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PARAMEDIC FISDAP FINAL EXAM
QUESTIONS AND ANSWERS 2026\2027
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 - 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 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 - CORRECT ANSWER - Sodium
Bicarbonate.
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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 -
CORRECT 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 - CORRECT ANSWER - sodium
bicarbonate
5. Braxton Hicks contractions
A. are mild and signal the beginning of labor
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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 - CORRECT
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 - CORRECT 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 - CORRECT ANSWER - Assist
ventilations at 12 breaths per minHg.
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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 - CORRECT 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 - CORRECT 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
PARAMEDIC FISDAP FINAL EXAM
QUESTIONS AND ANSWERS 2026\2027
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 - 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 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 - CORRECT ANSWER - Sodium
Bicarbonate.
,2 | Page
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 -
CORRECT 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 - CORRECT ANSWER - sodium
bicarbonate
5. Braxton Hicks contractions
A. are mild and signal the beginning of labor
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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 - CORRECT
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 - CORRECT 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 - CORRECT ANSWER - Assist
ventilations at 12 breaths per minHg.
, 4 | Page
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 - CORRECT 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 - CORRECT 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
