PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 2
QUESTIONS AND .CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
Study online at https://quizlet.com/_g1425m
1. 1. A 30 year old climber is experiencing sever Administer oxygen
shortness of breath after reaching an elevation of while descending
12000feet. The PT is very anxious and has rales noted to a lower altitude.
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 eleva-
tions
D. Evacuate the patient to a hyperbaric chamber
2. 2. A 26 year old female does not respond to verbal Sodium Bicarbon-
stimuli but moans in response to pain. A friend states ate.
the patient has ingested approx 150 amitriptyline ta-
bles. 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
3. 3. You PT experienced trauma yesterday and you are Transport emer-
transferring her to a larger facility. She has been gency and contin-
experiencing progressive hypoxia. You notice coarse ue ventilation.
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 re-
assess
4. 4. An alert 22 year old male was just disentangled sodium bicarbon-
from debris in a house collapse. He denies head or ate
neck pain, but complains of server hip pain. Vital
, PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 2
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
Study online at https://quizlet.com/_g1425m
signs are BP 88/40. P120 R 16 you should administer.
A. epinephrine
B. lidocaine
C. sodium bicarbonate
D. morphine sulfate
5. 5. Braxton Hicks contractions occur in the sec-
A. are mild and signal the beginning of labor ond trimester and
B. occur in the second trimester and are false labor are false labor.
C. cause extreme back and abdominal discomfort
D. cause dilation and effacement of the cervix
6. 6. A 40 year old male crashed his motorcycle. He had epidural
a brief loss of consciousness, woke up and hematoma
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
7. 7. A 47 year old male who was found unconscious on Assist ventilations
the side of the road respond only to painful stimulus. at 12 breaths per
When you attempt to establish IV access he stiffens minHg.
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
8. 8. A 28 year old female has a sudden onset of tight- Epinephrine
ness in her chest and server difficulty breathing. Her 0.3mg
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
, PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 2
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
Study online at https://quizlet.com/_g1425m
B. transport immediately to the hospital
C. administer 0.3 mg epinephrine IM
D. administer 100 mg Solumedrol IV
9. 9. You are asked to set up a patient treatment area af- Building in the
ter a box labeled "radioactive" was found unattended park
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
10. 11. What is the most common cause of status epilep- Failure to take
ticus in adults. prescribed med-
A. Alcohol withdrawal ications
B. Sudden elevation in body temperature
C. Failure to take prescribed medications
D. Recent history of head trauma
11. 12. A 58 year old male with history of renal failure Fluid Overload.
complains of dizziness lethargy and difficulty
breathing. He says he missed his last dialysis ap-
pointment. 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
12. 16. A 6 month old male was found lying face down in Start CPR
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
, PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 2
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
Study online at https://quizlet.com/_g1425m
B. Start CPR
C. Perform a finger sweep
D. Give five back slaps
13. 17. You have just been called to a dialysis clinic Sodium Bicarbon-
for a 58 year old male in cardiac arrest. The online ate.
physician may order you to administer which of the
following medications.
A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker
14. 18. A 27 year old male has been assaulted with a needle decom-
pen in the supraclavicular area. He is anxious and pression
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
15. 20. An 11 year old male has been skateboarding in Transport the pa-
100 degrees temperature and has been drinking caf- tient by am-
feinated soft drinks. He complains of palpations. The bulance monitor
cardiac monitor displays a narrow QRS tachycardia closely and ad-
at a rate of 160 beats. Vitals signs BP 110/60 P160 R minister fluids en
20 What should you do? route.
A. transport the patient by ambulance, monitor close-
ly, and administer fluids en route
B. suggest the father drives his son to the local clinic
since vital signs are within normal limits
C. perform vagal maneuvers and, if unsuccessful,
administer adenosine
QUESTIONS AND .CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
Study online at https://quizlet.com/_g1425m
1. 1. A 30 year old climber is experiencing sever Administer oxygen
shortness of breath after reaching an elevation of while descending
12000feet. The PT is very anxious and has rales noted to a lower altitude.
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 eleva-
tions
D. Evacuate the patient to a hyperbaric chamber
2. 2. A 26 year old female does not respond to verbal Sodium Bicarbon-
stimuli but moans in response to pain. A friend states ate.
the patient has ingested approx 150 amitriptyline ta-
bles. 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
3. 3. You PT experienced trauma yesterday and you are Transport emer-
transferring her to a larger facility. She has been gency and contin-
experiencing progressive hypoxia. You notice coarse ue ventilation.
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 re-
assess
4. 4. An alert 22 year old male was just disentangled sodium bicarbon-
from debris in a house collapse. He denies head or ate
neck pain, but complains of server hip pain. Vital
, PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 2
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
Study online at https://quizlet.com/_g1425m
signs are BP 88/40. P120 R 16 you should administer.
A. epinephrine
B. lidocaine
C. sodium bicarbonate
D. morphine sulfate
5. 5. Braxton Hicks contractions occur in the sec-
A. are mild and signal the beginning of labor ond trimester and
B. occur in the second trimester and are false labor are false labor.
C. cause extreme back and abdominal discomfort
D. cause dilation and effacement of the cervix
6. 6. A 40 year old male crashed his motorcycle. He had epidural
a brief loss of consciousness, woke up and hematoma
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
7. 7. A 47 year old male who was found unconscious on Assist ventilations
the side of the road respond only to painful stimulus. at 12 breaths per
When you attempt to establish IV access he stiffens minHg.
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
8. 8. A 28 year old female has a sudden onset of tight- Epinephrine
ness in her chest and server difficulty breathing. Her 0.3mg
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
, PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 2
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
Study online at https://quizlet.com/_g1425m
B. transport immediately to the hospital
C. administer 0.3 mg epinephrine IM
D. administer 100 mg Solumedrol IV
9. 9. You are asked to set up a patient treatment area af- Building in the
ter a box labeled "radioactive" was found unattended park
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
10. 11. What is the most common cause of status epilep- Failure to take
ticus in adults. prescribed med-
A. Alcohol withdrawal ications
B. Sudden elevation in body temperature
C. Failure to take prescribed medications
D. Recent history of head trauma
11. 12. A 58 year old male with history of renal failure Fluid Overload.
complains of dizziness lethargy and difficulty
breathing. He says he missed his last dialysis ap-
pointment. 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
12. 16. A 6 month old male was found lying face down in Start CPR
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
, PARAMEDIC FISDAP FINAL EXAM LATEST 2024-2025 ACTUAL EXAM 2
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS)
Study online at https://quizlet.com/_g1425m
B. Start CPR
C. Perform a finger sweep
D. Give five back slaps
13. 17. You have just been called to a dialysis clinic Sodium Bicarbon-
for a 58 year old male in cardiac arrest. The online ate.
physician may order you to administer which of the
following medications.
A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker
14. 18. A 27 year old male has been assaulted with a needle decom-
pen in the supraclavicular area. He is anxious and pression
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
15. 20. An 11 year old male has been skateboarding in Transport the pa-
100 degrees temperature and has been drinking caf- tient by am-
feinated soft drinks. He complains of palpations. The bulance monitor
cardiac monitor displays a narrow QRS tachycardia closely and ad-
at a rate of 160 beats. Vitals signs BP 110/60 P160 R minister fluids en
20 What should you do? route.
A. transport the patient by ambulance, monitor close-
ly, and administer fluids en route
B. suggest the father drives his son to the local clinic
since vital signs are within normal limits
C. perform vagal maneuvers and, if unsuccessful,
administer adenosine
