FISDAP Final Exam – Paramedic Program,
ComprehensiveQuestions and Answers
(A+Graded).
1. A 30 year old climber is experiencing sever shortness of breath after reaching
elevation
an of
12000feet.The PT is veryanxiousand hasralesnotedto all quadrantsbut is otherwise healthy. He is
not accustomed to high altitudes. What should you-do?Correct answer-Administer oxygen while
descending to a lower altitude.
2. A 26 year old female does not respond to verbal stimuli but moans in responsepain.A
tofriend
statesthepatienthasingestedapprox150amitriptylinetables.Vital Signs areBP 88/50R16. You
establishIV accessand administera fluid challenge.En routeto the hospital her ECG shows a
widening QRS. You should administer - Correct answer- Sodium Bicarbonate.
3. You PT experiencedtraumayesterdayand you aretransferringher to a largerfacility.She has been
experiencing progressive hypoxia. You notice coarse crackles in allfields
lung on ventilation. Vital
signs are BP 90/50 and SPO2 90%. You should
- Correct answer-Transport emergency and continue
ventilation.
4. An alert22 yearold malewasjust disentangledfrom debrisin a housecollapse.He denies head or
neck pain, but complains of server hip pain. Vital signs are BP 88/40.
P120 R 16 you should
administer.- Correct answer
-sodium bicarbonate
5. BraxtonHicks contractions- Correct answer-occur in thesecondtrimesterand are false labor.
6. A 40 yearold malecrashedhis motorcycle.He had a brief lossof consciousness,woke up and
walkedhome.You find him 2 hourslaterat homeunconscious.You shouldsuspect.- Correct answer -
epidural hematoma
7. A 47 yearold malewhowasfoundunconsciouson thesideof theroadrespondonly to painful
stimulus. When you attempt to establish IV access he stiffens his arms legs.
andHe has minor
abrasions all over his body. Vital signs are BO 178/122 P56
irregular
R ETCO2 30. What should you
do? - Correct answer-Assist ventilations at 12
breaths per minHg.
8. A 28 year old female has a sudden onset of tightness in her chest anddifficulty
server
breathing.Her tonguefaceand neckappearswollenand shehasred itchy hives on her torso. Her
signs are BP 80/40 P 130. You should administer
- Correct answer-Epinephrine 0.3mg
,9. You are askedto set up a patienttreatmentarea after a box labeled"radioactive"was found
unattendedin a park. Which of the following would be the best location.- Correct answer-
Building in the park
10. You are at a housefire with multiplepatients.Which patientshould be transportedFirst to a
burn center?- Correct answer-52 yearold with seconddegree burnsto faceand right hand
11. Whatis themostcommoncauseof statusepilepticusin adults.- Correct answer- Failure to
take prescribed medications
12. A 58 yearold malewithhistoryof renalfailurecomplainsof dizzinesslethargyand difficulty
breathing.He sayshe missedhis lastdialysisappointment.Vital signs areBP 160/90P 100 R 28 with
rales heard in the basses. SPO2 92% you should suspect.
- Correct answer-Fluid Overload.
13. A 12 yearold girl is seizing. Hermom tellsyou thather daughterhas beenfeelingtired for days.
Her skin is dry and she has been very thirsty. Vital signs are BP 118/80P115 R26 you should
suspect.- Correct answer -Diabetic ketoacidosis
14. A 42 yearold femalehas fallendowna flight of stairs.She appearsanxiousher skin is cool and
clammy her radial pulses are weak at 112 beats per min and she complains
of abdominal pain in the
left upper quadrant with radiation to the left scapula.should
You suspect.- Correct answer -Torn or
lacerated spleen.
15. Emergencymedicalrespondersareventilatingan apneicmedicalpatientwitha bag valve mask.
You note abdominal distention and minimal chest rise. What shoulddo?
you- Correct answer
-
Reposition the head.
16. A 6 monthold malewasfoundlying facedownin thecrib. He is cyanoticand apneic. A
weak
brachialpulseis present.You areunableto seea chestrise withyour secondattemptat rescue
breathingafterrepositioningthehead.Whatshouldyou do. - Correct answer-StartCPR
17. You havejust beencalledto a dialysisclinic for a 58 yearold malein cardiacarrest.The online
physician may order you to administer which of the following medications. - Correct answer
-Sodium
Bicarbonate.
18. A 27 yearold malehas beenassaultedwitha penin the supraclaviculararea.He is anxious and
pale and his vital signs are BP 80/42 P 128 R 32 and shallow.responders
First have sealed the wound
with a bandage. Assessment reveals lung soundson the right and poor chest rise what should you do.
- Correct answer-Burp dressing
, 19. A 50 pound child is unresponsive pulseless and apneic. The cardiac monitor
displaysventricular
fibrillations.CPR is in progress.The initial defibrillatorshouldbe at.
- Correctanswer-50 joules.
20. An 11 year old male has been skateboarding in 100 degrees temperature and beenhas
drinking
caffeinated soft drinks. He complains of palpations. The cardiac monitor
displaysa narrowQRS
tachycardiaat a rateof 160 beats.Vitals signs BP 110/60P160 R 20 What should you do?- Correct
answer-Transport the patient by ambulance monitor closely and administer fluids en route.
21. An 80 yearold malein serverrespiratorydistress.He hasa historyof hypertensionand breathing
problems. He takes inderal daily. Vital signs are BP 170/70 P72irregular
and R40 and extremely
labored skin warm and diaphoretic. Lung soundsdiffuse
are bilateral crackles and wheezing. He
coughs up blood tinged sputum. Whichthe of following is most important.- Correct answer
-
Decreasing preload
22. A 50 yearold patientis foundlying outsideon theground.The ambienttemperatureis 40 degrees
F. You thermometer reads 20C 86F. He is in-fib
V and pulseless andapneic. You should- Correct
answer-Defibrillate once perform CPR intubate and transport rapidly.
23. To successfully accomplish nasotracheal intubation you should advance endotracheal
the tube
thoughtheglotticopeningto coincidewithpatient- Correct answer- Inhalation
25. An alert23 yearold malepresentswitha suddenonsetof shortnessof breathand chest pain
after running upstairs. Breath sounds are diminished in the right side.most
The likely cause is.
-
Correct answer-Spontaneous pneumothorax
26. First responders are treating an apneic adult female. You notice that they
applying
are frequent
long ventilationswithan oxygenresuscitator.Whateffectswiththeir actions create.- Correct
answer-Increased capillary elasticity.
27. You are called to a nursing home on a hot summer day for a 88 year old male. nurse
Thetells you
he missed his dialysis appointment because he was complaining nausea
of vomitingheadacheand
running a fever.Which differentialdiagnosisshouldyou consider first.- Correct answer
-Sepsis and
hyperkalemia
28. You have just administeredadenosineto a 62 year old patientwith narrow complextach. The
ECG shows an irregular rate of 50 then steadily climbsback to a rate of 169. What would should
suspect- Correct answer
-rapid atrial fibrillation.
29. A 63 year old male is having a diabetic emergency . He is unresponsive
glucometer
R12 28.You
cannotestablishIV access.You should- Correctanswer-administerglucagon IM
ComprehensiveQuestions and Answers
(A+Graded).
1. A 30 year old climber is experiencing sever shortness of breath after reaching
elevation
an of
12000feet.The PT is veryanxiousand hasralesnotedto all quadrantsbut is otherwise healthy. He is
not accustomed to high altitudes. What should you-do?Correct answer-Administer oxygen while
descending to a lower altitude.
2. A 26 year old female does not respond to verbal stimuli but moans in responsepain.A
tofriend
statesthepatienthasingestedapprox150amitriptylinetables.Vital Signs areBP 88/50R16. You
establishIV accessand administera fluid challenge.En routeto the hospital her ECG shows a
widening QRS. You should administer - Correct answer- Sodium Bicarbonate.
3. You PT experiencedtraumayesterdayand you aretransferringher to a largerfacility.She has been
experiencing progressive hypoxia. You notice coarse crackles in allfields
lung on ventilation. Vital
signs are BP 90/50 and SPO2 90%. You should
- Correct answer-Transport emergency and continue
ventilation.
4. An alert22 yearold malewasjust disentangledfrom debrisin a housecollapse.He denies head or
neck pain, but complains of server hip pain. Vital signs are BP 88/40.
P120 R 16 you should
administer.- Correct answer
-sodium bicarbonate
5. BraxtonHicks contractions- Correct answer-occur in thesecondtrimesterand are false labor.
6. A 40 yearold malecrashedhis motorcycle.He had a brief lossof consciousness,woke up and
walkedhome.You find him 2 hourslaterat homeunconscious.You shouldsuspect.- Correct answer -
epidural hematoma
7. A 47 yearold malewhowasfoundunconsciouson thesideof theroadrespondonly to painful
stimulus. When you attempt to establish IV access he stiffens his arms legs.
andHe has minor
abrasions all over his body. Vital signs are BO 178/122 P56
irregular
R ETCO2 30. What should you
do? - Correct answer-Assist ventilations at 12
breaths per minHg.
8. A 28 year old female has a sudden onset of tightness in her chest anddifficulty
server
breathing.Her tonguefaceand neckappearswollenand shehasred itchy hives on her torso. Her
signs are BP 80/40 P 130. You should administer
- Correct answer-Epinephrine 0.3mg
,9. You are askedto set up a patienttreatmentarea after a box labeled"radioactive"was found
unattendedin a park. Which of the following would be the best location.- Correct answer-
Building in the park
10. You are at a housefire with multiplepatients.Which patientshould be transportedFirst to a
burn center?- Correct answer-52 yearold with seconddegree burnsto faceand right hand
11. Whatis themostcommoncauseof statusepilepticusin adults.- Correct answer- Failure to
take prescribed medications
12. A 58 yearold malewithhistoryof renalfailurecomplainsof dizzinesslethargyand difficulty
breathing.He sayshe missedhis lastdialysisappointment.Vital signs areBP 160/90P 100 R 28 with
rales heard in the basses. SPO2 92% you should suspect.
- Correct answer-Fluid Overload.
13. A 12 yearold girl is seizing. Hermom tellsyou thather daughterhas beenfeelingtired for days.
Her skin is dry and she has been very thirsty. Vital signs are BP 118/80P115 R26 you should
suspect.- Correct answer -Diabetic ketoacidosis
14. A 42 yearold femalehas fallendowna flight of stairs.She appearsanxiousher skin is cool and
clammy her radial pulses are weak at 112 beats per min and she complains
of abdominal pain in the
left upper quadrant with radiation to the left scapula.should
You suspect.- Correct answer -Torn or
lacerated spleen.
15. Emergencymedicalrespondersareventilatingan apneicmedicalpatientwitha bag valve mask.
You note abdominal distention and minimal chest rise. What shoulddo?
you- Correct answer
-
Reposition the head.
16. A 6 monthold malewasfoundlying facedownin thecrib. He is cyanoticand apneic. A
weak
brachialpulseis present.You areunableto seea chestrise withyour secondattemptat rescue
breathingafterrepositioningthehead.Whatshouldyou do. - Correct answer-StartCPR
17. You havejust beencalledto a dialysisclinic for a 58 yearold malein cardiacarrest.The online
physician may order you to administer which of the following medications. - Correct answer
-Sodium
Bicarbonate.
18. A 27 yearold malehas beenassaultedwitha penin the supraclaviculararea.He is anxious and
pale and his vital signs are BP 80/42 P 128 R 32 and shallow.responders
First have sealed the wound
with a bandage. Assessment reveals lung soundson the right and poor chest rise what should you do.
- Correct answer-Burp dressing
, 19. A 50 pound child is unresponsive pulseless and apneic. The cardiac monitor
displaysventricular
fibrillations.CPR is in progress.The initial defibrillatorshouldbe at.
- Correctanswer-50 joules.
20. An 11 year old male has been skateboarding in 100 degrees temperature and beenhas
drinking
caffeinated soft drinks. He complains of palpations. The cardiac monitor
displaysa narrowQRS
tachycardiaat a rateof 160 beats.Vitals signs BP 110/60P160 R 20 What should you do?- Correct
answer-Transport the patient by ambulance monitor closely and administer fluids en route.
21. An 80 yearold malein serverrespiratorydistress.He hasa historyof hypertensionand breathing
problems. He takes inderal daily. Vital signs are BP 170/70 P72irregular
and R40 and extremely
labored skin warm and diaphoretic. Lung soundsdiffuse
are bilateral crackles and wheezing. He
coughs up blood tinged sputum. Whichthe of following is most important.- Correct answer
-
Decreasing preload
22. A 50 yearold patientis foundlying outsideon theground.The ambienttemperatureis 40 degrees
F. You thermometer reads 20C 86F. He is in-fib
V and pulseless andapneic. You should- Correct
answer-Defibrillate once perform CPR intubate and transport rapidly.
23. To successfully accomplish nasotracheal intubation you should advance endotracheal
the tube
thoughtheglotticopeningto coincidewithpatient- Correct answer- Inhalation
25. An alert23 yearold malepresentswitha suddenonsetof shortnessof breathand chest pain
after running upstairs. Breath sounds are diminished in the right side.most
The likely cause is.
-
Correct answer-Spontaneous pneumothorax
26. First responders are treating an apneic adult female. You notice that they
applying
are frequent
long ventilationswithan oxygenresuscitator.Whateffectswiththeir actions create.- Correct
answer-Increased capillary elasticity.
27. You are called to a nursing home on a hot summer day for a 88 year old male. nurse
Thetells you
he missed his dialysis appointment because he was complaining nausea
of vomitingheadacheand
running a fever.Which differentialdiagnosisshouldyou consider first.- Correct answer
-Sepsis and
hyperkalemia
28. You have just administeredadenosineto a 62 year old patientwith narrow complextach. The
ECG shows an irregular rate of 50 then steadily climbsback to a rate of 169. What would should
suspect- Correct answer
-rapid atrial fibrillation.
29. A 63 year old male is having a diabetic emergency . He is unresponsive
glucometer
R12 28.You
cannotestablishIV access.You should- Correctanswer-administerglucagon IM
