NEWEST FISDAP PARAMEDIC FINAL EXAM COMPLETE
ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS (100% CORRECT VERIFIED ANSWERS) A NEW
UPDATED VERSION |GUARANTEED PASS (ACTUAL
EXAM)
Of the following, which item is acceptable and productive to ask a 14 year old female
in the presence of her parents - ANSWER: History of childhood illness
You are treating an 82 year old female who is having difficulty breathing in a nursing
home. Her only history is of a fever yesterday and frequent UTI. While listening to
her chest you hear rhonci and slight cradles in all fields. BP is 110/80 Pulse is 100 &
regular RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema.
She denies chest pain or pressure. What condition is most likely causing her
symptoms - ANSWER: Pneumonia
You are treating an 82 year old female who is having difficulty breathing in a nursing
home. Her only history is of a fever yesterday and frequent UTI. While listening to
her chest you hear rhonci and slight cradles in all fields. BP is 110/80 Pulse is 100 &
regular RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema.
She denies chest pain or pressure. What will be your treatment? - ANSWER: High
flow oxygen, IV fluid bolus, & transport
You are treating an 82 year old female who is having difficulty breathing in a nursing
home. Her only history is of a fever yesterday and frequent UTI. While listening to
her chest you hear rhonci and slight cradles in all fields. BP is 110/80 Pulse is 100 &
regular RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema.
She denies chest pain or pressure. After your initial treatment of the patient she
becomes unconscious. She is using accessory muscles to breath. How would you
treat her next? - ANSWER: Attempt insertion of an oral airway
Which of the following is least likely to cause crackles - ANSWER: Asthma
Which of the following medications is least likely to be a part of standard therapy for
a patient suffering from exacerbated emphysema - ANSWER: Nitrates
Which of the following is true about respiratory physiology? - ANSWER: Changes in
PO2, PCO2, or pH stimulate chemoreceptors
What is the purpose of the Good Samaritan laws - ANSWER: Offer legal protection yo
people who stop at an emergency scene
You are treating a thin elderly male complaining of SOB. He looks older than his
stated age of 65, leaning forward in a chair. You notice that he has an oxygen
generator in the room and is on 2 rpm of o2 via NC. RR is 20 and shallow. BP-
,105/60. Pulse 125 & irregular. You are unable to hear any breath sounds in the
bases, with slight air movement & wheezing noted in the apices (top part of lung).
the patient has pink cheeks, takes short puffy breaths, and can only speak in short
sentences. His medications include Proventil inhalers and Theo-duer. He us unable to
give you a complete history. What condition would you suspect? - ANSWER:
Exacerbated emphysema
You are treating a thin elderly male complaining of SOB. He looks older than his
stated age of 65, leaning forward in a chair. You notice that he has an oxygen
generator in the room and is on 2 rpm of o2 via NC. RR is 20 and shallow. BP-
105/60. Pulse 125 & irregular. You are unable to hear any breath sounds in the
bases, with slight air movement & wheezing noted in the apices (top part of lung).
the patient has pink cheeks, takes short puffy breaths, and can only speak in short
sentences. His medications include Proventil inhalers and Theo-duer. He us unable to
give you a complete history. What should you do? - ANSWER: Switch him over to
high flow oxygen
You are called to a junior high soccer game to evaluate a student who became
acutely SOB during the game. on exam, you note inspiratory & expiratory wheezes
throughout the lungs. BP- 130/80, pulse 120 & Regular, RR- 30. Which medication
will you consider using? - ANSWER: Oxygen, albuterol, and epi
the anatomical structure between the base of the tongue and the epiglottis into
which the tip of a curved blade is placed during orotracheal intubation is the -
ANSWER: Vallecula
What is the name for the small, hairlike process o. the outer surface of some cells?
These cells aid in metabolism by producing motion or current in a fluid - ANSWER:
Cilia
What is percutaneous transtracheal ventilation - ANSWER: Needle cricothyrotomy
You have orally intubated a patient. While your partner ventilates the patient with a
BVM you evaluate tube placement. Auscultation reveals sounds heard over
epigastrium and an absence of breath sounds over the right and left chest. What is
your best course of action? - ANSWER: Deflate the ET tube cuff, remove the ET tube,
pre oxygenate the pt with a BVM
A 67 year old man is complaining of sudden onset of difficulty breathing. Exam
reveals pt is laboring to breathe and his jugular veins are distended. His BP is 140/84,
p 118, RR- 32, breath sounds clear and equal bilaterally. Pts wife states he is
recovering from hip surgery. What condition do you suspect? - ANSWER: Pulmonary
Embolism
What is the name of the syndrome marked by increased capillary permeability &
respiratory distress usually due to trauma, inhaled toxins, or gastric aspiration? -
ANSWER: Adult Respiratory Distress Syndrome (ADRS)
, For which of the following is nasotracheal intubation absolutely contraindicated -
ANSWER: 70 y/o male in cardiac arrest
You are called for a young man choking. On arrival, you find very scared parents
desperately trying to dislodge a piece of food from their 110 year old Childs airway
by administering back lows and abdominal thrusts. The child is limp. As you take
over, you discover that the child is able to move minimal amount of air. You should: -
ANSWER: Continue with back blows & abdominal thrusts until the food is dislodged
or the obstruction becomes complete
You have just intubated an adult patient. You believe you have been successful. you
are listening for sounds in the epigastric area and hear nothing. What would you do?
- ANSWER: Attach an ETCO2 monitoring device
What changes in blood gasses occur when a patient is hyperventilating - ANSWER:
Decreased CO2: Increased PaO2
First responders are applying unusually long ventilations with oxygen resuscitator to
an apnea adult female. they are also passing in between breaths. What negative
effects can this increased pressure create? - ANSWER: Increased pulmonary elasticity
You are treating a cardiac arrest patient who you have successfully resuscitated. The
patient is still unconscious, apneic, and he is endotracheally intubated. The patient
suddenly becomes cyanotic and his SpO2 decreases from 98% to 82%. His heart rate
decreases from 110 to 40. What caused these sudden changes? - ANSWER:
Dislodged endotracheal tube
What is the primary danger to the infant during a precipitous delivery - ANSWER:
Cerebral Trauma
You are treating a 26 year old male victim of an assault. The patient was struck in the
chest and abdomen with a baseball bat. Vital Signs: P- 110, R- 6 with sonorous
respirations. The patient is place on high flow O2. While attempting an oral airway
the patient gags. The oral airway is removed. How are you attempting to secure his
airway next? - ANSWER: Place an NPA and ventilate with a BVM
What effects does morphine sulfate have on the venous system? - ANSWER:
increases venous pooling, resulting in decreased preload and after load
You are treating a 48 year old female with chest pain. On scene you administer
oxygen, aspirin, and two nitro tablets. En route to the hospital your patient states
her pain decreases to a 1 on a scale of 0-10. To provide the best care, you should: -
ANSWER: continue high flow oxygen and repeat vitals, consider 12 lead EKG if pain
persists
ACTUAL EXAM QUESTIONS AND WELL ELABORATED
ANSWERS (100% CORRECT VERIFIED ANSWERS) A NEW
UPDATED VERSION |GUARANTEED PASS (ACTUAL
EXAM)
Of the following, which item is acceptable and productive to ask a 14 year old female
in the presence of her parents - ANSWER: History of childhood illness
You are treating an 82 year old female who is having difficulty breathing in a nursing
home. Her only history is of a fever yesterday and frequent UTI. While listening to
her chest you hear rhonci and slight cradles in all fields. BP is 110/80 Pulse is 100 &
regular RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema.
She denies chest pain or pressure. What condition is most likely causing her
symptoms - ANSWER: Pneumonia
You are treating an 82 year old female who is having difficulty breathing in a nursing
home. Her only history is of a fever yesterday and frequent UTI. While listening to
her chest you hear rhonci and slight cradles in all fields. BP is 110/80 Pulse is 100 &
regular RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema.
She denies chest pain or pressure. What will be your treatment? - ANSWER: High
flow oxygen, IV fluid bolus, & transport
You are treating an 82 year old female who is having difficulty breathing in a nursing
home. Her only history is of a fever yesterday and frequent UTI. While listening to
her chest you hear rhonci and slight cradles in all fields. BP is 110/80 Pulse is 100 &
regular RR- 30. Temp is 102F. Her jugular veins are flat and there is no pedal edema.
She denies chest pain or pressure. After your initial treatment of the patient she
becomes unconscious. She is using accessory muscles to breath. How would you
treat her next? - ANSWER: Attempt insertion of an oral airway
Which of the following is least likely to cause crackles - ANSWER: Asthma
Which of the following medications is least likely to be a part of standard therapy for
a patient suffering from exacerbated emphysema - ANSWER: Nitrates
Which of the following is true about respiratory physiology? - ANSWER: Changes in
PO2, PCO2, or pH stimulate chemoreceptors
What is the purpose of the Good Samaritan laws - ANSWER: Offer legal protection yo
people who stop at an emergency scene
You are treating a thin elderly male complaining of SOB. He looks older than his
stated age of 65, leaning forward in a chair. You notice that he has an oxygen
generator in the room and is on 2 rpm of o2 via NC. RR is 20 and shallow. BP-
,105/60. Pulse 125 & irregular. You are unable to hear any breath sounds in the
bases, with slight air movement & wheezing noted in the apices (top part of lung).
the patient has pink cheeks, takes short puffy breaths, and can only speak in short
sentences. His medications include Proventil inhalers and Theo-duer. He us unable to
give you a complete history. What condition would you suspect? - ANSWER:
Exacerbated emphysema
You are treating a thin elderly male complaining of SOB. He looks older than his
stated age of 65, leaning forward in a chair. You notice that he has an oxygen
generator in the room and is on 2 rpm of o2 via NC. RR is 20 and shallow. BP-
105/60. Pulse 125 & irregular. You are unable to hear any breath sounds in the
bases, with slight air movement & wheezing noted in the apices (top part of lung).
the patient has pink cheeks, takes short puffy breaths, and can only speak in short
sentences. His medications include Proventil inhalers and Theo-duer. He us unable to
give you a complete history. What should you do? - ANSWER: Switch him over to
high flow oxygen
You are called to a junior high soccer game to evaluate a student who became
acutely SOB during the game. on exam, you note inspiratory & expiratory wheezes
throughout the lungs. BP- 130/80, pulse 120 & Regular, RR- 30. Which medication
will you consider using? - ANSWER: Oxygen, albuterol, and epi
the anatomical structure between the base of the tongue and the epiglottis into
which the tip of a curved blade is placed during orotracheal intubation is the -
ANSWER: Vallecula
What is the name for the small, hairlike process o. the outer surface of some cells?
These cells aid in metabolism by producing motion or current in a fluid - ANSWER:
Cilia
What is percutaneous transtracheal ventilation - ANSWER: Needle cricothyrotomy
You have orally intubated a patient. While your partner ventilates the patient with a
BVM you evaluate tube placement. Auscultation reveals sounds heard over
epigastrium and an absence of breath sounds over the right and left chest. What is
your best course of action? - ANSWER: Deflate the ET tube cuff, remove the ET tube,
pre oxygenate the pt with a BVM
A 67 year old man is complaining of sudden onset of difficulty breathing. Exam
reveals pt is laboring to breathe and his jugular veins are distended. His BP is 140/84,
p 118, RR- 32, breath sounds clear and equal bilaterally. Pts wife states he is
recovering from hip surgery. What condition do you suspect? - ANSWER: Pulmonary
Embolism
What is the name of the syndrome marked by increased capillary permeability &
respiratory distress usually due to trauma, inhaled toxins, or gastric aspiration? -
ANSWER: Adult Respiratory Distress Syndrome (ADRS)
, For which of the following is nasotracheal intubation absolutely contraindicated -
ANSWER: 70 y/o male in cardiac arrest
You are called for a young man choking. On arrival, you find very scared parents
desperately trying to dislodge a piece of food from their 110 year old Childs airway
by administering back lows and abdominal thrusts. The child is limp. As you take
over, you discover that the child is able to move minimal amount of air. You should: -
ANSWER: Continue with back blows & abdominal thrusts until the food is dislodged
or the obstruction becomes complete
You have just intubated an adult patient. You believe you have been successful. you
are listening for sounds in the epigastric area and hear nothing. What would you do?
- ANSWER: Attach an ETCO2 monitoring device
What changes in blood gasses occur when a patient is hyperventilating - ANSWER:
Decreased CO2: Increased PaO2
First responders are applying unusually long ventilations with oxygen resuscitator to
an apnea adult female. they are also passing in between breaths. What negative
effects can this increased pressure create? - ANSWER: Increased pulmonary elasticity
You are treating a cardiac arrest patient who you have successfully resuscitated. The
patient is still unconscious, apneic, and he is endotracheally intubated. The patient
suddenly becomes cyanotic and his SpO2 decreases from 98% to 82%. His heart rate
decreases from 110 to 40. What caused these sudden changes? - ANSWER:
Dislodged endotracheal tube
What is the primary danger to the infant during a precipitous delivery - ANSWER:
Cerebral Trauma
You are treating a 26 year old male victim of an assault. The patient was struck in the
chest and abdomen with a baseball bat. Vital Signs: P- 110, R- 6 with sonorous
respirations. The patient is place on high flow O2. While attempting an oral airway
the patient gags. The oral airway is removed. How are you attempting to secure his
airway next? - ANSWER: Place an NPA and ventilate with a BVM
What effects does morphine sulfate have on the venous system? - ANSWER:
increases venous pooling, resulting in decreased preload and after load
You are treating a 48 year old female with chest pain. On scene you administer
oxygen, aspirin, and two nitro tablets. En route to the hospital your patient states
her pain decreases to a 1 on a scale of 0-10. To provide the best care, you should: -
ANSWER: continue high flow oxygen and repeat vitals, consider 12 lead EKG if pain
persists
