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PARAMEDIC FISDAP FINAL QUESTIONS & ANSWERS
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PARAMEDIC FISDAP FINAL QUESTIONS & ANSWERS
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PARAMEDIC FISDAP FINAL QUESTIONS & ANSWERS1. 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 - answer- 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 - answer- 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 - answer- 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 - answer- 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 - answer- 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 - answer- 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 - answer- 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 - answer- 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 - answer- 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 - answer- 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 - answer- 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
breathing after repositioning the head. What should you do.
A. perform 5 abdominal thrusts
B. Start CPR
C. Perform a finger sweep
D. Give five back slaps - answer- 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.
A. Magnesium sulfate
B. Sodium bicarbonate
C. Furosemide
D. Calcium channel blocker - answer- 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.
A. Perform needle decompression
B. Lift a corner of the occlusive dressing
C. Establish two large bore IV's while en route to the hospital
D. Administer high flow oxygen and transport rapidly - answer- needle decompression
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?
A. transport the patient by ambulance, monitor closely, and administer fluids en route
B. suggest the father drives his son to the local clinic since vital signs are within normal
limits
C. perform vagal maneuvers and, if unsuccessful, administer adenosine
D. obtain a 12 lead ECG and, if rhythm unchanged, perform vagal maneuvers - answer-
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.
A. Endotracheally intubating
B. Restoring a normal sinus rhythm
C. Decreasing preload
D. Increasing preload - answer- Decreasing preload
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