FISDAP Trauma, Medical, Airway, Cardiology, OBGYN, Operations Exam Practice Questions with Answers 2021/2022 | FINAL PARAMEDIC FISDAP COMPLETE STUDY GUIDE

1. An alert 18 year old female is found trapped in her car after a single
   motor vehicle crash. The air bag deployed and she denies any head or neck
   pain, but she complains of hip and left leg pain. When she is finally
   extricated from the car, her vital signs begin to collapse. What shock is she
   transitioning from?
   A. neurogenic shock to hypovolemic shock.
   B. decompensated shock to compensated shock.
   C. compensated shock to decompensated shock.
   D. decompensated shock to hypovolemic shock.
2. Which of the following mechanism of injuries would NOT be significant for
   an adult?
   A. Death in the same passenger compartment.
   B. Fall from more than ten feet.
   C. Ejection from vehicle.
   D. Altered mental status.
3. A 20 year old female has burns on her chest, abdomen, and on the anterior
   side of her right arm. What percentage of body is burned?
   A. 22.5%
   B. 27%
   C. 40.5%
   D. 18%
4. Before placing an unconscious 6 year old on a long backboard, what should
   you do?
   A. Place padding directly underneath the head.
   B. Place padding underneath the shoulders.
   C. Contact the parents for consent.
   D. Asses vital signs.
5. What best defines shock?
   A. Lack of adequate perfusion to the tissues.
   B. Hemorrhage exceeding 50% of total blood volume.
   C. Deficiency of vascular tone due to hemorrhage.
   D. Inadequate cerebral blood flow.
6. Your patient’s vehicle was struck by another motorist from behind. What
   should you do?
   A. Perform a head-to-toe examination.
   B. Stabilize the cervical spine.
   C. Administer high-flow oxygen.
   D. Apply a half-spine immobilization device.
7. An 18 year old female was hit and has 4 teeth pushed into the upper gums of
   her jaw. She complains of severe pain and discomfort. Bleeding is minimal and
   vital signs are BP 120/90, R 16, P 88, SpO2 96%. What should you do?
   A. Administer aspirin for pain.
   B. Insert an oropharyngeal airway to maintain patency.
   C. Apply oxygen by nonrebreather mask at 15 lpm.
   FISDAP Trauma Questions with Answers 2021/2022, (100%
   Correct)
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D. Monitor her bleeding and ensure a patent airway.

8. An injury produced by wounding forces of compression and change of speed,
   both of which can disrupt tissue is defined as.
   A. Third degree Trauma.
   B. Penetrating trauma.
   C. Blunt trauma.
   D. Cavitation.
9. A 34 year old female has been bleeding vaginally for two hours. She is
   anxious, alert, and oriented. Her skin is cool, pale, and diaphoretic. Vital
   signs are BP 116/70, P 118, R 20. What should you suspect?
   A. Hypotensive shock
   B. Hypertensive shock
   C. Decompensated shock
   D. Compensated shock
10. What is a contraindication of a traction splint?
    A. Signs of hypoperfusion
    B. Swelling or deformity to the thigh
    C. Pelvic fracture
    D. Potential spinal injury
11. A 56 year old male involved in a car accident complains of chest and
    abdominal pain. Pulses differ by 10 mmHg systolic bilaterally and lung
    sounds are muffled. To which artery should you suspect a rupture?
    A. Subclavian artery
    B. Carotid artery
    C. Iliac artery
    D. Radial artery
    Scenario:
12. A 32 year old female attempted to commit suicide by taking sleeping pills
    and cutting her wrists. She has dark red blood oozing from the wrist
    lacerations. Vital signs are BP 90/52, P 130 and weak, R 18. What type of
    bleeding and shock is she experiencing?
    A. Venous bleeding with hypovolemic shock.
    B. Capillary bleeding with cardiogenic shock.
    C. Arterial bleeding with hypovolemic shock.
    D. Venous bleeding with neurogenic shock.
13. Unequal pupils are a result of pressure on which structure?
    A. Occulomotor nerve
    B. Central medulla
    C. Trochlear membrane
    D. Vagus nerve
14. A 41 year old male has been injured in an explosion at a chemical
    laboratory. He has a ruptured tympanic membranes and sinus injuries. At what
    phase of the blast did the patient sustain the sinus injuries?
    A. Primary
    B. Ultimate
    C. Tertiary
    D. Secondary
15. When protecting the cervical spine of a suspected trauma patient, what
    should you do?
    A. Place gentile traction to straighten the cervical spine.
    B. Hold the cervical spine in the position found.
    C. Place a rigid collar on the neck prior to continuing with the rest of the
    assessment.
    D. Hold the neck in a neutral, in-line position.
16. What is a mechanism of obstructive shock?
    A. Myocardial infarction
    B. Spinal cord injury
    C. Acute fluid loss
    D. Tension pneumothorax
17. Which of the following is the first sign of shock that usually appears in
    patients?
    A. Changes in vital signs
    B. Pale, cool, and clammy skin
    C. Altered mental status
    D. Nausea and vomiting
18. Which of the following describes bruising or discoloration behind the ears
    as a result of a fractured skull?
    A. Babinski’s
    B. Silver fork
    C. Cushing’s
    D. Battle’s
19. What is the correct technique when splinting a suspected finger fracture?
    A. Apply a straight, flat, and rigid splint to the finger.
    B. Place an arm board under the wrist and wrap with curlex.
    C. Tape the fractured finger to a neighboring finger only.
    D. Immobilize the hand and finger in a pillow and apply ice.
20. After initial treatments of an arterial bleed in the left forearm are
    unsuccessful. What should you do?
    A. Apply a tourniquet.
    B. Lower the extremity.
    C. Apply pressure to the radial artery.
    D. Apply pressure to the subclavian artery.

1. What is the effect of oral glucose?
   A. Lowers blood sugar
   B. Raises blood sugar
   C. Stimulates gluconeogenesis
   D. Increases the rate of digestion
2. A 14 year old male is hot, dry and complaining of nausea and vomiting after
   mowing the lawn. What should you suspect?
   A. Hypothermia
   B. Heat exhaustion
   C. Heat stroke
   D. Hyperemesis
3. What occurs during compression of the inferior vena cava?
   A. Preeclampsia
   B. Supine hypotensive syndrome
   C. Pregnancy induced hypertension
   D. Eclampsia
4. An unresponsive 32 year old female was pulled from a frozen lake after 3
   minutes of submersion. Vital signs are BP 90/70, P 24, R 8. Why is it
   important to handle her gently while transporting?
   A. Any lung damage due to submersion is greatly reduced.
   B. She could go into shock.
   C. It prevents her from losing any limbs.
   D. She could convert into V-Fib or V-Tach rhythm.
5. A 56 year old male complains of chest pain after shoveling the driveway.
   He states that his pain was a 9/10, but it is now a 5/10 after rest and taking
   2 of his nitroglycerin. Vital signs are BP 100/66, P 87, R 16. What should
   you do?
   A. Apply high-flow oxygen.
   B. Apply pulse oximetry.
   C. Obtain a second set of vital signs.
   D. Administer aspirin.
6. A 71 year old female is short of breath and has lower leg pain. She took 2
   doses of her prescribed nitroglycerine and 324 mg aspirin 10 minutes ago.
   Vital signs are BP 160/90, P 88, R 24, SpO2 88%. What should you do?
   A. Administer a third dose of nitroglycerin.
   FISDAP Medical Questions with Answers 2021/2022 (Answers on Last Page)

B. Apply oxygen by non-rebreather mask.
C. Administer an additional dose of aspirin.
D. Obtain a second set of vital signs.

7. A 66 year old female has shortness of breath and diffuse back pain.
   Auscultation of lungs reveal crackles in the bases. Vital signs are BP
   170/110 and P 112. What should you do administer?
   A. Adenosine
   B. Furosemide
   C. Albuterol
   D. Nitroglycerin
   Scenario:
8. An unresponsive 2 day old female is in respiratory distress. Her skin is
   cyanotic and vital signs are P 184, R 72. What should you do?
   A. Assist her ventilations.
   B. Administer albuterol.
   C. Apply blow-by oxygen.
   D. Asses for a blood pressure.
9. A 22 year old male complains of shortness of breath with diminished lung
   sounds on the right side. Vital signs are BP 130/90, P 86, R 24. What should
   you suspect?
   A. Asthma attack
   B. Pneumothorax
   C. Tension pneumothorax
   D. Exacerbation of COPD
10. An 66 year old female had a syncopal episode while attempting to stand up.
    She describes a history of COPD, CHF, and gout. Vital signs are BP 96/40, P
    56, R 18. What should you suspect?
    A. Rapid increase of insulin.
    B. Increase in oxygen levels.
    C. Decrease in cerebral blood flow.
    D. Hypoglycemic event.
11. What is the best protection from contracting a communicable disease from a
    patient?
    A. Frequent hand washing.
    B. Changing clothes after run.
    C. Wearing goggles during run.
    D. Putting on a mask.
12. An anxious 55 year old male is severely short of breath and is coughing up
    pink frothy sputum. He is sitting upright and tells you that his “feet are
    more swollen than normal.” Vital signs are BP 202/112, P 110, R 36 with
    crackles. What should you do?

A. Obtain a detailed medical history.
B. Position him supine and apply high-flow oxygen.
C. Administer aspirin.
D. Assist his ventilations with a BVM.

13. A 34 year old male complains that people are “out to hurt me.” He thinks
    you are attempting to kill him with poison gas while applying a non-rebreather
    mask. What should you do?
    A. Position the mask for blow-by oxygen.
    B. Forcefully restrain him then apply the mask.
    C. Switch to a nasal cannula.
    D. Explain the benefits of oxygen.
14. What condition is caused by twisting of the spermatic cord, resulting in a
    sudden onset of severe scrotal pain?
    A. Epididymitis
    B. Urinary calculi
    C. Priapism
    D. Testicular torsion
15. How should you treat asystole in a patient?
    A. Shock with an AED.
    B. Provide positive pressure ventilation.
    C. Provide chest compressions.
    D. Administer high-flow oxygen.
16. A 45 year old female had a return of spontaneous circulatoin (ROSC) after
    10 minutes in cardiac arrest. She is unresponsive. Vital signs are BP 96/40, P
    88, R 18, SpO2 74%. What should you do?
    A. Assist her ventilations with a BVM.
    B. Continue to use the AED to analyze her pulse.
    C. Position her in a recovery position and apply high-flow oxygen.
    D. Provide low-flow oxygen by non-rebreather mask.
17. A 16 year old boy tells you that he “caught” his 40 year old mother
    “holding a handful of sleeping pills.” The son explains that she is
    depressed, and he is convinced that she meant to kill herself. She is
    extremely agitated and is refusing treatment. What should you do?
    A. Carefully document the woman’s refusal and have her sign the form.
    B. Request law enforcement assistance to transport the patient.
    C. Contact social services to recommend they follow up on this family.
    D. Encourage the patient to see a mental health professional that day.
18. A 76 year old female complains of chest pain on the right side directly
    above her 4th intercostal space. She states that she had a “hip replaced” a
    couple of weeks ago and that she is recovering well. What should you suspect?
    A. Pulmonary embolism
    B. Acute coronary syndrome
    C. Pnemothorax
    D. Myocardial infarction
19. A 22 year old intoxicated male responds to voice by moaning. You note
    vomit in his airway, what should you do?
    A. Insert a nasal airway.
    B. Suction the mouth.
    C. Manually stabilize c-spine.
    D. Turn the patient on his side.
20. What is the movement of drugs in the body as they are absorbed,
    distributed, metabolized, and excreted called?
    A. Pharmacodynamics
    B. Pharmacokinetics
    C. Biotransformation
    D. The mechanism of action
    Scenario:
21. A 32 year old female attempted to commit suicide by taking sleeping pills
    and cutting her wrists. She has dark red blood oozing from the wrist
    lacerations. Vital signs are BP 90/52, P 130 and weak, R 18. What type of
    bleeding and shock is she experiencing?
    A. Venous bleeding with hypovolemic shock.
    B. Arterial bleeding with hypovolemic shock.
    C. Capillary bleeding with cardiogenic shock.
    D. Venous bleeding with neurogenic shock.
22. What is a sign of an upper GI bleed?
    A. Dark black emesis
    B. Dry warm skin
    C. High blood pressure and dizziness
    D. Pain in the right shoulder
23. A 40 year old male was stung by a bee. His skin is pink and dry, his lung
    sounds are clear and he has equal chest rise. Vitals are BP 122/82, P 78, R
    18, SpO2 98%. What should you do?
    A. Administer high-flow oxygen by non-rebreather mask.
    B. Assist with the administration of his EpiPen.
    C. Contact poison control.
    D. Perform a secondary assessment.

1. Where does the stimulus to breathe originate?
   A. Spinal cord
   B. Diaphragm
   C. Heart
   D. Brainstem
2. What is the proper way to measure an oropharyngeal airway?
   A. The nose to the xyphoid process.
   B. From the center of the mouth to the angle of the jaw.
   C. From the tip of the nose to the lobe of the ear.
   D. By the size of the patients thumb.
3. During respiration, where does the process of the gas exchange occur?
   A. Trachea
   B. Aveoli
   C. Epiglottis
   D. Bronchioles
4. A conscious 32 year old complains of difficulty breathing. He is coughing
   while pointing to his throat. What should you do?
   A. Give four strong blows to the back.
   B. Place him supine and begin CPR.
   C. Encourage him to keep coughing.
   D. Administer abdominal thrusts.
5. A 34 year old female has fallen from a height of 10 feet. She is
   unresponsive with snoring respirations. What should you do?
   A. Use the jaw-thrust maneuver.
   B. Support her head and neck with a rolled towel.
   C. Attempt the chin-lift maneuver.
   D. Apply a cervical collar.
6. How much oxygen will a pocket mask on room air deliver?
   A. 92%
   B. 17%
   C. 10%
   D. 23%
7. An unresponsive 44 year old male has an oral airway and is being
   ventilated. He suddenly regains consciousness and starts to gag. What should
   you do?
   A. Insert a nasal airway.
   B. Request ALS to sedate the patient.
   C. Remove the airway and apply high-flow oxygen.
   D. Suction the airway and leave the adjunct in place.
   FISDAP Airway Exam Practice Questions with Answers 2021/2022 –
   (Answers on last Page)
8. Which of the following is a musical, squeaking or whistling sound heard in
   inspiration and expiration while auscultating lung fields?
   A. Gurgling
   B. Snoring
   C. Stridor
   D. Wheezing
9. A 29 year old male crashed his motorcycle. He is unconscious and the lower
   portion of jaw is torn from his face. He has gurgling respirations with
   bleeding into throat. What should you do?
   A. Insert an oropharyngeal airway.
   B. Perform a head chin tilt and apply a non-rebreather mask.
   C. Apply a nasal cannula and suction as needed.
   D. Apply a c-collar and administer blow-by oxygen.
10. You find a patient in the tripod position. What should you suspect?
    A. A cardiac emergency
    B. Gastrointestinal distress
    C. Respiratory distress
    D. A transischemic attack
    Scenario:
11. A 54 year old female is unresponsive and laying supine on the floor. What
    should you do?
    A. Obtain a set of vital signs.
    B. Insert an oral airway.
    C. Start CPR.
    D. Check for a carotid pulse.
12. What is the leading cause of infant and child death?
    A. Congenital defects
    B. Vascular stenosis
    C. Allergic reactions
    D. Respiratory arrest
13. What is the normal rate of breathing for an adult?
    A. 28 to 36 breaths per minute.
    B. 6 to 10 breaths per minute.
    C. 22 to 26 breaths per minute.
    D. 12 to 20 breaths per minute.
14. What is the coarse sound of fluid movement heard on inspiration called?
    A. Rhonchi
    B. Snoring
    C. Crackles
    D. Gurgling
15. What is the area where the base of the tongue and the epiglottis meet
    called?

Cardiology Exam Practice Questions

1. A 87 year old female has bilateral rales. What should you suspect?
   A. Abdominal edema
   B. Pulmonary edema
   C. Pedal edema
   D. Sacral edema
2. What is the most common complaint of patients with cardiac compromise?
   A. Dyspnea
   B. Hypotension
   C. Hypertension
   D. Leg pain
3. A 14 year old male is recovered from a 30F pond after falling through the
   ice 10 minutes ago. How should he be moved to the ambulance?
   A. Fireman’s carry
   B. Sliding him across the ice in a stokes basket
   C. Dragging slowly by his torso
   D. Gently on a backboard
4. A 56 year old male complains of “squeezing” chest pain after doing yard
   work. He states the pain has subsided slightly with rest. What should you do?
   A. Assist with his prescribed nitroglycerin
   B. Assess his vital signs
   C. Administer oxygen
   D. Administer aspirin
5. What are the names of the four valves in the heart?
   A. Left Atrial, Right Atrial, Septal, Ventricular
   B. Mitral, Tricuspid, Pulmonic, Aortic
   C. Mitre, Trigeminal, Pulmonary, Aorta
   D. Ventral, Caudal, Transverse, Lateral
6. A 75 year old male describes sharp, tearing pain in his abdomen and back.
   Blood pressures are 114/ in his left arm 60/0 in his right arm. He is cool,
   pale and diaphoretic. What should you suspect?
   A. Acute mycardial infarction
   B. Pulmonary embolism
   C. Aortic dissection
   D. Simple pneumothorax
7. A 76 year old female complains of chest pain on the right side directly
   above her 4th intercostal space. She states that she had a “hip replaced” a
   couple of weeks ago and that she is recovering well. What should you suspect?
   A. Myocardial infarction
   B. Pulmonary embolism
   C. Pnemothorax
   D. Acute coronary syndrome
   Scenario:
8. A 32 year old female attempted to commit suicide by taking sleeping pills
   and cutting her wrists. She has dark red blood oozing from the wrist
   lacerations. Vital signs are BP 90/52, P 130 and weak, R 18. What type of
   bleeding and shock is she experiencing?
   A. Venous bleeding with neurogenic shock.
   B. Capillary bleeding with cardiogenic shock.
   C. Venous bleeding with hypovolemic shock.
   FISDAP Cardiology Exam Practice Questions with Answers 2021/2022 –
   (Answers on last Page)

D. Arterial bleeding with hypovolemic shock.

9. A 71 year old female is short of breath and has lower leg pain. She took 2
   doses of her prescribed nitroglycerine and 324 mg aspirin 10 minutes ago.
   Vital signs are BP 160/90, P 88, R 24, SpO2 88%. What should you do?
   A. Apply oxygen by non-rebreather mask.
   B. Obtain a second set of vital signs.
   C. Administer an additional dose of aspirin.
   D. Administer a third dose of nitroglycerin.
10. An 84 year old man is in cardiac arrest in the passenger seat of a vehicle
    following a single car crash. The driver tells you that his passenger had
    complained of chest pain prior to the car crash. What should you do?
    A. Contact the patient’s personal physician.
    B. Treat the other patients while attempting to contact medical control.
    C. Establish an incident command post.
    D. Start CPR and call for additional ambulances.
    Scenario:
11. A 62 year old female complains of chest pain and shortness of breath. She
    is extremely anxious. Vital signs are BP 80/56, P 118, R 24 with crackles,
    SpO2 87%. What is the most likely cause?
    A. Cardiogenic shock
    B. Right-sided heart failure
    C. Hypovolemic shock
    D. Pulmonary embolus
12. Which of the following is a contraindication for Nitroglycerin?
    A. MAO Inhibitors.
    B. Renal failure.
    C. Hypotension.
    D. Pulmonary hypertension.
13. A 64 year old male is unresponsive. Bystanders tell you he has been down
    for 10-15 minutes and resuscitation efforts have not been attempted. What
    should you do?
    A. Ventilate him with a BVM.
    B. Assess a carotid pulse.
    C. Apply and AED.
    D. Request ALS intercept.
14. What does the “O” in the OPQRST mnemonic stand for?
    A. Occult injury
    B. Observe
    C. Oral intake
    D. Onset
    Scenario:
15. A 42 year old female is unconscious and apneic. What should you do?
    A. Assess the carotid pulse.
    B. Perform a jaw thrust maneuver.
    C. Insert oralpharyngeal airway.
    D. Open the airway with a head-tilt.
16. An unrestrained 47 year old female is in cardiac arrest after car crash on
    the freeway. She has been pulseless for 20 minutes and CPR was withheld. What
    should you do?

Pediatrics & Obstetrics/Gynecology Exam Practice Questions

1. You notice a brownish green fluid pasing from a 23 year old female while giving
   birth. What should you do?
   A. Using a gloved hand prevent the fetus from fully delivering.
   B. Using a glove hand attempt to visualize the cord for a rupture.
   C. Stimulate the fetus immediately after delivery.
   D. Suction the mouth and nose of the fetus after delivery.
2. A 36 year old pregnant female has severe abdominal pain. In what position you
   transport her?
   A. Supine with her head slightly elevated.
   B. Right lateral recumbent.
   C. In the position of comfort.
   D. Left lateral recumbent.
3. Which of the following women is most likely in the first stage of labor?
   A. A woman whose contractions occur five minutes apart and last sixty seconds.
   B. A woman who feels a strong pressure and an urge to bear down.
   C. A woman whose contractions began approximately thirty minutes ago.
   D. A woman whose amniotic sac just ruptured, releasing a large amount of clear
   liquid.
4. A 6 year old male complains of belly pain. What should you use to determine his
   pain level?
   A. Wong/Baker pain scale
   B. 1 to 10 pain rating scale
   C. Analog visual scale
   D. Oucher pain scale
5. A 34 year old pregnant female is found apneic and pulseless sitting in a chair.
   What should you do?
   A. Place her supine on the floor and start CPR.
   B. Perform CPR at a rate of 40:2.
   C. Start CPR and withhold placement of an AED.
   D. Start CPR with a left lateral tilt of 30 degrees.
6. What is the leading cause of maternal death associated with pregnancy?
   A. Eclampsia
   B. Emboli
   C. Hemorrhage
   D. Stroke
7. What is the most serious complication of vaginal bleeding?
   A. Irreversible shock
   B. Hypovolemic shock
   C. Neurogenic shock
   D. Cardiogenic shock
8. Which stage of delivery begins with complete cervical dilation and ends with
   delivery of the baby?
   A. First
   B. Third
   C. Fourth
   D. Second
9. Where does fertilization of the egg take place?
   A. Endometrium
   FISDAP OBGYN / Pediatrics & Obstetrics/Gynecology Exam Practice Questions with
   Answers 2021/2022 – (Answers on last Page)

B. Ovary
C. Uterus
D. Fallopian tube

10. In which trimester is placenta previa usually seen?
    A. Third
    B. Any
    C. Second
    D. First
11. When assisting with the delivery of twins what should you expect?
    A. Shorter delivery times
    B. Lower birth weights
    C. Larger neonates
    D. Two placentas
12. After fertilization of an egg, where will embryo develop and mature?
    A. Cervix
    B. Vagina
    C. Fallopian tube
    D. Uterus
13. A 27 year old female complains of insomnia, irritability and feelings of being
    overwhelmed. She claims she wants to end her life after giving birth to a child
    with Down’s Syndrome 2 days ago. What should you suspect?
    A. Postpartum depression
    B. Anxiety
    C. Alcohol intoxication
    D. Drug overdose
14. In which trimester is a spontaneous abortion is usually seen?
    A. Third
    B. Any
    C. First
    D. Second
15. After how many days does woman’s menstrual cycle normally occur?
    A. 28 days.
    B. 45 days.
    C. 21 days.
    D. 14 days.
16. In a breech delivery, which part of the baby’s body would be delivered LAST?
    A. Shoulder
    B. Head
    C. Feet
    D. Buttocks
17. A 32 year old pregnant female states “I have been in labor for an hour and my
    water broke.” What should you do?
    A. Check for crowning.
    B. Obtain baseline vital signs.
    C. Transport emergently.
    D. Obtain a SAMPLE medical history.
18. A 27 year old pregnant female is complaining of extreme bouts of thirst, nausea
    and urination. What should you suspect?

Operations Exam Practice Questions

1. What is your priority as the incident commander at a mass casualty incident?
   A. Ensuring safety of EMS personnel.
   B. Monitor incident organization.
   C. Directing extrication of casualties.
   D. Notification of the media.
2. You are the first ambulance to arrive on the scene of a school bus rollover. The
   fire department has stabilized the bus. What should you do?
   A. Have your partner begin triaging patients.
   B. Wait for your manager to arrive on scene.
   C. Begin filling out patient care reports.
   D. Load and transport the first patient you find.
3. A 43 year old male complains of a stiff neck, persistent cough, and fever for the
   past week. He states he has been in and out of homeless shelters for the past 5
   months. What should you do?
   A. Apply oxygen by non-rebreather mask.
   B. Use gloves, gown, and HEPA mask.
   C. Put on eye protection and a surgical mask.
   D. Have the patient wear a HEPA mask.
4. What is your major concern when performing a scene size up?
   A. Safety of your crew.
   B. Bystander interference.
   C. Number of patients.
   D. Weather conditions.
5. You are the first to arrive at a scene of an industrial complex. You witness
   people running out of one buildings with rags over their mouths. An older gentleman
   falls clutching his chest. What should you do?
   A. Don a N95 mask and go to the gentleman that is suffering a possible MI.
   B. Establish a safety zone and and evaluate what additional resources are needed.
   C. Use your PA system and tell the people that can hear you to come to the sound of
   your voice.
   D. Roll down the window to smell to verify a toxic substance.
6. Your patient has a laceration to the face which aerosolizes blood each time the
   patient exhales. What items of personal protective equipment would you choose for
   this situation?
   A. Gloves only
   B. Mask and gown only
   C. Goggles and gown only
   D. Gloves, goggles, mask and gown
7. Which of the following has ultimate responsibility for the patient care aspects
   of an EMS system?
   A. Ambulance service director.
   B. Medical director.
   C. The operations officer.
   D. EMS battalion chief.
8. When gaining access to the driver in a vehicular collision, what is the access of
   choice?
   A. Door
   B. Windshield
   C. Roof
   FISDAP Operations Exam Practice Questions with Answers 2021/2022 –
   (Answers in Last Page)

D. Side window

9. You arrive at motor vehicle collision involving two cars and four patients.
   There is no entrapment and the scene is safe. Which command system should be
   utilized?
   A. START command
   B. Singular command
   C. Unified command
   D. NIMS command
10. What additional resources would you need at a motor vehicle accident with a
    trapped 22 year old female?
    A. Rescue Squad and the Fire Department.
    B. Second ambulance and the Fire Department.
    C. Second ambulance and additional State Police.
    D. Additional State Police and the Fire Department.
11. Which of the following is NOT necessary during an ambulance inspection?
    A. Checking an inventory of medical equipment carried in the vehicle used in the
    care of patients
    B. Checking the ambulance for any exterior damage to the vehicle body that may
    interfere with operations.
    C. Checking the ambulance on-board oxygen system to ensure you have adequate oxygen
    available.
    D. Checking the ambulance with the engine off when evaluating guages, brakes, and
    warning lights.
12. Which of the following statements is TRUE concerning protection by the good
    Samaritan laws?
    A. Agood Samaritan law allows an EMT to exceed the scope of practice, if necessary,
    when providing emergency care off duty.
    B. An EMT is expected to act as a lay person would act when providing emergency care
    off duty.
    C. The purpose of the good Samaritan laws is to protect people trying to help in an
    emergency.
    D. An EMT cannot be sued for negligence if the state in which he works has a good
    Samaritan law.
13. When you are caring for more than one trauma patient at a time, when should you
    change your gloves?
    A. Whenever they become soiled
    B. For each new patient
    C. For each new procedure
    D. Whenever time permits
14. A 26 year old female jumped from the second floor of her house. She states she
    was getting away from her abusive husband. What should you do?
    A. Obtain a set of vital signs.
    B. Asses for compression injury to the spine.
    C. Determine if the scene is safe.
    D. Check for bilateral ankle fractures.
15. Which process is LEAST used by EMS to ensure that equipment is clean?
    A. Inspection
    B. Disinfection
    C. Sterilization
    D. Decontamination

Final Paramedic Fisdap Complete Study Guide
Ems Operations – Page 1
OB/Gynecology – Page
11 Pediatrics – Page 20
Airway – Page 30
Medical Emergencies – Page 39
Trauma – Page
Cardiology – Page – Page 54
EMS OPERATIONS

1. Airbags Safety During Extrication (2228)

• Un-deployed airbags may deploy during extrication and cause harm to the
  patients and rescuers.
• Look for airbag badging or labeling system
• A vehicles airbags system comes equipped with an energy capacitor that can
  store power for up to 30 mins in some models
• Remove key from ignition

1. Criteria for Transferring Care of Patient (154)

• In your documentation of care, it is important that you were able to show in
  whose care you left the patient with, otherwise you could face allegations of
  abandonment. some agencies have begun to require physician or nurse signatures
  to verify that the patient was left with a medical professional of a higher level of
  training. Another situation that may require you to document a transfer of care is
  when you hand over your patient to another agency such as a paramedic
  transport crew or an air medical team.

1. Decontamination of Airway Equipment

• Sanitize and disinfect everything after a call
• Any piece of equipment that is intended for single use should be discarded in an
  appropriate hazardous materials bag. For any reusable piece of equipment that
  has had direct contact with the patient or patients bodily fluids, use a commercial
  disinfecting agent for decontamination. Bleach diluted in water (1:10) can also be
  used as disinfecting agent.

1. Documenting Medication Administration (471)

• Documentation is everything, if you did not document it, you didn’t do it.
  Always document your actions and the patients response on the on the patient
  care report after administering a medication. This includes…
• Name
• Dose
• Time
• Route
• Persons name who administered it
• Patients response to the medication, whether positive or negative

1. Indications for N95 Mask

• 95 (Heppa) Mask on you, surgical or normal mask on patient

1. Indications for Rapid Extrication (1677-1699) (2226)

• Patient can be moved from sitting in a car to laying supine on a backboard
  in 2 mins. Indications listed below
• The vehicle or scene is unsafe
• The patient cannot be properly assessed before being removed from the car
• The patient needs immediate intervention that requires a supine position
• The patients condition requires immediate transport to the hospital
• The patient blocks your access to another seriously injured patient
• A team member should remain with the patient to direct the rescuers who are
  preforming the disentanglement. For example, unless there is an immediate
  threat to fire, explosion, or other danger, you should preform a primary
  assessment and perform and critical interventions before disentanglement begins.
  This may include providing c-spine immobilization, opening airway, providing O2,
  ventilations, or controlling significant bleeding. Once life threats have been
  treated, disentanglement can begin. Sometimes a patient must be removed
  quickly (Rapid extrication) because his or her general condition is deteriorating
  and time does not permit meticulous splinting and dressing procedures. Quick
  removal may also occur if hazards are present, such as as spilled gas or other
  materials that could endanger the patient or rescue personnel. The only time
  the patient should be moved prior to completion of initial care, assessment,
  stabilization, and treatment is when the patient’s or emergency responders life is
  in immediate danger.

1. Making Decisions Regarding a Patients Request to Refuse Care (96-99)

• Patients with decision-making capacity have the right to refuse all or part of the
  emergency medical care offered to them
• Refusing care – Needs to be informed consent.
• Need to use your “People skills” and just talk to the patient
  · Ensure your pt is fully informed about their current situation, his or her right to
  receive or refuse medical care, and the consequences of a refusal of care
  · Unresponsive patients may be treated under implied consent
  · Involve online medical control if pt have severe injuries but refusing care
  · Document carefully and have pt sign AMA
  Minors – Because minors have no legal status, they can neither refuse no consent to
  medical care. In the case of children and adults who have legal guardians, consent
  must be obtained, if possible, from a parent or legal guardian of the patient. If the
  parent or guardian is not available, emergency treatment to sustain life may be
  undertaken without direct consent under the doctrine of implied consent. You
  should also be aware of the legal principle known as “In loco parentis”. This term
  literally means “In place of the parent”. This principle may apply in school, day care,
  or summer camp situations if a parent is unavailable. The school administrator or
  day care director may make treatment and transportation decisions on behalf of the
  minor.
  A particularly difficult circumstance can arise if a parent or legal guardian refuses to
  grant consent to treat a minor who clearly requires lifesaving or limb-saving
  treatment. Although adults clearly have the right to refuse treatment for
  themselves, state laws generally do not permit a parent or guardian to deny
  treatment to a minor child. In fact, the failure of a parent to allow such treatment
  may constitute neglect. When confronted with such a circumstance, the paramedic
  should notify law enforcement and medical control. State law may permit the state
  to

assume custody of the child for purpose of ensuring that necessary emergency
treatment be provided.
Emancipated Minors – are under legal age in a given state but can be treated as legal
adults because certain circumstances. By court order. Marriage, pregnancy, or
active military service. They can accept or deny care.

12. Operations within a HazMat Scene
    Responding to Hazmat incidents
    · Look for warning signs such as patient S/S, placards, labels, etc.
    · Placards or labels may be found on building, trucks/railway cars,
    drums/storage vessels
    · Intentional ingestion of chemicals and activities occurring at illicit labs
    or potential terrorist activities may have no obvious signs
    · Some chemicals are odorized (propane, methane) where other
    dangerous substances are odorless (carbon monoxide)
    · If you approach a scene where more than one person has
    collapsed due to respiratory distress, suspect the presence had a
    hazardous material
    · When arriving, you should stop at a safe distance, uphill and upwind from
    the scene
    · Items to report include:
    o Exact location
    o Atmosphereic conditions
    o Size/shape of containers
    o Chemical ID number or symbols
    o # of victims with S/S
    o Type and number of additional resources
13. Stress Management (42-43)

• Fight or flight mode S/S – heart palpitations, rapid breathing, chest tightness,
  sweating, rapid breathing, unnecessary shouting.
  1.Control breathing
  2.Progressive Relaxation – tighten/relax muscle groups to initiate muscle relaxation
  throughout the body. Stupid.
  3.Professional Assistance – Seek therapist
• Focus on immediate situations while on duty, remind yourself “I will do my very
  best, but what i can do may not be enough”
• Avoid excessive amounts of stimulants such as caffeine or alcohol, cigs, or
  sleeping aids after a stressful event.
• Stages of Stress
  · Acute reaction – occurs during stressful situations
  · Delayed reaction – manifests after stressful situations
  · Cumulative reaction – when you are exposed to prolonged/excessive stress

12. Treating a Patient with Advance Directives
    An advance directive is usually a written document (but can be also an oral
    statement) that expresses the wants, needs, and desires of a patient in reference to
    his o her future medical care. Advance directives state what medical care the
    patient wants or does not want when the

patient is unable to express his or her wishes. Living wills, DNR’s, and organ
donation orders are all advance directives. DNR’s can also be called Resuscitation
Directive
Living Wills and Health Care Power of Attorney are types of advance directives in
which a patient can express wishes regarding end-of-life medical care. These
directives are sometimes called health care “durable” power of attorneys because
they remain in effect once a patient loses “decision making capacity”. The person
who carries the Health Care Power of Attorney is often called the “Surrogate
Decision Maker”. They are legally obligated to make decisions as the patient would
want, and has presumably discussed these decisions with the patient. It is
important to keep in mind that the “Surrogate Decision Maker” has no authority
until the patient becomes incapable of making decisions. If the “Surrogate
Decision Maker” is attempting to make decisions that conflict with a competent
patients decisions, the patients decisions are always the ones to be followed.

20. Treating a Violent Patient (99/100)

• May restrain a violent patient to protect you/crew and as well as the patient
• Under the law, you are only able to use force if the patient attacks you. You
  may defend yourself.
• Contact Law Enforcement if patient becomes uncooperative and or has weapons.
• Violence can be the result of hypoxia, hypoglycemia, mental illness, brain injury,
  drug abuse/ OD, or alcohol use, and psych problems.
• Protocol dependent – however, some agencies let EMS personal use “Chemical
  Restraints” such a benzodiazepines or antipsychotics to calm patients who are
  violent and need transportation to hospital.
• If scene is not safe – contact Law enforcement and go back to ambulance like a lil
  bitch boy you are
• Bullet proof vests?
• Always be aware of your surrounding
• Soft restraints while transporting if needed
  •
  OB/GYNECOLOGY

20. Complications Associated with Pregnancy Induced Hypotension (1931)

• When a Pregnant females uterus compresses the Inferior Vena Cava, venous
  blood return to the heart is diminished or occluded.
• Occurs when the women is Supine, or sometimes when she is sitting
• Usually in the 3rd Trimester
• Can lead to fetal distress
• Generally takes 3-7 minutes of Compression before S/S occur
• Early S/S – Nausea, Dizziness, Tachycardia, Claustrophobia
• Late S/S – Diff Breathing, Syncopal Episodes, Hypovolemia from either blood loss
  or dehydration.
• Treatment – Placing patient in the left lateral recumbent position – tilting
  backboard and treating underlying causes (Fluids if hypovolemic) and monitoring
  VS such as BP/EKG

20. Complications associated with pregnancy induced hypertension (PIH): (1931)
    Chronic HTN: BP that is equal to or Greater than 140/90mm Hg prior to 20th week.

Trauma fisdap Questions and Answers 2022

1. 53 yo F hit by car. Unresponsive w/ deformity to the left femur and pelvic instability. Diminished lung
   sounds on L side. You should?
   o *Perform detailed physical assessment/stabilize left femur with traction splint/immobilize long
   backboard/transport to nearest emergency room
2. 28 yo M, blunt trauma to R anterior chest. Pale, cool, diaphoretic and responsive to verbal. R 38 and
   shallow with paradoxical movement. What should you do?
   o ALS back up/02 non rebreather/stabilize chest with bulky dressing/02 with positive pressure
   ventilations
3. What is the most likely cause of periorbital ecchymosis?
   o Basicular skull fracture/ blow out fracture/ subdermal hematoma/ epidural hematoma
4. 30 yo M shot in mid thigh. Bleeding continues after partner applies direct pressure. You should?
   o Tourniquet/ continue pressure and transport rapidly/ elevate leg and place pressure dressing/
   check for PMS
5. 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious
   amount of blood around face. Gurgling and R 4 per min. Most appropriate?
   o Jaw thrust without head tilt/ head tilt and jaw thrust/ chin lift without head tilt/ head lift with chin
   lift
6. M fell while water skiing. Unconscious. Suspect?
   o Head and spine injury/ hypothermia/anaphylaxis/heat related injury
7. Appropriate care for amputated extremity?
   o Wrap in dry gauze, seal in plastic bag, and place in cool water/ice cooler and immediate
   trans/moist gauze keep cool with cold packs/immerse in cool water for improved tissue
   preservation
8. 28 yo Pt driver motorcycle traveling 45 mph hit parked car. Not wearing a helmet. Supine with copious
   amount of blood around face. Gurgling and R 4 per min. Most appropriate?
   o Suction airway/ BVM/ C-collar/ control bleeding
9. 18 yo M holding right shin after sports related injury. Deformity and swelling; pedal pulse present. You
   should?
   o Apply board splint in position found/ stabilize limb at hip and ankle/ traction, realign limb/ ice
   pack and elevate limb
10. Pedestrian hit by car. Pale, cool, and diaphoretic. Oriented to name only and has difficulty breathing.
    BP 80/40, P 120, R 28 and shallow. 90% SPO2. You should?
    o BVM/ nonrebreather/ NPA/ long backboard
11. 81 yo F healthcare facility fell out of bed. Nurse suspects hip fracture. Which medication should
    concern you the most?
    o Coumadin/ albuterol/ nitro/ insulin
12. You are treating a patient with agonal respirations and gunshot wound to the chest. You notice an
    open skull fracture leaking brain matter. There is no radial pulse, you should?
    o Discontinue treatment and protect crime scene/ collect the brain matter and transport rapidly/
    assess a carotid pulse and assist ventilations / begin CPR and place airway adjunct
13. A 45 year old male fell asleep outside while doing yard work. His face and lower legs are bright red
    with small blisters and painful on examination. You should suspect?
    o Both superficial and partial thickness burns/ allergic reaction due to insect bite/ both partial
    and full thickness burns/ alcohol intoxication lead to prolonged exposure
14. A 35 year old patient has fallen and has a deformed right lower leg. The distal extremity is pulseless
    and the skin is cool and cyanotic. You should?
    o Realign the injured extremity/ apply a traction splint/ apply an elastic bandage/ splint the
    extremity as it is
15. You arrive on scene of a car crash. The driver is alert and complaining of severe chest and abdominal
    pain. His radial is weak and rapid. skin is cool, pale and moist. The patient has a history of cardiac
    problems. You should?
    o Remove pt from vehicle and place in shock position/ assist the pt in self admin their nitro/
    check lung sounds and BP/ rapidly extricate onto a long spinal board and transport
16. 47 male shot in back has cool and clammy skin with arm weakness. BP 130/90, P 76, R 24. You
    should suspect?
    o Spinal cord injury/
17. Injury that is most likely to require routine assessment and transport?
    o Deformed Wrist injury
18. After securing pt on longboard, you should immediately assess:
    o PMS
19. 23 year old soccer player was kicked in the chest. He is alert with rapid, shallow R and complains of
    chest pain. Pale, cool and wet. You should?
    o Rapid trauma assessment/ NPA/ non rebreather/ palpate chest for tenderness
20. 25 yo in R distress after being stabbed in the chest. Blood is bubbling from 2cm laceration to L chest
    wall. Lung sounds diminished on L side. You should?
    o Apply occlusive dressing
21. Early signs of decompensated shock?
    o Low blood pressure
22. Pt stabbed in RUQ. What organ is injured?
    o Liver
23. Pt with chemical burn on eye and is wearing contact lenses. You should?
    o Remove contact lenses and administer irrigation solutions/ remove contact lenses and apply
    cool saline soaked gauze to eye/ leave contact lenses in and apply saline soaked gauze to
    eye/ leave contact lenses in and administer irrigation solution
24. A baseball player was hit by a baseball in the left eye and complains for double vision. What should
    you do?
    o *Perform detailed exam/ c spine
25. First concern with conscious pt who received partial thick burns to the face is treating?
    o Airway problems/
26. 22 yo F had an accident on moped. She is lying on ground; breathing well. Still wearing helmet. You
    should?

Cardiology Fisdap Exam Questions and Answers 2022 Study Guide
. A 54 year old complains of chest tightness after raking leaves for an hour.
The pain subsided after rest and two nitroglycerin. He has had very similar
episodes in the past. He is most likely experiencing?
· Angina Pectoris/ Unstable Angina/ Myocardial Infarction/
Esophageal spasm
Reason for answer: Angina occurs when the heart’s need for oxygen exceeds it’s
supply, usually during periods of physical or emotional stress when the heart is
working hard. (Page 637)

2. At what rate should single rescuer CPR be performed for a 17 year old
   female?
   · 120 per min/ 90/ 80
   Reason for answer: 100-120 Beats per minute. (Page 514)
3. A 40 year old patient with a history of coronary artery disease and
   recent mastectomy is complaining of chest discomfort. Vitals are P 120, R
   22, and BP 80/54. You should suspect?
   · CHF/ Cardiogenic Shock/ septic
   shock Reason for answer: BP 80/54 is low BP(shock
   may occur)
4. Nitroglycerin is a medication that is typically administered?
   · Sublingually/ intraosseously/ subcutaneously
   Reason for answer: Beneath the tongue is very vascular, so the medication can be
   absorbed quicker
5. A patient was struck by lightning. You should suspect?
   · An irregular heartbeat/ peripheral nerve damage
   Reason for answer: Your heart functions on electricity, the shock changes
   the rhythm.
6. During CPR which of the following is most important?
   · Minimal interruptions during compressions
   Reason for answer: providing circulation supports the bodies tissues to stay alive
7. A buildup of calcium and cholesterol form plaque inside a blood vessel
   which would most likely be the cause?
   · Pulmonary embolism/ CHF/ ACS/ hemorrhagic stroke
   Reason for answer: Plaque, build up. (key words) (Atherosclerosis-The build-up of
   fats, cholesterol, and other substances in and on the artery walls.)
8. During the Primary Assessment a 57 year old female says she has
   chest pain and points to her epigastric area. What should you do?
   · Obtain vital signs/ Admin Nitro/ Assess breathing/ Admin
   oxygen Reason for answer: The book mentions assessing patient, if they worsen
   administer oxygen
9. What is the cause of heart failure?
   · Inadequate ejection of blood from the ventricles/ fluid in
   lungs/ poor gas exchange in alveoli/ backup of fluid in lower
   extremities

Reason for answer:

10. A cardiac arrest patient has been down for 6 minutes without care. What
    should you do?
    · Start compressions/ attach AED/ Insert opa and
    ventilate Reason for answer: Immediately begin CPR. Get oxygen
    circulated.
11. An adult patient is in cardiac arrest with bystander CPR in progress.
    What should you do?
    · Continue CPR while partner does AED
    Reason for answer: Never interrupt CPR( 10 seconds max). Uncertain how long
    bystander has been doing CPR.
12. If the heart lacks the power to pump blood through the circulatory
    system, it is known as?
    · Cardiogenic shock/ Distributive/ hypovolemic
    shock Reason for answer: circulatory system( key word); Pump
    failure
13. A 67 year old male has significant shortness of breath, chest pain, and
    nausea. He is ashen and clammy. Vitals are BP 90/60, P 148, and R 34. You
    should?
    · Place supine position/ place in position of comfort/ admin Nitro/
    admin albuterol
    Reason for answer:
    Place in Supine Position. Patient is borderline shock with BP of 90/60 and
    Respiratory rate is 34.
14. A child is in cardiac arrest with unknown down time. What should you do?
    · Perform CPR while attaching
    AED Reason for answer: key is unknown time.
15. When do coronary arteries fill with blood?
    · Diastolic/ systolic/ exhalation/
    inhalation Reason for answer: “Die” means diastolic.
    retracts.
16. A 36 year old female with history of congenital heart defects is slow to
    respond. She is pale, cool, and clammy. Vitals are BP 68/30, P 128, and R
17. What should you suspect?
    · CHF/ Syncopal episode/ angina/ cardiogenic
    shock Reason for answer:
18. A 73 year old female has chest pain and shortness of breath with
    bilateral crackles. Vitals are 80/40, P 112, and R 22. What is the most likely
    

MEDICAL EMERGENCIES FISDAP QUESTIONS & ANSWERS
3rd test; REVISION GUIDE 2022

1. Which of the following meds helps the body transport sugar into the cells?

• Insulin/ Orinase/ Diabinese/ Oral glucose
  Reason: Because insulin the key to the cells.

1. A 32 year PT is found unconscious in the snow. You cannot detect a pulse or respiration rate
   within 10 seconds. What should you do?

• Give a few rescue breaths then check for a response/ Take at least 2 minutes
  to detect a pulse rate/ Assess her pulse for 30-45 seconds/ Immediately begin
  cardiopulmonary resuscitation
  Reason: Hypothermia. Cold conditions make it hard to read vitals.

1. An adult male is sitting alone in a dark room, rocking back and forth. He mutters to
   his sock puppet, “are you feeling sad?” What should you do?

• Introduce yourself and start an assessment/ Ask PT if he intends to
  harm himself or others/ withdraw until ALS arrives/ look for PT’s meds
  Reason: make the patient aware that you are there.

1. A 42 yo man complains of difficulty breathing and pain in his chest and shoulders. He
   recalls feeling a sharp pin prick on his arm while cleaning out his basement. What type
   of spider bite is this man most likely suffering from?

• Black Widow/ spitting/ woodlouse/ brown recluse
  Reason: chest tightness and difficulty breathing usually develop within 24 hours of a black
  widow bite. These symptoms usually subside within 48 hours and are associated with a
  black widow bite but not a brown recluse. CLUE: he was in his basement.

1. A car battery exploded in your PT’s face. He denies breathing difficulty. You should?

• Cover eyes with dry/ cover eyes with moist/ begin irrigating eyes with clean
  water/ irrigate with vinegar and water
  Reason: This is considered a chemical burn.

1. 19 year old F is unresponsive after taking a whole bottle of her sleeping medicine
   about 4 hours ago. You should?

• Obtain vital signs/ apply high-flow 02/ insert OPA/ admin activated
  charcoal Reason: If there is vitals in question or info on breathing then consider obtain
  vital signs.If she is unresponsive, that consider correcting life threats. (insert OPA)

1. A 32 year old M complains of photophobia and vomiting . The most likely cause is?

• Migraine
  Reason: Photophobia is sensitivity to light.

1. A 68 yo PT reports abdominal pain, vomiting and a loss of appetite, as well as black,
   tarry stools.

• Ulcer disease/fecal impaction/ upper GI / Lower GI[1]
  Reason: PG. 710 Black, tarry stools are associated with upper GI

1. A 21 yo M is unresponsive, has constricted pupils, slow, shallow respirations, you
   should suspect?

• Alcohol poison/TBI/diabetic reaction/narcotic OD
  Reason: Constricted pupils is associated to narcotics/opioids.

1. A Pt tells you he had anemia, you should expect him to present with?

• Hypertension/jaundice/bradycardia/pallov

Reason: Anemia is associated with jaundice.

11. Your epileptic patient complains of persistent metallic taste in her mouth. You
    should suspect:

• A seizure may occur/status epilepticus/clonic activity/postictal state
  Reason: The metallic taste is the patient’s aura.

11. Pt is having a tonic-clonic seizure and is not breathing. You should:

• Admin O2 via NRB/check blood glucose level/prevent patient from further
  injury/insert OPA
  Reason: Tonic-clonic involves jerking and shaking of the whole body.

11. An 18 yo M states “The CIA is after me” you notice he has covered his head and
    windows with aluminum foil. When you ask why he says “in order to block out
    the gov radio waves” vitals are BP 138/34, P 122, R24. You should suspect?

• Paranoid bipolar disorder/acute anxiety disorder/paranoid
  schizophrenia/acute panic attack
  Reason: patient is anxious could be the reason for the heart rate.

11. A patient is running a high fever, vomiting, and reporting pain that has shifted
    from around her belly button to the lower right area of her abdomen you should
    suspect?

• gallbladder disease/pancreatitis/appendicitis/kidney stones
  Reason: Lower right is where the appendix is.

11. A 20 yr old male in a college dorm room complains of fever, headache, and a stiff
    neck. He has an altered mental status, and you notice red blotches on his skin.
    Which of the following are the most appropriate BSI Precautions

• Gloves and gown/gloves and goggles/gloves and HEPA mask/gloves and
  surgical mask
  Reason: (pg 573) Meningitis causes red blotches and stiff neck and is highly contagious.

11. An unconscious patient has one pupil that is significantly larger than the other and
    not reactive to light. The most likely cause is

• Drug overdose/ hypoglycemia/ stroke/ glaucoma
  Reason: Unequal pupils is a sign of stroke.

11. What is hyperglycemia

• High blood glucose
  Reason: Hyper is key word for high.

11. When assessing a patient for facial droop you should?

• Ask the patient to smile or show his teeth
  Reason: Cincinnati scale

11. An alert patient has a severe headache/weakness of left arm you should suspect?

• AMI/stroke/migraine/angina pectoris
  Reason: Key word is weakness in the left arm.

11. A 28 yr old patient is outside at a concert and appears confused. He is unable to answer
    your questions. You should

• Admin oral glucose and then reevaluate the patient/ look for medical
  identification necklace or bracelet / call medical direction for a consultation on
  treatment / assess his level of intoxication and look for illicit drug use
  Reason: check for possibility of diabetes or other possible medical conditions

11. Your first priority when dealing with a patient who is exhibiting behavior issues is

FISDAP Airway Exam Questions with Answers 2023

1. An unresponsive 64-year-old male has a stoma. He is supine and apneic. What should you do?
   A. Assist his ventilations with an adult bag-valve mask and cover the stoma.
   B. Obtain a set of vital signs and apply an AED.
   C. Place a pediatric sized BVM over the stoma and ventilate.
   D. Apply a cervical collar and perform a jaw thrust maneuver.
2. A 34 year old female has fallen from a height of 10 feet. She is unresponsive with snoring
   respirations. What should you do?
   A. Use the jaw-thrust maneuver.
   B. Support her head and neck with a rolled towel.
   C. Attempt the chin-lift maneuver.
   D. Apply a cervical collar.
3. A 56 year old male complains of pinpoint pain to the left side of his chest along with
   difficulty breathing. He states that he recently went off his blood thinners before a hernia
   surgery. What should you suspect?
   A. Pulmonary embolism
   B. Tension pneumothorax
   C. Pulmonary edema
   D. Acute myocardial infarction
4. What is the expected breathing rate for a child under the age of eight?
   A. 40-60 breaths per min.
   B. 10-20 breaths per min.
   C. 20-40 breaths per min.
   D. 5-10 breaths per min.
5. During respiration, where does the process of the gas exchange occur?
   A. Aveoli
   B. Epiglottis
   C. Trachea
   D. Bronchioles
6. A 7 year old boy is found supine at the base of 15 foot high jungle gym. His teacher is unsure
   if he fell from the equipment. Vital signs are BP 100/90, R 0, P 42, SaO2 93%. What should you do?
   A. Insert an oropharyngeal airway.
   B. Open his airway with a jaw thrust maneuver.
   C. Open his airway with a head tilt-chin lift maneuver.
   D. Start CPR.
7. A 56 year old male is sitting at the kitchen table in the tripod position. What should you do?
   A. Perform an orotracheal intubation.
   B. Not intervene as long as the patient is speaking.
   C. Apply oxygen by non-rebreather mask at 10-15 lpm.
   D. Give oxygen via nasal cannula at 4-6 lpm.
8. A lethargic 22 month old male presents with hoarseness and coughing. He has sternal retractions
   and his belly and chest move in opposite directions with each breath. He is breathing at a rate of
9. What should you suspect?
   A. Cardiopulmonary failure.
   B. Respiratory distress.
   C. Cardiopulmonary arrest.
   D. Respiratory failure.
10. Which of the following is the MOST common cause of airway obstruction?
    A. Trauma
    B. Laryngeal spasm
    C. The tongue
    D. Foreign bodies
11. A 22 year old intoxicated male responds to voice by moaning. You note vomit in his airway,

what should you do?
A. Manually stabilize c-spine.
B. Insert a nasal airway.
C. Turn the patient on his side.
D. Suction the mouth.

11. Which of the following structures serves as a passageway for both the respiratory and digestive
    system?
    A. Pharynx
    B. Trachea
    C. Cricoid cartilage
    D. Esophagus
12. What is a common reaction that you should expect from a drowning patient who is receiving
    rescue breathing?
    A. Tonic-clonic seizures
    B. Vomiting
    C. Resistance
    D. Increased intracranial pressure
13. Which of the following is a sign of pneumonia?
    A. Productive cough
    B. Jugular vein distension
    C. Distant lung sounds
    D. Crackles
14. What is the most appropriate method for opening the airway of a patient with a suspected
    cervical spine injury?
    A. Head-tilt, jaw-thrust
    B. Head-tilt, chin-lift
    C. Jaw-thrust
    D. Neck lift
15. A 36 year old male complains of a sore throat with drooling. He is having difficulty breathing
    with stridor. His skin is pink and hot to the touch. What should you suspect?
    A. Bronchitis
    B. Epiglottitis
    C. Pneumonia
    D. Tonsillitis
16. An unresponsive 44 year old male has an oral airway and is being ventilated. He suddenly
    regains consciousness and starts to gag. What should you do?
    A. Suction the airway and leave the adjunct in place.
    B. Remove the airway and apply high-flow oxygen.
    C. Insert a nasal airway.
    D. Request ALS to sedate the patient.
17. What is the coarse sound of fluid movement heard on inspiration called?
    A. Rhonchi
    B. Snoring
    C. Gurgling
    D. Crackles
18. A conscious 32 year old complains of difficulty breathing. He is coughing while pointing to
    his throat. What should you do?
    A. Place him supine and begin CPR.
    B. Administer abdominal thrusts.
    C. Encourage him to keep coughing.
    D. Give four strong blows to the back.
19. A 56 year old male has intercostal retractions and is in the tripod position. Vital signs are
    BP 116/78, P 90, R 32. What should you do?
    A. Apply a non-rebreather mask at 15 lpm.
    B. Administer albuterol.
    C. Assist his ventilations.
    D. Administer oxygen by nasal cannula.

FISDAP CARDIAC QUESTIONS AND ANSWERS 2023

1. A 56 year old male complains of chest pain after shoveling the driveway. He states that his
   pain was a 9/10, but it is now a 5/10 after rest and taking 2 of his nitroglycerin. Vital signs
   are BP 100/66, P 87, R 16. What should you do?
   A. Obtain a second set of vital signs.
   B. Administer aspirin.
   C. Apply pulse oximetry.
   D. Apply high-flow oxygen.
2. A systolic blood pressure is less than 90. What should this indicate?
   A. Bradycardia
   B. Hypertension
   C. Tachycardia
   D. Hypotension
3. An elderly patient has left-sided heart failure. What lung sounds should you suspect to hear?
   A. Crackles
   B. Wheezing
   C. Ronchi
   D. Stridor
4. How should you treat asystole in a patient?
   A. Provide chest compressions.
   B. Shock with an AED.
   C. Administer high-flow oxygen.
   D. Provide positive pressure ventilation.
5. An 80 year old female is in cardiac arrest. Upon confirming radial pulselessness, what should
   you do?
   A. Begin chest compressions
   B. Assess a carotid pulse
   C. Look for a DNR
   D. Apply an AED
6. A 71 year old female is short of breath and has lower leg pain. She took 2 doses of her
   prescribed nitroglycerin and 324 mg aspirin 10 minutes ago. Vital signs are BP 160/90, P 88 and
   irregular, R 26, SpO2 84%. What should you do?
   A. Obtain a second set of vital signs
   B. Administer an additional dose of aspirin
   C. Administer a 3 dose of nitroglycerin
   D. Apply oxygen by non-rebreather mask
   Scenario:
7. A 32 year old female attempted to commit suicide by taking sleeping pills and cutting her
   wrists. She has dark red blood oozing from the wrist lacerations. Vital signs are BP 90/52, P 130
   and weak, R 18. What type of bleeding should you suspect?
   A. Arterial
   B. Superficial
   C. Venous
   D. Capillary
8. A 14 year old male is recovered from a 30F pond after falling through the ice 10 minutes ago.
   How should he be moved to the ambulance?
   A. Fireman’s carry
   B. Dragging slowly by his torso
   C. Gently on a backboard

D. Sliding him across the ice in a stokes basket

9. You are transporting a 44 year old male complaining of chest pain when he becomes unconscious,
   pulseless, and stops breathing. What should you do?
   A. Ask your partner to go with lights and siren to the hospital.
   B. Contact another unit for help.
   C. Contact medical control for direction.
   D. Begin CPR and attach the AED.
10. A patient presents with pedal edema, and abdominal distention. What chamber of the heart is
    failing?
    A. Left Ventricle
    B. Right Atrium
    C. Left Atrium
    D. Right Ventricle
11. A 56 year old male complains of “squeezing” chest pain after doing yard work. He states the
    pain has subsided slightly with rest. What should you do?
    A. Assess his vital signs
    B. Administer oxygen
    C. Administer aspirin
    D. Assist with his prescribed nitroglycerin
12. When administering nitroglycerin to a patient with angina, to which structures are you hoping
    to alleviate ischemia?
    A. Carotid arteries
    B. Jugular veins
    C. Pulmonary veins
    D. Coronary arteries
13. What can rough handling of a patient with severe hypothermia cause?
    A. Ventricular tachycardia
    B. Decreased respirations
    C. Increased shivering
    D. Ventricular fibrillation
    Scenario:
14. A 62 year old female complains of chest pain and shortness of breath. She is extremely anxious.
    Vital signs are BP 80/56, P 118, R 24 with crackles, SpO2 87%. What is the most likely cause?
    A. Hypovolemic shock
    B. Right-sided heart failure
    C. Cardiogenic shock
    D. Pulmonary embolus
15. An 84 year old man is in cardiac arrest in the passenger seat of a vehicle following a single
    car crash. The driver tells you that his passenger had complained of chest pain prior to the car
    crash. What should you do?
    A. Establish an incident command post.
    B. Treat the other patients while attempting to contact medical control.
    C. Contact the patient’s personal physician.
    D. Start CPR and call for additional ambulances.
    Scenario:
16. A 42 year old female is unconscious and apneic. What should you do?
    A. Open the airway with a head-tilt.
    B. Perform a jaw thrust maneuver.
    C. Insert oralpharyngeal airway.
    D. Assess the carotid pulse.
17. A 65 year old male is found with depression, pressure sores, urinary infection, and difficulty
    swallowing. You should suspect:
    A. a stroke.
    B. kidney failure.
    C. COPD.
    D. heart failure.

EMT FISDAP FINAL EXAM (LATEST) 300+ REVIEW
QUESTIONS AND CORRECT ANSWERS 2023/2024

1. A 43-year-old man is experiencing a severe nosebleed. His blood pressure is 190/110 mm Hg
   and his heart rate is 90 beats/min and bounding. Preferred treatment for this patient includes:
   A. packing both nostrils with gauze pads until the bleeding stops.
   B. placing a rolled 4² × 4² dressing between his lower lip and gum.
   C. pinching the patient’s nostrils and having him lean forward.
   D. having the patient pinch his own nostrils and then lie supine.
2. A 67-year-old male presents with weakness, dizziness, and melena that began approximately 2
   days ago. He denies a history of trauma. His blood pressure is 90/50 mm Hg and his pulse is 120
   beats/min and thready. You should be MOST suspicious that this patient is experiencing:
   A. an aortic aneurysm.
   B. acute appendicitis.
   C. gastrointestinal bleeding.
   D. intrathoracic hemorrhaging.
3. A young male was shot in the abdomen by an unknown type of gun. He is semiconscious, has
   shallow breathing, and is bleeding externally from the wound. As you control the external
   bleeding, your partner should:
   A. perform a secondary assessment.
   B. apply a nonrebreathing mask.
   C. obtain baseline vital signs.
   D. assist the patient’s ventilations.
4. Circulation of blood within an organ or tissue in adequate amounts to meet the cells’ oxygen,
   nutritional, and waste-removal needs is termed .
   A. perfusion
   B. hypoperfusion
   C. coagulation
   D. hemorrhage
5. Following blunt trauma to the abdomen, a 21-year-old female complains of diffuse abdominal
   pain and pain to the left shoulder. Your assessment reveals that her abdomen is distended and
   tender to palpation. On the basis of these findings, you should be MOST suspicious of injury to
   the:
   A. spleen.
   B. gallbladder.
   C. pancreas.
   D. liver.
6. Hypovolemic shock occurs when:
   A. the patient’s systolic blood pressure is less than 100 mm Hg.
   B. the clotting ability of the blood is enhanced.
   C. the body cannot compensate for rapid blood loss.
   D. at least 10% of the patient’s blood volume is lost.
7. If applying a dressing to control the bleeding of a patient’s arm, the EMT should .
   A. apply direct pressure first
   B. use large or small gauze pads or dressings depending upon the size of the wound
   C. cover the entire wound, above and below, with the dressing
   D. All of these answers are correct.
8. If direct pressure fails to immediately stop severe bleeding from an extremity, you should
   apply:
   A. a splint and elevate the extremity.
   B. a tourniquet proximal to the injury.
   C. digital pressure to a proximal artery.
   D. additional sterile dressings.
9. In older patients, the first indicator of nontraumatic internal bleeding may be:
   A. a low blood pressure.
   B. a heart rate over 120 beats/min.
   C. diaphoresis and pale skin.
   D. weakness or dizziness.
10. Internal bleeding into a fractured extremity is MOST often controlled by:
    A. applying chemical ice pack.
    B. keeping the patient warm.
    C. applying a tourniquet.
    D. splinting the extremity.
11. Significant vital sign changes will occur if the typical adult acutely loses more than
    of his or her total blood volume.
    A. 10%
    B. 5%
    C. 20%
    D. 15%
12. The severity of bleeding should be based on all of the following findings, EXCEPT:
    A. systolic blood pressure.
    B. poor general appearance.
    C. the mechanism of injury.
    D. clinical signs and symptoms.
13. What mechanism(s) does the body use to control bleeding?
    A. Clotting
    B. Coagulation
    C. Vasoconstriction
    D. All of these answers are correct.
14. Whether you are using a commercial device or a stick and triangular bandage as a tourniquet,
    it is important to remember that:
    A. bulky dressings should be securely applied over the tourniquet to further assist in controlling
    the bleeding.
    B. you should try to control the bleeding by applying pressure to a proximal arterial pressure
    point first.
    C. the tourniquet should be applied directly over a joint if possible because this provides better
    bleeding control.
    D. the tourniquet should only be removed at the hospital because bleeding may return if the
    tourniquet is released.
15. Which of the following findings would be the MOST significant when assessing a patient
    with possible internal bleeding?
    A. The patient takes rivaroxaban (Xeralto).
    B. The patient has a history of hypertension.
    C. The patient has not eaten in 24 hours.
    D. The patient had a stroke 5 years prior.
16. Which of the following splinting devices would be MOST appropriate to use for a patient
    who has an open fracture of the forearm with external bleeding?
    A. Air splint
    B. Cardboard splint
    C. Vacuum splint
    D. Sling and swathe
17. Which of the following statements regarding hemophilia is correct?
    A. Hemophilia is defined as a total lack of platelets.
    B. Hemophiliacs take aspirin to enhance blood clotting.
    C. Approximately 25% of the population has hemophilia.
    D. Patients with hemophilia may bleed spontaneously.
18. Which organ or organ system has the greatest tolerance for lack of perfusion (shock)?
    A. Brain
    B. Kidneys
    C. Gastrointestinal system
    D. Skeletal muscle
19. Which portion of the blood carries oxygen to and wastes away from body tissues?
    A. Red blood cells
    B. Platelets
    C. Plasma
    D. White blood cells
20. Which section of the heart receives deoxygenated blood?
    A. Atria
    B. Left
    C. Right
    D. Ventricles
21. A 12-year-old male jumped approximately 12 feet from a tree and landed on his feet. He
    complains of pain to his lower back. What injury mechanism is MOST likely responsible for his
    back pain?
    A. Lateral impact to the spine
    B. Secondary fall after the initial impact
    C. Direct trauma to the spinal column
    D. Energy transmission to the spine
22. A 15-year-old female was struck by a small car while riding her bicycle. She was wearing a
    helmet and was thrown to the ground, striking her head. In addition to managing problems
    associated with airway, breathing, and circulation, it is MOST important for you to:
    A. leave her bicycle helmet on.
    B. obtain baseline vital signs.
    C. stabilize her entire spine.
    D. inspect the helmet for cracks.
23. A young male sustained a gunshot wound to the abdomen during an altercation. As your
    partner is assessing and managing his airway, you should control the obvious bleeding and then:
    A. auscultate bowel sounds.
    B. assess for an exit wound.
    C. apply a cervical collar.
    D. obtain baseline vital signs.
24. According to the American College of Surgeons Committee on Trauma (ACS-COT), an adult
    trauma patient should be transported to the highest level of trauma center if he or she:
    A. was involved in a motor vehicle crash in which another patient in the same vehicle was killed.
    B. has a systolic blood pressure of less than 110 mm Hg or a heart rate greater than 110
    beats/min.
    C. has a bleeding disorder or takes anticoagulant medications and has any blunt or penetrating
    injury.
    D. has a GCS score of less than or equal to 13 with a mechanism attributed to trauma.