FISDAP PARAMEDIC FINAL PRACTICE
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
• 73. A 66 year old male complains of server dyspnea. His has breath sounds
on the right and diminished on the left. He has a long history of cigarette
smoking. Vital signs are BP 80/30 P124 R 26 and shallow SPO2 88% on 4
lpm What should you suspect? A. emphysema exacerbation B. spontaneous
pneumothorax C. tension pneumothorax D. pulmonary embolus.
Answer: Emphysema exacerbation
• 86. A 23 year old male complains of chills and headache. He was sleeping
outside before waking up with these symptoms. He has a reddish ring with a
small fluid filed vesicle in the center on his arm. What should you suspect
A. Spider Bite B. Scorpion sting C. Snake bite D. Tick bite.
Answer: Spider bite.
• 155. A 54 year old male has fallen and is holding pressure on his abdomen
with bloody kitchen rag. He has had abdominal surgery last week and his
incision has ruptured and the abdominal contents are protruding. Vitals are
BP 100/68 P 124 R 20 what should you do?.
Answer: remove the rag apply a moist sterile dressing
• 46. A 63 year old female chocked on a piece of steak and is apneic. You
partner has visualized a partial obstruction in the trachea. He has been trying
to grab it with forceps for more than 2 minutes. What should you advise him
to do?.
Answer: Remove the blade and attempt to ventilate.
• 177. Management of all newborns includes A. prevention of heat loss,
opening the airway and evaluation of the infant B. prevention of heat loss,
opening the airway and performing direct tracheal suctioning C. opening the
airway and administering high-flow oxygen by positive-pressure ventilation
, D. opening the airway and blowing oxygen across the infant's nose and
mouth.
Answer: prevent heat loss opening the airway and evaluating of the infant
• 182. An 87 year old patient with recent history of hematuria and lower
abdominal pain now presents with altered mental status her physical exam is
otherwise unremarkable. She is resident of adult foster home. A likely cause
is?.
Answer: urinary tract infection
• 77. A 28 year old suffered a head injury. Vital signs a BP 140/120 P 55 R 30
and irregular. Which of the following signs would you expect to see in this
patient. A. Jugular vein distention B. Tachycardia C. Decerebrate posturing
D. Beck's triad.
Answer: Decerebrate posturing
• 77. A 28 year old suffered a head injury. Vital signs a BP 140/120 P 55 R 30
and irregular. Which of the following signs would you expect to see in this
patient. A. Jugular vein distention B. Tachycardia C. Decerebrate posturing
D. Beck's triad.
Answer: Decerebrate posturing
• 191. You have been assigned to triage at an MCI a patent complains of
small laceration on his forearm R24 and absent radial pulses using start
triage you should assign this person as?.
Answer: immediate
• 172. A 28 year old woman complains of sudden onset severe abdominal
pain that radiates to her shoulder 88/60 P 100 R 20 skin cool pale and
clammy states her last menstrual period was 8-10 weeks ago you should
suspect A. ectopic pregnancy B. ruptured appendix C. pelvic inflammatory
disease D. abruptio placenta.
Answer: ectopic pregnancy
• 139. Which of the following is a prehospital medication given for
compartment syndrome.
, Answer: sodium bicarbonate
• 47. An unconscious 13 year old patient has minor abrasion on his torso after
being struck by a vehicle. The child's parents are not on scene law
enforcement and an EMS supervisor are on scene You should? A. transport
the patient to the hospital B. have law enforcement assume custody C. delay
transport until parental consent is given D. consult with the EMS supervisor.
Answer: transport the patent to hospital
• 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 A. perform a needle thoracostomy B. perform an endotracheal
intubation C. initiate two large bore IVs of normal saline (NS) D. perform a
pericardiocentesis.
Answer: perform needle thoracostomy
• 68. While using the START system at a major incident you encounter a
patient not breathing. After positioning the airway the patient breaths 16 a
min. You should catagorize him as? A. critically injured B. nonsalvageable
C. immediate D. delayed.
Answer: Immediate
• 147. A six year old female has suffered blunt trauma to her right upper
quadrant . She responds to painful stimulation vitals signs 50/30 P132 R 32
she is in? A. ruptured diaphragm B. ruptured aortic aneurysm C.
hypovolemic shock D. Pericardial tamponade.
Answer: hypovolemic shock
• 185. A 50 year old female has just been struck by a car she is alert and
complains of shortness of breath. You note crepitation and paradoxical
movement in her right chest R 26 spo2 89 you should A. augment
ventilation with positive pressure B. orotracheally intubate C. roll the patient
onto her left side D. splint with sandbags and tape.
Answer: augment ventilation with positive pressure
, • 142. Identify this rhythm.
Answer: paced rhythm
• 163. A 50 year old female is experiencing chest pressure her ECG is ( a-fib)
she becomes unresponsive while you are obtaining iv access her ECG
changes to the rhythm below v-tach. What should you do? A. Check for
pulse B. Immediately defibrillate C. Administer epinephrine D. Perform
synchronized cardioversion.
Answer: asses for a pulse
• 126. You are reliving a crew form a 24 hour shift before you compete the
ambulance check you are dispatched to a cardiac arrest with CPR in
progress. what should you do before leaving for the call?.
Answer: ensure essential equipment is present and the ECG monitor is
functional
• 80. You are dispatched to a house early on the morning for a family
complaining of headaches and nausea. You should A. assess the family on
scene B. send police into the home C. wear an N95 mask D. evacuate the
house.
Answer: evacuate the house.
• 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.
• 50. A 64 year old is sitting in his living room in moderate distress. He is
able to speak to you in full sentences but claims he is not feeling right.
Vitals signs are BP 1110/64 R 16. Pulse matches monitor (super vertical
tachycardia) what should you do..
Answer: vagal fluids adenosine.
EXAMINATION 2026 QUESTIONS WITH
ANSWERS GRADED A+
• 73. A 66 year old male complains of server dyspnea. His has breath sounds
on the right and diminished on the left. He has a long history of cigarette
smoking. Vital signs are BP 80/30 P124 R 26 and shallow SPO2 88% on 4
lpm What should you suspect? A. emphysema exacerbation B. spontaneous
pneumothorax C. tension pneumothorax D. pulmonary embolus.
Answer: Emphysema exacerbation
• 86. A 23 year old male complains of chills and headache. He was sleeping
outside before waking up with these symptoms. He has a reddish ring with a
small fluid filed vesicle in the center on his arm. What should you suspect
A. Spider Bite B. Scorpion sting C. Snake bite D. Tick bite.
Answer: Spider bite.
• 155. A 54 year old male has fallen and is holding pressure on his abdomen
with bloody kitchen rag. He has had abdominal surgery last week and his
incision has ruptured and the abdominal contents are protruding. Vitals are
BP 100/68 P 124 R 20 what should you do?.
Answer: remove the rag apply a moist sterile dressing
• 46. A 63 year old female chocked on a piece of steak and is apneic. You
partner has visualized a partial obstruction in the trachea. He has been trying
to grab it with forceps for more than 2 minutes. What should you advise him
to do?.
Answer: Remove the blade and attempt to ventilate.
• 177. Management of all newborns includes A. prevention of heat loss,
opening the airway and evaluation of the infant B. prevention of heat loss,
opening the airway and performing direct tracheal suctioning C. opening the
airway and administering high-flow oxygen by positive-pressure ventilation
, D. opening the airway and blowing oxygen across the infant's nose and
mouth.
Answer: prevent heat loss opening the airway and evaluating of the infant
• 182. An 87 year old patient with recent history of hematuria and lower
abdominal pain now presents with altered mental status her physical exam is
otherwise unremarkable. She is resident of adult foster home. A likely cause
is?.
Answer: urinary tract infection
• 77. A 28 year old suffered a head injury. Vital signs a BP 140/120 P 55 R 30
and irregular. Which of the following signs would you expect to see in this
patient. A. Jugular vein distention B. Tachycardia C. Decerebrate posturing
D. Beck's triad.
Answer: Decerebrate posturing
• 77. A 28 year old suffered a head injury. Vital signs a BP 140/120 P 55 R 30
and irregular. Which of the following signs would you expect to see in this
patient. A. Jugular vein distention B. Tachycardia C. Decerebrate posturing
D. Beck's triad.
Answer: Decerebrate posturing
• 191. You have been assigned to triage at an MCI a patent complains of
small laceration on his forearm R24 and absent radial pulses using start
triage you should assign this person as?.
Answer: immediate
• 172. A 28 year old woman complains of sudden onset severe abdominal
pain that radiates to her shoulder 88/60 P 100 R 20 skin cool pale and
clammy states her last menstrual period was 8-10 weeks ago you should
suspect A. ectopic pregnancy B. ruptured appendix C. pelvic inflammatory
disease D. abruptio placenta.
Answer: ectopic pregnancy
• 139. Which of the following is a prehospital medication given for
compartment syndrome.
, Answer: sodium bicarbonate
• 47. An unconscious 13 year old patient has minor abrasion on his torso after
being struck by a vehicle. The child's parents are not on scene law
enforcement and an EMS supervisor are on scene You should? A. transport
the patient to the hospital B. have law enforcement assume custody C. delay
transport until parental consent is given D. consult with the EMS supervisor.
Answer: transport the patent to hospital
• 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 A. perform a needle thoracostomy B. perform an endotracheal
intubation C. initiate two large bore IVs of normal saline (NS) D. perform a
pericardiocentesis.
Answer: perform needle thoracostomy
• 68. While using the START system at a major incident you encounter a
patient not breathing. After positioning the airway the patient breaths 16 a
min. You should catagorize him as? A. critically injured B. nonsalvageable
C. immediate D. delayed.
Answer: Immediate
• 147. A six year old female has suffered blunt trauma to her right upper
quadrant . She responds to painful stimulation vitals signs 50/30 P132 R 32
she is in? A. ruptured diaphragm B. ruptured aortic aneurysm C.
hypovolemic shock D. Pericardial tamponade.
Answer: hypovolemic shock
• 185. A 50 year old female has just been struck by a car she is alert and
complains of shortness of breath. You note crepitation and paradoxical
movement in her right chest R 26 spo2 89 you should A. augment
ventilation with positive pressure B. orotracheally intubate C. roll the patient
onto her left side D. splint with sandbags and tape.
Answer: augment ventilation with positive pressure
, • 142. Identify this rhythm.
Answer: paced rhythm
• 163. A 50 year old female is experiencing chest pressure her ECG is ( a-fib)
she becomes unresponsive while you are obtaining iv access her ECG
changes to the rhythm below v-tach. What should you do? A. Check for
pulse B. Immediately defibrillate C. Administer epinephrine D. Perform
synchronized cardioversion.
Answer: asses for a pulse
• 126. You are reliving a crew form a 24 hour shift before you compete the
ambulance check you are dispatched to a cardiac arrest with CPR in
progress. what should you do before leaving for the call?.
Answer: ensure essential equipment is present and the ECG monitor is
functional
• 80. You are dispatched to a house early on the morning for a family
complaining of headaches and nausea. You should A. assess the family on
scene B. send police into the home C. wear an N95 mask D. evacuate the
house.
Answer: evacuate the house.
• 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.
• 50. A 64 year old is sitting in his living room in moderate distress. He is
able to speak to you in full sentences but claims he is not feeling right.
Vitals signs are BP 1110/64 R 16. Pulse matches monitor (super vertical
tachycardia) what should you do..
Answer: vagal fluids adenosine.
