PARAMEDIC FISDAP FINAL ACTUAL EXAM

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PARAMEDIC FISDAP FINAL ACTUAL EXAM

STUDY GUIDE 200 QUESTIONS WITH CORRECT

DETAILED ANSWERS

RATED

• 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.

• 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

• A 50 year old patient is found lying outside on the ground. The ambient temperature is 40

degrees F. You thermometer reads 20C 86F. He is in V-fib and pulseless and apneic. You should

• ANSWER>>Defibrillate once perform CPR intubate and transport rapidly.
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• To successfully accomplish nasotracheal intubation you should advance the endotracheal

tube though the glottic opening to coincide with patient - ANSWER>>Inhalation

• 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

• 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.

• 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

• 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.

• 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 2 / 4

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3 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.

• 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

• You are asked to set up a patient treatment area after a box labeled "radio active" was

found unattended in a park. Which of the following would be the best location. - ANSWER>>Building in the park

• 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

• What is the most common cause of status epilepticus in adults. - ANSWER>>Failure to take

prescribed medications

• A 58 year old male with history of renal failure complains of dizziness lethargy and 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.

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• 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 118/80 P115 R26 you should suspect. - ANSWER>>Diabetic ketoacidosis

• 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.

• 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.

• 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.

• 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

• Braxton Hicks contractions - ANSWER>>occur in the second trimester and are false labor.
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