PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 20 | | | | | | | |
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
| | | | | | |
(VERIFIED ANSWERS)
| |
Study |online |at |https://quizlet.com/_g1425m
1. 1. A 30 year old climber is experiencing sever
| | | Administeroxygen | | | | | |
shortness of breath after reaching an elevation of
| while descending | | | | | | | | |
12000feet.ThePT is veryanxious and has rales noted to to a lower altitude.
| | | | | | | | | | | | | | |
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 eleva-| | | | | | | |
tions
|
D. Evacuate the patient to a hyperbaric chamber | | | | | |
2. 2. A 26 year old female does not respond to verbal
| | | | | | | | | | SodiumBicarbon- |
stimuli but moans in response to pain.Afriend states
| | | | | | | | | | ate.
|
the patient has ingested approx 150 amitriptyline ta-
| | | | | | | |
bles.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 |
3. 3. You PT experienced trauma yesterday and you are
| | | Transport emer- | | | | | |
transferring her to a larger facility. She has been
| gencyand contin- | | | | | | | | | | |
experiencing progressive hypoxia.You notice coarse ue ventilation.
| | | | | | | |
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 re- | | | | |
assess
|
4. 4. An alert 22 year old male was just disentangled
| | | | | | | | | sodiumbicarbon- |
from debris in a house collapse. He denies head or
| | | | | | | | | | ate
|
neck pain, but complains of server hip pain.Vital
| | | | | | | | |
1 |/ |37
, PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 20 | | | | | | | |
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
| | | | | | |
(VERIFIED ANSWERS)
| |
Study |online |at |https://quizlet.com/_g1425m
signs are BP 88/40. P120 R 16 you should administer.
| | | | | | | | |
A. epinephrine
B. lidocaine
C. sodium bicarbonate |
D. morphine sulfate |
5. 5. Braxton Hicks contractions
| | | occur in the sec- | | |
A. are mild and signal the beginning of labor
| | | | | | | ond trimester and
| | |
B. occur in the second trimester and are false labor | | | | | | | | are false labor.
| | |
C. cause extreme back and abdominal discomfort | | | | |
D. cause dilation and effacement of the cervix | | | | | |
6. 6. A 40 year old male crashed his motorcycle. He had epidural
| | | | | | | | | | |
a brief loss of consciousness, woke up and walked
| | hematoma | | | | | |
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 |
7. 7. A 47 year old male who was found unconscious on
| | | Assist ventilations | | | | | | | |
the side of the road respond only to painful stimulus. at 12 breaths per
| | | | | | | | | | | | |
When you attempt to establish IV access he stiffens
| minHg. | | | | | | |
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 | | | |
8. 8. A 28 year old female has a sudden onset of tight-
| | | | | | | | | | | Epinephrine
ness in her chest and server difficulty breathing. Her
| | | | | | | | | 0.3mg
|
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 | | | |
2 |/ |37
, PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 20 | | | | | | | |
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
| | | | | | |
(VERIFIED ANSWERS)
| |
Study |online |at |https://quizlet.com/_g1425m
B. transport immediately to the hospital | | | |
C. administer 0.3 mg epinephrine IM | | | |
D. administer 100 mg Solumedrol IV | | | |
9. 9. You are asked to set up a patient treatment area af- ter Building in the
| | | | | | | | | | | | | |
a box labeled "radioactive" was found unattended in a park
| | | | | | | | | |
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
| | | |
10. 11. What is the most common cause of status epilep-
| | | | | | | | | Failure to take
| |
ticus in adults.
| | | prescribedmed-
| |
A. Alcohol withdrawal | ications
|
B. Sudden elevation in body temperature | | | |
C. Failure to take prescribed medications | | | |
D. Recent history of head trauma | | | |
11. 12. A 58 year old male with history of renal failure
| | | | | | | | | | Fluid Overload.
|
complains of dizziness lethargy and difficulty
| | | | | |
breathing. He says he missed his last dialysis ap-
| | | | | | | | |
pointment.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
12. 16. A 6 month old male was found lying face down in
| | | | | | | | | | | Start CPR
|
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 | | |
3 |/ |37
, PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 20 | | | | | | | |
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
| | | | | | |
(VERIFIED ANSWERS)
| |
Study |online |at |https://quizlet.com/_g1425m
B. Start CPR |
C. Perform a finger sweep | | |
D. Give five back slaps | | |
13. 17. You have just been called to a dialysis clinic for
| | | | | | | | | | SodiumBicarbon- |
a 58 year old male in cardiac arrest.The online
| | | | | | | | | | ate.
|
physician may order you to administer which of the | | | | | | | |
following medications.
| |
A. Magnesium sulfate |
B. Sodium bicarbonate |
C. Furosemide
D. Calcium channel blocker | |
14. 18. A 27 year old male has been assaulted with a pen needledecom-
| | | | | | | | | | | |
in the supraclavicular area. He is anxious and pale
| | | pression | | | | | | |
and his vital signs are BP 80/42 P 128 R 32 and
| | | | | | | | | | | |
shallow.First responders have sealed thewoundwith 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 | | | | | |
15. 20. An 11 year old male has been skateboarding in 100
| | | | | | | | | | Transportthe pa- | |
degrees temperature and has been drinking caf-
| | | | | | | tient by am-
| | |
feinated soft drinks. He complains of palpations.The
| | | | | | | | bulance monitor
| |
cardiac monitor displays a narrow QRS tachycardia
| | | | | | | closely and ad-
| | |
at a rate of 160 beats.Vitals signs BP 110/60 P160 R 20
| | | | | | | | | | | | | minister fluids en
| | |
What should you do?
| | | | route.
|
A. transport the patient byambulance,monitor close- | | | | | |
ly, and administer fluids en route
| | | | | |
B. suggest the father drives his son to the local clinic | | | | | | | | |
since vital signs are within normal limits
| | | | | | |
C. perform vagal maneuvers and, if unsuccessful, | | | | |
administer adenosine
| |
4 |/ |37
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
| | | | | | |
(VERIFIED ANSWERS)
| |
Study |online |at |https://quizlet.com/_g1425m
1. 1. A 30 year old climber is experiencing sever
| | | Administeroxygen | | | | | |
shortness of breath after reaching an elevation of
| while descending | | | | | | | | |
12000feet.ThePT is veryanxious and has rales noted to to a lower altitude.
| | | | | | | | | | | | | | |
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 eleva-| | | | | | | |
tions
|
D. Evacuate the patient to a hyperbaric chamber | | | | | |
2. 2. A 26 year old female does not respond to verbal
| | | | | | | | | | SodiumBicarbon- |
stimuli but moans in response to pain.Afriend states
| | | | | | | | | | ate.
|
the patient has ingested approx 150 amitriptyline ta-
| | | | | | | |
bles.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 |
3. 3. You PT experienced trauma yesterday and you are
| | | Transport emer- | | | | | |
transferring her to a larger facility. She has been
| gencyand contin- | | | | | | | | | | |
experiencing progressive hypoxia.You notice coarse ue ventilation.
| | | | | | | |
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 re- | | | | |
assess
|
4. 4. An alert 22 year old male was just disentangled
| | | | | | | | | sodiumbicarbon- |
from debris in a house collapse. He denies head or
| | | | | | | | | | ate
|
neck pain, but complains of server hip pain.Vital
| | | | | | | | |
1 |/ |37
, PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 20 | | | | | | | |
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
| | | | | | |
(VERIFIED ANSWERS)
| |
Study |online |at |https://quizlet.com/_g1425m
signs are BP 88/40. P120 R 16 you should administer.
| | | | | | | | |
A. epinephrine
B. lidocaine
C. sodium bicarbonate |
D. morphine sulfate |
5. 5. Braxton Hicks contractions
| | | occur in the sec- | | |
A. are mild and signal the beginning of labor
| | | | | | | ond trimester and
| | |
B. occur in the second trimester and are false labor | | | | | | | | are false labor.
| | |
C. cause extreme back and abdominal discomfort | | | | |
D. cause dilation and effacement of the cervix | | | | | |
6. 6. A 40 year old male crashed his motorcycle. He had epidural
| | | | | | | | | | |
a brief loss of consciousness, woke up and walked
| | hematoma | | | | | |
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 |
7. 7. A 47 year old male who was found unconscious on
| | | Assist ventilations | | | | | | | |
the side of the road respond only to painful stimulus. at 12 breaths per
| | | | | | | | | | | | |
When you attempt to establish IV access he stiffens
| minHg. | | | | | | |
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 | | | |
8. 8. A 28 year old female has a sudden onset of tight-
| | | | | | | | | | | Epinephrine
ness in her chest and server difficulty breathing. Her
| | | | | | | | | 0.3mg
|
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 | | | |
2 |/ |37
, PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 20 | | | | | | | |
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
| | | | | | |
(VERIFIED ANSWERS)
| |
Study |online |at |https://quizlet.com/_g1425m
B. transport immediately to the hospital | | | |
C. administer 0.3 mg epinephrine IM | | | |
D. administer 100 mg Solumedrol IV | | | |
9. 9. You are asked to set up a patient treatment area af- ter Building in the
| | | | | | | | | | | | | |
a box labeled "radioactive" was found unattended in a park
| | | | | | | | | |
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
| | | |
10. 11. What is the most common cause of status epilep-
| | | | | | | | | Failure to take
| |
ticus in adults.
| | | prescribedmed-
| |
A. Alcohol withdrawal | ications
|
B. Sudden elevation in body temperature | | | |
C. Failure to take prescribed medications | | | |
D. Recent history of head trauma | | | |
11. 12. A 58 year old male with history of renal failure
| | | | | | | | | | Fluid Overload.
|
complains of dizziness lethargy and difficulty
| | | | | |
breathing. He says he missed his last dialysis ap-
| | | | | | | | |
pointment.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
12. 16. A 6 month old male was found lying face down in
| | | | | | | | | | | Start CPR
|
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 | | |
3 |/ |37
, PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 20 | | | | | | | |
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
| | | | | | |
(VERIFIED ANSWERS)
| |
Study |online |at |https://quizlet.com/_g1425m
B. Start CPR |
C. Perform a finger sweep | | |
D. Give five back slaps | | |
13. 17. You have just been called to a dialysis clinic for
| | | | | | | | | | SodiumBicarbon- |
a 58 year old male in cardiac arrest.The online
| | | | | | | | | | ate.
|
physician may order you to administer which of the | | | | | | | |
following medications.
| |
A. Magnesium sulfate |
B. Sodium bicarbonate |
C. Furosemide
D. Calcium channel blocker | |
14. 18. A 27 year old male has been assaulted with a pen needledecom-
| | | | | | | | | | | |
in the supraclavicular area. He is anxious and pale
| | | pression | | | | | | |
and his vital signs are BP 80/42 P 128 R 32 and
| | | | | | | | | | | |
shallow.First responders have sealed thewoundwith 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 | | | | | |
15. 20. An 11 year old male has been skateboarding in 100
| | | | | | | | | | Transportthe pa- | |
degrees temperature and has been drinking caf-
| | | | | | | tient by am-
| | |
feinated soft drinks. He complains of palpations.The
| | | | | | | | bulance monitor
| |
cardiac monitor displays a narrow QRS tachycardia
| | | | | | | closely and ad-
| | |
at a rate of 160 beats.Vitals signs BP 110/60 P160 R 20
| | | | | | | | | | | | | minister fluids en
| | |
What should you do?
| | | | route.
|
A. transport the patient byambulance,monitor close- | | | | | |
ly, and administer fluids en route
| | | | | |
B. suggest the father drives his son to the local clinic | | | | | | | | |
since vital signs are within normal limits
| | | | | | |
C. perform vagal maneuvers and, if unsuccessful, | | | | |
administer adenosine
| |
4 |/ |37
