Paramedic Fisdap Final EXAM LATEST
Paramedic Fisdap Final EXAM LATEST
Paramedic Fisdap Final EXAM LATEST
Paramedic Fisdap Final EXAM LATEST
Mostly Accurate Tested Relevant Coverage Areas
with 10 Numbered List Form
1. Airway Management and Respiratory Emergencies (High-Altitude Pulmonary
Edema, Croup vs. Epiglottitis, Asthma/COPD, Airway Obstruction, Ventilation
Techniques)
2. Cardiology and Resuscitation (Cardiac Arrest Rhythms, TCA Overdose Wide
QRS, Adenosine Response, Bradycardia Pacing, Myocardial Contusion)
3. Trauma Emergencies (Epidural Hematoma, Tension Pneumothorax,
Hemothorax, Splenic Injury, Spinal Immobilization, Burn Triage)
4. Medical Emergencies (DKA, Dialysis Missed/Fluid Overload, Anaphylaxis,
Seizures/Status Epilepticus, Hyperkalemia ECG Changes)
5. OB/GYN and Pediatric Emergencies (Braxton Hicks, Ectopic Pregnancy,
Pediatric Adenosine Dosing, Croup Management, Gestational Diabetes)
, 6. Pharmacology and Operations (Dopamine Drip Calculation, Glucagon IM,
Naloxone, Radioactive Scene Safety, Landing Zone Dimensions, HEPA
Respirator for TB)
7. Patient Assessment and Differential Diagnosis (Scene Safety First, AVPU vs.
GCS, Cushing's Triad, Hypoperfusion Signs, History Gathering Priority)
8. Toxicology and Environmental (Amitriptyline Overdose, Methanol Poisoning,
Hypothermic V-Fib, Organophosphate Pinpoint Pupils, Carbon Monoxide)
9. Special Populations (Elderly Dialysis Patient, Pediatric Seizure/DKA, Obese
Pickwickian Syndrome, Pregnant Trauma Priorities)
10. Integrated Clinical Scenarios (House Collapse Crush Injury, Motorcycle Crash
Epidural, Assault Supraclavicular Tension Pneumo, Nursing Home
Sepsis/Hyperkalemia, Cardiac Arrest Post-Resuscitation Hypotension)
Paramedic Fisdap Final EXAM LATEST
250 Multiple Choice Questions with Answers and Rationales
1. A 28-year-old skier at 3,500 meters presents with severe dyspnea, anxiety,
and a productive cough of pink frothy sputum with rales in all lung fields. What is
the definitive treatment for this condition?
,☐ A. Administer nebulized albuterol and apply CPAP only while remaining at
altitude
☐ B. Administer high-flow oxygen via non-rebreather and immediately descend to
a lower altitude
☑ C. Administer furosemide IV and continue monitoring at the current altitude
☐ D. Administer dexamethasone IV and remain at altitude for six hours
Rationale: The presentation is high-altitude pulmonary edema (HAPE). The
definitive treatment is immediate descent combined with high-flow oxygen. CPAP
alone does not address the underlying pathophysiology, and
furosemide/dexamethasone are not first-line compared to descent . 1 3
2. A 26-year-old female unresponsive to verbal but moans to pain ingested
approximately 150 amitriptyline tablets. After a fluid challenge, her ECG shows a
widening QRS. Which medication should be administered?
☐ A. Amiodarone 150 mg IV over ten minutes
☐ B. Another 500 mL normal saline fluid challenge
☐ C. Calcium chloride 1 gram IV push
☑ D. Sodium bicarbonate 1-2 mEq/kg IV
Rationale: Tricyclic antidepressant (TCA) overdose causes sodium channel
blockade manifesting as QRS widening. Sodium bicarbonate is the treatment for
TCA-induced cardiotoxicity . 3 7
, 3. A 3-year-old child has a 12-hour history of barking cough, low-grade fever,
and inspiratory stridor at rest that worsens with agitation, without drooling. What
is the most likely condition?
☐ A. Epiglottitis caused by Haemophilus influenzae type B
☑ B. Croup caused by parainfluenza virus
☐ C. Bacterial tracheitis caused by Staphylococcus aureus
☐ D. Retropharyngeal abscess caused by Streptococcus pyogenes
Rationale: Barking cough, low-grade fever, and stridor without drooling point to
croup (laryngotracheobronchitis), most commonly caused by parainfluenza virus.
Epiglottitis typically presents with drooling and tripod positioning . 1 6
4. A 40-year-old male crashed his motorcycle, had a brief loss of
consciousness, walked home, and is now found unconscious two hours later.
What should you suspect?
☐ A. Subdural hematoma from tearing of bridging veins
☑ B. Epidural hematoma from middle meningeal artery tear
☐ C. Subarachnoid hemorrhage from ruptured aneurysm
☐ D. Basilar skull fracture with cerebrospinal fluid leak
Paramedic Fisdap Final EXAM LATEST
Paramedic Fisdap Final EXAM LATEST
Paramedic Fisdap Final EXAM LATEST
Mostly Accurate Tested Relevant Coverage Areas
with 10 Numbered List Form
1. Airway Management and Respiratory Emergencies (High-Altitude Pulmonary
Edema, Croup vs. Epiglottitis, Asthma/COPD, Airway Obstruction, Ventilation
Techniques)
2. Cardiology and Resuscitation (Cardiac Arrest Rhythms, TCA Overdose Wide
QRS, Adenosine Response, Bradycardia Pacing, Myocardial Contusion)
3. Trauma Emergencies (Epidural Hematoma, Tension Pneumothorax,
Hemothorax, Splenic Injury, Spinal Immobilization, Burn Triage)
4. Medical Emergencies (DKA, Dialysis Missed/Fluid Overload, Anaphylaxis,
Seizures/Status Epilepticus, Hyperkalemia ECG Changes)
5. OB/GYN and Pediatric Emergencies (Braxton Hicks, Ectopic Pregnancy,
Pediatric Adenosine Dosing, Croup Management, Gestational Diabetes)
, 6. Pharmacology and Operations (Dopamine Drip Calculation, Glucagon IM,
Naloxone, Radioactive Scene Safety, Landing Zone Dimensions, HEPA
Respirator for TB)
7. Patient Assessment and Differential Diagnosis (Scene Safety First, AVPU vs.
GCS, Cushing's Triad, Hypoperfusion Signs, History Gathering Priority)
8. Toxicology and Environmental (Amitriptyline Overdose, Methanol Poisoning,
Hypothermic V-Fib, Organophosphate Pinpoint Pupils, Carbon Monoxide)
9. Special Populations (Elderly Dialysis Patient, Pediatric Seizure/DKA, Obese
Pickwickian Syndrome, Pregnant Trauma Priorities)
10. Integrated Clinical Scenarios (House Collapse Crush Injury, Motorcycle Crash
Epidural, Assault Supraclavicular Tension Pneumo, Nursing Home
Sepsis/Hyperkalemia, Cardiac Arrest Post-Resuscitation Hypotension)
Paramedic Fisdap Final EXAM LATEST
250 Multiple Choice Questions with Answers and Rationales
1. A 28-year-old skier at 3,500 meters presents with severe dyspnea, anxiety,
and a productive cough of pink frothy sputum with rales in all lung fields. What is
the definitive treatment for this condition?
,☐ A. Administer nebulized albuterol and apply CPAP only while remaining at
altitude
☐ B. Administer high-flow oxygen via non-rebreather and immediately descend to
a lower altitude
☑ C. Administer furosemide IV and continue monitoring at the current altitude
☐ D. Administer dexamethasone IV and remain at altitude for six hours
Rationale: The presentation is high-altitude pulmonary edema (HAPE). The
definitive treatment is immediate descent combined with high-flow oxygen. CPAP
alone does not address the underlying pathophysiology, and
furosemide/dexamethasone are not first-line compared to descent . 1 3
2. A 26-year-old female unresponsive to verbal but moans to pain ingested
approximately 150 amitriptyline tablets. After a fluid challenge, her ECG shows a
widening QRS. Which medication should be administered?
☐ A. Amiodarone 150 mg IV over ten minutes
☐ B. Another 500 mL normal saline fluid challenge
☐ C. Calcium chloride 1 gram IV push
☑ D. Sodium bicarbonate 1-2 mEq/kg IV
Rationale: Tricyclic antidepressant (TCA) overdose causes sodium channel
blockade manifesting as QRS widening. Sodium bicarbonate is the treatment for
TCA-induced cardiotoxicity . 3 7
, 3. A 3-year-old child has a 12-hour history of barking cough, low-grade fever,
and inspiratory stridor at rest that worsens with agitation, without drooling. What
is the most likely condition?
☐ A. Epiglottitis caused by Haemophilus influenzae type B
☑ B. Croup caused by parainfluenza virus
☐ C. Bacterial tracheitis caused by Staphylococcus aureus
☐ D. Retropharyngeal abscess caused by Streptococcus pyogenes
Rationale: Barking cough, low-grade fever, and stridor without drooling point to
croup (laryngotracheobronchitis), most commonly caused by parainfluenza virus.
Epiglottitis typically presents with drooling and tripod positioning . 1 6
4. A 40-year-old male crashed his motorcycle, had a brief loss of
consciousness, walked home, and is now found unconscious two hours later.
What should you suspect?
☐ A. Subdural hematoma from tearing of bridging veins
☑ B. Epidural hematoma from middle meningeal artery tear
☐ C. Subarachnoid hemorrhage from ruptured aneurysm
☐ D. Basilar skull fracture with cerebrospinal fluid leak
