FISDAP PARAMEDIC FINAL LATEST EXAM PARAMEDIC FISDAP FINAL E
b b b b b b b b
AM QUESTIONS AND ANSWERS
b b b
1. 1. A 30 year old climber is experiencing sever shortness of breath after reaching an elevation of 120
b b b b b b b b b b b b b b b b b
00feet.bThebPTbisbverybanxiousbandbhasbralesbnotedbtoballbquadrantsbbutbisbotherwisebhealthy.bHebisbnotbac
customedbtobhighbaltitudes.bWhatbshouldbyoubdo?
A. Administer oxygen while descending to a lower altitude
b b b b b b b
B. Coach the patient to slow his respirations
b b b b b b
C. Apply CPAP while the patient adapts to the elevations
b b b b b b b b
D. Evacuate the patient to a hyperbaric chamber
b b b b b b
b AnswerbAdministerboxygenbwhilebde-bscendingbtobablowerbaltitude.
2. 2. A 26 year old female does not respond to verbal stimuli but moans in response to pain. A fri
b b b b b b b b b b b b b b b b b b b
endbstatesbthebpatientbhasbingestedbapproxb150bamitriptylinebtables.bVitalbSignsbarebBPb88/50bR16.bY
1b/b53
,oubestablishbIVbaccess
andbadministerbabfluidbchallenge.bEnbroutebtobthebhospitalbherbECGbshowsbabwideningbQRS.bYoubshouldba
dminister
A. amiodarone
B. another fluid challenge
b b
C. calcium chloride b
D. sodium bicarbonate
b
b AnswerbSodiumbBicarbonate.
3. 3. You PT experienced trauma yesterday and you are transferring her to a larger facility. She has b
b b b b b b b b b b b b b b b b b
eenbexperiencingbprogressivebhypoxia.bYoubnotice
coarsebcracklesbinballblungbfieldsbonbventilation.bVitalbsignsbarebBPb90/50bandbSPO2b90%.bYoubshould
A. increase IV fluid administration rate
b b b b
B. extubate and re-intubate the patient
b b b b
C. transport emergently and continue ventilation
b b b b
D. perform bilateral chest decompression and reassess
b b b b b
b AnswerbTransportbemergencybandbcontinuebventilation.
4. 4. An alert 22 year old male was just disentangled from debris in a house collapse. He denies head o
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rbneckbpain,bbutbcomplainsbofbserverbhipbpain.bVitalbsignsbarebBPb88/40.bP120bRb16byoubshouldbadminister
.
A. epinephrine
B. lidocaine
C. sodium bicarbonate
b
2b/b53
,D. morphine sulfate b
b Answerbsodiumbbicarbonate
5. 5. Braxton Hicks contractions
b b b
A. are mild and signal the beginning of labor
b b b b b b b
B. occur in the second trimester and are false labor
b b b b b b b b
C. cause extreme back and abdominal discomfort
b b b b b
3b/b53
, D. cause dilation and effacement of the cervix
b b b b b b
b Answerboccurbinbthebsecondbtrimesterbandbarebfalseblabor.
6. 6. A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke
b b b b b b b b b b b b b b b b b
upband
walkedbhome.bYoubfindbhimb2bhoursblaterbatbhomebunconscious.bYoubshouldbsuspect.
A. Subdural hematoma b
B. Subarachnoid Bleed. b
C. Basilar skull fracture b b
D. Epidural Hematoma b
b Answerbepiduralbhematoma
7. 7. A 47 year old male who was found unconscious on the side of the road respond only to painful st
b b b b b b b b b b b b b b b b b b b b
imulus.bWhenbyoubattemptbtobestablishbIVbaccessbhebstiffensbhisbarmsbandblegs.bHebhasbminorbabrasions
b allboverbhisbbody.bVitalbsignsbarebBOb178/122bP56bRbirregularbETCO2b30.bWhatbshouldbyoubdo?
A. Mildly hypoventilate with a bag valve mask
b b b b b b
B. Assist ventilations at 12 breaths per minute
b b b b b b
C. Administer a 250 mL normal saline bolus
b b b b b b
D. Administer 25 g of dextrose b b b b
b AnswerbAssistbventilationsbatb12bbreathsbperbminHg.
8. 8. A 28 year old female has a sudden onset of tightness in her chest and server difficulty breathing.
b b b b b b b b b b b b b b b b b b b
4b/b53
b b b b b b b b
AM QUESTIONS AND ANSWERS
b b b
1. 1. A 30 year old climber is experiencing sever shortness of breath after reaching an elevation of 120
b b b b b b b b b b b b b b b b b
00feet.bThebPTbisbverybanxiousbandbhasbralesbnotedbtoballbquadrantsbbutbisbotherwisebhealthy.bHebisbnotbac
customedbtobhighbaltitudes.bWhatbshouldbyoubdo?
A. Administer oxygen while descending to a lower altitude
b b b b b b b
B. Coach the patient to slow his respirations
b b b b b b
C. Apply CPAP while the patient adapts to the elevations
b b b b b b b b
D. Evacuate the patient to a hyperbaric chamber
b b b b b b
b AnswerbAdministerboxygenbwhilebde-bscendingbtobablowerbaltitude.
2. 2. A 26 year old female does not respond to verbal stimuli but moans in response to pain. A fri
b b b b b b b b b b b b b b b b b b b
endbstatesbthebpatientbhasbingestedbapproxb150bamitriptylinebtables.bVitalbSignsbarebBPb88/50bR16.bY
1b/b53
,oubestablishbIVbaccess
andbadministerbabfluidbchallenge.bEnbroutebtobthebhospitalbherbECGbshowsbabwideningbQRS.bYoubshouldba
dminister
A. amiodarone
B. another fluid challenge
b b
C. calcium chloride b
D. sodium bicarbonate
b
b AnswerbSodiumbBicarbonate.
3. 3. You PT experienced trauma yesterday and you are transferring her to a larger facility. She has b
b b b b b b b b b b b b b b b b b
eenbexperiencingbprogressivebhypoxia.bYoubnotice
coarsebcracklesbinballblungbfieldsbonbventilation.bVitalbsignsbarebBPb90/50bandbSPO2b90%.bYoubshould
A. increase IV fluid administration rate
b b b b
B. extubate and re-intubate the patient
b b b b
C. transport emergently and continue ventilation
b b b b
D. perform bilateral chest decompression and reassess
b b b b b
b AnswerbTransportbemergencybandbcontinuebventilation.
4. 4. An alert 22 year old male was just disentangled from debris in a house collapse. He denies head o
b b b b b b b b b b b b b b b b b b b
rbneckbpain,bbutbcomplainsbofbserverbhipbpain.bVitalbsignsbarebBPb88/40.bP120bRb16byoubshouldbadminister
.
A. epinephrine
B. lidocaine
C. sodium bicarbonate
b
2b/b53
,D. morphine sulfate b
b Answerbsodiumbbicarbonate
5. 5. Braxton Hicks contractions
b b b
A. are mild and signal the beginning of labor
b b b b b b b
B. occur in the second trimester and are false labor
b b b b b b b b
C. cause extreme back and abdominal discomfort
b b b b b
3b/b53
, D. cause dilation and effacement of the cervix
b b b b b b
b Answerboccurbinbthebsecondbtrimesterbandbarebfalseblabor.
6. 6. A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke
b b b b b b b b b b b b b b b b b
upband
walkedbhome.bYoubfindbhimb2bhoursblaterbatbhomebunconscious.bYoubshouldbsuspect.
A. Subdural hematoma b
B. Subarachnoid Bleed. b
C. Basilar skull fracture b b
D. Epidural Hematoma b
b Answerbepiduralbhematoma
7. 7. A 47 year old male who was found unconscious on the side of the road respond only to painful st
b b b b b b b b b b b b b b b b b b b b
imulus.bWhenbyoubattemptbtobestablishbIVbaccessbhebstiffensbhisbarmsbandblegs.bHebhasbminorbabrasions
b allboverbhisbbody.bVitalbsignsbarebBOb178/122bP56bRbirregularbETCO2b30.bWhatbshouldbyoubdo?
A. Mildly hypoventilate with a bag valve mask
b b b b b b
B. Assist ventilations at 12 breaths per minute
b b b b b b
C. Administer a 250 mL normal saline bolus
b b b b b b
D. Administer 25 g of dextrose b b b b
b AnswerbAssistbventilationsbatb12bbreathsbperbminHg.
8. 8. A 28 year old female has a sudden onset of tightness in her chest and server difficulty breathing.
b b b b b b b b b b b b b b b b b b b
4b/b53