PARAMEDIC FISDAP FINAL EXAM-with 100% verified solutions-2024-2025 .docx, Exams of Nursing

Download PARAMEDIC FISDAP FINAL EXAM-with 100% verified solutions-2024-2025 .docx and more Exams Nursing in PDF only on Docsity! PARAMEDIC FISDAP FINAL EXAM- with 100% verified solutions-2024- 2025 1. Which of the following is most likely mistaken for seizure, in an elderly patient? A. Stroke B.Syncope C. Dementia D. Arrhythmia 2. Which of the following is part of the Emergency Medical Services system? A. Fire fighter B. Police officer C. Traffic officer D .Medical director 3. What does the ECG rhythm show (see image)? A. Asystole B. Normal sinus rhythm C. Ventricular fibrillation D. Presence of a pacemaker 1 4. In a 12-lead ECG, which of the following leads shows changes in the case of inferior wall myocardial infarction? A. I1, Ill and V2 B. II, Ill and V4 C. II, Ill and AVF D. II, Ill and AVL 5. What is the primary role of paramedics? A. Research B. Patient care C. Public health D. Disaster planning 6. What is the most important resource of information in malpractice cases? A. Patient B. Witnesses C. Medical record D. Clinical provider 7. Which of the following suffixes represents blood? A. Emia B. Algia C. Plasty D. Phasia 8. Which of the following medications is contraindicated in malignant hyperthermia? A. Atropine B. Epinephrine C. Succinylcholine D. Magnesium sulfate 9. Which of the following is the most appropriate action in dealing with home delivery complicated with cord prolapse? 2 19. What is the first step in the management of burn patients? A. Stop the burning process B. Pain management with narcotics C. Start fluid therapy with ringer's solution D. Secure airway with nasotracheal intubation 20. Which of the following fractures is an indication for the use of a traction splint? A .Tibia B. Hip bone C. Fibula head D . Femur shaft 21. What is the second dose of intravenous amiodarone for an adult with cardiac arrest? A.300 mg B. 100 mg C. 150 mg D.200 mg 22. SOAP is an acronym for a method of communication. What does the "O" in it stand for? A. Order B. Onset C. Objective D. Operation 23. Which of the following drugs is used to reverse morphine related respiratory or cardiovascular depression? A. Diazepam B. Atropine C. Naloxone D. Amiodarone 5 24. Blockage of which of the following artery/arteries will lead to an anterior wall myocardial infarction? A. Right coronary artery B. Left anterior descending artery C. Left anterior descending and circumflex arteries D. Left coronary and left anterior descending arteries 25. What is the main cause of cardiac arrest in drowning? A. Hypoxia B. Hypothermia C. Hypovolemia D . Hypokalaemia 26. Which of the following cardiac pacemakers has an intrinsic rate of 60 to 100 beats per minute? A. Atria B. Purkinje fibers C. Sinoatrial node D. Atrioventricular Junction 27. What is the fundamental ethical question when performing a procedure on a patient? A. What does the patient want? B. Can you handle the procedure complications? C. Can this procedure have a legal consequences? D. Is the procedure done for the best interest of the patient? 28. Paramedic team is attending to a patient with a cardiac arrest. ECG was done (see image). What is the appropriate dose of epinephrine to be given? A. 1 mg B. 2 mg C. 3 mg D. 5 mg 6 29. Which of the following drugs is administered to a paediatric patient through an endotracheal tube during resuscitation? A. Dopamine B . Epinephrine C. Magnesium sulfate D . Sodium bicarbonate 30. Which of the following information will change the fluid resuscitation management with a cardiac patient? A. Asthma B. Morphine allergy C. Socioeconomic status D. History of congestive heart failure 31. Which of the following information must be documented in the PCR during the transference of an intubated patient? A. Tube colour B . Tube depth and size C. Tube manufacture date and origin D . Amount of lubricant used during insertion 32. Which of the following is a specific type of closed soft tissue injury? A. Avulsion B. Abrasion C . Contusion D . Laceration 33. Which of the following is a cause of medication errors in health care? A. Negligence B. Lack of knowledge C. Provider carelessness D. Medication look alike and sound a like 7 B. 1-2 litter bolus of hypotonic solutions C. 1-2 litter bolus of hypertonic solutions D. 1-2 litter bolus of isotonic crystalloid solutions 43. The Emergency Medical Services team was dispatched to a private clinic to assess a 26-year-old pregnant woman. She is 30 weeks pregnant and is complaining of regular intense uterine contraction. No vaginal bleeding. The attending doctor did a bimanual examination, her cervix is 5 cm dilated. Which of the following is the most likely diagnosis? A. False labour B. Placenta previa C. Preterm Labour D. Premature Rupture of Membranes 44. A paramedic unit was responding to a university fire. The initial report suspects more than 25 patients involved. The incident command system was established prior to the arrival of the paramedic unit. On scene, the paramedic confirmed the arrival via radio. What is the most appropriate next step? A. Start triaging patients B. Treat the closest patient C. Treat the most injured patient D. Stay with the ambulance until given an Assignment 45. A paramedic team was responding to a cardiac arrest patient who was involved in a car accident. The cardiac monitor showed a slow heart rate and narrow complex. Peripheral pulses are not palpable even after cardiopulmonary resuscitation Which of the following is the reversible cause of pulseless electrical activity? A. Toxins 10 B. Heart thrombosis C. Pulmonary contusion D. Tension pneumothorax 46. A paramedic team was called for a 34-year-old woman who is complaining of respiratory depression. On scene, the patient was in a recent painted room, was confused, lethargic, and started to vomit. On assessment, the patient had photophobia, blurred vision and dilated and sluggish pupils. The patient was tachypnic and had shortness of breath. Which of the following intoxications is the most likely diagnosis? A. Digoxin B. Cyanide C. Narcotic D. Methanol 47. A 46-year-old patient is calling the ambulance to infuse a medication that is given by a local doctor. The medication is not within the scope of practice. Which of the following is the most appropriate action? A. Refuse to give the infusion B. Read about the drug, if confident give it C. Call the prescribing doctor for instructions D. Start the drug infusion as shown in the order 48. The Emergency Medical Services team dispatched for a 35-year-old woman complaining of severe headache. She is 32 weeks pregnant. She is also complaining of nausea, blurred vision and swelling in her lower limbs. Blood pressure 165/95 mmHg Heart rate 105 /min Respiratory rate 18 /min Temperature 36.6 .C Oxygen saturation 99 % Which of the following is the most likely diagnosis? A. Migraine B. Eclampsia 11 C. Pre-eclampsia D. Absence seizure 49. A paramedic team was dispatched for a mass causality incident. On scene, there were more than10 patients. On triaging, the first patient could not breathe. What is the best next immediate action? A. Check the pulse B. Tag as a dead patient then move to next C. Tag as an immediate patient then move to next D. Open and re-position airway then check respiration 50. Paramedic responds to a 65-year-old woman who having generalized seizure activity. Her son says that she had a seizure that lasted about 4 minutes. After the episode, she remained unconscious for about 7 minutes and then started having another seizure activity. Examination reveals that she has peripheral cyanosis and oral secretions. Which of the following is the next most appropriate course of action? A. Give intravenous phenytoin B. Give intravenous lorazepam C. Start rapid sequence intubation D. Suctioning and start bag-valve-mask Ventilation 51. A 62-year-old man mentally competent with a history of hypertension, diabetes, and hyperlipidemia. He is complaining of a headache but he refused to go to the hospital. The ambulance crew took him by force to the hospital. Which of the following represents the definition of the ambulance crew action? A. Negligence B. Abandonment C. Intent to harm D. False imprisonment 52. The Emergency Medical Services team was dispatched to assess the delivery of a 35- year-old woman who is 40 weeks pregnant. The patient is lying in the bed screaming 12 59. A 12-year-old boy presented with respiratory distress. Examination shows that the boy has cyanosed skin and a gurgling sound. Heart rate 120 /min Respiratory rate 25 /min Oxygen saturation 90% Which of the following is the most appropriate management? A. High flow O2 B. Airway suction C. Albuterol nebulization D. Epinephrine nebulization 60. The Emergency Medical Services team was called for a 24-year-old woman who is 36-weeks pregnant. the patient was supine in bed complaining of severe weakness, dizziness, and nausea. Which of the following is the first priority? A. Assess the patient's blood glucose level B. Determine the patient's SAMPLE history C. Ask the patient about the expected date of delivery D. Place the patient on her left side 61. A paramedic team is dispatched to a patient with severe shortness of breath. Examination reveals severe wheezing sounds in both lungs. The patient does not show improvement in Spo2 or respiratory rate after they gave her oxygen and 2 nebulizers of albuterol. Her level of consciousness starts to decrease. Respiratory rate 29 /min Oxygen saturation 88% What should the paramedics do for this patient? A. Initiate IV access B. Awake intubation C. Administer epinephrine IM D. Give oxygen by nasal cannula 15 62. A 50-year-old man presented in the Emergency Department with cardiac arrest. The patient's medical history revealed renal failure and diabetes. The monitor showed the T wave is tall and peaked and QRS is widened. Which of the following is a reversible cause of PEA? A. Hypovolemia B. Hypokalemia C. Hypothermia D Hyperkalemia 63. A 3-year-old boy presents with severe coughing and a high-grade fever for 2 days. Assessment reveals inspiratory stridor and a seal-bark cough. What is the most likely condition? A. Croup B. Epiglotticis C. Pneumonia D. Emphysema 64. A 10-month-old infant was brought to the Emergency Department by his parents with complaints of a sudden decrease in the level of consciousness. An EGC was done which showed abnormal P waves. Heart rate 230 /min Which of the following is the most likely diagnosis? A. Sinus tachycardia B. Supraventricular tachycardia C. Ventricular tachycardia polymorphic D . Ventricular tachycardia monomorphic 65. A paramedic responds to a 69-year-old diabetic man who develops drowsiness. Upon arrival, the man is unresponsive. Examination reveals that he has a pulse and breathing on his own. His skin is pale and cold. The paramedic cannot get an intravenous access to give dextrose (see lab result). Blood pressure 101/69 mmHg Heart rate 76 /min Respiratory rate 11 /min Temperature 36.6 'C Oxygen saturation 95 % 16 Test Result Normal Value Random Glucose 2.5 3.9-5.5 mmol/L Which of the following is the most appropriate course of action? A. Give oral glucose B. Transport to the hospital C. Give intramuscular glucagon D. Give subcutaneous epinephrine 66. Paramedic team responds to a 10-year-old boy mplaining of severe shortness of breath. Upon arrival, the boy is distressed, speaks in words and is sitting in a tripod position. On auscultation, there is severe bilateral wheezing. The paramedic gives 3 nebules of salbutamol but there is no effect. Blood pressure 121/71 mmHg Heart rate 76 /min Respiratory rate 22 /min Oxygen saturation 93% What is the next appropriate course of action? A. Endotracheal intubation B. Subcutaneous corticosteroids C. Subcutaneous ipratropium sulfate D. Subcutaneous epinephrine 67. A paramedic team responded to a call for a cardiac arrest case. Chest compression was in progress and the patient was on a cardiac monitor. A few minutes later, the capnography waveform showed a sudden increase in ETCO2 (see image). What is the most likely finding? A. Ineffective ventilation B. Ineffective chest compression C. Return of spontaneous circulation 17 C. Unsynchronized cardio version 100 joules D. Unsynchronized cardio version 300 joules 76. A 45-year-old man presents in a cardiac arrest. The cardiac monitor shows the ventricular fibrillation rhythm. Chest compression is in progress and oxygen is given. Which of the following is the most appropriate treatment? A. 1 mg of Epinephrine B. 300 mg of amiodarone C. 1 shock and resume CPR D. 3 shocks and resume CPR 77. A paramedic team was called for a 29-year-old man who has been bitten on the right forearm by a snake. He has excessive salivation, drowsiness and dilated pupils. There is paralysis of the tongue, hypotension and bradypnea. The paramedic has controlled the airway and provided breathing and circulatory support. What is the next immediate action? A. Incise the wound to bleed it B. Apply ice pack to the wound C. Apply electrical simulation to the right arm for reversing spread of venom D. Apply a compression bandage and keep the extremity at the level of the heart 78. A paramedic team is dispatched to transport a22-year-old man who was involved in a motor vehicle accident. On arrival, the patient is unconscious and apneic. Examination reveals a possible trauma to his spinal cord and femur. Which of the following is the most appropriate management? A. Intubate the patient B . Bag the patient and transport C. Bag the patient and take spinal precautions D. Insert Oropharyngeal Airway and bag the patient with consideration to spinal precautions 79. A paramedic team is dispatched to the scene for a10-year-old boy who has been struck by a car. Police are unable to reach his parents. What is the type of consent that will give the ability to treat the patient? A. Expressed 20 B. Informed C. Revoked D. Implied 80. A paramedic team was dispatched to a 22-year-old man who was found on the street with a sucking chest wound after being stabbed with a sharp metal. What type of dressing should be used to cover the injury? A. Triangle bandage B. 4 X 4 gauze patch C. Pressure bandage D. Occlusive dressing 81 A paramedic team was dispatched to a 66-year-old man. The patient's wife informed them that he had cardiac surgery 7 days ago. He is experiencing sudden sharp (pinpoint) chest pain and dyspnea. Respiratory rate 33 /min Heart rate 145 /min Which of the following most likely represents this case? A. Pneumonia B. Asthma attack C. Pulmonary embolus D. Congestive heart failure 82. A 64-year-old man was trapped in his car that crashed into a lake. The patient is responsive and shouting for help. There was no specialized rescue team on the scene, and the car started to sink into the deep water. Which of the following is the most appropriate action? A. Begin extricateon B. Encourage bystanders to help C. Wait for the specialized team arrival D. Swim toward the patient and provide medical Aid 21 83. A paramedic team is addressing a 6-year-old child who fell from a swing and broke her left leg. Which of the following is the most appropriate way of communication with the patient's parents? A. Use medical terminology B. Separate them from their child C. Keep them informed of each action and procedure D. Police should be informed for possible domestic abuse 84. A paramedic was called in the local court for a testimony regarding a case he witnessed 9 years ago. Which of the following is the most appropriate aid for the staff to recall the incident A. Patient care report B. Dispatcher C. Emergency medical director D. Emergency medical team colleagues 85. A paramedic team is dispatched to a 2-year-old boy who complains of difficulty breathing. On arrival, the patient looks sick and stridor could be heard. According to the mother, he was playing and everything was fine. Which of the following is suspected when stridor is present? A . Asthma B. Bronchitis C. Pulmonary edema D. Upper airway obstruction 86. Paramedic team was called to attend a 50-year-old patient who fell down while he was working on his home roof. On arrival, paramedic team found the confused patient lying down in the yard. One of the curious neighbors is interested in knowing about the cause of his problem. Which of the following is the most appropriate response? 22 93.T he Emergency Medical Services team was dispatched to a 14-year-old boy who was involved in a motorbike crash. He was not wearing a helmet and is responsive to painful stimuli. He has snoring respiration and deformity in the left ankle. Which of the following should be the first step? A. Splinting the injured ankle B. Securing the patient to a long spinal board C. Open the airway using jaw thrust maneuver D .Suction the mouth and insert oropharyngeal Airway 94. What is the difference between adults and infants when using the rule of nines in a burn injury? A. Lower extremities accounts for the same in both B. Head of the infant accounts for more than adult C. Head of the infant accounts for less than adult D. Upper extremities accounts for more in adult 95. A paramedic team was called to attend a 20-year-old woman with acid burns. A 23- year-old man threw acid on her following an argument. What is the most appropriate action? A. Ask for more paramedics B. Call the police for security C. Try to find the reasons of incident D. Start treating the patient 96. The Emergency Medical Services team was called for a 24-year-old woman who is 36-weeks pregnant. The patient was supine in bed complaining of severe weakness, dizziness, and nausea. Which of the following is the first priority? A. Place the patient on her left side B. Assess the patient's blood glucose level C. Determine the patient's SAMPLE history D. Ask the patient about the expected date of Delivery 25 97. A paramedic team transports a 65-year-old man from a primary hospital to a hospital with ICU beds. The chief complaint for the patient is difficulty breathing. In the hospital, the doctor asks for arterial blood gases (see lab results). Test Result Normal Values ABG HCO3 22 22-28 mmol/L ABG PCO2 65 35-45 mmHg PH 7.22 7.35-7.45 ABG PO2 70 80-100 mmHg Which of the following is the most appropriate pre- hospital management? A . Give IV fluid B. Give sodium bicarbonate C. Provide high flow oxygen D. Transport patient with a basic life support crew 98. The Emergency Medical Services team was dispatched to a patient who was ejected from the car during a motor vehicle crash. The patient responds incoherently to verbal commands. Which of the following is the most appropriate next step? A. Determine the heart rate B. Asses the patient's airway C. Perform the secondary survey D. Log roll the patient into a spinal board 99. A paramedic team was dispatched to a 37-year-old man who is experiencing shortness of breath. He is a known asthmatic. Chest auscultation reveals bilateral wheezing. What is the most appropriate immediate action? A. Apply oxygen B. Call for a backup C. Give water and let him rest D. Give corticosteroid medication 26 100. Paramedic team responds to a disaster scene of 20 patients. Upon arrival, the paramedic starts triage and found out that the patients are more than 20. What is the most appropriate course of action? A. Transport the 20 and treat the rest on scene B. Communicate with dispatch and ask for back up C. Take 4 patients in the ambulance and go to the nearest hospital D. Communicate with the police and ask them to transport patients 27