FISDAP Paramedic FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
Of the following, which item is acceptable and productive to ask a 14 year old female in the
presence of her parents
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
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?
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?
Attempt insertion of an oral airway
Which of the following is least likely to cause crackles
,Asthma
Which of the following medications is least likely to be a part of standard therapy for a
patient suffering from exacerbated emphysema
Nitrates
Which of the following is true about respiratory physiology?
Changes in PO2, PCO2, or pH stimulate chemoreceptors
What is the purpose of the Good Samaritan laws
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?
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?
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?
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
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
Cilia
What is percutaneous transtracheal ventilation
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?
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?
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?
Adult Respiratory Distress Syndrome (ADRS)
COMPLETE SOLUTIONS
Of the following, which item is acceptable and productive to ask a 14 year old female in the
presence of her parents
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
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?
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?
Attempt insertion of an oral airway
Which of the following is least likely to cause crackles
,Asthma
Which of the following medications is least likely to be a part of standard therapy for a
patient suffering from exacerbated emphysema
Nitrates
Which of the following is true about respiratory physiology?
Changes in PO2, PCO2, or pH stimulate chemoreceptors
What is the purpose of the Good Samaritan laws
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?
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?
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?
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
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
Cilia
What is percutaneous transtracheal ventilation
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?
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?
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?
Adult Respiratory Distress Syndrome (ADRS)
