FISDAP PARAMEDIC FINAL STUDY GUIDE
ACTUAL EXAMINATION 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
⫸1. A 30 year old climber is experiencing sever 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 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 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 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 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 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 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 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 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 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 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
ACTUAL EXAMINATION 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
⫸1. A 30 year old climber is experiencing sever 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 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 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 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 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 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 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 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 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 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 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
