2024-2025 WITH COMPLETE COMPETENT QUESTIONS

pg. 1 FISDAP Paramedic LATEST UPDATED REAL FINAL EXAM

2024-2025 WITH COMPLETE COMPETENT QUESTIONS

You 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?

• 800mg
• 1600mcg
• 1600mg
• 400mcg - ANSWER - A. 800 mg

• During the absolute refractory period, what happens to the cardiac cell?
• It is unable to be stimulated.
• The cell is vulnerable to partial stimulation.
• Potassium is being pumped out of the cell.
• Calcium has just rushed into the cell. - ANSWER - A. 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, neck, extremities
• Head, chest, abdomen
• Abdomen, pelvis, arms
• Chest, pelvis, extremities - ANSWER - B. Head, chest, abdomen

• Unequal pupils are a result of pressure on which structure?
• Central medulla
• Trochlear membrane
• Vagus nerve
• Occulomotor nerve - ANSWER - D. Occulomotor nerve 1 / 4

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• What is an abnormally high level of carbon dioxide in the blood called?
• Pneumonia
• Hypoxia
• Hypercapnia
• Emphysema - ANSWER - C. Hypercapnia

• What is oxygen deficiency in the body called?
• Hypercarbia
• Hyperoxia
• Hypoxia
• Hypoxemia - ANSWER - C. Hypoxia

• What is your initial priority at a trench collapse?

• Establishing medical command
• Maintaining control of the crowd
• Preventing a secondary collapse
• Protecting the patient's airway - ANSWER - A. 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?

• Hemorrhagic stroke
• Migraine
• Meningitis
• Influenza - ANSWER - C. Meningitis

• What causes an emphysema patient to have a pink appearance?
• Elevated PCO2 level 2 / 4

pg. 3

• Polycythemia
• Anemia
• Elevated PO2 level - ANSWER - B. Polycythemia

• Which of the following is a musical, squeaking or whistling sound heard in inspiration and expiration

while auscultating lung fields?

• Wheezing
• Snoring
• Stridor
• Gurgling - ANSWER - A. Wheezing

• You are treating a 82 year old male in hypovolemic shock. In order to increase their blood pressure

you should administer:

• 0.45% NaCl via IV
• isotonic fluids orally
• dextrose 5% in water via IO
• isotonic crystalloid via IV - ANSWER - D. isotonic crystalloid via IV

• 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. His is cold and rigid. What should you do?

• Perform chest compressions
• Begin active rewarming techniques
• Obtain IO access and administer a warm fluid bolus
• Contact the medical examiner - ANSWER - A. Perform chest compressions

• What does a pulsating mass in the abdomen suggest?
• Abdominal aortic aneurysm
• Perforated ulcer
• Hernia
• Ruptured ectopic pregnancy - ANSWER - A. Abdominal aortic aneurysm 3 / 4

pg. 4

• What is the safest and most effective landing pattern for a helicopter?
• At a slight angle like that of a jet
• Nose of the helicopter pointing up with a tail wind
• Straight up and down in a vertical motion
• Nose of the helicopter pointing down with a slow descent - ANSWER - A. At a slight angle like that of a

jet

• During inspiration, what happens to blood flow in the thoracic cavity?
• afterload increases
• blood flow increases to the right atrium
• blood flow through the vena cava is reduced
• pressure in the aorta increases - ANSWER - B. blood flow increases to the right atrium

• What is the period of the cardiac cycle when stimulation will not produce any depolarization?
• Impulse refractory period
• Absolute refractory period
• Relative refractory period
• Transient refractory period - ANSWER - B. 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 sign of continued ischemia
• A compensatory pause
• A non-compensatory pause
• Reynaud's Pause - ANSWER - B. A compensatory pause
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