FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers), Exams of Nursing

Download FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) and more Exams Nursing in PDF only on Docsity! FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 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? A. 800mg B. 1600mcg C. 1600mg D. 400mcg - Correct Answer ✅A. 800 mg 2. During the absolute refractory period, what happens to the cardiac cell? A. It is unable to be stimulated. B. The cell is vulnerable to partial stimulation. C. Potassium is being pumped out of the cell. D. Calcium has just rushed into the cell. - Correct Answer ✅A. It is unable to be stimulated. 3. 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? A. Head, neck, extremities B. Head, chest, abdomen C. Abdomen, pelvis, arms D. Chest, pelvis, extremities - Correct Answer ✅B. Head, chest, abdomen 4. Unequal pupils are a result of pressure on which structure? FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) A. Central medulla B. Trochlear membrane C. Vagus nerve D. Occulomotor nerve - Correct Answer ✅D. Occulomotor nerve 5. What is an abnormally high level of carbon dioxide in the blood called? A. Pneumonia B. Hypoxia C. Hypercapnia D. Emphysema - Correct Answer ✅C. Hypercapnia 6. What is oxygen deficiency in the body called? A. Hypercarbia B. Hyperoxia C. Hypoxia D. Hypoxemia - Correct Answer ✅C. Hypoxia 7. What is your initial priority at a trench collapse? A. Establishing medical command B. Maintaining control of the crowd C. Preventing a secondary collapse FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 14. What is the safest and most effective landing pattern for a helicopter? A. At a slight angle like that of a jet B. Nose of the helicopter pointing up with a tail wind C. Straight up and down in a vertical motion D. Nose of the helicopter pointing down with a slow descent - Correct Answer ✅A. At a slight angle like that of a jet 15. During inspiration, what happens to blood flow in the thoracic cavity? A. afterload increases B. blood flow increases to the right atrium C. blood flow through the vena cava is reduced D. pressure in the aorta increases - Correct Answer ✅B. blood flow increases to the right atrium 16. What is the period of the cardiac cycle when stimulation will not produce any depolarization? A. Impulse refractory period B. Absolute refractory period C. Relative refractory period D. Transient refractory period - Correct Answer ✅B. Absolute refractory period FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 17. 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. A sign of continued ischemia B. A compensatory pause C. A non-compensatory pause D. Reynaud's Pause - Correct Answer ✅B. A compensatory pause 18. A 5 month old male is in cardiac arrest. Resuscitation efforts have been ongoing for 30 minutes. His heart rhythm is and has been asystolic throughout treatment. What should you do? A. Continue CPR and ACLS drugs for another thirty minutes B. Begin termination of resuscitative efforts C. Report suspected child abuse to the police D. Wait for the coroner before stopping CPR - Correct Answer ✅B. Begin termination of resuscitative efforts 19. Which of the following requires ATP? A. Active transport B. Osmosis C. Diffusion D. Facilitated diffusion - Correct Answer ✅A. Active transport FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 20. A 52 year old male was the unrestrained driver in a frontal impact car crash. Which of the following injuries would lead you to believe the patient traveled "up and over" the dashboard instead of "down and under"? A. Patellar dislocation B. Cervical spine fracture C. Ruptured diaphragm D. Flail chest - Correct Answer ✅C. Ruptured diaphragm 21. How does the blood flow through the heart? A. Right ventricle to right atrium to lungs to left ventricle to left atrium B. Right atrium to right ventricle to lungs to left atrium to left ventricle C. Left ventricle to left atrium to lungs to right ventricle to right atrium D. Left atrium to left ventricle to lungs to right atrium to right ventricle - Correct Answer ✅B. Right atrium to right ventricle to lungs to left atrium to left ventricle 22. As soon as an infant's head is delivered, what should you do? A. Determine the location of the umbilical cord. B. Rotate the shoulders to the anterolateral position. C. Examine the vulva and perineum for lacerations. D. Exert strong steady pressure on the fundus. - Correct Answer ✅A. Determine the location of the umbilical cord. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) extricated. He has bluish discoloration of his skin above the nipple line. What should you suspect? A. Traumatic asphyxiation B. Pericardial tamponade C. Cushing's triad D. Pulmonary contusion - Correct Answer ✅A. Traumatic asphyxiation 30. A unrestrained 24 year old female driver hit an electrical pole and struck the steering wheel. She appears pale and complains of nausea and abdominal pain. What organ is LEAST likely to suffer an injury as a result of this impact? A. Spleen B. Diagphram C. Liver D. Stomach - Correct Answer ✅D. Stomach 31. What causes Down's syndrome? A. Brain trauma B. Extra chromosome C. Bacterial infection D. Psychological trauma - Correct Answer ✅B. Extra chromosome 32. Where would you insert the needle to decompress the chest? FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) A. Below the 3rd rib midclavicular line B. Below the 4th rib midclavicular line C. Above the 4th rib midclavicular line D. Above the 3rd rib midclavicular line - Correct Answer ✅D. Above the 3rd rib midclavicular line 33. A 67 year old male complains of bloody stool with accompanying nausea and emesis. He states symptoms began 3 days ago. Vital signs BP 100/86, P 88, R 18. What should you do? A. IV fluid bolus B. Administer a diuretic C. Administer an antiemetic D. Apply oxygen - Correct Answer ✅A. IV fluid bolus 34. How much time do you have to successfully intubate a patient? A. 30 seconds. B. 15 seconds. C. 60 seconds. D. 45 seconds. - Correct Answer ✅A. 30 seconds. 35. What condition results when the alveoli collapse? A. Pneumothorax B. Pneumonia FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) C. Effusion D. Atelectasis - Correct Answer ✅D. Atelectasis 36. Why should you administer IV fluid to a patient in hypovolemic shock? A. Increase the blood pressure B. Maintain adequate tissue perfusion C. Increase the body's oxygen carrying capacity D. Maintain the body's homeostatic state - Correct Answer ✅B. Maintain adequate tissue perfusion 37. What best defines shock? A. Deficiency of vascular tone due to hemorrhage. B. Inadequate cerebral blood flow. C. Hemorrhage exceeding 50% of total blood volume. D. Lack of adequate perfusion to the tissues. - Correct Answer ✅D. Lack of adequate perfusion to the tissues. 38. What causes priapism in a trauma patient? A. Rupture of the urinary bladder B. Total autonomic nervous system dysfunction C. Parasympathetic nervous system dominance D. Sympathetic nervous system dominance - Correct Answer ✅C. Parasympathetic nervous system dominance FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) D. Serotonin - Correct Answer ✅D. Serotonin 45. A 38 year old female complains of sudden onset of shortness of breath. She has no previous history and no allergies. Her only medications are birth control pills. Her last meal was 8 hours earlier at an airport prior to her flight home. What should you suspect? A. Allergic reaction B. Pulmonary embolus C. Influenza D. Undiagnosed asthma - Correct Answer ✅B. Pulmonary embolus 46. A 35 year old epileptic is actively seizing (full clonic movement). What medication should you consider? A. Verapamil B. Procainamide C. Lorazepam D. Calcium - Correct Answer ✅C. Lorazepam 47. What causes Tuberculosis? A. Bacteria B. Fungus C. Antibody D. Virus - Correct Answer ✅A. Bacteria FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 48. A 68 year old female with CHF took 400 mg of furosemide, and is now unresponsive. Vitals signs are BP 110/70, P 100, R 6. What should you do? A. Perform an IV fluid bolus B. Begin manual ventilations C. Administer sodium bicarbonate D. Administer nitroglycerin - Correct Answer ✅B. Begin manual ventilations 49. Which stage of delivery begins with complete cervical dilation and ends with delivery of the baby? A. Second B. Third C. Fourth D. First - Correct Answer ✅A. Second 50. 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 head tilt-chin lift maneuver. C. Open his airway with a jaw thrust maneuver. D. Start CPR. - Correct Answer ✅C. Open his airway with a jaw thrust maneuver. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 51. What process involves a gas that travels from an area of higher concentration to lower concentration? A. Diffusion B. Osmosis C. Activated Transport D. Filtration - Correct Answer ✅A. Diffusion 52. A 12 year old male has suffered a blast injury. What phase would projectiles have caused injury to the patient? A. Primary B. Quaternary C. Tertiary D. Secondary - Correct Answer ✅D. Secondary 53. A 25 year old female began to experience shortness of breath, chest tightness, and coughing. She has difficulty speaking in full sentences. Vital signs are BP 116/64, P 96 and regular, RR 24 and labored, SpO2 93% on room air. You auscultate her lung sounds and hear high-pitched lung sounds on exhalation. What should you do? A. Assist with her prescribed nitroglycerin B. Administer albuterol via a nebulizer C. Administer abdominal thrusts FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) C. Metabolism, cardiac output, and ventilation D. Perfusion, ventilation, and oxygenation - Correct Answer ✅A. Metabolism, perfusion, and ventilation 60. What do you call progressively deeper, faster breathing alternating gradually with shallow, slower breathing? A. Kussmaul's respirations B. Cheyne-Stokes respirations C. Biot's respirations D. Agonal respirations - Correct Answer ✅B. Cheyne-Stokes respirations 61. What happens during phase 0 of the cardiac action potential? A. The sodium-potassium pump is initiated. B. Potassium moves rapidly into the cell. C. The slow calcium channels close. D. The fast sodium channels open. - Correct Answer ✅D. The fast sodium channels open. 62. 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. Check for bilateral ankle fractures. C. Determine if the scene is safe. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) D. Asses for compression injury to the spine. - Correct Answer ✅C. Determine if the scene is safe. 63. What structure has baroreceptors? A. Vena cava B. Ventricular wall C. Atrioventricular node D. Aortic arch - Correct Answer ✅D. Aortic arch 64. An alert, 78 year old female complains of dyspnea. She speaks in full sentences and answers all your questions. Vital signs are BP 150/70, P 110 and irregular, R 26 and labored. You note peripheral cyanosis. What should you do? A. Begin positive-pressure ventilation with a BVM. B. Sedate and intubate orotracheally. C. Apply a nasal cannula with high flow oxygen at 2 lpm. D. Apply high flow oxygen at 12-15 lpm. - Correct Answer ✅D. Apply high flow oxygen at 12-15 lpm. 65. When you are caring for more than one trauma patient at a time, when should you change your gloves? A. For each new patient B. For each new procedure FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) C. Whenever time permits D. Whenever they become soiled - Correct Answer ✅A. For each new patient 66. A 2 year old male has ingested an unknown amount of gasoline. What is your primary concern in your initial assessment? A. Establishing IV access TKO. B. Determining if the ingestion was intentional. C. Evaluating his cardiac rhythm. D. Evaluating his airway. - Correct Answer ✅D. Evaluating his airway. 67. You arrive on scene to find a 4 year old male with a pulse but inadequate respiratory effort. At what rate do you administer assisted ventilation? A. 1 breath every 5 to 6 seconds B. 1 breath every 2 to 3 seconds C. 1 breath every 3 to 5 seconds D. 1 breath every 1 to 2 seconds - Correct Answer ✅B. 1 breath every 2 to 3 seconds 68. A 55 year old male remains in ventricular fibrillation after three shocks and an IV epinephrine. What should you do? A. Epinephrine (1:1000) in the sequence:1mg, 3mg, 5mg. B. Epinephrine (1:10,00) by endotracheal tube. C. Epinephrine (1:10,000) every three to five minutes. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) D. Monocytes - Correct Answer ✅C. Thrombocytes 75. What is the first confirmation of tube placement after orotracheal intubation? A. Condensation in the ET tube. B. Auscultation of the epigastrium C. Visualizing the tube passing the vocal cords. D. End tidal CO2 confirmation. - Correct Answer ✅B. Auscultation of the epigastrium ? 76. A 88 year old male is combative and angry. His wife states that he is normally pleasant and calm. What intervention would narrow your differential diagnosis? A. A response to oxygen therapy B. A blood glucose reading C. If he responds to forceful control D. Cincinnati stroke scale - Correct Answer ✅B. A blood glucose reading 77. What does preload refer to? A. The pressure in the filled ventricle at the end of systole. B. The pressure in the filled ventricle at the end of diastole. C. The pressure in the filled atria at the end of the systole. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) D. The pressure in the filled atria at the end of the diastole. - Correct Answer ✅B. The pressure in the filled ventricle at the end of diastole. 78. Which immunoglobulin is mainly responsible during inflammation? A. IgM B. IgE C. IgG D. IgA - Correct Answer ✅B. IgE 79. What percent of oxygen is delivered with a pocket mask on room air? A. 23 B. 92 C. 17 D. 10 - Correct Answer ✅C. 17 ? 80. A 57 year old male complains of chest pain, shortness of breath and nausea. A 12 lead ECG shows ST elevation in Ieads V2, V3 and V4. What should you administer? A. Dopamine and oxygen. B. Aspirin and oxygen. C. Epinephrine and nitroglycerin. D. Nitroglycerine and oxygen. - Correct Answer ✅B. Aspirin and oxygen. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 81. Which of the following is an autosomal disorder of the exocrine glands which results in physiological changes in the respiratory, GI, integumentary, and muscoskeletal systems? A. Tuberculosis B. Sickle cell anemia C. Pneumonia D. Cystic fibrosis - Correct Answer ✅D. Cystic fibrosis 82. What structure prevents food or liquid from entering the trachea? A. Thyroid cartilage B. Uvula C. Larynx D. Epiglottis - Correct Answer ✅D. Epiglottis 83. What is diphenhydramine HCL? A. Beta agonist B. Antihistamine C. Sympathomimetic D. Diuretic - Correct Answer ✅B. Antihistamine 84. An 18 year old male was struck in the head by a large rock. When caring for this patient, what should you continually reassess? A. Level of consciousness. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 91. A 23 year old male complains of diffuse lower leg pain and tension after a car accident. Pedal pulses are absent bilaterally and you note slight cyanosis in his feet. Vital signs are BP 130/90, P 88, R 16. What should you suspect? A. Iliac arterial rupture B. Bilateral tibial fractures C. Compartment syndrome D. Lower leg embolism - Correct Answer ✅C. Compartment syndrome 92. What happens to hemoglobin as the blood pH decreases? A. Releases oxygen. B. Releases carbon dioxide. C. Binds to carbon dioxide. D. Binds to oxygen. - Correct Answer ✅A. Releases oxygen. 93. A 24 year old male screams at you to leave after your arrive on scene. He states that there are people after him and that they can hear his thoughts. He is agitated nervous, and constantly peering out the windows. His mother states that this is abnormal for him. What is he suffering from? A. Organic psychosis B. Dementia C. Autism FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) D. A neurotic disorder - Correct Answer ✅A. Organic psychosis 94. 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. Pulmonary embolus B. Hypovolemic shock C. Right-sided heart failure D. Cardiogenic shock - Correct Answer ✅D. Cardiogenic shock 95. A 62 year old female complains of chest pain and shortness of breath. She is extremely anxious. Lung sounds are present with crackles in the bases. Vital signs are BP 80/56, P 128, R 24, SpO2 87%. What should you do? A. Administer nitroglycerin B. Start a dopamine drip C. Give a fluid bolus D. Administer Aspirin - Correct Answer ✅D. Administer Aspirin 96. You suspect your partner has intubated the esophagus. What should you do? A. Check the end tidal CO2 monitor. B. Leave the tube in place and ventilate by BVM. C. Extubate and ventilate by BVM. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) D. Extubate and reattempt to intubate the patient. - Correct Answer ✅C. Extubate and ventilate by BVM. 97. A 79 year old male complains of shortness of breath. He smokes cigarettes for 60 years. On physical exam you notice that he has a barrel shaped chest. What pathophysiology is most likely causing his symptoms? A. Collapsed bronchial tubes B. Spasm of bronchial muscle C. Inflammation of the trachea D. Excessive mucus production - Correct Answer ✅A. Collapsed bronchial tubes 98. Which of the following is NOT part of the Cincinnati Stroke Test? A. Arm drift B. Slurred speech C. Ability to walk D. Facial droop - Correct Answer ✅C. Ability to walk 99. During intubation, what is the maximum amount of time to allow without ventilating your patient? A. 10 seconds B. 15 seconds C. 60 seconds FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 106. What are you required to report directly to law enforcement? A. Presence of illegal drugs B. Trauma caused by alcohol use C. Suspected child abuse D. Suspected sexual assault - Correct Answer ✅D. Suspected sexual assault 107. What is the function of the ductus arteriosus? A. Provide a way for fetal wastes to leave material circulation. B. Allow blood to bypass the fetus's lungs before birth. C. Allow the neonate to take a breath following delivery. D. Decrease ambient pressure in the lungs before birth. - Correct Answer ✅B. Allow blood to bypass the fetus's lungs before birth. 108. You are dispatched to a residence for a 67 year old female complaining of chest pain. The patient is pale, diaphoretic and describes are pain as crushing. Vital signs are BP 120/80, Pulse 100, Respirations are 22 and oxygen saturation is 90 percent. Select the correct medications in order: A. Oxygen, Morphine, Digoxin B. Metoprolol, Nitroglycerine, Aspirin C. Nitroglycerine, Aspirin D. Oxygen, Aspirin, Nitroglycerine - Correct Answer ✅D. Oxygen, Aspirin, Nitroglycerine FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 109. What inherited metabolic disease of the lungs and digestive system manifests during childhood? A. Multiple sclerosis B. Cerebral palsy C. Cystic fibrosis D. Sickle cell disease - Correct Answer ✅C. Cystic fibrosis 110. Which stage of shock occurs when cardiac output and systolic blood pressures are maintained by increasing catecholamine production? A. Compensated shock B. Uncompensated shock C. Irreversible shock D. Diffuse shock - Correct Answer ✅A. Compensated shock 111. How many people does it take to provide Optimal BVM ventilation? A. 1 B. 4 C. 3 D. 2 - Correct Answer ✅C. 3 (Likely wrong, D. 2 is better IMO) 112. During the resuscitation of a 45 year old female you note a change in rhythm and the ECG now shows sinus bradycardia. What should you do? FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) A. Assess for a pulse B. Administer atropine C. Obtain a blood pressure D. Begin transcutaneous pacing - Correct Answer ✅A. Assess for a pulse 113. A 23 year old alert and pregnant female complains of severe abdominal pain after an motor vehicle crash. You note her stomach is rigid and distended. There is no vaginal bleeding or discharge. Vital signs are BP 94/58, P 128, R 30 and shallow, SpO2 90%. What should you suspect? A. Uterine rupture B. Placenta previa C. Placenta abruptio D. Pre-term labor - Correct Answer ✅A. Uterine rupture 114. A motor vehicle collided with an electrical pole resulting in downed power lines. A large crowd has gathered around the accident. Whom should you call for support? A. Volunteer Fire Department and Rescue Squad B. Local Power Company and State Police C. Volunteer Fire Department and State Police D. Local Power Company and Volunteer Fire Department - Correct Answer ✅B. Local Power Company and State Police FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) consciousnessness at any point. He takes metoprolol and atorvastatin. His blood pressure when lying down is 140/90 with a HR of 58 which becomes 100/60 with a HR of 59 when standing. You suspect which of the following as a the most likely etiology of his fall: A. hemorrhagic stroke B. unsteady gait with poor mobility C. medication side effect D. acute myocardial infarction - Correct Answer ✅C. medication side effect 121. What is an injury to ligaments around a joint called? A. Dislocation B. Sprain C. Fracture D. Strain - Correct Answer ✅B. Sprain 122. Which structure filters blood into a nephron? A. loop of Henle B. Collecting duct C. Bowman's capsule D. Glomerulus - Correct Answer ✅D. Glomerulus 123. What drug is a specific antagonist to opiate derived drugs? A. Charcoal FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) B. Ipecac C. Midazolam D. Narcan - Correct Answer ✅D. Narcan 124. A 16 year old was freed from entanglement in a motor vehicle crash. Their right arm is amputated below the elbow. What should you do with the amputation? A. Place it into its anatomical position and wrap it with dry gauze B. Place it in a bag packed with ice and transport it with patient C. Wrap it in moistened gauze, place it in a bag, and keep it cool D. Wrap it in dry gauze and keep it warm during transport - Correct Answer ✅C. Wrap it in moistened gauze, place it in a bag, and keep it cool 125. During the action potential of a cardiac cell, what causes the initial conformational change in the sodium-potassium pump? A. Slow channel ion gates B. Adenosine triphosphate C. Calcium D. Sodium and potassium - Correct Answer ✅B. Adenosine triphosphate 126. A tachypneic 17 year old male has an open gunshot wound to the right anterior chest. What should you do? A. Administer high-flow oxygen. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) B. Begin bag valve mask ventilation. C. Apply an occlusive dressing. D. Decompress the right chest. - Correct Answer ✅C. Apply an occlusive dressing. 127. What neurotransmitter is responsible for stimulation of the postganglionic fibers in the parasympathetic nervous system? A. Norepinephrine B. Epinephrine C. Acetylcholine D. Cortisone - Correct Answer ✅C. Acetylcholine 128. A 6 year old male complains of belly pain. What should you use to determine his pain level? A. 1 to 10 pain rating scale B. Wong/Baker pain scale C. Oucher pain scale D. Analog visual scale - Correct Answer ✅C. Oucher pain scale 129. Which of the following substances is most likely to cause premature atrial contractions? A. Caffeine B. Aspirin FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) C. Place her on her side and apply oxygen. D. Place her in knee-chest position and apply oxygen. - Correct Answer ✅C. Place her on her side and apply oxygen. 136. 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. Request law enforcement assistance to transport the patient. B. Contact social services to recommend they follow up on this family. C. Carefully document the woman's refusal and have her sign the form. D. Encourage the patient to see a mental health professional that day. - Correct Answer ✅A. Request law enforcement assistance to transport the patient. 137. A 56 year old female has an arm injury with arterial bleeding. The dressing becomes soaked with blood. What should you do? A. Wrap an elastic bandage around the blood soaked dressing. B. Apply additional dressing material with direct pressure. C. Remove and replace the dressing with a thicker dressing. D. Cover the existing dressing with an occlusive dressing. - Correct Answer ✅B. Apply additional dressing material with direct pressure. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 138. 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 - Correct Answer ✅C. Venous 139. A 51 year old male with a history of COPD is having difficulty breathing. Vital signs are BP 136/74, R 22, P 100, SpO2 95%. What should you do? A. Apply high-flow oxygen by bag-valve mask. B. Withhold oxygen to avoid decreasing the hypoxic drive. C. Apply low-flow oxygen by nasal cannula. D. Administer oxygen by nonrebreather mask. - Correct Answer ✅D. Administer oxygen by nonrebreather mask. 140. What is the leading cause of cardiac arrest in pediatric populations? A. Infection B. Blunt force trauma C. Respiratory compromise D. Hypovolemic shock - Correct Answer ✅C. Respiratory compromise FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 141. A 55 year old female has difficulty breathing and is unable to lie supine. She has pedal edema and bilateral crackles are heard on auscultation. What should you suspect? A. Congestive heart failure B. Asthma exacerbation C. Chronic bronchitis D. Myocardial infarction - Correct Answer ✅A. Congestive heart failure 142. An alert, ambulatory, 26 year old female admits to laying her motorcycle down at 25 mph to avoid a crash. She has extreme pain to her left side where you note severe abrasions. She denies any neck or back pain. What should you do? A. Sterile dressings and treat her pain with ice. B. Oxygen and transport in a semi-sitting position of comfort. C. C-collar and immobilize her fully in the standing position. D. C-collar and transport her on his left side. - Correct Answer ✅C. C-collar and immobilize her fully in the standing position. 143. A 45 year old female has type I diabetes and a non-healing foot ulcer. You find that she lacks sensation in her foot. What should you suspect? A. Brown-Sequards B. Peripheral neuropathy C. Claudication D. Ranaud's syndrome - Correct Answer ✅B. Peripheral neuropathy FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) D. Good Samaritan law - Correct Answer ✅C. Duty to act 151. What type of drug is Verapamil? A. Beta blocker B. Antihypertensive medication C. Angiotension receptor blocker D. Calcium channel blocker - Correct Answer ✅D. Calcium channel blocker 152. What is limiting the number of people or resources you are supervising known as? A. Unified command B. Command and control C. Span of control D. Unity of command - Correct Answer ✅C. Span of control 153. An alert 45 year old female is pale and cyanotic. Her vitals are BP 180/104, P 102 and irregular, R 28 with bilateral crackles. What is the most likely cause of her shortness of breath? A. Anaphylaxis B. Asthma C. Pulmonary edema D. Simple pneumothorax - Correct Answer ✅C. Pulmonary edema FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 154. Which of the following medications is an adrenergic agonist that can stimulate either alpha or beta receptors depending on the dose? A. Epinephrine B. Dopamine C. Dobutamine D. Atenolol - Correct Answer ✅B. Dopamine 155. A 32 year old, 36 week pregnant, female complains of lower back pain. When she is supine, she complains of feeling short of breath and faint. As you continue to assess her, she becomes pale and anxious. Vital signs are BP is 92/76, P 102, R 22. What should you do? A. Prepare for a rapid delivery B. Reposition her on her left side C. Apply oxygen and start an IV D. Obtain an orthostatic set of vital signs - Correct Answer ✅B. Reposition her on her left side 156. What are established interventions that can be performed without calling medical direction? A. Standing orders B. Scope of practice C. Protocols D. Advanced directives - Correct Answer ✅A. Standing orders FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 157. A 20 year old male struck his head on a diving board and is unconscious and apneic. Vital signs are BP 88/70, P 80. He has a large amount of swelling and deformity in the cervical spine area. What should you suspect? A. Increased intracranial pressure B. Cervical spine injury C. Cerebral contusion D. Hypovolemic shock - Correct Answer ✅B. Cervical spine injury 158. A 55 year old male was pulled from a burning building. He has difficulty breathing and is coughing. High flow oxygen does not provide relief. You are hearing bilateral wheezing the upper lobes of his lungs. What should you do? A. Obtain a set of vital signs. B. Insert an oropharyngeal airway. C. Administer nebulized albuterol. D. Administer 0.3 mg epinephrine 1:1000 SQ. - Correct Answer ✅C. Administer nebulized albuterol. 159. A man is threatening to beat his wife to death. The police have checked for weapons and called you to evaluate him. While interviewing the patient, what should you do? A. Keep him between yourself and the exit. B. Quickly expedite transport. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) A. Hypovolemic B. Decompensated C. Cardiogenic D. Distributive - Correct Answer ✅D. Distributive 166. You need to perform a needle cricothyrotomy for transtracheal jet ventilation on an adult patient. What is the smallest catheter that is recommended for use? A. 16ga. B. 12ga. C. 18ga. D. 14ga. - Correct Answer ✅A. 16ga. 167. A patient has been taking pain medication for several months. To maintain the desired effect, they must periodically increase his dose. What is this known as? A. Cumulative effect B. Tolerance C. Synergism D. Additive effect - Correct Answer ✅B. Tolerance FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 168. A 70 year old male with a history of CHF complains of severe dyspnea. During transport his SpO2 drops to 76% and he starts to cough up pink sputum. What should you do? A. Assist his ventilations B. Increase the flow of oxygen C. Administer 40mg of Lasix IVP D. Perform a 12 lead EKG - Correct Answer ✅A. Assist his ventilations 169. A 47 year old, 98 kg male has burns on 25% of his body. In the first 8 hours post-burn, what fluid treatment should he recieve? A. 9800 ml of normal saline (NS). B. 4900 ml of normal saline (NS). C. 4900 ml of lactated ringers (LR). D. 9800 ml of lactated ringers (LR). - Correct Answer ✅C. 4900 ml of lactated ringers (LR). 170. What is the correct dosage of ipratropium bromide during an asthma attack? A. 0.3-0.5 mg, subcutaneously B. 250 mg, by nebulizer C. 0.5 mg, by nebulizer D. 0.25 mg, subcutaneously - Correct Answer ✅C. 0.5 mg, by nebulizer FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 171. What structure contains the respiratory center of the brain? A. Cerebrum B. Cerebellum C. Pons D. Medulla - Correct Answer ✅D. Medulla 172. What is the movement of drugs in the body as they are absorbed, distributed, metabolized, and excreted called? A. Biotransformation B. Pharmacokinetics C. The mechanism of action D. Pharmacodynamics - Correct Answer ✅B. Pharmacokinetics 173. Which cranial nerve is responsible for sensation in the face? A. VII B. V C. VIII D. II - Correct Answer ✅B. V 174. A known alcoholic is unresponsive and coughing up bright, red blood. Which of the following would be contraindicated? A. Dual lumen airway FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) B. Neurogenic shock C. Pneumothorax D. Closed head injury - Correct Answer ✅A. Femur fracture 181. What genetic disease is characterized by progressive muscle weakness and skeletal muscle degeneration? A. Muscular dystrophy B. Multiple sclerosis C. Amyotrophic lateral sclerosis D. Myasthenia gravis - Correct Answer ✅A. Muscular dystrophy 182. A 46 year old male is pale, diaphoretic, and complains of light- headedness after palpitations. An ECG shows paroxysmal supraventricular tachycardia. When assessing his perfusion status, what would you suspect? A. Delayed capillary refill B. Dry, warm skin C. Normal vital signs D. Rapid, bounding pulse - Correct Answer ✅A. Delayed capillary refill 183. On arrival of a motor vehicle crash, what degree of scene assessment needs to be completed? A. 90 degrees from the front of the car B. 180 degrees of the patient FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) C. 360 degrees of the scene D. 220 degrees from side of approach - Correct Answer ✅C. 360 degrees of the scene 184. What is the pathophysiological reason behind severe joint and abdominal pain in a patient with Drepanocytosis? A. Inflammatory reaction from arthritis B. Vascular occlusion from abnormal shaped cells C. Severe infection involving his appendix D. Microvascular occlusion from nitrogen bubbles - Correct Answer ✅B. Vascular occlusion from abnormal shaped cells 185. What is the role of angiotensin II in the body? A. Inhibits the creation of aldosterone increasing blood pressure. B. Stimulates the creation of aldosterone increasing blood pressure. C. Stimulates the creation of aldosterone decreasing blood pressure. D. Inhibits the creation of aldosterone decreasing blood pressure. - Correct Answer ✅B. Stimulates the creation of aldosterone increasing blood pressure. 186. A 38 year female is in labor in her car. This is her fourth child, contractions last 30 seconds and occur every 1-2 minutes. What should you do? A. Tell her to bear down hard and to push. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) B. Call for air medical transport. C. Move her to the ambulance and prepare for delivery. D. Transport the patient to the hospital for treatment. - Correct Answer ✅C. Move her to the ambulance and prepare for delivery. 187. A 62 year old man is unresponsive 5 minutes into his dialysis treatment. He has snoring respirations. Pulses are weak and you are unable to obtain a blood pressure. ECG reveals a wide-complex idioventricular rhythm at a rate of 50. What should you do? A. Administer calcium chloride B. Check his blood glucose C. Start CPR D. Cardiovert at 360J - Correct Answer ✅A. Administer calcium chloride 188. An alert 18 year old female is trapped in her car after a single car crash. She complains of hip and left leg pain. When she is finally extricated from the car, her vital signs decrease. What stages of shock is she transitioning from? A. Decompensated to hypovolemic B. Compensated to decompensated C. Decompensated to compensated D. Neurogenic to hypovolemic - Correct Answer ✅B. Compensated to decompensated FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) D. Foreign bodies - Correct Answer ✅B. The tongue 195. What contains detailed information about all potentially hazardous substances found in a workplace? A. MSDS B. Placards C. NFPA labels D. UN number signs - Correct Answer ✅A. MSDS 196. What ion plays a major role in regulating the distribution of water in the body? A. Magnesium B. Calcium C. Sodium D. Potassium - Correct Answer ✅C. Sodium 197. After initial treatments of an arterial bleed in the left forearm are unsuccessful. What should you do? A. Apply pressure to the radial artery. B. Apply a tourniquet. C. Apply pressure to the subclavian artery. D. Lower the extremity. - Correct Answer ✅B. Apply a tourniquet. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 198. What complication may occur as a result of incomplete delivery of the placenta? A. Uterine rupture B. Chronic urinary tract infections C. Disseminated intravascular coagulation D. Postpartum vaginal hemorrhage - Correct Answer ✅C. Disseminated intravascular coagulation 199. Which is a sign of respiratory failure for an adult? A. Mouth breathing B. Breathing 16 times per minute. C. Nasal flaring D. Skin is pink and dry. - Correct Answer ✅C. Nasal flaring 200. What personal protective equipment is worn during intubation? A. Gloves, eye protection, mask, and gown B. Gloves C. Gloves, eye protection, and mask D. Gloves and eye protection - Correct Answer ✅C. Gloves, eye protection, and mask FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 201. An alert and oriented 35 year old female is sitting on the ground after a car accident. Vital signs are BP 90/62, P 96, R 24 and shallow. She denies any numbness or tingling in her extremities. What should you do? A. Transport her immediately. B. Obtain her medical history. C. Reassess her vitals. D. Secure her to a long backboard. - Correct Answer ✅A. Transport her immediately. 202. What complicates coronary perfusion during in CPR? A. Hyperinflation of the lungs B. Esophageal intubation C. Gastric distention D. Poor airway management - Correct Answer ✅C. Gastric distention 203. When completing the narrative portion of your prehospital care report, the "O" in SOAP stands for: A. Objection B. Observation C. Objective D. Operation - Correct Answer ✅C. Objective 204. How do you determine that you are doing adequate CPR on a child? FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) B. He must have a history of type 1 diabetes. C. He must have a prescription for oral glucose. D. His blood glucose analysis must be between 70 and 95 mg/dL. - Correct Answer ✅A. He must be conscious, with a patent airway. 211. A 41 year old female is bleeding profusely from an extremity wound. Vital signs are BP 78/40, P 130 and weak, R 22. After stopping the bleeding, what should you do? A. Reassess her vital signs. B. Begin rapid IV fluid replacement. C. Place her in the shock position. D. Apply a tourniquet above the wound. - Correct Answer ✅B. Begin rapid IV fluid replacement. 212. A 73 year old female complains of shortness of breath. While treating her, she stops breathing. What should you do? A. Ventilate with a BVM. B. Check her pulse. C. Start CPR. D. Perform orotracheal intubation. - Correct Answer ✅B. Check her pulse. 213. What process is involved in the formation of a blood clot? A. Tissue plasminogen activator creates fibrin FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) B. Thrombin converts fibrinogen into fibrin C. Hemoglobin is converted to platelets D. Prothrombin stimulates the release of troponin - Correct Answer ✅B. Thrombin converts fibrinogen into fibrin 214. What is the inherent rate for the AV node? A. 150-250/min B. 20-40/min C. 60-100/min D. 40-60/min - Correct Answer ✅D. 40-60/min 215. Which of the following medications can produce anticholinergic effects. A. Epinephrine. B. Atropine sulfate. C. Etomidate. D. Nitroglycerin. - Correct Answer ✅B. Atropine sulfate. 216. How quickly should you expect a clot to form from a venous laceration? A. 1 minute B. 7-10 minutes C. 11-14 minutes D. 4-6 minutes - Correct Answer ✅D. 4-6 minutes FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 217. While assessing a 32 year old pregnant female, you discover fetal heart tones at 98 bpm. What should you do? A. Obtain a secondary set of vital signs B. Start a dopamine drip C. Turn to her left side and apply oxygen D. Administer atropine - Correct Answer ✅C. Turn to her left side and apply oxygen 218. A 42 year old female complains of tinnitus, nausea and vomiting. Her husband meets you at the door and states that he returned home this morning finding his wife and two children lying on the floor with nausea and headaches. What type of poisoning should you suspect? A. Severe randon gas B. Carbon monoxide C. Toxic black mold D. Hydrogen sulfide - Correct Answer ✅B. Carbon monoxide 219. A 30 year old female has recently given birth at home. During transport she has a sudden onset of shortness of breath and chest pain. Vital signs are BP 96/60, P 130, R 30, SpO2 92%. What should you administer? A. High-flow oxygen and a fluid bolus. B. Low-flow oxygen and tocolytic. C. A bronchodilator and perform a detailed exam. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) C. Tell her to pant and have your partner begin rapid transport. D. Apply oxygen and place her in a knee-chest position. - Correct Answer ✅D. Apply oxygen and place her in a knee-chest position. 226. When measuring the R-R interval, you note three large boxes in between. What would the heart rate be? A. 75 beats/min B. 100 beats/min C. 150 beats/min D. 60 beats/min - Correct Answer ✅B. 100 beats/min 227. A 22 year old female complains of body aches, severe headache and blurred vision. She admits to having large amounts of alcohol the night before. What diagnosis you should consider LAST? A. Cerebral vascular accident B. Hangover C. Migraine headache D. Meningitis - Correct Answer ✅B. Hangover FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 228. A febrile 78 year old male in respiratory distress has a productive cough with yellow sputum. Lung sounds are absent in the lower third of his lung fields. What is a DEFINITIVE treatment for this patient? A. Albuterol B. Furosemide C. Ipratropium bromide D. Antibiotics - Correct Answer ✅D. Antibiotics 229. You arrive on the scene of a motor vehicle crash involving a car and a bus. You should A. Determine number of patients, determine if any additional resources are needed and proceed into the scene B. Assess the scene for any hazards, determine the number of patients while determine if any additional resources are needed C. Assess the scene for any hazards, determine the number of patients than start to hand out triage tags D. Assess the scene for hazards, call for a mass casualty unit and wait for a second ambulance prior to entering the scene - Correct Answer ✅B. Assess the scene for any hazards, determine the number of patients while determine if any additional resources are needed 230. What chemical mediator released from mast cells is responsible for producing an acute allergic response? A. Acetylcholine B. Histamine FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) C. Dopamine D. Epinephrine - Correct Answer ✅B. Histamine 231. Which glands release their chemical products through ducts for a local effect? A. Endocrine B. Adrenal C. Exocrine D. Hormone - Correct Answer ✅C. Exocrine 232. What is the dose for lorazepam for seizures? A. 2 g IV B. 200 mcg IV C. 2 gr IV D. 2 - 4 mg IV - Correct Answer ✅D. 2 - 4 mg IV 233. A 4 year old female is warm and withdrawn when you arrive. The mother states that she had a 5 minute seizure prior to your arrival. She has had previous seizures, but that this one was longer and more violent. What should you do? A. Administer 4.5 mg diazepam. B. Suggest that she see her primary care physician. C. Apply oxygen and obtain a 12 lead ECG. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) A. A cardiac emergency B. Gastrointestinal distress C. Respiratory distress D. A transischemic attack - Correct Answer ✅C. Respiratory distress 241. After the birth of male child, you note he is blue all over, is not breathing, and has no pulse. What is his APGAR? A. 5 B. 8 C. 0 D. 2 - Correct Answer ✅C. 0 242. A 20 year old male struck his head while jumping into a swimming pool. He is unconscious and apneic. Vital signs are BP 88/70, P 80. There is a large amount of swelling and deformity in the cervical spine area. What should you do? A. Use the head tilt/chin lift to open his airway B. Administer oxygen via non-rebreather mask C. Secure him to a long spineboard D. Apply and inflate MAST - Correct Answer ✅C. Secure him to a long spineboard FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 243. How should you dispose of dressings and bandages that are saturated with blood? A. A cardboard box and sealed with tape B. In any normal garbage container C. In a red bag with a bio hazard seal D. At a hospital ED trash container - Correct Answer ✅C. In a red bag with a bio hazard seal 244. 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. Put on eye protection and a surgical mask. C. Have the patient wear a HEPA mask. D. Use gloves, gown, and HEPA mask. - Correct Answer ✅D. Use gloves, gown, and HEPA mask. 245. What medical term describes wheals on the skin during an allergic reaction? A. Urticaria B. Angioedema C. Pruritus D. Myxedema - Correct Answer ✅A. Urticaria FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 246. What are the 5 variables needed to interpret cardiac rhythms? A. Rate, regularity, QRS width, P waves, and P-R interval B. Rate, irregularity, U wave, P waves, and P-R interval C. Rate, regularity, ST segment, QRS width, and T waves D. Rate, regularity, QRS width, ST segment, and P-R interval - Correct Answer ✅A. Rate, regularity, QRS width, P waves, and P-R interval 247. A 42 year old male complain of hives and itching on his lower right leg immediately after mowing the lawn. Vital signs are BP 146/84, P 92, R 16. What should you suspect? A. Anaphylaxis B. Allergic reaction C. Eczema D. Insecticide poisoning - Correct Answer ✅B. Allergic reaction 248. A 25 year old female is in labor and reports an urge to push. Suddenly her contractions weaken. You should suspect: A. uterine rupture B. false labor C. uterine inversion D. placenta previa - Correct Answer ✅A. uterine rupture FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 255. You are treating a 56 year old female with severe hypoglycemia who is unconscious. How should you elevate her blood sugar? A. Give glucose orally or IM if there is no gag reflex B. Try glucagon IM, if it fails give dextrose IO C. Give dextrose IV, if IV fails give glucagon IM D. Give glucagon IM or administer glucose buccally - Correct Answer ✅C. Give dextrose IV, if IV fails give glucagon IM 256. A 22 year old male fell off a ladder. His respiratory rate is 10 and lung sounds are diminished bilaterally. What should you do? A. Perform nasotracheal intubation. B. Check for a carotid pulse. C. Assist his ventilations. D. Place a cervical collar. - Correct Answer ✅C. Assist his ventilations. 257. A 37 year old female complains of a possible overdose. She is hyperventilating and tachycardic. Which drug is most likely to result in her symptoms? A. Opiates B. Methamphetamine C. Alcohol D. Beta-blockers - Correct Answer ✅B. Methamphetamine FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 258. 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. Load and transport the first patient you find. D. Begin filling out patient care reports. - Correct Answer ✅A. Have your partner begin triaging patients. 259. What is a temporary occlusion caused by a coronary artery spasm known as? A. Prinzmetal's angina B. Acute angina pectoris C. Unstable angina D. Pre-infarct angina - Correct Answer ✅A. Prinzmetal's angina 260. A 26 year old female is supine and only responding to voice with unintelligible gurgling noises. Her husband tells you she is an epileptic. She had a seizure during which he was able to gently assist her to the ground. What should you do? A. Load the patient on a stretcher and apply soft restraints. B. Roll the patient onto her side and suction the airway. C. Perform a thorough trauma assessment and patient history. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) D. Apply a c-collar and place her on a long backboard. - Correct Answer ✅B. Roll the patient onto her side and suction the airway. 261. What causes carpopedal spasms in patients who are hyperventilating? A. Hypercalcemia B. Hypocalcemia C. Hypocapnea D. Clonic focal motor seizures - Correct Answer ✅B. Hypocalcemia 262. A 64 year old female complains of weakness and nausea. A 12 Lead ECG shows normal sinus rhythm with ST elevation in V1 and V2. Vital signs are BP 132/64, R 18, P 98. What should you do? A. Administer nitroglycerin B. Administer aspirin C. Administer ondansetron D. Administer morphine - Correct Answer ✅B. Administer aspirin 263. What medication is an appropriate treatment for anaphylaxis? A. Nitroglycerin B. Epinephrine C. Naloxone D. Albuterol - Correct Answer ✅B. Epinephrine FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) C. Ulcerative colitis D. Cholecystitis - Correct Answer ✅C. Ulcerative colitis 271. Where in the respiratory system does gas exchange occur? A. Alveoli B. Bronchioles C. Pharynx D. Larynx - Correct Answer ✅A. Alveoli 272. What is the study of the drug receptor interaction called? A. Pharmacology B. Physiology C. Pharmacodynamics D. Pharmacokinetics - Correct Answer ✅C. Pharmacodynamics 273. What are the primary ions involved in action potential synthesis and transmission? A. K+, Na+, Hg+++ B. Na+, K+, Ca++ C. Ca++, Na+ D. Ca++, H+ - Correct Answer ✅B. Na+, K+, Ca++ FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 274. An 80 year old male is confused and in his apartment on a hot summer day. Vital signs are BP 80/P, P 132 and regular, R 40 and shallow, skin is hot and dry. What should you suspect? A. Heatstroke B. Hypoglycemia C. Heat exhaustion D. Dementia - Correct Answer ✅A. Heatstroke 275. What will initial compensatory mechanisms do during hemorrhaging? A. Decrease respiratory rate and increase heart rate. B. Increase stroke volume and increase cardiac output. C. Increase cardiac output and reduce mean arterial pressure. D. Decrease peripheral vascular resistance and increase respiratory rate. - Correct Answer ✅B. Increase stroke volume and increase cardiac output. 276. What molecule are ketone bodies metabolized from? A. Carbohydrates B. Lipids C. Glycogen D. Proteins - Correct Answer ✅B. Lipids 277. What neural signal prevents the lungs from overinflating? A. Crutzfelts-Jacobs reflex FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) B. Epstein-Barr reflex C. Frank-Starling reflex D. Hering-Breuer reflex - Correct Answer ✅D. Hering-Breuer reflex 278. A 72 year old female woke with dyspnea. Crackles are audible to her scapulae bilaterally. She is coughing frothy pink sputum. Vital signs are BP 158/98, P 128, R 8. What should you do to improve her minute volume? A. Administer nitroglycerin 0.4 mg sublingual B. Administer furosemide 1 mg/kg IV at 20 mg/min C. Intubate and ventilate with a BVM D. Provide oxygen by non-rebreather mask - Correct Answer ✅C. Intubate and ventilate with a BVM 279. A 55 year old female was in a motor vehicle crash. She starts vomiting while you attempt to nasotracheally intubate her. What should you do? A. Remove the tube and use an ET tube. B. Auscultate breath sounds over the lungs and epigastrium. C. Remove the tube and clear the airway. D. Attempt to intubate through her other nostril. - Correct Answer ✅C. Remove the tube and clear the airway. 280. A 43 year old patient was struck in the chest and has a large bruise over her sternum. She states that her heart "feels like it is beating funny. The 3 lead ECG shows sinus tachycardia with ST elevation and frequent unifocal FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 286. The negative electrode is placed on the right arm, the positive electrode is placed on the left leg, the ground lead is on the left arm. This represents the correct lead placement for what Lead? A. MCL Lead. B. Lead I. C. Lead II. D. Lead III. - Correct Answer ✅C. Lead II. 287. An unresponsive 20 yo male struck his head. Vital signs are BP 180/20, P 40, R 8. What should you do? A. Perform endotracheal intubation B. Ventilate using a BVM at 12/min C. Apply oxygen 10lpm via mask D. Administer 0.5 mg Atropine - Correct Answer ✅D. Administer 0.5 mg Atropine 288. Expiratory stridor indicates obstruction or narrowing of what part of the airway? A. Lower trachea B. Supraglottic C. Larynx D. Upper trachea - Correct Answer ✅B. Supraglottic FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) 289. What is the phase after a generalized seizure called? A. Postictal B. Aura C. Psychosis D. Translucent - Correct Answer ✅A. Postictal 290. What can you administer to manage the airway of a patient whose jaw is clenched? A. Neuromuscular blocking agent B. Parasympatholytic agent C. Potent sedative agent D. Vagal reducing agent - Correct Answer ✅A. Neuromuscular blocking agent 291. What is the first sign of decompensated shock? A. A decrease in blood pressure B. A decrease in body temperature C. A decrease in mental status D. A decrease in respiratory rate - Correct Answer ✅C. A decrease in mental status 292. You are completing your patient care report and cannot remember the correct spelling of a medical term. What should you do? A. Attempt the correct spelling. FISDAP Paramedic Final Exam Questions and Answers 2023 (Verified Answers) B. Use plain English instead. C. Cross out the sentence. D. Make up an abbreviation. - Correct Answer ✅B. Use plain English instead. 293. A 28 year old female is 30 weeks pregnant with twins. Her water has broken and she feels like she has to move her bowels. The nearest hospital is 40 miles away. A medical helicopter is responding but is 45 minutes from your location. What should you do? A. Load and go and deliver the babies en route B. Call for an additional ambulance C. Prepare for imminent delivery D. Administer brethine and wait for the helicopter - Correct Answer ✅C. Prepare for imminent delivery 294. A patient has been struck by lightning. You should be most concerned that the electrical current caused him to do which of the following? A. Become apneic B. Suffer circumferential burns C. Develop respiratory alkalosis D. Suffer brain damage - Correct Answer ✅A. Become apneic 295. Where should you perform a surgical airway? A. At the larynx superior to the hyoid bone.