FISDAP PARAMEDIC FINAL CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS 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.
● 6. A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke
up and walked home. You find him 2 hours later at home unconscious. You should suspect.
A. Subdural hematoma B. Subarachnoid Bleed. C. Basilar skull fracture D. Epidural
Hematoma. Answer: epidural hematoma
, ● 7. A 47 year old male who was found unconscious on the side of the road respond only to
painful stimulus. When you attempt to establish IV access he stiffens his arms and legs. He
has minor abrasions all over his body. Vital signs are BO 178/122 P56 R irregular ETCO2 30.
What should you do? A. Mildly hypoventilate with a bag valve mask B. Assist ventilations at
12 breaths per minute C. Administer a 250 mL normal saline bolus D. Administer 25 g of
dextrose. Answer: Assist ventilations at 12 breaths per minHg.
● 8. A 28 year old female has a sudden onset of tightness in her chest and server difficulty
breathing. Her tongue face and neck appear swollen and she has red itchy hives on her torso.
Her signs are BP 80/40 P 130. You should administer A. administer 25 mg diphenhydramine
IV B. transport immediately to the hospital C. administer 0.3 mg epinephrine IM D. administer
100 mg Solumedrol IV. Answer: Epinephrine 0.3mg
● 9. You are asked to set up a patient treatment area after a box labeled "radioactive" was
found unattended in a park. Which of the following would be the best location. A. An open
area in the park B. The Emergency Operations Center C. The Incident Command Center D. A
building in the park. Answer: Building in the park
● 11. 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
● 12. 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 D. hypermagnesemia. Answer: Fluid Overload.
● 16. 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
● 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 D. Calcium channel blocker.
Answer: Sodium Bicarbonate.
● 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
QUESTIONS WITH SOLUTIONS 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.
● 6. A 40 year old male crashed his motorcycle. He had a brief loss of consciousness, woke
up and walked home. You find him 2 hours later at home unconscious. You should suspect.
A. Subdural hematoma B. Subarachnoid Bleed. C. Basilar skull fracture D. Epidural
Hematoma. Answer: epidural hematoma
, ● 7. A 47 year old male who was found unconscious on the side of the road respond only to
painful stimulus. When you attempt to establish IV access he stiffens his arms and legs. He
has minor abrasions all over his body. Vital signs are BO 178/122 P56 R irregular ETCO2 30.
What should you do? A. Mildly hypoventilate with a bag valve mask B. Assist ventilations at
12 breaths per minute C. Administer a 250 mL normal saline bolus D. Administer 25 g of
dextrose. Answer: Assist ventilations at 12 breaths per minHg.
● 8. A 28 year old female has a sudden onset of tightness in her chest and server difficulty
breathing. Her tongue face and neck appear swollen and she has red itchy hives on her torso.
Her signs are BP 80/40 P 130. You should administer A. administer 25 mg diphenhydramine
IV B. transport immediately to the hospital C. administer 0.3 mg epinephrine IM D. administer
100 mg Solumedrol IV. Answer: Epinephrine 0.3mg
● 9. You are asked to set up a patient treatment area after a box labeled "radioactive" was
found unattended in a park. Which of the following would be the best location. A. An open
area in the park B. The Emergency Operations Center C. The Incident Command Center D. A
building in the park. Answer: Building in the park
● 11. 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
● 12. 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 D. hypermagnesemia. Answer: Fluid Overload.
● 16. 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
● 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 D. Calcium channel blocker.
Answer: Sodium Bicarbonate.
● 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
