Page 1 of 179
PARAMEDIC FISDAP FINAL EXAM NEWEST VERSION ALL
450 QUESTIONS AND CORRECT DETAILED SOLUTIONS
LATEST UPDATED
Question: 1. 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 - ANSWER✔✔Failure to take prescribed medications
Question: 2. 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
, Page 2 of 179
D. hypermagnesemia - ANSWER✔✔Fluid Overload.
Question: 6. 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 - ANSWER✔✔Start CPR
Question: 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
, Page 3 of 179
D. Calcium channel blocker - ANSWER✔✔Sodium Bicarbonate.
Question: 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 - ANSWER✔✔needle decompression
Question: 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
, Page 4 of 179
C. perform vagal maneuvers and, if unsuccessful, administer adenosine
D. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers -
ANSWER✔✔Transport the patient by ambulance monitor closely and administer fluids en route.
Question: 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 - ANSWER✔✔Decreasing preload
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
PARAMEDIC FISDAP FINAL EXAM NEWEST VERSION ALL
450 QUESTIONS AND CORRECT DETAILED SOLUTIONS
LATEST UPDATED
Question: 1. 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 - ANSWER✔✔Failure to take prescribed medications
Question: 2. 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
, Page 2 of 179
D. hypermagnesemia - ANSWER✔✔Fluid Overload.
Question: 6. 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 - ANSWER✔✔Start CPR
Question: 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
, Page 3 of 179
D. Calcium channel blocker - ANSWER✔✔Sodium Bicarbonate.
Question: 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 - ANSWER✔✔needle decompression
Question: 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
, Page 4 of 179
C. perform vagal maneuvers and, if unsuccessful, administer adenosine
D. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers -
ANSWER✔✔Transport the patient by ambulance monitor closely and administer fluids en route.
Question: 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 - ANSWER✔✔Decreasing preload
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