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Paramedic FISDAP Final Exam Questions, Answers and Rationales 2027

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Study resource designed for the Paramedic FISDAP Final Exam. Includes exam-style practice questions, verified answers, and detailed rationales covering patient assessment, airway management, ventilation, cardiology, ECG interpretation, pharmacology, trauma care, medical emergencies, shock, respiratory emergencies, neurological disorders, obstetric and pediatric emergencies, toxicology, environmental emergencies, operations, EMS safety, incident command, communication, documentation, and evidence-based prehospital care. Organized to reinforce essential paramedic competencies and support preparation for the FISDAP final exam, paramedic program assessments, and national EMS certification preparation.

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Paramedic FISDAP FinalAlready Graded
A+ |2026/2027 Update Actual exam|
Questions And Verified Answers With
Rationales|100% Accurate Answers
NEW UPDATE
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 le g̣s. He has minor abrasions all over
his body. Vital sig̣ns are BO 178/122 P56 R irre g̣ular ETCO2 30. What should you do? - correct answers-
Assist ventilations at 12 breaths per minH g̣.



8. A 28 year old female has a sudden onset of ti g̣htness in her chest and server difficulty breathin g.̣ Her
tong̣ue face and neck appear swollen and she has red itchy hives on her torso. Her si gns ̣ are BP 80/40 P
130. You should administer - correct answers-Epinephrine 0.3m g̣



9. You are asked to set up a patient treatment area after a box labeled "radio active" was found
unattended in a park. Which of the followin g̣ would be the best location. - correct answers-Buildin g̣ in
the park



10. You are at a house fire with multiple patients. Which patient should be transported First to a burn
center? - correct answers-52 year old with second de g̣ree burns to face and ri ght
̣ hand



11. What is the most common cause of status epilepticus in adults. - correct answers-Failure to take
prescribed medications



12. A 58 year old male with history of renal failure complains of dizziness lethar gỵ and difficulty

breathing̣. He says he missed his last dialysis appointment. Vital si g̣ns are BP 160/90 P 100 R 28 with
rales heard in the basses. SPO2 92% you should suspect. - correct answers-Fluid Overload.

,13. A 12 year old g̣irl is seizing̣. Her mom tells you that her dau g̣hter has been feelin g̣ tired for days. Her
skin is dry and she has been very thirsty. Vital si g̣ns are BP 118/80 P115 R26 you should suspect. -
correct answers-Diabetic ketoacidosis



14. A 42 year old female has fallen down a flig̣ht of stairs. She appears anxious her 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. You should suspect. - correct answers-Torn or
lacerated spleen.

1. A 30 year old climber is experiencin g̣ sever shortness of breath after reachin g̣ 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 hig̣h altitudes. What should you do? - correct answers-Administer oxy gen ̣ while
descending̣ 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 ing̣ested approx 150 amitriptyline tables. Vital Si g̣ns are BP 88/50 R16. You establish IV
access and administer a fluid challeng̣e. En route to the hospital her ECG shows a widenin g̣ QRS. You
should administer - correct answers-Sodium Bicarbonate.



3. You PT experienced trauma yesterday and you are transferrin g̣ her to a lar ger ̣ facility. She has been
experiencing̣ prog̣ressive hypoxia. You notice coarse crackles in all lun g̣ fields on ventilation. Vital
sig̣ns are BP 90/50 and SPO2 90%. You should - correct answers-Transport emer gency ̣ and continue
ventilation.



4. An alert 22 year old male was just disentang̣led from debris in a house collapse. He denies head or
neck pain, but complains of server hip pain. Vital si g̣ns are BP 88/40. P120 R 16 you should administer. -
correct answers-sodium bicarbonate



5. Braxton Hicks contractions - correct answers-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. - correct answers-
epidural hematoma



7.

, 15. Emerg̣ency medical responders are ventilatin g̣ an apneic medical patient with a ba g̣ valve mask. You
note abdominal distention and minimal chest rise. What should you do? - correct answers-Reposition
the head.



16. A 6 month old male was found lyin g̣ 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

breathing̣ after repositioning̣ the head. What should you do. - correct answers-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 followin g̣ medications. - correct answers-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 sig̣ns are BP 80/42 P 128 R 32 and shallow. First responders have sealed the wound with a
bandag̣e. Assessment reveals lung̣ sounds on the ri g̣ht and poor chest rise what should you do. - correct
answers-Burp dressing̣



19. A 50 pound child is unresponsive pulseless and apneic. The cardiac monitor displays ventricular
fibrillations. CPR is in prog̣ress. The initial defibrillator should be at. - correct answers-50 joules.



20. An 11 year old male has been skateboardin g̣ in 100 de g̣rees temperature and has been
drinking̣ caffeinated soft drinks. He complains of palpations. The cardiac monitor displays a narrow
QRS tachycardia at a rate of 160 beats. Vitals si g̣ns BP 110/60 P160 R 20 What should you do? -
correct answers-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 breathin g̣
problems. He takes inderal daily. Vital sig̣ns are BP 170/70 P72 and irre g̣ular R40 and extremely labored
skin warm and diaphoretic. Lung̣ sounds are diffuse bilateral crackles and wheezin g.̣ He cou ghs
̣ up
blood ting̣ed sputum. Which of the followin g̣ is most important. - correct answers-Decreasin g̣ preload



22. A 50 year old patient is found lying̣ outside on the g̣round. The ambient temperature is 40 de grees
̣
F. You thermometer reads 20C 86F. He is in V-fib and pulseless and apneic. You should - correct answers-
Defibrillate once perform CPR intubate and transport rapidly.

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