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FISDAP Paramedic

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Which of the following is a musical, squeaking or whistling sound heard in inspiration and expiration while auscultating lung fields? A. Wheezing B. Snoring C. Stridor D. Gurgling - ANS-A. Wheezing 100. A 36-year-old male with a history of asthma is in respiratory arrest. His carotid pulse co...

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  • November 21, 2024
  • 124
  • 2024/2025
  • Exam (elaborations)
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wiselady
FISDAP Paramedic

10. Which of the following is a musical, squeaking or whistling sound heard in inspiration and expiration
while auscultating lung fields?

A. Wheezing

B. Snoring

C. Stridor

D. Gurgling - ANS-A. Wheezing

100. A 36-year-old male with a history of asthma is in respiratory arrest. His carotid pulse corresponds to
the ECG below. After establishing an airway and beginning ventilations, what should you do?

A. Administer adenosine.

B. Administer an in-line albuterol nebulizer.

C. Perform synchronized cardioversion.

D. Administer epinephrine. - ANS-B. Administer an in-line albuterol nebulizer.

101. What is the area where the base of the tongue and the epiglottis meet called?

A. Alveoli

B. Vallecula

C. Carina

D. Bronchi - ANS-B. Vallecula

102. A 54 year old female is trapped in a car and complains of chest pain. You are unable to open the
door, and the fire department is unable to get their extrication tools to work. What should you do?

A. Break the window farthest from her to gain access.

B. Use the extrication tools without power.

C. Use a hand saw to cut the narrowest part of the frame to gain access.

D. Wait 30 minutes for the replacement tools to arrive. - ANS-A. Break the window farthest from her to
gain access.

103. What occurs during compression of the inferior vena cava?

A. Supine hypotensive syndrome

B. Eclampsia

,C. Preeclampsia

D. Pregnancy induced hypertension - ANS-A. Supine hypotensive syndrome

104. What will stimulation of a B1 receptor in the heart do?

A. Slow the heart with an increase contraction strength

B. Speed up the heart rate and increase contraction strength

C. Speed up the heart rate and decrease contraction strength

D. Slow the heart with an decrease contraction strength - ANS-B. Speed up the heart rate and increase
contraction strength

105. What is abnormality of breathing rate, pattern, or effort called?

A. Dysphonia

B. Hypoxia

C. Dyspnea

D. Anoxia - ANS-C. Dyspnea

106. What are you required to report directly to law enforcement?

A. Presence of illegal drugs

B. Trauma caused by alcohol use

C. Suspected child abuse

D. Suspected sexual assault - ANS-D. Suspected sexual assault

107. What is the function of the ductus arteriosus?

A. Provide a way for fetal wastes to leave material circulation.

B. Allow blood to bypass the fetus's lungs before birth.

C. Allow the neonate to take a breath following delivery.

D. Decrease ambient pressure in the lungs before birth. - ANS-B. Allow blood to bypass the fetus's lungs
before birth.

108. You are dispatched to a residence for a 67 year old female complaining of chest pain. The patient is
pale, diaphoretic and describes are pain as crushing. Vital signs are BP 120/80, Pulse 100, Respirations
are 22 and oxygen saturation is 90 percent. Select the correct medications in order:

A. Oxygen, Morphine, Digoxin

B. Metoprolol, Nitroglycerine, Aspirin

C. Nitroglycerine, Aspirin

,D. Oxygen, Aspirin, Nitroglycerine - ANS-D. Oxygen, Aspirin, Nitroglycerine

109. What inherited metabolic disease of the lungs and digestive system manifests during childhood?

A. Multiple sclerosis

B. Cerebral palsy

C. Cystic fibrosis

D. Sickle cell disease - ANS-C. Cystic fibrosis

11. You are treating a 82 year old male in hypovolemic shock. In order to increase their blood pressure
you should administer:

A. 0.45% NaCl via IV

B. isotonic fluids orally

C. dextrose 5% in water via IO

D. isotonic crystalloid via IV - ANS-D. isotonic crystalloid via IV

110. Which stage of shock occurs when cardiac output and systolic blood pressures are maintained by
increasing catecholamine production?

A. Compensated shock

B. Uncompensated shock

C. Irreversible shock

D. Diffuse shock - ANS-A. Compensated shock

111. How many people does it take to provide Optimal BVM ventilation?

A. 1

B. 4

C. 3

D. 2 - ANS-C. 3 (Likely wrong, D. 2 is better IMO)

112. During the resuscitation of a 45 year old female you note a change in rhythm and the ECG now
shows sinus bradycardia. What should you do?

A. Assess for a pulse

B. Administer atropine

C. Obtain a blood pressure

D. Begin transcutaneous pacing - ANS-A. Assess for a pulse

, 113. A 23 year old alert and pregnant female complains of severe abdominal pain after an motor vehicle
crash. You note her stomach is rigid and distended. There is no vaginal bleeding or discharge. Vital signs
are BP 94/58, P 128, R 30 and shallow, SpO2 90%. What should you suspect?

A. Uterine rupture

B. Placenta previa

C. Placenta abruptio

D. Pre-term labor - ANS-A. Uterine rupture

114. A motor vehicle collided with an electrical pole resulting in downed power lines. A large crowd has
gathered around the accident. Whom should you call for support?

A. Volunteer Fire Department and Rescue Squad

B. Local Power Company and State Police

C. Volunteer Fire Department and State Police

D. Local Power Company and Volunteer Fire Department - ANS-B. Local Power Company and State Police

115. What effect does reducing preload have in a patient with pulmonary edema?

A. Decreased respiratory demand

B. Decreased cardiac efficiency

C. Increased afterload

D. Improved cardiac efficiency - ANS-D. Improved cardiac efficiency

116. Which of the following would properly represent a female who has been pregnant three times,
given birth twice, and had one spontaneous abortion?

A. P3, G2, AB1.

B. P5, G2, AB1.

C. G3, P2, AB1.

D. G2, P2, AB1. - ANS-C. G3, P2, AB1.

117. A 28 year old male has severe flank pain radiating to his back. He squirms around on the floor
unable to find a comfortable position, rating his pain a 9/10. He has consumed no fluids over the past
day. Vital signs are BP 200/80, P 100, R 18. What should you do?

A. Administer morphine or hydromorphone.

B. Apply oxygen by nonrebreather mask and transport.

C. Establish IV access and administer a fluid bolus.

D. Administer aspirin and nitroglycerin. - ANS-A. Administer morphine or hydromorphone.

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