FISDAP OB-PEDS NEWEST EXAM COMPLETE QUESTIONS | ALL
VERIFIED ANSWERS / UPDATED 2024
Question 1
A 26-year-old woman is in labor and presents with a prolapsed umbilical cord.
What is the most appropriate initial action to take?
A. Manually elevate the presenting fetal part off the cord while placing the
mother in a knee-chest position. B. Administer oxygen and place the mother in a
supine position. C. Apply firm pressure to the fundus to expedite delivery. D. Start
an IV and administer a tocolytic agent.
Answer: A. Manually elevate the presenting fetal part off the cord while
placing the mother in a knee-chest position.
Question 2
A newborn is born at term but is not breathing. What is the first step in the
neonatal resuscitation protocol?
A. Dry the infant, clear the airway with a bulb syringe if necessary, and
provide tactile stimulation. B. Start chest compressions immediately. C.
Administer 100% oxygen using a mask. D. Intubate and provide mechanical
ventilation.
Answer: A. Dry the infant, clear the airway with a bulb syringe if necessary,
and provide tactile stimulation.
Question 3
A 5-year-old child presents with a fever of 102°F, a barking cough, and stridor at
rest. What is the most likely diagnosis and appropriate prehospital treatment?
,A. Asthma; administer albuterol and transport. B. Croup; provide humidified
oxygen and transport in a position of comfort. C. Epiglottitis; start an IV and
administer antibiotics. D. Bronchiolitis; administer nebulized epinephrine.
Answer: B. Croup; provide humidified oxygen and transport in a position of
comfort.
Question 4
During delivery, the newborn presents with shoulder dystocia. What is the
recommended maneuver to relieve this condition?
A. Apply fundal pressure while the mother pushes. B. Perform the McRoberts
maneuver and apply suprapubic pressure. C. Rotate the fetus's head and pull
gently. D. Initiate immediate cesarean delivery.
Answer: B. Perform the McRoberts maneuver and apply suprapubic
pressure.
Question 5
A 7-month-old infant presents with poor feeding, lethargy, and a sunken
fontanelle. What is the most likely diagnosis and initial management?
A. Sepsis; start antibiotics and fluids. B. Dehydration; administer oral
rehydration solution or IV fluids. C. Meningitis; perform a lumbar puncture and
administer antibiotics. D. Heart failure; start diuretics and inotropes.
Answer: B. Dehydration; administer oral rehydration solution or IV fluids.
Question 6
A pregnant woman in her third trimester is involved in a motor vehicle accident.
She is alert but complains of abdominal pain and is hypotensive. What should be
your initial management?
,A. Place the patient in a supine position and administer IV fluids. B. Place the
patient in a left lateral recumbent position and administer IV fluids. C. Apply
high-flow oxygen and prepare for immediate delivery. D. Administer a tocolytic
agent and transport rapidly.
Answer: B. Place the patient in a left lateral recumbent position and
administer IV fluids.
Question 7
A 4-year-old presents with wheezing and difficulty breathing. The child has a
known history of asthma. What is the most appropriate prehospital treatment?
A. Administer nebulized albuterol and provide supplemental oxygen. B.
Administer oral steroids and transport. C. Provide a saline nebulizer and monitor.
D. Initiate CPAP and transport.
Answer: A. Administer nebulized albuterol and provide supplemental oxygen.
Question 8
A 2-month-old infant presents with irritability, poor feeding, and a bulging
fontanelle. What is the most likely diagnosis?
A. Meningitis B. Dehydration C. Gastroenteritis D. Bronchiolitis
Answer: A. Meningitis
Question 9
A 15-year-old female presents with severe lower abdominal pain and vaginal
bleeding. She reports being sexually active. What is the most likely diagnosis and
initial management?
A. Ectopic pregnancy; provide supportive care and rapid transport. B.
Appendicitis; administer pain relief and transport. C. Ovarian cyst; provide
, supportive care and transport. D. Pelvic inflammatory disease; start antibiotics and
transport.
Answer: A. Ectopic pregnancy; provide supportive care and rapid transport.
Question 10
A 3-year-old child is found unresponsive with a pulse of 40 bpm. What is the most
appropriate initial intervention?
A. Begin chest compressions and provide ventilations. B. Administer
epinephrine IV and provide oxygen. C. Start an IV and administer atropine. D.
Provide high-flow oxygen and transport immediately.
Answer: A. Begin chest compressions and provide ventilations.
Question 11
A 28-week gestation neonate is born and shows signs of respiratory distress. What
is the primary concern, and what is the initial management?
A. Meconium aspiration; intubate and suction. B. Respiratory distress syndrome
(RDS); provide continuous positive airway pressure (CPAP) and consider
surfactant therapy. C. Congenital heart defect; perform an echocardiogram and
consult a cardiologist. D. Pneumonia; start antibiotics and provide mechanical
ventilation.
Answer: B. Respiratory distress syndrome (RDS); provide continuous positive
airway pressure (CPAP) and consider surfactant therapy.
Question 12
A 6-month-old infant presents with a fever, cough, and difficulty breathing. Upon
examination, there are wheezes and crackles heard in the lungs. What is the most
likely diagnosis and appropriate prehospital treatment?
VERIFIED ANSWERS / UPDATED 2024
Question 1
A 26-year-old woman is in labor and presents with a prolapsed umbilical cord.
What is the most appropriate initial action to take?
A. Manually elevate the presenting fetal part off the cord while placing the
mother in a knee-chest position. B. Administer oxygen and place the mother in a
supine position. C. Apply firm pressure to the fundus to expedite delivery. D. Start
an IV and administer a tocolytic agent.
Answer: A. Manually elevate the presenting fetal part off the cord while
placing the mother in a knee-chest position.
Question 2
A newborn is born at term but is not breathing. What is the first step in the
neonatal resuscitation protocol?
A. Dry the infant, clear the airway with a bulb syringe if necessary, and
provide tactile stimulation. B. Start chest compressions immediately. C.
Administer 100% oxygen using a mask. D. Intubate and provide mechanical
ventilation.
Answer: A. Dry the infant, clear the airway with a bulb syringe if necessary,
and provide tactile stimulation.
Question 3
A 5-year-old child presents with a fever of 102°F, a barking cough, and stridor at
rest. What is the most likely diagnosis and appropriate prehospital treatment?
,A. Asthma; administer albuterol and transport. B. Croup; provide humidified
oxygen and transport in a position of comfort. C. Epiglottitis; start an IV and
administer antibiotics. D. Bronchiolitis; administer nebulized epinephrine.
Answer: B. Croup; provide humidified oxygen and transport in a position of
comfort.
Question 4
During delivery, the newborn presents with shoulder dystocia. What is the
recommended maneuver to relieve this condition?
A. Apply fundal pressure while the mother pushes. B. Perform the McRoberts
maneuver and apply suprapubic pressure. C. Rotate the fetus's head and pull
gently. D. Initiate immediate cesarean delivery.
Answer: B. Perform the McRoberts maneuver and apply suprapubic
pressure.
Question 5
A 7-month-old infant presents with poor feeding, lethargy, and a sunken
fontanelle. What is the most likely diagnosis and initial management?
A. Sepsis; start antibiotics and fluids. B. Dehydration; administer oral
rehydration solution or IV fluids. C. Meningitis; perform a lumbar puncture and
administer antibiotics. D. Heart failure; start diuretics and inotropes.
Answer: B. Dehydration; administer oral rehydration solution or IV fluids.
Question 6
A pregnant woman in her third trimester is involved in a motor vehicle accident.
She is alert but complains of abdominal pain and is hypotensive. What should be
your initial management?
,A. Place the patient in a supine position and administer IV fluids. B. Place the
patient in a left lateral recumbent position and administer IV fluids. C. Apply
high-flow oxygen and prepare for immediate delivery. D. Administer a tocolytic
agent and transport rapidly.
Answer: B. Place the patient in a left lateral recumbent position and
administer IV fluids.
Question 7
A 4-year-old presents with wheezing and difficulty breathing. The child has a
known history of asthma. What is the most appropriate prehospital treatment?
A. Administer nebulized albuterol and provide supplemental oxygen. B.
Administer oral steroids and transport. C. Provide a saline nebulizer and monitor.
D. Initiate CPAP and transport.
Answer: A. Administer nebulized albuterol and provide supplemental oxygen.
Question 8
A 2-month-old infant presents with irritability, poor feeding, and a bulging
fontanelle. What is the most likely diagnosis?
A. Meningitis B. Dehydration C. Gastroenteritis D. Bronchiolitis
Answer: A. Meningitis
Question 9
A 15-year-old female presents with severe lower abdominal pain and vaginal
bleeding. She reports being sexually active. What is the most likely diagnosis and
initial management?
A. Ectopic pregnancy; provide supportive care and rapid transport. B.
Appendicitis; administer pain relief and transport. C. Ovarian cyst; provide
, supportive care and transport. D. Pelvic inflammatory disease; start antibiotics and
transport.
Answer: A. Ectopic pregnancy; provide supportive care and rapid transport.
Question 10
A 3-year-old child is found unresponsive with a pulse of 40 bpm. What is the most
appropriate initial intervention?
A. Begin chest compressions and provide ventilations. B. Administer
epinephrine IV and provide oxygen. C. Start an IV and administer atropine. D.
Provide high-flow oxygen and transport immediately.
Answer: A. Begin chest compressions and provide ventilations.
Question 11
A 28-week gestation neonate is born and shows signs of respiratory distress. What
is the primary concern, and what is the initial management?
A. Meconium aspiration; intubate and suction. B. Respiratory distress syndrome
(RDS); provide continuous positive airway pressure (CPAP) and consider
surfactant therapy. C. Congenital heart defect; perform an echocardiogram and
consult a cardiologist. D. Pneumonia; start antibiotics and provide mechanical
ventilation.
Answer: B. Respiratory distress syndrome (RDS); provide continuous positive
airway pressure (CPAP) and consider surfactant therapy.
Question 12
A 6-month-old infant presents with a fever, cough, and difficulty breathing. Upon
examination, there are wheezes and crackles heard in the lungs. What is the most
likely diagnosis and appropriate prehospital treatment?
