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Paramedic Final Exam Questions and Answers: A Comprehensive Review, Exams of Management of Health Service

Oregon Institute of Technology (OIT)Management of Health Service

A valuable resource for paramedic students preparing for their final exams. it features a wide range of multiple-choice questions covering various emergency medical scenarios, each accompanied by detailed explanations of the correct answers. the questions test knowledge of patient assessment, treatment protocols, and critical decision-making in high-pressure situations, enhancing understanding of paramedic practice.

Typology: Exams

2024/2025

Available from 05/01/2025

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FISDAP PARAMEDIC FINAL EXAM||2025-2026|| 200+
QUESTIONS WITH CORRECT DETAILED
ANSWERS|A+GRADE
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?
- 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 QR. You should
administer
- 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
- 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.
- Answer sodium bicarbonate
5. Braxton Hicks contractions
- 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.
- Answer epidural hematoma
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Download Paramedic Final Exam Questions and Answers: A Comprehensive Review and more Exams Management of Health Service in PDF only on Docsity!

FISDAP PARAMEDIC FINAL EXAM|| 2025 - 202 6|| 200 +

QUESTIONS WITH CORRECT DETAILED

ANSWERS|A+GRADE

  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?
    • 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 QR. You should administer
  • Answer Sodium Bicarbonate.
  1. 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
  • Answer Transport emergency and continue ventilation.
  1. 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.
    • Answer sodium bicarbonate
  2. Braxton Hicks contractions
    • Answer occur in the second trimester and are false labor.
  3. 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.
  • Answer epidural hematoma
  1. 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?
    • Answer Assist ventilations at 12 breaths per minHg.
  2. 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
  • Answer Epinephrine 0.3mg
  1. 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.
    • Answer Building in the park
  2. You are at a house fire with multiple patients. Which patient should be transported First to a burn center?
    • Answer 52 - year-old with second degree burns to face and right hand
  3. What is the most common cause of status epilepticus in adults.
  • Answer Failure to take prescribed medications
  1. A 58 - year-old male with history of renal failure complains of dizziness lethargyand 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. - Answer Fluid Overload.
  1. 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.
  • Answer 50 joules.
  1. 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?
    • Answer Transport the patient by ambulance monitor closely and administer fluids en route.
  2. 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.
  • Answer Decreasing preload
  1. A 50-year-old patient is found lying outside on the ground. The ambient temperature is 40 degrees F. Your thermometer reads 20C 86F. He is in V-fib and pulseless and apneic. You should
    • Answer Defibrillate once perform CPR intubate and transport rapidly.
  2. To successfully accomplish nasotracheal intubation you should advance the endotracheal tube though the glottic opening to coincide with patient
    • Answer Inhalation
  1. 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 . - Answer Spontaneous pneumothorax
  2. 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.
  • Answer Increased capillary elasticity.
  1. 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.
  • Answer Sepsis and hyperkalemia
  1. 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
  • Answer rapid atrial fibrillation.
  1. A 63 year old male is having a diabetic emergency. He is unresponsive R12 glucometer 28. You cannot establish IV access. You should
    • Answer administer glucagon IM
  2. When setting up a night time landing zone for a helicopter what is the recommended area needed.
    • Answer 100x
  3. A 67 year old with hypo-tension and bradycardia has no responded to pacing or atropine. You should
    • Answer administer dopamine infusion
  1. 87 year male is complaining of dizziness. Physical exam revals pale cool and diaphoretic skin. Pulse matches ECG bradycardia. You should - Answer administer atropine
  2. A 14 year old patient was pulled form a indoor pool. She is pulseless and apneic. You should - Answer perform CPR endotracheal intubation establish an IV and administer epinephrine
  3. A trauma patient has lost approx 500ml of blood the amount of crystalloid solutions needed to replace this blood loss is - Answer 1500 ml of saline ( 3 to 1 rule)
  4. A 43 year old female has been stuck in the chest with a baseball bat. There is a large bruise over her sternum. She is obversely in pain an states her heart feels like it is beating funny Vital signs are BP 109/80 P 124 and irregular R 22 The ECG show sinus tachycardia with ST elevation and frequent PVC's. You should suspect
  • Answer myocardial contusion
  1. A 28 year female is speaking very quickly and stating that she is going see the president of the united states after she buys all her family members a new car. She has not slept in four days because she does not need sleep. She usually takes lithium but ran out of her prescription about a week ago. vitals 144/88 P 128 R 28 you should suspect. - Answer manic phase of bipolar disorder
  2. A restrained 23 year old pregnant female is her third trimester was involved in a head on motor vehicle collision. She complains of abdominal pain. initial vital signs are BP 110/70 P 90 R 20. After rapid extrication and spinal immobilization via long spine board her vital signs are BP 90/40 P 110 R 28 what is the most likely explanation for her change in vitals. - Answer Supine hypotensive syndrome
  1. A 3 month old infant who weighs 6kg has a history of congenital heart disease. Vital signs are R60 the ECG hows a narrow complex tachycardia at a rate or 240 cyandic nail beds and spo2 at 88% what should you administer. - Answer 0.6 or adenosine IV
  2. A 44 year old male fell from a ladder and is now complaining of pain in the middle of his back at the level of his shoulders blades. He responds to verbal stimulus and vitals signs are BP 70/50 P64 R 20. The patient is most likely suffering from - Answer neurogenic shock
  3. A 63 year old female chocked on a piece of steak and is apneic. You partner has visualized a partial obstruction in the trachea. He has been trying to grab it with forceps for more than 2 minutes. What should you advise him to do? - Answer Remove the blade and attempt to ventilate.
  4. An unconscious 13 year old patient has minor abrasion on his torso after being struck by a vehicle. The child's parents are not on scene law enforcement and an EMS supervisor are on scene You should? - Answer transport the patent to hospital
  5. A 38 year old female is crowing. You note the amniotic fluid contains a substance resembling pea soup. An apneic blue limp infant with a heart rate of 80 beats is delivers. How should you treat the infant. - Answer Suction with a bulb syringe and ventilate.
  6. A 56 year old female has a sudden onset of substernal chest pressure. She denies any shortness of breath or nausea. She has a history of arthrosporic heart
  1. A 73 year old male has several fractured ribs on his right side with unequal chest wall movement. He has dyspnea and diminished breath sounds on the right. Vital signs are BP 124/76 P124 R 26 and shallow. His trachea is mid line and neck veins are flat. Most likely has - Answer a flail chest segment
  2. You have just converted a 318 lb cardiac arrest patient into a normal sinus rhythm. She is hypotensive and you have been ordered to start the an epinephrine drip at 3mcg/min using a 60 drip set. You have mixed a 4:1 concentration of epinephrine and should set the drip rate at - Answer 45 drops/min (clock)
  3. You are assisting with a deliver and the infants head has been deviled. You notice the umbilical cord is wrapped around the infants neck. You should - Answer gently slip the cord over the infants head or clamp the cord in two places and cut between the clamps to release the cord.
  4. A 50 year old male is complaining of a chronic cough. He has lost his appetite and has had hot flashes and periods of sweating during the night. He has noticed some red specks in his sputum when he coughs. You should suspect - Answer Tuberculosis
  5. A patient has surfaced rapidly from a deep dive and is now complaining of difficultly breathing and extreme muscle and joint pain. You should - Answer Transport rapidly to the nearest hyperbaric chamber.
  1. It is mid-December and a 13 month old child is awakened in the middle of the night with barking cough and inspiratory stridor. The child has been ill for a few days with chills and congestion. You should suspect - Answer croup
  2. An 80 year old male has just collapsed. Vital signs are BP 90/40 pulse matches ECG 3 degree block R 20 What should you do? - Answer Apply transcutaneous pacing.
  3. A patient involved in a motor vehicle crash has an obvious open femur fracture and an angulated right forarm. He is bleeding servery from a scalp laceration. His left arm is guarding his chest and he gasps "i cant breath". You should be MOST concerned by the - Answer respiratory difficulty
  4. A 37 year male is chocking and has become unconscious. Attempts to ventilate are unsuccessful. you should - Answer perform chest compressions
  5. An unconscious 78 year old male post cardiac arrest is being actively ventilated with a bag valve mask. Initial vitals are BP 98/40 P 82 and irregular. After several minutes reassessment of vital signs are etco2 22 BP 68/28 and irregular spo2 92 you should - Answer decrease the rate of respirations
  6. An 86 year old female presents with a rhythm in the ECG she is immobile due to server arthritis and has a history or atherosclerosis and hypertension. What should you suspect - Answer Left ventricular hypertrophy LVH
  7. A 37 year old suicidal male is bing violent. Police has pinned him in a prone position but he
  1. A 66 year old male complains of server dyspnea. His has breath sounds on the right and diminished on the left. He has a long history of cigarette smoking. Vital signs are BP 80/30 P124 R 26 and shallow SPO2 88% on 4 lpm What should you suspect? - Answer Emphysema exacerbation
  2. A patient is complains of left calf pain. The left leg is cool to the touch and paler than the right leg. You should suspect - Answer Arterial occlusion
  3. After placing a combitube bilateral breath sounds are present and chest rise is equal. You notice quiet gurgling in the stomach with each ventilation. You should.
  • Answer add air to the distal cuff
  1. A seven month old is breathing at a rate of 60 per min. He has nasal flaring and intercostal retractions. You hear stridorous noises on inspiration. This is most likely caused by a - Answer foreign body obstruction the upper airway
  2. A 28 year old suffered a head injury. Vital signs a BP 140/120 P 55 R 30 and irregular. Which of the following signs would you expect to see in this patient. - Answer Decerebrate posturing
  3. During transportation you PT becomes very upset complaining about her medical expenses. How should you respond? - Answer You seem angry is there any way hat i can help
  4. Which of the following pharmacological agents are most likely to cause premature arterial

contractions. - Answer stimulants

  1. You are dispatched to a house early on the morning for a family complaining of headaches and nausea. You should - Answer evacuate the house.
  2. A patient is threatening suicide because his wife left him. Which of the following statements or questions would be appropriate? - Answer What method had you intended to use to kill yourself
  3. A 44 year old male complains of extreme fatigue headache and fever with pain in this right upper quadrant and joints. He admits to a history of alcoholism and smoking two pack per day for the past 20 years his skin and sclera are yellow in color. You should suspect - Answer hepatitis
  4. A patient was just pulled from a burning building. You have started oxygen and initiated transport. While en route to the hospital you notice singed hairs around his face and a spot around his nose and mouth.. He is coughing up black sputum mixed with blood and shows signs of increasing hypoxia. Which developing condition is your biggest concern. - Answer Laryngeal edema
  5. A 65 year old female complain of sudden onset of server migraine headache. Vitals signs are BP 140/90 P 120 R 22. She has been non complaint with her prescribed imitrex. You should administer - Answer morphine
  6. Which of the following will cause a patient with a tension pneumothorax to become hypotensive - Answer an increase in intrathoracic pressure
  1. A 21 year old male is intoxicated he was struck in the head with a bat 3 hours prior to arrival. He has suddenly began acting aggressive towards his friends. A police officer on scene states " i want to arrest him" you should - Answer suspect hypoxia and head injury and transport the patient to a hospital
  2. A 5 year old has a sudden onset of high fever score throat and pain on swallowing. His voice is muffled and he is drooling. You should suspect - Answer epiglottis
  3. A 19 year old intoxicated female is distraught after being involved in a MVC she is complaining of pain in her head and multiple superficial facial lacerations. Vitals 88/40 P 128 R 28 you should suspect - Answer neurogenic shock or Hypovolemia do to bleeding from other injury's
  4. You are working during inclement weather in a remote location. The nearest hospital is more than two hours away. Your patient just delivers a healthy baby boy but has inverted her uterus. What orders you expect from an online physician
  • Answer Replace the inverted uterus with a gloved hand
  1. A 67 year old female with a history of diabetes complainants of nausea and began vomiting an hour ago. She denies any pain her blood glucoses is 208 her skin is cool and pale vital signs are BP 146/88 R 24 P 126 and irregular. What should you suspect - Answer Myocardial infarction
  2. A 34 year old female crashed her motorcycle while wearing an open face helmet. She is

unconsciousness her facial bones and soft tissue are missing from the nose to the upper part of her neck. You are having difficulty ventilating her and you can see bubbles coming from the center of a large mass of tissues when she exhales. You should - Answer insert an ET at the site of the bubbles

  1. A 14 year old female is crying and complain of knee pain after a soccer injury. The knee is deformed and obviously angulated. Distal pulses are intact. You should - Answer apply ice split in position found and transport
  2. A 53 year old man fell from a ladder. he has multiple abrasions and localized swelling on his head. You have oratorically intubated him. His ETOC2 is 30 his pupils are midpoint and reactive how many times per minute should you ventilate
  • Answer 10
  1. A patient involved in a fist fight. He complains of point tenderness in the right upper abdominal quadrant. You should suspect injury to the - Answer liver
  2. Successful intubation of a newborn is more successful by placing padding under the - Answer shoulders
  3. For the past 5 min you have been providing ventilations to an intubated patient and performing CPR it is becoming progressively more difficult to ventilate and the chest is moving less during inspiration. What should you suspect - Answer tension pneumothorax

110 A 22 year old pregnant patient is experiencing a significant amount of painless bleeding shorty after sexual intercourse. The most likely cause is - Answer placenta previa

  1. An elderly patient has been ill for last few days and has been vomiting. He reports chest discomfort and is now pale and diaphoretic. Vitals BP 130/70 R24. ECG shows (afib RVR) You administer oxygen and now have an IV you should. - Answer Fluid bolus
  2. Signs and symptoms of hypoglycemia may mimic which of the following conditions - Answer CVA
  3. A patient complains of server right upper quadrant pain. Right scapula pain and nausea after eating a cheeseburger you should suspect - Answer cholecystitis
  4. Your patent is suffering from exacerbated emphysema which of the following medications is least likely to be a part of his standard therapy - Answer nitrates
  5. A 7 year old has a suspected broken arm and numerous bruises what finding would lead you to suspect that a mothers account of the injures may not be true. - Answer You note purple yellow and green bruises ( indicates different stages of healing)
  6. A 19 year old female collapsed in the top bleaches during a concert. She is unresponsive and does not appear to be breathing. how should you asses her respiratory status? - Answer place a hand on the chest
  1. Followng a cardioversion of a 72 year old female she coverts to the rhythm bellow ( 3 degree) you identity this as - Answer third degree heart block
  2. A 13 year old has been found unresponsive. Her mother proves you with a prescription bottle of Oxycontin. What should you give? - Answer narcan 119 A man was involved in a lateral impact auto accident that deformed the vehicle. The patient could have sustained a? - Answer traumatic aortic dissection 120 You are assisting with vaginal delivery. The infant head has been delivered and the mouth and nose suction. To deliver the anterior shoulder you should - Answer gently guide the infants head downward
  3. A 22 year old female 22 weeks pregnant is experiencing abdominal discomfort during evaluation you notice the umbilical cord is pressing the vaginal canal. How should the patient be positioned - Answer supine with legs open
  4. Which of the following situations constitutes abandonment? - Answer A patient is unattended in the ambulance while loading a second patient
  5. A patient is arching his back and rolling his eyes upward. He was recently prescribed compazine. How should you teat this patient? - Answer 25 mg benadryl IVP