Paramedic FISDAP Final EXAMS
QUESTIONS AND ANSWERS GRADE A+
SOLUTIONS
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
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
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
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
,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
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
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
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
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
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
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
Fluid Overload.
16. A 6 month old male was found lying 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
breathing after repositioning the head. What should you do.
A. perform 5 abdominal thrusts
B. Start CPR
C. Perform a finger sweep
D. Give five back slaps
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 following medications.
A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker
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 signs are
BP 80/42 P 128 R 32 and shallow. First responders have sealed the
wound with a bandage. Assessment reveals lung sounds on the right and
poor chest rise what should you do.
A. Perform needle decompression
B. Lift a corner of the occlusive dressing
C. Establish two large bore IV's while en route to the hospital
D. Administer high flow oxygen and transport rapidly
needle decompression
QUESTIONS AND ANSWERS GRADE A+
SOLUTIONS
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
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
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
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
,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
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
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
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
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
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
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
Fluid Overload.
16. A 6 month old male was found lying 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
breathing after repositioning the head. What should you do.
A. perform 5 abdominal thrusts
B. Start CPR
C. Perform a finger sweep
D. Give five back slaps
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 following medications.
A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker
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 signs are
BP 80/42 P 128 R 32 and shallow. First responders have sealed the
wound with a bandage. Assessment reveals lung sounds on the right and
poor chest rise what should you do.
A. Perform needle decompression
B. Lift a corner of the occlusive dressing
C. Establish two large bore IV's while en route to the hospital
D. Administer high flow oxygen and transport rapidly
needle decompression
