EMT FISDAP UPDATED SCRIPT 2026
PRACTICE SOLUTIONS GRADED A+
● Classification of breath sounds. Answer: Breath sounds are classified
into normal tracheal sound, normal lung sound or vesicular breath
sounds, and bronchial breath sound. Bronchial breath sounds are further
subdivided into three types: Tubular, cavernous, and amphoric.
● Signs and symptoms of emphysema. Answer: barrel chest
pursed lip breathing
dyspnea on exertion
● Signs and symptoms of epiglottitis. Answer: Fever, drooling, difficulty
swallowing
**tripod position - child leans over and jaw is thrust out to take in air,
child refuses to lie down**
enlarged round epiglottis on lateral neck x-ray
● Signs and symptoms of pneumonia. Answer: exertional dyspnea, a
productive cough, chest discomfort and pain, wheezing, headache,
nausea and vomiting, musculoskeletal pain, weight loss, and confusion
● Signs and symptoms of simple pneumothorax. Answer: shortness of
breath.
,chest pain, which may be more severe on one side of the chest.
sharp pain when inhaling.
pressure in the chest that gets worse over time.
blue discoloration of the skin or lips.
increased heart rate.
rapid breathing.
● Treatment of an asthma patient. Answer: open constricted airways, dry
secretions and reduce inflammation. Nebulized albuterol, connected to
oxygen at 6-8 LPM, is the first EMS treatment for asthma. Albuterol
stimulates beta-2 receptor sites to causes rapid bronchodilation.
● Fundamentals of operating an AED. Answer: 1). Turn on the AED and
follow the visual and/or audio prompts.
2). Open the person's shirt and wipe his or her bare chest dry. If the
person is wearing any medication patches, you should use a gloved (if
possible) hand to remove the patches before wiping the person's chest.
3). Attach the AED pads, and plug in the connector (if necessary).
4). Make sure no one is, including you, is touching the person. Tell
everyone to "stand clear."
5). Push the "analyze" button (if necessary) and allow the AED to
analyze the person's heart rhythm.
6). If the AED recommends that you deliver a shock to the person, make
sure that no one, including you, is touching the person - and tell
everyone to "stand clear." Once clear, press the "shock" button.
, 7). Begin CPR after delivering the shock. Or, if no shock is advised,
begin CPR. Perform 2 minutes (about 5 cycles) of CPR and continue to
follow the AED's prompts. If you notice obvious signs of life,
discontinue CPR and monitor breathing for any changes in condition.
● Signs and symptoms of a stroke. Answer: facial drooping
sudden weakness or numbness in the face, arm, leg or one side of the
body
loss of movement and sensation on one side of the body
speech disorders
aphasia
sudden and severe headache
trouble walking
confusion, combativeness
tongue deviation
● Signs and symptoms of congestive heart failure. Answer: -Cough
(frequent, productive, hemoptysis)
-Progressive dyspnea with exertion
-Orthopnea
-Pitting edema of legs and feet or generalized edema of face, hands, or
sacral area
-Heart palpitations
-Progressive fatigue or syncope with exertion
PRACTICE SOLUTIONS GRADED A+
● Classification of breath sounds. Answer: Breath sounds are classified
into normal tracheal sound, normal lung sound or vesicular breath
sounds, and bronchial breath sound. Bronchial breath sounds are further
subdivided into three types: Tubular, cavernous, and amphoric.
● Signs and symptoms of emphysema. Answer: barrel chest
pursed lip breathing
dyspnea on exertion
● Signs and symptoms of epiglottitis. Answer: Fever, drooling, difficulty
swallowing
**tripod position - child leans over and jaw is thrust out to take in air,
child refuses to lie down**
enlarged round epiglottis on lateral neck x-ray
● Signs and symptoms of pneumonia. Answer: exertional dyspnea, a
productive cough, chest discomfort and pain, wheezing, headache,
nausea and vomiting, musculoskeletal pain, weight loss, and confusion
● Signs and symptoms of simple pneumothorax. Answer: shortness of
breath.
,chest pain, which may be more severe on one side of the chest.
sharp pain when inhaling.
pressure in the chest that gets worse over time.
blue discoloration of the skin or lips.
increased heart rate.
rapid breathing.
● Treatment of an asthma patient. Answer: open constricted airways, dry
secretions and reduce inflammation. Nebulized albuterol, connected to
oxygen at 6-8 LPM, is the first EMS treatment for asthma. Albuterol
stimulates beta-2 receptor sites to causes rapid bronchodilation.
● Fundamentals of operating an AED. Answer: 1). Turn on the AED and
follow the visual and/or audio prompts.
2). Open the person's shirt and wipe his or her bare chest dry. If the
person is wearing any medication patches, you should use a gloved (if
possible) hand to remove the patches before wiping the person's chest.
3). Attach the AED pads, and plug in the connector (if necessary).
4). Make sure no one is, including you, is touching the person. Tell
everyone to "stand clear."
5). Push the "analyze" button (if necessary) and allow the AED to
analyze the person's heart rhythm.
6). If the AED recommends that you deliver a shock to the person, make
sure that no one, including you, is touching the person - and tell
everyone to "stand clear." Once clear, press the "shock" button.
, 7). Begin CPR after delivering the shock. Or, if no shock is advised,
begin CPR. Perform 2 minutes (about 5 cycles) of CPR and continue to
follow the AED's prompts. If you notice obvious signs of life,
discontinue CPR and monitor breathing for any changes in condition.
● Signs and symptoms of a stroke. Answer: facial drooping
sudden weakness or numbness in the face, arm, leg or one side of the
body
loss of movement and sensation on one side of the body
speech disorders
aphasia
sudden and severe headache
trouble walking
confusion, combativeness
tongue deviation
● Signs and symptoms of congestive heart failure. Answer: -Cough
(frequent, productive, hemoptysis)
-Progressive dyspnea with exertion
-Orthopnea
-Pitting edema of legs and feet or generalized edema of face, hands, or
sacral area
-Heart palpitations
-Progressive fatigue or syncope with exertion
