FISDAP FINAL EXAM EMT READINESS EXAM 2
A 29 year old male complains of neck pain after being rear-ended at an intersection. There is no
damage to the vehicle, and the driver of the second vehicle says her speedometer read two miles
an hour at the moment of impact. You should enter the back seat of the vehicle to stabilize
the c-spine.
You are on the scene of a stabbing where an unresponsive 25 year old male is bleeding severely.
The assailant returns to the scene and is holding a knife. You should retreat to a safe area.
A 42 year old male was in a house fire. The anterior portion of his lower legs has been burned.
The area is charred black but your patient states he has little pain. This burn would be classified
as full thickness.
A trauma patient's injured limb is pale and pulseless. You should suspect compromised
circulation.
A 23 year old deaf man called for an ambulance. You need to determine why. You shouldtry
speaking clearly so he can watch your lips.
An 11 year old male has been injured. He is crying, sucking his thumb, and acting fearful. You
should
Select one: speak calmly and explain all treatment beforehand.
Which of the following patients would benefit most from helicopter transport? 16 year old
male motor vehicle crash victim still trapped BP 80/40
A 35 year old female who is 3 months pregnant has twisted her knee while walking. She is in
extreme pain. You should splint with the stretcher and straps, transport the patient on her left
side.
A newborn is breathing at 48 times per minute, P 130, and peripheral cyanosis. You should
ventilate via bag-valve mask at 20 breaths per minute.
A patient is pulseless and apneic. You should begin chest compressions and apply the
automated external defibrillator.
A thin 75 year old female on home oxygen presents in a tripod position with marked dyspnea,
confusion, intercostal retractions, and mild cyanosis. Breath sounds are markedly decreased
bilaterally. You suspect
Select one: emphysema.
An unresponsive male has a weak, rapid pulse with deep, rapid respirations. His skin is warm
and dry and his breath smells like nail polish remover. What should you suspect? Diabetic
emergency
As you arrive on the scene of a water treatment plant, you notice a large cloud coming from the
building. Your primary concern is to maintain a safe distance.
A 22 year old male with a history of asthma is experiencing shortness of breath, wheezing, and
chest tightness. Which of the following is the MOST indicated? Albuterol
Your patient is complaining of shortness of breath. Vital signs are BP 188/110, P 120, R 32 and
shallow. Lung sounds include crackles or "bubbling" sounds. You should suspect congestive
heart failure.
A 45 year old female complains of chest pain. She is attempting to pull off the non-rebreather
mask that Emergency Medical Responders placed on her. Vital signs are BP 130/80, P 118, R 24,
SpO2 92%. What should you do?
,Select one: Use a nasal cannula.
A patient becomes unresponsive after administration of oral glucose. You should open and
inspect the airway.
An 89 year old female with a history of smoking is anxious and complaining of dyspnea. Upon
examination, you find she has pedal edema. She is coughing up pink frothy sputum. What should
you suspect? Congestive heart failure
A patient has a closed head injury with the following signs and symptoms: altered mental status,
increasing blood pressure, decreased pulse and unequal pupils. These symptoms are consistent
with increased intracranial pressure.
In cases of bee stings, you should remove the stinger by gently scraping with the edge of a
card.
A ten month old female presents with a temperature of 105 F. You should remove her clothing
and transport.
An unconscious patient was found lying supine in a parking lot. You note a large bruise on his
upper-right abdominal quadrant. You should carefully monitor your patient for signs of
hypoperfusion.
Your patient complains of a headache. You notice his right cheek is sagging and his left arm is
hanging limp at his side. What should you do?
Select one: Perform a prehospital stroke scale.
Which of the following marks the difference between preeclampsia and eclampsia? The
onset of seizure activity
A man in a diner suddenly began gasping and coughing violently while eating. He is now silent
and his lips appear blue. You should
Select one: perform abdominal thrusts.
Your patient was eating when he suddenly grasped his throat. He cannot speak or cough. You
should suspect foreign body obstruction.
A 46 year old male is complaining of chest pain. You should apply oxygen and obtain
baseline vital signs.
A newborn is limp, cyanotic, and breathing slowly. She does not respond to suctioning, drying,
and stimulation. You should ventilate with a bag-valve mask.
A 20 year old male collapsed while eating a hot dog. He appears cyanotic. You should check
responsiveness.
How should you preserve potential crime scene evidence on clothing that is removed from a
patient? Place items in a large paper bag.
You have just assisted a mother delivering a baby who is blue and flaccid. You should
ventilate by bag-valve mask.
You arrive at a campsite where there has been an explosion. Your patient's clothing is still
burning, and she is gasping for air. You should extinguish burning clothing.
A patient is unresponsive. There are several empty beer bottles and insulin syringes nearby. You
should ensure and maintain an open airway.
A 28 year old female patient with a history of asthma has stopped breathing. You initiate positive
pressure ventilations with a bag valve mask. Which ventilation rate would be most appropriate?
20 breaths per minute
A 24 year old female has large blisters on her forearm from exposure to drain cleaner. This burn
would be classified as a partial thickness burn.
,You have just assisted in the delivery of a healthy newborn girl. Which of the following is most
important? Wrap the newborn in a blanket to keep her warm.
You inform a Hispanic mother that her four month old son has died. You suspect SIDS. The
mother begins crying uncontrollably and pounding her fists on the floor. You should allow
her to cry and let her family comfort her.
Two minutes after administration of a prescribed bronchodilator your patient becomes
increasingly shaky. You should document your patient's response to the medication.
An unresponsive child with facial trauma requires airway management. You should suction
the airway.
A 23 year old has been getting gradually more disoriented and nauseous. He is thirsty and
complaining of abdominal pain. Vital signs are BP 130/90, P 110, R 24. You should suspect
hyperglycemia.
A semi-conscious trauma patient with a suspected cervical spine injury has a significant amount
of blood in her mouth. You should perform a jaw thrust.
The most common electrical disturbance that results in cardiac arrest in adults is ventricular
fibrillation.
When informing an 18 year old of a treatment that is needed and the associated risks, what type
of consent are you seeking? Expressed
Which of the following is the BEST way to assess breathing in an unconscious patient? Watch
for chest rise
A man has inhaled poison. After opening his airway, you should apply high concentration
oxygen.
A patient has hives, watering eyes, and mild wheezing. Vital signs are B 102/60, P 110, and R
22. Which treatment should you provide during the initial assessment? Manage the patient's
airway.
An 86 year old male has a laceration on his forehead and complains of chest pain. He states that
he fell and hit his head. Which of the following questions should you ask? "What happened just
before you fell?"
A patient has a history of Type 1 diabetes. Which of the following questions is most helpful for
immediate treatment in the field? "When did you last eat?"
A 54 year old male was playing basketball when he developed a crushing pain with associated
shortness of breath. He sat down and his symptoms went away five minutes later. These
symptoms best describe angina pectoris.
While ventilating a patient you see abdominal distension. What should you do? Reassess the
volume and rate of ventilations.
A 30 year old female was in a car crash and has a severely angulated left lower leg. She has just
been extricated after entrapment. The limb is cool and pulseless. Vital signs are BP 100/40, P 90,
R 20. You should splint the extremity in the position found and transport rapidly.
The most effective way to control the spread of infectious disease is to: exercise good hand
washing technique.
A 72 year old female complains of shortness of breath. She is responsive but can only speak in 2
to 3 word sentences. Vital signs are P 118, R 26, Sp02 68%. Her skin is pale with cyanosis
around the lips and nail beds. She is on home oxygen at 2 lpm by cannula. You should
ventilation via bag-valve mask.
Which method would be most appropriate when restraining a violent patient? Strap the
patient in the supine position to the cot using cravats.
, A seven year old child was struck by an automobile. You note a contusion to the right chest and
a right lower arm fracture with arterial bleeding. Your treatment should include applying
direct pressure to the arm, applying a long backboard, and administering oxygen.
You are entering a controlled intersection with emergency lights and siren activated. The signal
light is red. Your emergency vehicle should come to a complete stop prior to proceeding.
Your motorcycle accident victim is anxious, short of breath and tachycardic, with unequal chest
expansion. There are no sucking wounds present. Your administration of high flow oxygen does
not seem to be helping. You suspect a flail chest.
Agonal respirations are a characteristic of breathing seen in impending respiratory arrest.
A man, sitting outside, was stung by a bee while drinking a soda. When you arrive, he is pale and
complains of abdominal pain. Vital signs are BP 90/60, P110, R 24 and wheezing. You should
take the patient to your ambulance.
A patient is unresponsive in a crashed vehicle that is pointing into the ditch. You should ensure
the vehicle is stable.
An unresponsive patient is lying on the ground next to a ladder. You notice a bone sticking out
of his left arm. You should open his airway with a jaw thrust.
A 55 year old male has just self-administered his EpiPen. He now complains of chest tightness
and shortness of breath. He believes that his tongue is swelling. Vital signs are BP 136/80, P 130,
R 22. What should you do? Transport rapidly and monitor vital signs.
A 23 year old male was in a motor vehicle crash and has an open abdominal injury with a
protruding bowel. What should you do? Cover the bowel with moist dressings
COPY CARD COPY CARD
A patient who is suffering from hypoglycemia would have skin that is cold and clammy.
A 23 year old patient is in respiratory arrest following a severe asthma attack. He has an asthma
inhaler in his hand and bystanders say he gave himself two doses when the attack started. You
should perform ventilations with a bag-valve mask and oxygen.
While attempting to ventilate your apneic patient, her chest does not rise. You should
reposition the airway and ventilate.
A patient complains of abdominal pain. Which of the following questions should you ask?
"How would you describe your pain?"
A 64 year old man suddenly became pulseless and apneic while watching television. His wife
informs you that he recently had bypass surgery. You should perform CPR as with any
other patient.
A patient has had battery acid splashed into both eyes. You should irrigate both eyes with water
for 20 minutes.
A patient from a motor vehicle crash is refusing care. Which of the following is most important
to document? Advisement of transportation
What is the most common error made while using an AED?Applying the pads improperly
A parent hands you a lethargic 22 month old male and states "he's had a congested cough." He
has sternal retractions and his belly and chest move in opposite directions with each breath. He is
breathing at a rate of 64. You should suspect respiratory distress.
A mother is holding her one year old baby. His eyes are open and he looks at you when you
approach. His eyes are sunken and he appears to be breathing rapidly. His mom tells you that he
has been sick for a few days, and she has not had to change his diapers very often. You should
suspectdehydration.
A 29 year old male complains of neck pain after being rear-ended at an intersection. There is no
damage to the vehicle, and the driver of the second vehicle says her speedometer read two miles
an hour at the moment of impact. You should enter the back seat of the vehicle to stabilize
the c-spine.
You are on the scene of a stabbing where an unresponsive 25 year old male is bleeding severely.
The assailant returns to the scene and is holding a knife. You should retreat to a safe area.
A 42 year old male was in a house fire. The anterior portion of his lower legs has been burned.
The area is charred black but your patient states he has little pain. This burn would be classified
as full thickness.
A trauma patient's injured limb is pale and pulseless. You should suspect compromised
circulation.
A 23 year old deaf man called for an ambulance. You need to determine why. You shouldtry
speaking clearly so he can watch your lips.
An 11 year old male has been injured. He is crying, sucking his thumb, and acting fearful. You
should
Select one: speak calmly and explain all treatment beforehand.
Which of the following patients would benefit most from helicopter transport? 16 year old
male motor vehicle crash victim still trapped BP 80/40
A 35 year old female who is 3 months pregnant has twisted her knee while walking. She is in
extreme pain. You should splint with the stretcher and straps, transport the patient on her left
side.
A newborn is breathing at 48 times per minute, P 130, and peripheral cyanosis. You should
ventilate via bag-valve mask at 20 breaths per minute.
A patient is pulseless and apneic. You should begin chest compressions and apply the
automated external defibrillator.
A thin 75 year old female on home oxygen presents in a tripod position with marked dyspnea,
confusion, intercostal retractions, and mild cyanosis. Breath sounds are markedly decreased
bilaterally. You suspect
Select one: emphysema.
An unresponsive male has a weak, rapid pulse with deep, rapid respirations. His skin is warm
and dry and his breath smells like nail polish remover. What should you suspect? Diabetic
emergency
As you arrive on the scene of a water treatment plant, you notice a large cloud coming from the
building. Your primary concern is to maintain a safe distance.
A 22 year old male with a history of asthma is experiencing shortness of breath, wheezing, and
chest tightness. Which of the following is the MOST indicated? Albuterol
Your patient is complaining of shortness of breath. Vital signs are BP 188/110, P 120, R 32 and
shallow. Lung sounds include crackles or "bubbling" sounds. You should suspect congestive
heart failure.
A 45 year old female complains of chest pain. She is attempting to pull off the non-rebreather
mask that Emergency Medical Responders placed on her. Vital signs are BP 130/80, P 118, R 24,
SpO2 92%. What should you do?
,Select one: Use a nasal cannula.
A patient becomes unresponsive after administration of oral glucose. You should open and
inspect the airway.
An 89 year old female with a history of smoking is anxious and complaining of dyspnea. Upon
examination, you find she has pedal edema. She is coughing up pink frothy sputum. What should
you suspect? Congestive heart failure
A patient has a closed head injury with the following signs and symptoms: altered mental status,
increasing blood pressure, decreased pulse and unequal pupils. These symptoms are consistent
with increased intracranial pressure.
In cases of bee stings, you should remove the stinger by gently scraping with the edge of a
card.
A ten month old female presents with a temperature of 105 F. You should remove her clothing
and transport.
An unconscious patient was found lying supine in a parking lot. You note a large bruise on his
upper-right abdominal quadrant. You should carefully monitor your patient for signs of
hypoperfusion.
Your patient complains of a headache. You notice his right cheek is sagging and his left arm is
hanging limp at his side. What should you do?
Select one: Perform a prehospital stroke scale.
Which of the following marks the difference between preeclampsia and eclampsia? The
onset of seizure activity
A man in a diner suddenly began gasping and coughing violently while eating. He is now silent
and his lips appear blue. You should
Select one: perform abdominal thrusts.
Your patient was eating when he suddenly grasped his throat. He cannot speak or cough. You
should suspect foreign body obstruction.
A 46 year old male is complaining of chest pain. You should apply oxygen and obtain
baseline vital signs.
A newborn is limp, cyanotic, and breathing slowly. She does not respond to suctioning, drying,
and stimulation. You should ventilate with a bag-valve mask.
A 20 year old male collapsed while eating a hot dog. He appears cyanotic. You should check
responsiveness.
How should you preserve potential crime scene evidence on clothing that is removed from a
patient? Place items in a large paper bag.
You have just assisted a mother delivering a baby who is blue and flaccid. You should
ventilate by bag-valve mask.
You arrive at a campsite where there has been an explosion. Your patient's clothing is still
burning, and she is gasping for air. You should extinguish burning clothing.
A patient is unresponsive. There are several empty beer bottles and insulin syringes nearby. You
should ensure and maintain an open airway.
A 28 year old female patient with a history of asthma has stopped breathing. You initiate positive
pressure ventilations with a bag valve mask. Which ventilation rate would be most appropriate?
20 breaths per minute
A 24 year old female has large blisters on her forearm from exposure to drain cleaner. This burn
would be classified as a partial thickness burn.
,You have just assisted in the delivery of a healthy newborn girl. Which of the following is most
important? Wrap the newborn in a blanket to keep her warm.
You inform a Hispanic mother that her four month old son has died. You suspect SIDS. The
mother begins crying uncontrollably and pounding her fists on the floor. You should allow
her to cry and let her family comfort her.
Two minutes after administration of a prescribed bronchodilator your patient becomes
increasingly shaky. You should document your patient's response to the medication.
An unresponsive child with facial trauma requires airway management. You should suction
the airway.
A 23 year old has been getting gradually more disoriented and nauseous. He is thirsty and
complaining of abdominal pain. Vital signs are BP 130/90, P 110, R 24. You should suspect
hyperglycemia.
A semi-conscious trauma patient with a suspected cervical spine injury has a significant amount
of blood in her mouth. You should perform a jaw thrust.
The most common electrical disturbance that results in cardiac arrest in adults is ventricular
fibrillation.
When informing an 18 year old of a treatment that is needed and the associated risks, what type
of consent are you seeking? Expressed
Which of the following is the BEST way to assess breathing in an unconscious patient? Watch
for chest rise
A man has inhaled poison. After opening his airway, you should apply high concentration
oxygen.
A patient has hives, watering eyes, and mild wheezing. Vital signs are B 102/60, P 110, and R
22. Which treatment should you provide during the initial assessment? Manage the patient's
airway.
An 86 year old male has a laceration on his forehead and complains of chest pain. He states that
he fell and hit his head. Which of the following questions should you ask? "What happened just
before you fell?"
A patient has a history of Type 1 diabetes. Which of the following questions is most helpful for
immediate treatment in the field? "When did you last eat?"
A 54 year old male was playing basketball when he developed a crushing pain with associated
shortness of breath. He sat down and his symptoms went away five minutes later. These
symptoms best describe angina pectoris.
While ventilating a patient you see abdominal distension. What should you do? Reassess the
volume and rate of ventilations.
A 30 year old female was in a car crash and has a severely angulated left lower leg. She has just
been extricated after entrapment. The limb is cool and pulseless. Vital signs are BP 100/40, P 90,
R 20. You should splint the extremity in the position found and transport rapidly.
The most effective way to control the spread of infectious disease is to: exercise good hand
washing technique.
A 72 year old female complains of shortness of breath. She is responsive but can only speak in 2
to 3 word sentences. Vital signs are P 118, R 26, Sp02 68%. Her skin is pale with cyanosis
around the lips and nail beds. She is on home oxygen at 2 lpm by cannula. You should
ventilation via bag-valve mask.
Which method would be most appropriate when restraining a violent patient? Strap the
patient in the supine position to the cot using cravats.
, A seven year old child was struck by an automobile. You note a contusion to the right chest and
a right lower arm fracture with arterial bleeding. Your treatment should include applying
direct pressure to the arm, applying a long backboard, and administering oxygen.
You are entering a controlled intersection with emergency lights and siren activated. The signal
light is red. Your emergency vehicle should come to a complete stop prior to proceeding.
Your motorcycle accident victim is anxious, short of breath and tachycardic, with unequal chest
expansion. There are no sucking wounds present. Your administration of high flow oxygen does
not seem to be helping. You suspect a flail chest.
Agonal respirations are a characteristic of breathing seen in impending respiratory arrest.
A man, sitting outside, was stung by a bee while drinking a soda. When you arrive, he is pale and
complains of abdominal pain. Vital signs are BP 90/60, P110, R 24 and wheezing. You should
take the patient to your ambulance.
A patient is unresponsive in a crashed vehicle that is pointing into the ditch. You should ensure
the vehicle is stable.
An unresponsive patient is lying on the ground next to a ladder. You notice a bone sticking out
of his left arm. You should open his airway with a jaw thrust.
A 55 year old male has just self-administered his EpiPen. He now complains of chest tightness
and shortness of breath. He believes that his tongue is swelling. Vital signs are BP 136/80, P 130,
R 22. What should you do? Transport rapidly and monitor vital signs.
A 23 year old male was in a motor vehicle crash and has an open abdominal injury with a
protruding bowel. What should you do? Cover the bowel with moist dressings
COPY CARD COPY CARD
A patient who is suffering from hypoglycemia would have skin that is cold and clammy.
A 23 year old patient is in respiratory arrest following a severe asthma attack. He has an asthma
inhaler in his hand and bystanders say he gave himself two doses when the attack started. You
should perform ventilations with a bag-valve mask and oxygen.
While attempting to ventilate your apneic patient, her chest does not rise. You should
reposition the airway and ventilate.
A patient complains of abdominal pain. Which of the following questions should you ask?
"How would you describe your pain?"
A 64 year old man suddenly became pulseless and apneic while watching television. His wife
informs you that he recently had bypass surgery. You should perform CPR as with any
other patient.
A patient has had battery acid splashed into both eyes. You should irrigate both eyes with water
for 20 minutes.
A patient from a motor vehicle crash is refusing care. Which of the following is most important
to document? Advisement of transportation
What is the most common error made while using an AED?Applying the pads improperly
A parent hands you a lethargic 22 month old male and states "he's had a congested cough." He
has sternal retractions and his belly and chest move in opposite directions with each breath. He is
breathing at a rate of 64. You should suspect respiratory distress.
A mother is holding her one year old baby. His eyes are open and he looks at you when you
approach. His eyes are sunken and he appears to be breathing rapidly. His mom tells you that he
has been sick for a few days, and she has not had to change his diapers very often. You should
suspectdehydration.
