2025 PARAMEDIC FINAL EXAM PREP WITH 700
QUESTIONS AND CORRECT VERIFIED ANSWERS/
FISDAP PARAMEDIC FINAL EXAM TEST BANK
(LATEST!)
THE FISDAP PARAMEDIC FINAL IS A COMPREHENSIVE EXAM USED TO ASSESS A STUDENT'S
READINESS FOR NATIONAL REGISTRY CERTIFICATION. IT COVERS ALL MAJOR DOMAINS OF
PREHOSPITAL CARE INCLUDING AIRWAY MANAGEMENT, CARDIOLOGY, TRAUMA, MEDICAL
EMERGENCIES, OBSTETRICS, PEDIATRICS, AND EMS OPERATIONS. THIS FINAL IS DESIGNED TO TEST
BOTH KNOWLEDGE AND CLINICAL DECISION-MAKING SKILLS THROUGH SCENARIO-BASED
QUESTIONS. SUCCESSFUL COMPLETION DEMONSTRATES A STRONG UNDERSTANDING OF
PARAMEDIC-LEVEL COMPETENCIES REQUIRED IN THE FIELD.
1. You have received an order for a dopamine drip. You carry 500cc bags of D5W. How much
dopamine should you add to the bag to create a 1600mcg/1mL dilution?
A. 800mg
B. 1600mcg
C. 1600mg
D. 400mcg - CORRECT ANSWER-A. 800 mg
2. During the absolute refractory period, what happens to the cardiac cell?
A. It is unable to be stimulated.
B. The cell is vulnerable to partial stimulation.
C. Potassium is being pumped out of the cell.
D. Calcium has just rushed into the cell. - CORRECT ANSWER-A. It is unable to be stimulated.
3. A 29 year old female fell from an 18 foot roof. During your rapid trauma assessment, where are
you most likely to find life-threatening injuries?
A. Head, neck, extremities
B. Head, chest, abdomen
C. Abdomen, pelvis, arms
D. Chest, pelvis, extremities - CORRECT ANSWER-B. Head, chest, abdomen
4. Unequal pupils are a result of pressure on which structure?
,A. Central medulla
B. Trochlear membrane
C. Vagus nerve
D. Occulomotor nerve - CORRECT ANSWER-D. Occulomotor nerve
5. What is an abnormally high level of carbon dioxide in the blood called?
A. Pneumonia
B. Hypoxia
C. Hypercapnia
D. Emphysema - CORRECT ANSWER-C. Hypercapnia
6. What is oxygen deficiency in the body called?
A. Hypercarbia
B. Hyperoxia
C. Hypoxia
D. Hypoxemia - CORRECT ANSWER-C. Hypoxia
7. What is your initial priority at a trench collapse?
A. Establishing medical command
B. Maintaining control of the crowd
C. Preventing a secondary collapse
D. Protecting the patient's airway - CORRECT ANSWER-A. Establishing medical command
8. A 23 year old male complains of neck stiffness and flu symptoms for the past few days. He also
describes a high fever with a severe headache, dizziness and blurred vision. What should you
suspect?
A. Hemorrhagic stroke
B. Migraine
C. Meningitis
D. Influenza - CORRECT ANSWER-C. Meningitis
,9. What causes an emphysema patient to have a pink appearance?
A. Elevated PCO2 level
B. Polycythemia
C. Anemia
D. Elevated PO2 level - CORRECT ANSWER-B. Polycythemia
10. Which of the following is a musical, squeaking or whistling sound heard in inspiration and
expiration while auscultating lung fields?
A. Wheezing
B. Snoring
C. Stridor
D. Gurgling - CORRECT ANSWER-A. Wheezing
11. You are treating a 82 year old male in hypovolemic shock. In order to increase their blood
pressure you should administer:
A. 0.45% NaCl via IV
B. isotonic fluids orally
C. dextrose 5% in water via IO
D. isotonic crystalloid via IV - CORRECT ANSWER-D. isotonic crystalloid via IV
12. A 35 year old man is pulseless and apneic. He was found in a lake after falling through the ice. His
wife says he left the house 3 hours ago. His is cold and rigid. What should you do?
A. Perform chest compressions
B. Begin active rewarming techniques
C. Obtain IO access and administer a warm fluid bolus
D. Contact the medical examiner - CORRECT ANSWER-A. Perform chest compressions
13. What does a pulsating mass in the abdomen suggest?
A. Abdominal aortic aneurysm
B. Perforated ulcer
, C. Hernia
D. Ruptured ectopic pregnancy - CORRECT ANSWER-A. Abdominal aortic aneurysm
14. What is the safest and most effective landing pattern for a helicopter?
A. At a slight angle like that of a jet
B. Nose of the helicopter pointing up with a tail wind
C. Straight up and down in a vertical motion
D. Nose of the helicopter pointing down with a slow descent - CORRECT ANSWER-A. At a slight
angle like that of a jet
15. During inspiration, what happens to blood flow in the thoracic cavity?
A. afterload increases
B. blood flow increases to the right atrium
C. blood flow through the vena cava is reduced
D. pressure in the aorta increases - CORRECT ANSWER-B. blood flow increases to the right
atrium
16. What is the period of the cardiac cycle when stimulation will not produce any depolarization?
A. Impulse refractory period
B. Absolute refractory period
C. Relative refractory period
D. Transient refractory period - CORRECT ANSWER-B. Absolute refractory period
17. While treating a 56 year old male for chest pain, you note a few PVCs on the monitor. You print a
strip and measure the distance between the normal beats on each side of the PVC. The normal sinus
rhythm continues on both sides of the PVC as if it were the normal beat, even though the PVC
happens sooner than the sinus beat would have. The pause after the PVC would be:
A. A sign of continued ischemia
B. A compensatory pause
C. A non-compensatory pause
D. Reynaud's Pause - CORRECT ANSWER-B. A compensatory pause
QUESTIONS AND CORRECT VERIFIED ANSWERS/
FISDAP PARAMEDIC FINAL EXAM TEST BANK
(LATEST!)
THE FISDAP PARAMEDIC FINAL IS A COMPREHENSIVE EXAM USED TO ASSESS A STUDENT'S
READINESS FOR NATIONAL REGISTRY CERTIFICATION. IT COVERS ALL MAJOR DOMAINS OF
PREHOSPITAL CARE INCLUDING AIRWAY MANAGEMENT, CARDIOLOGY, TRAUMA, MEDICAL
EMERGENCIES, OBSTETRICS, PEDIATRICS, AND EMS OPERATIONS. THIS FINAL IS DESIGNED TO TEST
BOTH KNOWLEDGE AND CLINICAL DECISION-MAKING SKILLS THROUGH SCENARIO-BASED
QUESTIONS. SUCCESSFUL COMPLETION DEMONSTRATES A STRONG UNDERSTANDING OF
PARAMEDIC-LEVEL COMPETENCIES REQUIRED IN THE FIELD.
1. You have received an order for a dopamine drip. You carry 500cc bags of D5W. How much
dopamine should you add to the bag to create a 1600mcg/1mL dilution?
A. 800mg
B. 1600mcg
C. 1600mg
D. 400mcg - CORRECT ANSWER-A. 800 mg
2. During the absolute refractory period, what happens to the cardiac cell?
A. It is unable to be stimulated.
B. The cell is vulnerable to partial stimulation.
C. Potassium is being pumped out of the cell.
D. Calcium has just rushed into the cell. - CORRECT ANSWER-A. It is unable to be stimulated.
3. A 29 year old female fell from an 18 foot roof. During your rapid trauma assessment, where are
you most likely to find life-threatening injuries?
A. Head, neck, extremities
B. Head, chest, abdomen
C. Abdomen, pelvis, arms
D. Chest, pelvis, extremities - CORRECT ANSWER-B. Head, chest, abdomen
4. Unequal pupils are a result of pressure on which structure?
,A. Central medulla
B. Trochlear membrane
C. Vagus nerve
D. Occulomotor nerve - CORRECT ANSWER-D. Occulomotor nerve
5. What is an abnormally high level of carbon dioxide in the blood called?
A. Pneumonia
B. Hypoxia
C. Hypercapnia
D. Emphysema - CORRECT ANSWER-C. Hypercapnia
6. What is oxygen deficiency in the body called?
A. Hypercarbia
B. Hyperoxia
C. Hypoxia
D. Hypoxemia - CORRECT ANSWER-C. Hypoxia
7. What is your initial priority at a trench collapse?
A. Establishing medical command
B. Maintaining control of the crowd
C. Preventing a secondary collapse
D. Protecting the patient's airway - CORRECT ANSWER-A. Establishing medical command
8. A 23 year old male complains of neck stiffness and flu symptoms for the past few days. He also
describes a high fever with a severe headache, dizziness and blurred vision. What should you
suspect?
A. Hemorrhagic stroke
B. Migraine
C. Meningitis
D. Influenza - CORRECT ANSWER-C. Meningitis
,9. What causes an emphysema patient to have a pink appearance?
A. Elevated PCO2 level
B. Polycythemia
C. Anemia
D. Elevated PO2 level - CORRECT ANSWER-B. Polycythemia
10. Which of the following is a musical, squeaking or whistling sound heard in inspiration and
expiration while auscultating lung fields?
A. Wheezing
B. Snoring
C. Stridor
D. Gurgling - CORRECT ANSWER-A. Wheezing
11. You are treating a 82 year old male in hypovolemic shock. In order to increase their blood
pressure you should administer:
A. 0.45% NaCl via IV
B. isotonic fluids orally
C. dextrose 5% in water via IO
D. isotonic crystalloid via IV - CORRECT ANSWER-D. isotonic crystalloid via IV
12. A 35 year old man is pulseless and apneic. He was found in a lake after falling through the ice. His
wife says he left the house 3 hours ago. His is cold and rigid. What should you do?
A. Perform chest compressions
B. Begin active rewarming techniques
C. Obtain IO access and administer a warm fluid bolus
D. Contact the medical examiner - CORRECT ANSWER-A. Perform chest compressions
13. What does a pulsating mass in the abdomen suggest?
A. Abdominal aortic aneurysm
B. Perforated ulcer
, C. Hernia
D. Ruptured ectopic pregnancy - CORRECT ANSWER-A. Abdominal aortic aneurysm
14. What is the safest and most effective landing pattern for a helicopter?
A. At a slight angle like that of a jet
B. Nose of the helicopter pointing up with a tail wind
C. Straight up and down in a vertical motion
D. Nose of the helicopter pointing down with a slow descent - CORRECT ANSWER-A. At a slight
angle like that of a jet
15. During inspiration, what happens to blood flow in the thoracic cavity?
A. afterload increases
B. blood flow increases to the right atrium
C. blood flow through the vena cava is reduced
D. pressure in the aorta increases - CORRECT ANSWER-B. blood flow increases to the right
atrium
16. What is the period of the cardiac cycle when stimulation will not produce any depolarization?
A. Impulse refractory period
B. Absolute refractory period
C. Relative refractory period
D. Transient refractory period - CORRECT ANSWER-B. Absolute refractory period
17. While treating a 56 year old male for chest pain, you note a few PVCs on the monitor. You print a
strip and measure the distance between the normal beats on each side of the PVC. The normal sinus
rhythm continues on both sides of the PVC as if it were the normal beat, even though the PVC
happens sooner than the sinus beat would have. The pause after the PVC would be:
A. A sign of continued ischemia
B. A compensatory pause
C. A non-compensatory pause
D. Reynaud's Pause - CORRECT ANSWER-B. A compensatory pause
