PARAMEDIC FISDAP FINAL EXAM NEWEST 2024

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PARAMEDIC FISDAP FINAL EXAM NEWEST 2024

COMPLETE 200 ACCURATE QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)

GRADED A+

• 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.

• pleural effusion
• tension pneumothorax
• subcutaneous emphysema
• spontaneous pneumothorax - Correct 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.

• Increased capillary elasticity
• Increased venous return
• Decreased venous return
• Decreased intracranial pressure - Correct Answer - decreased venous return

• You are called to a nursing home on a hot summer day for an 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.

• Heart attack and stroke
• Sepsis and hyperkalemia
• Hypotension and severe flu
• Hemolytic anemia and heat stroke - Correct Answer - Sepsis and hyperkalemia 1 / 4

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• A patient involved in a motor vehicle crash has an obvious open femur fracture and

an angulated right forearm. He is bleeding server from a scalp laceration. His left arm is guarding his chest and he gasps "I can’t breathe". You should be MOST concerned by the

• femur fracture
• right forearm fracture
• head trauma
• respiratory difficulty - Correct Answer - respiratory difficulty

• A 37-year male is chocking and has become unconscious. Attempts to ventilate are

unsuccessful. you should

• give five abdominal thrusts
• perform a surgical airway
• suction the airway
• perform chest compressions - Correct Answer - perform chest compressions

• 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

• sinus tachycardia with aberrancy
• paroxysmal supraventricular tachycardia
• rapid atrial fibrillation
• a rhythm of ventricular origin - Correct Answer - rapid atrial fibrillation.

• A 63-year-old male is having a diabetic emergency. He is unresponsive R12

glucometer 28. You cannot establish IV access. You should

• administer glucose paste PO
• administer glucagon IM
• transport emergently
• administer D 50W 10 - Correct Answer - administer glucagon IM
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• When setting up a night time landing zone for a helicopter what is the recommended

area needed.

• 100x100 feet
• 25x25 feet
• 50x50 feet
• 300x300 feet - Correct Answer - 100x100

• A 67-year-old with hypo-tension and bradycardia has no responded to pacing or

atropine. You should

• an epinephrine infusion at 5-20 mcg/min
• 40 units vasopressin via intravenous infusion
• 1 mg epinephrine via intravenous infusion
• a dopamine infusion at 2-10 mcg/kg/min - Correct Answer - administer dopamine

infusion

• A 19-year-old male has suffered blunt trauma on his left chest. He complains of

server dyspnea and pain over the affected area. Vital signs are BP 92/60 P 128 R 32.Breath sounds are very diminished over the left chest. You should

• perform a needle thoracostomy
• perform an endotracheal intubation
• initiate two large bore IVs of normal saline (NS)
• perform a pericardiocentesis - Correct Answer - perform needle thoracostomy

• A 44-year-old patient has a persistent cough and occasional spits up bloody sputum.

He has been living in a a shelter for the past three weeks and he smells like alcohol you should.

• administer oxygen via non-rebreather mask
• put on an N95 mask and eye protection
• apply the ECG monitor and check for blood glucose level
• suction the airway and reassess - Correct Answer - Put on N95 mask and eye

protection. 3 / 4

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• While treating a patient with suspected TB. What type of personal protective

equipment is essential

• protective eyewear
• Surgical facemask
• Face-Shield mask
• HEPA respirator - Correct Answer - HEPA respirator

• A 2-year-old male has been sick over the last 48 hours with a low-grade fever runny

nose and upper respiratory infection. He has a seal bark cough. The patient is using accessory muscles to breath and appears fatigued his upper airway has stridor’s sounds. His lung sounds appear clear. SPO2 92% how would you treat the patient.

• Humidified oxygen, transport
• Oxygen, nebulized racemic epinephrine transport
• Nebulized albuterol with Atrovent reassess after 15 minutes
• Alternate between placing the patient in a humidified room and cold air from outside -

Correct Answer - Oxygen nebulized racemic epinephrine transport.

• A 48-year-old patient is chocking on a hot dog. He is unresponsive apneic and has a

strong pulse. Chest compression is infective at relieving the obstruction. You should.

• use laryngoscopy and Magill forceps to remove the object.
• force the object out of the way as you pass an endotracheal tube.
• place the patient into recovery position and transport immediately.
• perform chest thrusts, blind finger sweep, and attempt to ventilate - Correct Answer -

use lagomorph and Magill forceps to remove the object.

• 87-year male is complaining of dizziness. Physical exam rivals pale cool and

diaphoretic skin. Pulse matches ECG bradycardia. You should

• urinary calculi
• azotemia
• urinary tract infection
• disequilibrium syndrome - Correct Answer - administer atropine
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