FISDAP PARAMEDIC FINAL XAM WITH
CORRECT ANSWERS 2025-2026
What is the maximum amount of time allowed to complete endotracheal intubation?
A. 10 seconds
B. 20 seconds
C. 30 seconds
D. 15 seconds - CORRECT-ANSWERSC. 30 seconds
632. A 56 year old male tripped and fell into a manhole in the sidewalk. He complains of chest
pain and tenderness when he takes a deep breath. Lung sounds are clear but diminished
bilaterally. Vital signs are BP 140/90, P 90, R12. What is the most likely cause of his symptoms?
A. Rib fractures
B. Tension pneumothorax
C. Flail chest
D. Left sided hemothorax - CORRECT-ANSWERSA. Rib fractures
633. What signs and symptoms should make you suspect a heroin overdose?
A. Pinpoint pupils, coma, and respiratory depression
B. Dilated pupils, coma, and tachypnea
C. Hypertension, tachycardia, and urinary retention
D. Lacrimation, bradycardia, and hyperactivity - CORRECT-ANSWERSB. Dilated pupils, coma,
and tachypnea, def A though!
634. "https://testing.fisdap.net/testing_images/EKG-Scans-016.jpg" (NS at 70 BPM)
A 54 year old male complains of short bursts of chest pain when his internal defibrillator fires.
You note he is internally defibrillated every 10 seconds. The ECG returns to the rhythm shown
just before the patient is defibrillated. What should you do?
,A. Begin overdrive pacing with low joules setting.
B. Obtain a 12 lead ECG and transport emergently.
C. Monitor vital signs and sedative agent.
D. Apply a magnet on the patient's chest. - CORRECT-ANSWERSD. Apply a magnet on the
patient's chest.
635. A 54 year old male has burns over 60% total body surface. Which type of fluid should you
administer?
A. 5% dextrose in water
B. Normal saline
C. Lactated ringers
D. Hextend - CORRECT-ANSWERSC. Lactated ringers
You have received an order for a dopamine drip. You carry 500cc bags of D5W. How much
dopamine should you add to the bag to create a 1600mcg/1mL dilution?
A. 800mg
B. 1600mcg
C. 1600mg
D. 400mcg - CORRECT-ANSWERSA. 800 mg
During the absolute refractory period, what happens to the cardiac cell?
A. It is unable to be stimulated.
B. The cell is vulnerable to partial stimulation.
C. Potassium is being pumped out of the cell.
D. Calcium has just rushed into the cell. - CORRECT-ANSWERSA. It is unable to be stimulated.
,A 72 year old male complains of sudden onset chest pain in his midclavicular, left, 5th
intercostal space. Vital signs are BP 140/80, P 102, R 26. He states he recently had a hernia
surgery. What should you suspect?
A. Pulmonary embolism
B. Myocardial infarction
C. Pneumothorax
D. Acute respiratory distress syndrome - CORRECT-ANSWERSA. Pulmonary embolism
Unequal pupils are a result of pressure on which structure?
A. Central medulla
B. Trochlear membrane
C. Vagus nerve
D. Occulomotor nerve - CORRECT-ANSWERSD. Occulomotor nerve
What is an abnormally high level of carbon dioxide in the blood called?
A. Pneumonia
B. Hypoxia
C. Hypercapnia
D. Emphysema - CORRECT-ANSWERSC. Hypercapnia
What is the normal bodily pH?
A. 7.10-7.25
B. 7.35-7.45
C. 6.25-6.45
D. 7.55-8.0 - CORRECT-ANSWERSB. 7.35-7.45
Which of the following has the thickest muscle wall?
A. Ventricular myocardium
, B. Visceral pericardium
C. Atrial epicardium
D. Parietal endocardium - CORRECT-ANSWERSA. Ventricular myocardium
What signals the end of the second stage of labor?
A. Delivery of the baby
B. Complete cervical dilation
C. Delivery of the placenta
D. Bulging of the perineum - CORRECT-ANSWERSA. Delivery of the baby
What disease has the greatest impact on alveolar oxygen diffusion?
A. Bronchitis
B. Pneumonia
C. Emphysema
D. Asthma - CORRECT-ANSWERSC. Emphysema
What is the responsibility of Finance during an MCI?
A. Tracking personnel staffing for overtime records
B. Coordinating multiple agency's efforts in mitigating the incident
C. Ordering ambulance strike teams to staging areas
D. Securing portable showers and toilets for the rescue personnel - CORRECT-ANSWERSA.
Tracking personnel staffing for overtime records
A 29 year old female fell from an 18 foot roof. During your rapid trauma assessment, where are
you most likely to find life-threatening injuries?
A. Head, neck, extremities
B. Head, chest, abdomen
C. Abdomen, pelvis, arms
D. Chest, pelvis, extremities - CORRECT-ANSWERSB. Head, chest, abdomen
CORRECT ANSWERS 2025-2026
What is the maximum amount of time allowed to complete endotracheal intubation?
A. 10 seconds
B. 20 seconds
C. 30 seconds
D. 15 seconds - CORRECT-ANSWERSC. 30 seconds
632. A 56 year old male tripped and fell into a manhole in the sidewalk. He complains of chest
pain and tenderness when he takes a deep breath. Lung sounds are clear but diminished
bilaterally. Vital signs are BP 140/90, P 90, R12. What is the most likely cause of his symptoms?
A. Rib fractures
B. Tension pneumothorax
C. Flail chest
D. Left sided hemothorax - CORRECT-ANSWERSA. Rib fractures
633. What signs and symptoms should make you suspect a heroin overdose?
A. Pinpoint pupils, coma, and respiratory depression
B. Dilated pupils, coma, and tachypnea
C. Hypertension, tachycardia, and urinary retention
D. Lacrimation, bradycardia, and hyperactivity - CORRECT-ANSWERSB. Dilated pupils, coma,
and tachypnea, def A though!
634. "https://testing.fisdap.net/testing_images/EKG-Scans-016.jpg" (NS at 70 BPM)
A 54 year old male complains of short bursts of chest pain when his internal defibrillator fires.
You note he is internally defibrillated every 10 seconds. The ECG returns to the rhythm shown
just before the patient is defibrillated. What should you do?
,A. Begin overdrive pacing with low joules setting.
B. Obtain a 12 lead ECG and transport emergently.
C. Monitor vital signs and sedative agent.
D. Apply a magnet on the patient's chest. - CORRECT-ANSWERSD. Apply a magnet on the
patient's chest.
635. A 54 year old male has burns over 60% total body surface. Which type of fluid should you
administer?
A. 5% dextrose in water
B. Normal saline
C. Lactated ringers
D. Hextend - CORRECT-ANSWERSC. Lactated ringers
You have received an order for a dopamine drip. You carry 500cc bags of D5W. How much
dopamine should you add to the bag to create a 1600mcg/1mL dilution?
A. 800mg
B. 1600mcg
C. 1600mg
D. 400mcg - CORRECT-ANSWERSA. 800 mg
During the absolute refractory period, what happens to the cardiac cell?
A. It is unable to be stimulated.
B. The cell is vulnerable to partial stimulation.
C. Potassium is being pumped out of the cell.
D. Calcium has just rushed into the cell. - CORRECT-ANSWERSA. It is unable to be stimulated.
,A 72 year old male complains of sudden onset chest pain in his midclavicular, left, 5th
intercostal space. Vital signs are BP 140/80, P 102, R 26. He states he recently had a hernia
surgery. What should you suspect?
A. Pulmonary embolism
B. Myocardial infarction
C. Pneumothorax
D. Acute respiratory distress syndrome - CORRECT-ANSWERSA. Pulmonary embolism
Unequal pupils are a result of pressure on which structure?
A. Central medulla
B. Trochlear membrane
C. Vagus nerve
D. Occulomotor nerve - CORRECT-ANSWERSD. Occulomotor nerve
What is an abnormally high level of carbon dioxide in the blood called?
A. Pneumonia
B. Hypoxia
C. Hypercapnia
D. Emphysema - CORRECT-ANSWERSC. Hypercapnia
What is the normal bodily pH?
A. 7.10-7.25
B. 7.35-7.45
C. 6.25-6.45
D. 7.55-8.0 - CORRECT-ANSWERSB. 7.35-7.45
Which of the following has the thickest muscle wall?
A. Ventricular myocardium
, B. Visceral pericardium
C. Atrial epicardium
D. Parietal endocardium - CORRECT-ANSWERSA. Ventricular myocardium
What signals the end of the second stage of labor?
A. Delivery of the baby
B. Complete cervical dilation
C. Delivery of the placenta
D. Bulging of the perineum - CORRECT-ANSWERSA. Delivery of the baby
What disease has the greatest impact on alveolar oxygen diffusion?
A. Bronchitis
B. Pneumonia
C. Emphysema
D. Asthma - CORRECT-ANSWERSC. Emphysema
What is the responsibility of Finance during an MCI?
A. Tracking personnel staffing for overtime records
B. Coordinating multiple agency's efforts in mitigating the incident
C. Ordering ambulance strike teams to staging areas
D. Securing portable showers and toilets for the rescue personnel - CORRECT-ANSWERSA.
Tracking personnel staffing for overtime records
A 29 year old female fell from an 18 foot roof. During your rapid trauma assessment, where are
you most likely to find life-threatening injuries?
A. Head, neck, extremities
B. Head, chest, abdomen
C. Abdomen, pelvis, arms
D. Chest, pelvis, extremities - CORRECT-ANSWERSB. Head, chest, abdomen
