Paramedic FISDAP Final Exam 2023
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 yo...
Paramedic FISDAP Final Exam 2023
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? - CORRECT ANS 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 -
CORRECT ANS 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 -
CORRECT ANS 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. - CORRECT ANS sodium bicarbonate
5. Braxton Hicks contractions - CORRECT ANS 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.
- CORRECT ANS 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? - CORRECT ANS 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 -
CORRECT ANS Epinephrine 0.3mg
9. You are asked to set up a patient treatment area after a box labeled "radio active"
was found unattended in a park. Which of the following would be the best location. -
CORRECT ANS Building in the park
10. You are at a house fire with multiple patients. Which patient should be
transported First to a burn center? - CORRECT ANS 52 year old with second
degree burns to face and right hand
11. What is the most common cause of status epilepticus in adults. - CORRECT
ANS 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. -
CORRECT ANS Fluid Overload.
13. A 12 year old girl is seizing. Her mom tells you that her daughter has been
feeling tired for days. Her skin is dry and she has been very thirsty. Vital signs are
BP 118/80 P115 R26 you should suspect. - CORRECT ANS Diabetic
ketoacidosis
, Paramedic FISDAP Final Exam 2023
Graded A+
14. A 42 year old female has fallen down a flight of stairs. She appears anxious her
skin is cool and clammy her radial pulses are weak at 112 beats per min and she
complains of abdominal pain in the left upper quadrant with radiation to the left
scapula. You should suspect. - CORRECT ANS Torn or lacerated spleen.
15. Emergency medical responders are ventilating an apneic medical patient with a
bag valve mask. You note abdominal distention and minimal chest rise. What should
you do? - CORRECT ANS Reposition the head.
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. - CORRECT ANS
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. - CORRECT ANS 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. - CORRECT ANS
Burp dressing
19. A 50 pound child is unresponsive pulseless and apneic. The cardiac monitor
displays ventricular fibrillations. CPR is in progress. The initial defibrillator should be
at. - CORRECT ANS 50 joules.
20. An 11 year old male has been skateboarding in 100 degrees temperature and
has been drinking caffeinated soft drinks. He complains of palpations. The cardiac
monitor displays a narrow QRS tachycardia at a rate of 160 beats. Vitals signs BP
110/60 P160 R 20 What should you do? - CORRECT ANS Transport the patient
by ambulance monitor closely and administer fluids en route.
21. An 80 year old male in server respiratory distress. He has a history of
hypertension and breathing problems. He takes inderal daily. Vital signs are BP
170/70 P72 and irregular R40 and extremely labored skin warm and diaphoretic.
Lung sounds are diffuse bilateral crackles and wheezing. He coughs up blood tinged
sputum. Which of the following is most important. - CORRECT ANS Decreasing
preload
22. A 50 year old patient is found lying outside on the ground. The ambient
temperature is 40 degrees F. You thermometer reads 20C 86F. He is in V-fib and
pulseless and apneic. You should - CORRECT ANS Defibrillate once perform
CPR intubate and transport rapidly.
23. To successfully accomplish nasotracheal intubation you should advance the
endotracheal tube though the glottic opening to coincide with patient - CORRECT
ANS Inhalation
25. 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. - CORRECT ANS Spontaneous pneumothorax
26. 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. - CORRECT ANS Increased capillary elasticity.
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