aspirin
B) Administer a fourth dose of nitroglycerin
C) Transport immediately
D) Administer oxygen and transport
> 🎯 *CORRECT ANSWER:* A) Administer aspirin
> 💡 *CLINICAL RATIONALE:*
> * *Why It's Right:* Unrelieved angina after 3 doses suggests MI; aspirin is indicated.
> * *Why Distractors Fail:* A fourth dose is not recommended; transport is important but aspirin is first.
> * *Core Takeaway:* Aspirin is given for suspected MI.
