Paramedic FISDAP Final Exam
Questions and 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 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
C. respiratory alkalosis
D. hypermagnesemia - ANSWER-Fluid Overload.
Questions and 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 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
C. respiratory alkalosis
D. hypermagnesemia - ANSWER-Fluid Overload.
