FISDAP PARAMEDIC FINAL EXAM TEST
BANK REAL EXAM QUESTIONS AND
CORRECT ANSWERS|A GRADE
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 - CORRECT chamber
ANSWER>>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 - CORRECT bicarbonateSodium Bicarbonate.
3. You PT experienced ANSWER>> 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
2|Page
D. perform bilateral chest decompression and reassess - CORRECT
ANSWER>>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 - CORRECT sulfatesodium bicarbonate
5. Braxton Hicks ANSWER>> 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 - CORRECT ANSWER>> cervixoccur 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 - CORRECT Hematomaepidural hematoma
7. A 47 year old male ANSWER>> 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 - CORRECT dextroseAssist ventilations at 12
breaths per minHg. ANSWER>>
3|Page
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 - CORRECT IVEpinephrine
0.3mg ANSWER>>
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 - CORRECT ANSWER>> parkBuilding 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 - CORRECT ANSWER>> traumaFailure 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
- CORRECT D. hypermagnesemiaFluid Overload.
4|Page ANSWER>>
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 - CORRECT slapsStart CPR
17. You have just been ANSWER>> 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 - CORRECT blockerSodium Bicarbonate.
18. A 27 year old male has ANSWER>> 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 - CORRECT
ANSWER>>needle decompression
20. 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?
A. transport the patient by ambulance, monitor closely, and administer
fluids en route
B. suggest the father drives his son to the local clinic since vital signs
are within normal limits
5|Page
C. perform vagal maneuvers and, if unsuccessful, administer adenosine
D. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers CORRECT
ANSWER>>Transport the patient by ambulance monitor closely and administer
fluids en route.
21. 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.
A. Endotracheally intubating
B. Restoring a normal sinus rhythm
C. Decreasing preload
D. Increasing - CORRECT ANSWER>> preloadDecreasing preload
22. 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
A. ventilate via bag valve mask, administer warm IV infusion, and transport rapidly
B. perform CPR, administer warm IV infusion, and transport rapidly
C. defibrillate, intubate, administer 1mg EPI ETT, and transport rapidly
, D. defibrillate once, perform CPR, Intubate, and transport rapidly - CORRECT
ANSWER>>Defibrillate once perform CPR intubate and transport rapidly.
23. To successfully accomplish nasotracheal intubation you should advance
the endotracheal tube though the glottic opening to coincide with patient
A. swallow
B. expiration
C. inspiration
- CORRECT ANSWER>> D. coughInhalation
25. 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.
A. pleural effusion
6|Page
B. tension pneumothorax
C. subcutaneous emphysema
D. spontaneous - CORRECT ANSWER>> pneumothoraxSpontaneous
pneumothorax
26. 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. A. Increased capillary elasticity
B. Increased venous return
C. Decreased venous return
D. Decreased intracranial - CORRECT pressuredecreased venous
return ANSWER>>
27. 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.
A. Heart attack and stroke
B. Sepsis and hyperkalemia
C. Hypotension and severe flu
D. Hemolytic anemia and heat - CORRECT strokeSepsis and
hyperkalemia ANSWER>>
28. 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
A. sinus tachycardia with aberrancy
B. paroxysmal supraventricular tachycardia
C. rapid atrial fibrillation
D. a rhythm of ventricular - CORRECT ANSWER>> originrapid atrial fibrillation.
29. A 63 year old male is having a diabetic emergency . He is unresponsive
R12 glucometer 28. You cannot establish IV access. You should
A. administer glucose paste PO
7|Page
B. administer glucagon IM
C. transport emergently
D. administer D 50W - CORRECT 10administer glucagon IM
30. When setting up a ANSWER>> night time landing zone for a helicopter
what is the recommended area needed.
A. 100x100 feet
BANK REAL EXAM QUESTIONS AND
CORRECT ANSWERS|A GRADE
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 - CORRECT chamber
ANSWER>>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 - CORRECT bicarbonateSodium Bicarbonate.
3. You PT experienced ANSWER>> 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
2|Page
D. perform bilateral chest decompression and reassess - CORRECT
ANSWER>>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 - CORRECT sulfatesodium bicarbonate
5. Braxton Hicks ANSWER>> 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 - CORRECT ANSWER>> cervixoccur 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 - CORRECT Hematomaepidural hematoma
7. A 47 year old male ANSWER>> 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 - CORRECT dextroseAssist ventilations at 12
breaths per minHg. ANSWER>>
3|Page
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 - CORRECT IVEpinephrine
0.3mg ANSWER>>
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 - CORRECT ANSWER>> parkBuilding 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 - CORRECT ANSWER>> traumaFailure 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
- CORRECT D. hypermagnesemiaFluid Overload.
4|Page ANSWER>>
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 - CORRECT slapsStart CPR
17. You have just been ANSWER>> 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 - CORRECT blockerSodium Bicarbonate.
18. A 27 year old male has ANSWER>> 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 - CORRECT
ANSWER>>needle decompression
20. 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?
A. transport the patient by ambulance, monitor closely, and administer
fluids en route
B. suggest the father drives his son to the local clinic since vital signs
are within normal limits
5|Page
C. perform vagal maneuvers and, if unsuccessful, administer adenosine
D. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers CORRECT
ANSWER>>Transport the patient by ambulance monitor closely and administer
fluids en route.
21. 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.
A. Endotracheally intubating
B. Restoring a normal sinus rhythm
C. Decreasing preload
D. Increasing - CORRECT ANSWER>> preloadDecreasing preload
22. 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
A. ventilate via bag valve mask, administer warm IV infusion, and transport rapidly
B. perform CPR, administer warm IV infusion, and transport rapidly
C. defibrillate, intubate, administer 1mg EPI ETT, and transport rapidly
, D. defibrillate once, perform CPR, Intubate, and transport rapidly - CORRECT
ANSWER>>Defibrillate once perform CPR intubate and transport rapidly.
23. To successfully accomplish nasotracheal intubation you should advance
the endotracheal tube though the glottic opening to coincide with patient
A. swallow
B. expiration
C. inspiration
- CORRECT ANSWER>> D. coughInhalation
25. 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.
A. pleural effusion
6|Page
B. tension pneumothorax
C. subcutaneous emphysema
D. spontaneous - CORRECT ANSWER>> pneumothoraxSpontaneous
pneumothorax
26. 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. A. Increased capillary elasticity
B. Increased venous return
C. Decreased venous return
D. Decreased intracranial - CORRECT pressuredecreased venous
return ANSWER>>
27. 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.
A. Heart attack and stroke
B. Sepsis and hyperkalemia
C. Hypotension and severe flu
D. Hemolytic anemia and heat - CORRECT strokeSepsis and
hyperkalemia ANSWER>>
28. 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
A. sinus tachycardia with aberrancy
B. paroxysmal supraventricular tachycardia
C. rapid atrial fibrillation
D. a rhythm of ventricular - CORRECT ANSWER>> originrapid atrial fibrillation.
29. A 63 year old male is having a diabetic emergency . He is unresponsive
R12 glucometer 28. You cannot establish IV access. You should
A. administer glucose paste PO
7|Page
B. administer glucagon IM
C. transport emergently
D. administer D 50W - CORRECT 10administer glucagon IM
30. When setting up a ANSWER>> night time landing zone for a helicopter
what is the recommended area needed.
A. 100x100 feet
