PARAMEDIC FISDAP FINAL EXAM NEWEST 2024
COMPLETE 200 ACCURATE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+
1. An alert 23-year-old male presents with a sudden onset of shortness of breath and
chest pain after running upstairs. Breath sounds are diminished in the right side. The
most likely cause is.
A. pleural effusion
B. tension pneumothorax
C. subcutaneous emphysema
D. spontaneous pneumothorax - Correct Answer - Spontaneous pneumothorax
2. 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 - Correct Answer - decreased venous return
3. You are called to a nursing home on a hot summer day for an 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 - Correct Answer - Sepsis and hyperkalemia
pg. 1
,4. A patient involved in a motor vehicle crash has an obvious open femur fracture and
an angulated right forearm. He is bleeding server from a scalp laceration. His left arm is
guarding his chest and he gasps "I can’t breathe". You should be MOST concerned by
the
A. femur fracture
B. right forearm fracture
C. head trauma
D. respiratory difficulty - Correct Answer - respiratory difficulty
5. A 37-year male is chocking and has become unconscious. Attempts to ventilate are
unsuccessful. you should
A. give five abdominal thrusts
B. perform a surgical airway
C. suction the airway
D. perform chest compressions - Correct Answer - perform chest compressions
6. 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 - Correct Answer - rapid atrial fibrillation.
7. 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 - Correct Answer - administer glucagon IM
pg. 2
,8. 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 - Correct Answer - 100x100
9. 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 - Correct Answer - administer dopamine
infusion
10. 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 - Correct Answer - perform needle thoracostomy
11. A 44-year-old patient has a persistent cough and occasional spits up bloody sputum.
He has been living in a a shelter for the past three weeks and he smells like alcohol you
should.
A. administer oxygen via non-rebreather mask
B. put on an N95 mask and eye protection
C. apply the ECG monitor and check for blood glucose level
D. suction the airway and reassess - Correct Answer - Put on N95 mask and eye
protection.
pg. 3
, 12. While treating a patient with suspected TB. What type of personal protective
equipment is essential
A. protective eyewear
B. Surgical facemask
C. Face-Shield mask
D. HEPA respirator - Correct Answer - HEPA respirator
13. A 2-year-old male has been sick over the last 48 hours with a low-grade fever runny
nose and upper respiratory infection. He has a seal bark cough. The patient is using
accessory muscles to breath and appears fatigued his upper airway has stridor’s
sounds. His lung sounds appear clear. SPO2 92% how would you treat the patient.
A. Humidified oxygen, transport
B. Oxygen, nebulized racemic epinephrine transport
C. Nebulized albuterol with Atrovent reassess after 15 minutes
D. Alternate between placing the patient in a humidified room and cold air from outside -
Correct Answer - Oxygen nebulized racemic epinephrine transport.
14. A 48-year-old patient is chocking on a hot dog. He is unresponsive apneic and has a
strong pulse. Chest compression is infective at relieving the obstruction. You should.
A. use laryngoscopy and Magill forceps to remove the object.
B. force the object out of the way as you pass an endotracheal tube.
C. place the patient into recovery position and transport immediately.
D. perform chest thrusts, blind finger sweep, and attempt to ventilate - Correct Answer -
use lagomorph and Magill forceps to remove the object.
15. 87-year male is complaining of dizziness. Physical exam rivals pale cool and
diaphoretic skin. Pulse matches ECG bradycardia. You should
A. urinary calculi
B. azotemia
C. urinary tract infection
D. disequilibrium syndrome - Correct Answer - administer atropine
pg. 4
COMPLETE 200 ACCURATE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+
1. An alert 23-year-old male presents with a sudden onset of shortness of breath and
chest pain after running upstairs. Breath sounds are diminished in the right side. The
most likely cause is.
A. pleural effusion
B. tension pneumothorax
C. subcutaneous emphysema
D. spontaneous pneumothorax - Correct Answer - Spontaneous pneumothorax
2. 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 - Correct Answer - decreased venous return
3. You are called to a nursing home on a hot summer day for an 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 - Correct Answer - Sepsis and hyperkalemia
pg. 1
,4. A patient involved in a motor vehicle crash has an obvious open femur fracture and
an angulated right forearm. He is bleeding server from a scalp laceration. His left arm is
guarding his chest and he gasps "I can’t breathe". You should be MOST concerned by
the
A. femur fracture
B. right forearm fracture
C. head trauma
D. respiratory difficulty - Correct Answer - respiratory difficulty
5. A 37-year male is chocking and has become unconscious. Attempts to ventilate are
unsuccessful. you should
A. give five abdominal thrusts
B. perform a surgical airway
C. suction the airway
D. perform chest compressions - Correct Answer - perform chest compressions
6. 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 - Correct Answer - rapid atrial fibrillation.
7. 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 - Correct Answer - administer glucagon IM
pg. 2
,8. 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 - Correct Answer - 100x100
9. 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 - Correct Answer - administer dopamine
infusion
10. 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 - Correct Answer - perform needle thoracostomy
11. A 44-year-old patient has a persistent cough and occasional spits up bloody sputum.
He has been living in a a shelter for the past three weeks and he smells like alcohol you
should.
A. administer oxygen via non-rebreather mask
B. put on an N95 mask and eye protection
C. apply the ECG monitor and check for blood glucose level
D. suction the airway and reassess - Correct Answer - Put on N95 mask and eye
protection.
pg. 3
, 12. While treating a patient with suspected TB. What type of personal protective
equipment is essential
A. protective eyewear
B. Surgical facemask
C. Face-Shield mask
D. HEPA respirator - Correct Answer - HEPA respirator
13. A 2-year-old male has been sick over the last 48 hours with a low-grade fever runny
nose and upper respiratory infection. He has a seal bark cough. The patient is using
accessory muscles to breath and appears fatigued his upper airway has stridor’s
sounds. His lung sounds appear clear. SPO2 92% how would you treat the patient.
A. Humidified oxygen, transport
B. Oxygen, nebulized racemic epinephrine transport
C. Nebulized albuterol with Atrovent reassess after 15 minutes
D. Alternate between placing the patient in a humidified room and cold air from outside -
Correct Answer - Oxygen nebulized racemic epinephrine transport.
14. A 48-year-old patient is chocking on a hot dog. He is unresponsive apneic and has a
strong pulse. Chest compression is infective at relieving the obstruction. You should.
A. use laryngoscopy and Magill forceps to remove the object.
B. force the object out of the way as you pass an endotracheal tube.
C. place the patient into recovery position and transport immediately.
D. perform chest thrusts, blind finger sweep, and attempt to ventilate - Correct Answer -
use lagomorph and Magill forceps to remove the object.
15. 87-year male is complaining of dizziness. Physical exam rivals pale cool and
diaphoretic skin. Pulse matches ECG bradycardia. You should
A. urinary calculi
B. azotemia
C. urinary tract infection
D. disequilibrium syndrome - Correct Answer - administer atropine
pg. 4
