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FISDAP PARAMEDIC FINAL 2024
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FISDAP PARAMEDIC FINAL 2024
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FISDAP PARAMEDIC FINAL 2024You 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?
800 mg
During the absolute refractory period, what happens to the cardiac cell?
It is unable to be stimulated.
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?
Head, chest, abdomen
Unequal pupils are a result of pressure on which structure?
Oculomotor nerve (3 or III)
What is an abnormally high level of carbon dioxide in the blood called?
Hypercapnia
What is oxygen deficiency in the body called?
Hypoxia
What is your initial priority at a trench collapse?
Establishing medical command
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?
Meningitis
What causes an emphysema patient to have a pink appearance?
Polycythemia
Which of the following is a musical, squeaking or whistling sound heard in inspiration
and expiration while auscultating lung fields?
Wheezing
You are treating a 82 year old male in hypovolemic shock. In order to increase their
blood pressure you should administer:
Isotonic crystalloid via I.V.
,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. He is cold and rigid. What should
you do?
Perform chest compressions
What does a pulsating mass in the abdomen suggest?
Abdominal aortic aneurysm
What is the safest and most effective landing pattern for a helicopter?
At a slight angle like that of a jet
During inspiration, what happens to blood flow in the thoracic cavity?
blood flow increases to the right atrium
What is the period of the cardiac cycle when stimulation will not produce any
depolarization?
Absolute refractory period
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 compensatory pause
A 5 month old male is in cardiac arrest. Resuscitation efforts have been ongoing for 30
minutes. His heart rhythm is and has been asystole throughout treatment. What should
you do?
Begin termination of resuscitative efforts
Which of the following requires ATP?
Active transport
A 52 year old male was the unrestrained driver in a frontal impact car crash. Which of
the following injuries would lead you to believe the patient traveled "up and over" the
dashboard instead of "down and under"?
Ruptured diaphragm
How does the blood flow through the heart?
Right atrium to right ventricle to lungs to left atrium to left ventricle
As soon as an infant's head is delivered, what should you do?
,Determine the location of the umbilical cord.
A patient has aphasia following a stroke, which lobe of the brain was affected?
Temporal
What does the P wave represent with an ECG?
Atrial depolarization
A lethargic 22 month old male presents with hoarseness and coughing. He has sternal
retractions and his belly and chest move in opposite directions with each breath. He is
breathing at a rate of 64. What should you suspect?
Respiratory failure.
A patient was ejected from an automobile and is apneic and pulseless. ECG reveals a
regular rhythm with an R-R interval of 1.24 seconds and a QRS width of 110
milliseconds. You should consider?
Epinephrine 1 mg I.V.
What organ is located in the upper right quadrant?
Liver
A 24 year old male was stabbed in the thigh. Bright red blood spurts from the wound.
What should you suspect that the patient severed?
Artery
A 24 year old male was working underneath his car when it fell off of the jack. He was
under the car approximately 20 minutes before being extricated. He has bluish
discoloration of his skin above the nipple line. What should you suspect?
Traumatic asphyxiation
A unrestrained 24 year old female driver hit an electrical pole and struck the steering
wheel. She appears pale and complains of nausea and abdominal pain. What organ is
LEAST likely to suffer an injury as a result of this impact?
Stomach
What causes Down's syndrome?
Extra chromosome
Where would you insert the needle to decompress the chest?
Above the 3rd rib midclavicular line
, A 67 year old male complains of bloody stool with accompanying nausea and emesis.
He states symptoms began 3 days ago. Vital signs BP 100/86, P 88, R 18. What should
you do?
I.V. fluid bolus
How much time do you have to successfully intubate a patient?
30 seconds.
What condition results when the alveoli collapse?
Atelectasis
Why should you administer IV fluid to a patient in hypovolemic shock?
Maintain adequate tissue perfusion
What best defines shock?
Lack of adequate perfusion to the tissues.
What causes priapism in a trauma patient?
Parasympathetic nervous system dominance
What is the primary function of insulin?
Increase glucose transport into the cells and increase liver glycogen levels
A 60 year old male fell onto a coffee table yesterday and he woke up this morning
complaining of diffuse, dull abdominal pain. You note periumbilical bruising. What is this
known as?
Cullen's sign
After placement of an ET tube, you find breath sounds are diminished on the left side
but present on the right side. What should you do?
Deflate and withdraw the tube while listening over the left side.
A 25 year old male has a closed head injury and a knife impaled in his back. He is
combative and screams incomprehensible words while thrashing. What should you do?
Use rapid sequence intubation to protect the patient.
What does the body use for fuel in diabetic ketoacidosis?
Fats
What neurotransmitter found in the brain that regulates mood, anxiety, and sleep?
Serotonin
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