PARAMEDIC FISDAP FINAL QUIZ AND
ANSWERS.
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 - CorreCt Answers -
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 - CorreCt Answers -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 - CorreCt Answers -
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 - CorreCt Answers -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 - CorreCt Answers -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 - CorreCt Answers -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 - CorreCt Answers -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 - CorreCt Answers -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 - CorreCt Answers -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 - CorreCt Answers -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 - CorreCt Answers -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
ANSWERS.
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 - CorreCt Answers -
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 - CorreCt Answers -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 - CorreCt Answers -
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 - CorreCt Answers -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 - CorreCt Answers -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 - CorreCt Answers -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 - CorreCt Answers -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 - CorreCt Answers -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 - CorreCt Answers -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 - CorreCt Answers -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 - CorreCt Answers -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
