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Paramedic FISDAP Final Exam: Questions and Answers with Rationales, Exams of Management of Health Service

Eastern Kentucky University (EKU)Management of Health Service

A comprehensive set of questions and answers for a paramedic final exam, covering various emergency medical scenarios. each question includes a detailed rationale, enhancing understanding and knowledge retention. the questions test critical thinking and problem-solving skills essential for paramedics. This resource is valuable for students preparing for paramedic certification or continuing education.

Typology: Exams

2024/2025

Available from 05/01/2025

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PARAMEDIC FISDAP FINAL EXAM||2025-
2026||/ACTUAL EXAM WITH 200 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES.
GRADED A+
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 QRS. 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.
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Download Paramedic FISDAP Final Exam: Questions and Answers with Rationales and more Exams Management of Health Service in PDF only on Docsity!

PARAMEDIC FISDAP FINAL EXAM||2025-

2026||/ACTUAL EXAM WITH 200 QUESTIONS AND

CORRECT DETAILED ANSWERS WITH RATIONALES.

GRADED A+

  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 tothe hospital her ECG shows a widening QRS. 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.
  1. An alert 22 year old male was just disentangled from debris in a house collapse. Hedenies 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
  4. 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.

ANSWER- - Fluid Overload.

  1. 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 118/80P115 R26 you should suspect. ANSWER-- Diabetic ketoacidosis
  2. 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. ANSWER-- Torn or lacerated spleen.
  3. 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? ANSWER-- Reposition the head.
  4. 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. ANSWER-- Start CPR

  1. 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. ANSWER-- Sodium Bicarbonate.
  2. A 27 year old male has been assaulted with a pen in the supraclavicular area. He isanxious 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. ANSWER-- Burp dressing
  3. 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.
  4. An 11 year old male has been skateboarding in 100 degrees temperature and
  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. - 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. - Increased capillary elasticity.
  3. 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. - Sepsis and hyperkalemia
  4. 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 - rapid atrial fibrillation.
  5. A 63 year old male is having a diabetic emergency. He is unresponsive R glucometer 28. You cannot establish IV access. You should - administer glucagon IM
  1. When setting up a night time landing zone for a helicopter what is the recommended area needed. - 100x
  2. A 67 year old with hypo-tension and bradycardia has no responded to pacing oratropine. You should - administer dopamine infusion

Perform transcutaneous pacing.

  1. A 48 year old patient is chocking on a hot dog. He is unresponsive apneic and has a strong pulse. Chest compression are infective at relieving the obstruction. You should. - use lagosopy and magill forceps to remove the object.
  2. 87 year male is complaining of dizziness. Physical exam revals pale cool and diaphoretic skin. Pulse matches ECG bradycardia. You should - administer atropine
  3. A 14 year old patient was pulled form a indoor pool. She is pulseless and apneic. You should - perform CPR endotracheal intubation establish an IV and administer epinephrine
  4. A trauma patient has lost approx 500ml of blood the amount of crystalloid solutionsneeded to replace this blood loss is - 1500 ml of saline ( 3 to 1 rule)
  5. 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 isbeating 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
  • 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 hasnot slept in four days because she does not need sleep. She usually takes lithium but

with forceps for more than 2 minutes. What should you advise him to do? - Remove the blade and attempt to ventilate.

  1. 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? - transport the patent to hospital
  2. 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. - Suction with a bulb syringe and ventilate.
  3. 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 disease and is talking verapamil. Vital signs are BP 160/90 pulse matches the ECG rhythm below R 16 skin warm and dry. and lungs clear bilateral. What should you do. - Nitroglycerin
  4. A 64 year old is sitting in his living room in moderate distress. He is able to speak to you in full sentences but claims he is not feeling right. Vitals signs are BP 1110/64 R 16. Pulse matches monitor (super vertical tachycardia) what should you

do. - vagal fluids adenosine.

  1. Which I V will be able to administer the most fluid in the least amount of time. - 14 gauge 1/2 inch IV catheter.
  2. A 30 year old man is breathing fast and deep. He works at a preschool and believesthat the

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 setthe drip rate at - 45 drops/min (clock)

  1. 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 - gently slip the cord over the infants head or clamp the cord in two places and cut between the clamps to release the cord.
  2. 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 - Tuberculosis
  3. A patient has surfaced rapidly from a deep dive and is now complaining of difficultlybreathing and extreme muscle and joint pain. You should - Transport rapidly to the nearest hyperbaric chamber.
  4. 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 - croup

  1. An 80 year old male has just collapsed. Vital signs are BP 90/40 pulse matchesECG 3 degree block R 20 What should you do? - Apply transcutaneous pacing.
  2. 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
  1. The termination of pregnancy for maternal health reasons is called a - therapeuticabortion
  2. While using the START system at a major incident you encounter a patient not breathing. After positioning the airway the patient breaths 16 a min. You should catagorize him as? - Immediate
  3. You are transporting the victim of a major trauma which occurred yesterday to a larger facility. This patient has been experiencing progressive hypoxemia. You hear coarse crackles blatantly during auscultation of the lungs and the pulse oximetry reading is falling in spite of the patent being intubated. You should suspect - that acuterespiratory distress syndrome has developed
  4. A 19 year old female is 25 weeks pregnant. She has server headache blurred vision and edema she has not regularly seen a doctor during her pregnancy. What other symptom should you expect. - hypertension
  5. Which of the following is a cause of multifocal atrial tachycardia - Electrolyteimbalance
  6. After receiving Narcan. A patient is waking up quickly and pulling at the

airway you have placed. Before removing it you should - prepare to begin suctioning

  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