Paramedic FISDAP Final Exam Questions and
Correct Answers (Complete Solution) 2025
Graded A+
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 - 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 - 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 - 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 - 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 - Answer-occur in the second
trimester and are false labor.
,26. First responders are treating an apneic adult female. You notice that they are
applying frequent long ventilations with an oxygen resuscitator. What effects with
their actions create.
A. Increased capillary elasticity
B. Increased venous return
C. Decreased venous return
D. Decreased intracranial pressure - Answer-decreased venous return
27. You are called to a nursing home on a hot summer day for a 88 year old male.
The nurse tells you he missed his dialysis appointment because he was
complaining of nausea vomiting headache and running a fever. Which differential
diagnosis should you consider first.
A. Heart attack and stroke
B. Sepsis and hyperkalemia
C. Hypotension and severe flu
D. Hemolytic anemia and heat stroke - Answer-Sepsis and hyperkalemia
28. You have just administered adenosine to a 62 year old patient with narrow
complex tach. The ECG shows an irregular rate of 50 then steadily climbs back to a
rate of 169. What would should suspect
A. sinus tachycardia with aberrancy
B. paroxysmal supraventricular tachycardia
C. rapid atrial fibrillation
D. a rhythm of ventricular origin - Answer-rapid atrial fibrillation.
, 29. A 63 year old male is having a diabetic emergency . He is unresponsive R12
glucometer 28. You cannot establish IV access. You should
A. administer glucose paste PO
B. administer glucagon IM
C. transport emergently
D. administer D 50W 10 - Answer-administer glucagon IM
30. When setting up a night time landing zone for a helicopter what is the
recommended area needed.
A. 100x100 feet
B. 25x25 feet
C. 50x50 feet
D. 300x300 feet - Answer-100x100
31. A 67 year old with hypo-tension and bradycardia has no responded to pacing
or atropine. You should
A. an epinephrine infusion at 5-20 mcg/min
B. 40 units vasopressin via intravenous infusion
C. 1 mg epinephrine via intravenous infusion
D. a dopamine infusion at 2-10 mcg/kg/min - Answer-administer dopamine
infusion
32. A 19 year old male has suffered blunt trauma on his left chest. He complains
of server dyspnea and pain over the affected area. Vital signs are BP 92/60 P 128
R 32. Breath sounds are very diminished over the left chest. You should
Correct Answers (Complete Solution) 2025
Graded A+
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 - 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 - 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 - 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 - 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 - Answer-occur in the second
trimester and are false labor.
,26. First responders are treating an apneic adult female. You notice that they are
applying frequent long ventilations with an oxygen resuscitator. What effects with
their actions create.
A. Increased capillary elasticity
B. Increased venous return
C. Decreased venous return
D. Decreased intracranial pressure - Answer-decreased venous return
27. You are called to a nursing home on a hot summer day for a 88 year old male.
The nurse tells you he missed his dialysis appointment because he was
complaining of nausea vomiting headache and running a fever. Which differential
diagnosis should you consider first.
A. Heart attack and stroke
B. Sepsis and hyperkalemia
C. Hypotension and severe flu
D. Hemolytic anemia and heat stroke - Answer-Sepsis and hyperkalemia
28. You have just administered adenosine to a 62 year old patient with narrow
complex tach. The ECG shows an irregular rate of 50 then steadily climbs back to a
rate of 169. What would should suspect
A. sinus tachycardia with aberrancy
B. paroxysmal supraventricular tachycardia
C. rapid atrial fibrillation
D. a rhythm of ventricular origin - Answer-rapid atrial fibrillation.
, 29. A 63 year old male is having a diabetic emergency . He is unresponsive R12
glucometer 28. You cannot establish IV access. You should
A. administer glucose paste PO
B. administer glucagon IM
C. transport emergently
D. administer D 50W 10 - Answer-administer glucagon IM
30. When setting up a night time landing zone for a helicopter what is the
recommended area needed.
A. 100x100 feet
B. 25x25 feet
C. 50x50 feet
D. 300x300 feet - Answer-100x100
31. A 67 year old with hypo-tension and bradycardia has no responded to pacing
or atropine. You should
A. an epinephrine infusion at 5-20 mcg/min
B. 40 units vasopressin via intravenous infusion
C. 1 mg epinephrine via intravenous infusion
D. a dopamine infusion at 2-10 mcg/kg/min - Answer-administer dopamine
infusion
32. A 19 year old male has suffered blunt trauma on his left chest. He complains
of server dyspnea and pain over the affected area. Vital signs are BP 92/60 P 128
R 32. Breath sounds are very diminished over the left chest. You should
