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Paramedic FISDAP Final 2024/2025 already graded A+
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Paramedic FISDAP Final 2024/2025 already graded A+
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Paramedic FISDAP Final1. 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? - ANSAdminister 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 - ANSSodium 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 - ANSTransport 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. - ANSsodium bicarbonate
5. Braxton Hicks contractions - ANSoccur 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. -
ANSepidural 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? - ANSAssist 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 - ANSEpinephrine 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. - ANSBuilding in the
park
,10. You are at a house fire with multiple patients. Which patient should be transported First to a
burn center? - ANS52 year old with second degree burns to face and right hand
11. What is the most common cause of status epilepticus in adults. - ANSFailure 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. - ANSFluid 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. - ANSDiabetic ketoacidosis
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. - ANSTorn
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? -
ANSReposition 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. - ANSStart 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. - ANSSodium
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. - ANSBurp 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. - ANS50 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? - ANSTransport 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. -
ANSDecreasing 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
- ANSDefibrillate 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 - ANSInhalation
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. - ANSSpontaneous 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. -
ANSIncreased capillary elasticity.
27. You are called to a nursing home on a hot summer day for a 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. -
ANSSepsis and hyperkalemia
28. 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 - ANSrapid atrial fibrillation.
29. A 63 year old male is having a diabetic emergency . He is unresponsive R12 glucometer 28.
You cannot establish IV access. You should - ANSadminister glucagon IM
30. When setting up a night time landing zone for a helicopter what is the recommended area
needed. - ANS100x100
31. A 67 year old with hypo-tension and bradycardia has no responded to pacing or atropine.
You should - ANSadminister dopamine infusion
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