PARAMEDIC FISDAP FINAL EXAM
QUESTIONS WITH ALL CORRECT & VERIFIED
ANSWERS
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 chamber Correct 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 bicarbonate Correct answer-Sodium Bicarbonate.
3. 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
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 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 sulfate Correct answer-sodium bicarbonate
5. Braxton Hicks 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 cervix Correct answer-occur 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 Hematoma Correct answer-epidural hematoma
7. 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?
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 Correct answer-Assist ventilations at 12 breaths per minHg.
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 IV Correct answer-Epinephrine 0.3mg
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 park Correct answer-Building 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 trauma Correct answer-Failure 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
D. hypermagnesemia Correct answer-Fluid Overload.
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 slaps Correct answer-Start CPR
17. 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.
, A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker Correct answer-Sodium Bicarbonate.
18. 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.
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
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 preload Correct answer-Decreasing 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
D. cough Correct answer-Inhalation
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
B. tension pneumothorax
QUESTIONS WITH ALL CORRECT & VERIFIED
ANSWERS
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 chamber Correct 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 bicarbonate Correct answer-Sodium Bicarbonate.
3. 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
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 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 sulfate Correct answer-sodium bicarbonate
5. Braxton Hicks 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 cervix Correct answer-occur 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 Hematoma Correct answer-epidural hematoma
7. 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?
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 Correct answer-Assist ventilations at 12 breaths per minHg.
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 IV Correct answer-Epinephrine 0.3mg
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 park Correct answer-Building 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 trauma Correct answer-Failure 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
D. hypermagnesemia Correct answer-Fluid Overload.
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 slaps Correct answer-Start CPR
17. 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.
, A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker Correct answer-Sodium Bicarbonate.
18. 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.
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
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 preload Correct answer-Decreasing 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
D. cough Correct answer-Inhalation
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
B. tension pneumothorax
