PARAMEDIC FISDAP FINAL LATEST EXAM
QUESTIONS & ANSWERS
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 QR. 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 hypo ventilate 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
C. respiratory alkalosis
D. hypermagnesemia - ANSWER-Fluid Overload.
16. A 6-month-old male was found lying face down in 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
B. Start CPR
C. Perform a finger sweep
D. Give five back slaps - ANSWER-Start CPR
, 17. You have just been called to a dialysis clinic for a 58-year-old male in cardiac
arrest. The online physician may order you to administer which of the following
medications.
A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker - ANSWER-Sodium Bicarbonate.
18. A 27-year-old male has been assaulted with a pen in the supraclavicular area.
He is anxious and pale and his vital signs are BP 80/42 P 128 R 32 and shallow.
First responders have sealed the wound with 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 - ANSWER-needle
decompression
20. An 11-year-old male has been skateboarding in 100 degrees temperature and
has been drinking caffeinated soft drinks. He complains of palpations. The cardiac
monitor displays a narrow QRS tachycardia at a rate of 160 beats. Vitals signs BP
110/60 P160 R 20 What should you do?
A. transport the patient by ambulance, monitor closely, 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
D. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers -
ANSWER-Transport the patient by ambulance monitor closely and administer
fluids en route.
21. An 80-year-old male in server respiratory distress. He has a history of
hypertension and breathing problems. He takes Inderal daily. Vital signs are BP
170/70 P72 and irregular R40 and extremely labored skin warm and diaphoretic.
Lung sounds are diffuse bilateral crackles and wheezing. He coughs up blood
tinged sputum. Which of the following is most important.
A. Endotracheally intubating
QUESTIONS & ANSWERS
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 QR. 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 hypo ventilate 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
C. respiratory alkalosis
D. hypermagnesemia - ANSWER-Fluid Overload.
16. A 6-month-old male was found lying face down in 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
B. Start CPR
C. Perform a finger sweep
D. Give five back slaps - ANSWER-Start CPR
, 17. You have just been called to a dialysis clinic for a 58-year-old male in cardiac
arrest. The online physician may order you to administer which of the following
medications.
A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker - ANSWER-Sodium Bicarbonate.
18. A 27-year-old male has been assaulted with a pen in the supraclavicular area.
He is anxious and pale and his vital signs are BP 80/42 P 128 R 32 and shallow.
First responders have sealed the wound with 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 - ANSWER-needle
decompression
20. An 11-year-old male has been skateboarding in 100 degrees temperature and
has been drinking caffeinated soft drinks. He complains of palpations. The cardiac
monitor displays a narrow QRS tachycardia at a rate of 160 beats. Vitals signs BP
110/60 P160 R 20 What should you do?
A. transport the patient by ambulance, monitor closely, 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
D. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers -
ANSWER-Transport the patient by ambulance monitor closely and administer
fluids en route.
21. An 80-year-old male in server respiratory distress. He has a history of
hypertension and breathing problems. He takes Inderal daily. Vital signs are BP
170/70 P72 and irregular R40 and extremely labored skin warm and diaphoretic.
Lung sounds are diffuse bilateral crackles and wheezing. He coughs up blood
tinged sputum. Which of the following is most important.
A. Endotracheally intubating
