PARAMEDIC FISDAP FINAL EXAM 2024-2025 QUESTIONS
WITH COMPLETED SOLUTIONS GUARANTEED PASS.
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?
- ANSWER - Administer oxygen while descending to a lower altitude.
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
- ANSWER - Sodium Bicarbonate.
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
- ANSWER - Transport emergency and continue ventilation.
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.
- ANSWER - sodium bicarbonate
Braxton Hicks contractions
- ANSWER - occur in the second trimester and are false labor.
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.
- ANSWER - epidural hematoma
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?
- ANSWER - Assist ventilations at 12 breaths per minHg.
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
- ANSWER - Epinephrine 0.3mg
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.
- ANSWER - Building in the park
What is the most common cause of status epilepticus in adults.
- ANSWER - Failure to take prescribed medications
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.
- ANSWER - Fluid Overload.
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.
- ANSWER - Start CPR
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.
- ANSWER - Sodium Bicarbonate.
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.
- ANSWER - needle decompression
An 11 year old male has been skateboarding in 100 degrees temperature and has been drinking
caffeinated soft drinks. He complains of palpations. The cardiac monitor displays a narrow QRS
tachycardia at a rate of 160 beats. Vitals signs BP 110/60 P160 R 20 What should you do?
- ANSWER - Transport the patient by ambulance monitor closely and administer fluids en route.
An 80 year old male in server respiratory distress. He has a history of hypertension and breathing
problems. He takes inderal daily. Vital signs are BP 170/70 P72 and irregular R40 and extremely
labored skin warm and diaphoretic. Lung sounds are diffuse bilateral crackles and wheezing. He
coughs up blood tinged sputum. Which of the following is most important.
- ANSWER - Decreasing preload
A 50 year old patient is found lying outside on the ground. The ambient temperature is 40 degrees
F. You thermometer reads 20C 86F. He is in V-fib and pulseless and apneic. You should
- ANSWER - Defibrillate once perform CPR intubate and transport rapidly.
To successfully accomplish nasotracheal intubation you should advance the endotracheal tube
though the glottic opening to coincide with patient
- ANSWER - Inhalation
An alert 23 year old male presents with a sudden onset of shortness of breath and chest pain after
running upstairs. Breath sounds are diminished in the right side. The most likely cause is.
- ANSWER - Spontaneous pneumothorax
First responders are treating an apneic adult female. You notice that they are applying frequent
long ventilations with an oxygen resuscitator. What effects with their actions create.
- ANSWER - decreased venous return
You are called to a nursing home on a hot summer day for a 88 year old male. The nurse tells you
he missed his dialysis appointment because he was complaining of nausea vomiting headache
and running a fever. Which differential diagnosis should you consider first.
- ANSWER - Sepsis and hyperkalemia
You have just administered adenosine to a 62 year old patient with narrow complex tach. The
ECG shows an irregular rate of 50 then steadily climbs back to a rate of 169. What would should
suspect
- ANSWER - rapid atrial fibrillation.
A 63 year old male is having a diabetic emergency . He is unresponsive R12 glucometer 28. You
cannot establish IV access. You should
- ANSWER - administer glucagon IM
When setting up a night time landing zone for a helicopter what is the recommended area needed.
WITH COMPLETED SOLUTIONS GUARANTEED PASS.
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?
- ANSWER - Administer oxygen while descending to a lower altitude.
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
- ANSWER - Sodium Bicarbonate.
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
- ANSWER - Transport emergency and continue ventilation.
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.
- ANSWER - sodium bicarbonate
Braxton Hicks contractions
- ANSWER - occur in the second trimester and are false labor.
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.
- ANSWER - epidural hematoma
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?
- ANSWER - Assist ventilations at 12 breaths per minHg.
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
- ANSWER - Epinephrine 0.3mg
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.
- ANSWER - Building in the park
What is the most common cause of status epilepticus in adults.
- ANSWER - Failure to take prescribed medications
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.
- ANSWER - Fluid Overload.
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.
- ANSWER - Start CPR
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.
- ANSWER - Sodium Bicarbonate.
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.
- ANSWER - needle decompression
An 11 year old male has been skateboarding in 100 degrees temperature and has been drinking
caffeinated soft drinks. He complains of palpations. The cardiac monitor displays a narrow QRS
tachycardia at a rate of 160 beats. Vitals signs BP 110/60 P160 R 20 What should you do?
- ANSWER - Transport the patient by ambulance monitor closely and administer fluids en route.
An 80 year old male in server respiratory distress. He has a history of hypertension and breathing
problems. He takes inderal daily. Vital signs are BP 170/70 P72 and irregular R40 and extremely
labored skin warm and diaphoretic. Lung sounds are diffuse bilateral crackles and wheezing. He
coughs up blood tinged sputum. Which of the following is most important.
- ANSWER - Decreasing preload
A 50 year old patient is found lying outside on the ground. The ambient temperature is 40 degrees
F. You thermometer reads 20C 86F. He is in V-fib and pulseless and apneic. You should
- ANSWER - Defibrillate once perform CPR intubate and transport rapidly.
To successfully accomplish nasotracheal intubation you should advance the endotracheal tube
though the glottic opening to coincide with patient
- ANSWER - Inhalation
An alert 23 year old male presents with a sudden onset of shortness of breath and chest pain after
running upstairs. Breath sounds are diminished in the right side. The most likely cause is.
- ANSWER - Spontaneous pneumothorax
First responders are treating an apneic adult female. You notice that they are applying frequent
long ventilations with an oxygen resuscitator. What effects with their actions create.
- ANSWER - decreased venous return
You are called to a nursing home on a hot summer day for a 88 year old male. The nurse tells you
he missed his dialysis appointment because he was complaining of nausea vomiting headache
and running a fever. Which differential diagnosis should you consider first.
- ANSWER - Sepsis and hyperkalemia
You have just administered adenosine to a 62 year old patient with narrow complex tach. The
ECG shows an irregular rate of 50 then steadily climbs back to a rate of 169. What would should
suspect
- ANSWER - rapid atrial fibrillation.
A 63 year old male is having a diabetic emergency . He is unresponsive R12 glucometer 28. You
cannot establish IV access. You should
- ANSWER - administer glucagon IM
When setting up a night time landing zone for a helicopter what is the recommended area needed.
