FISDAP Paramedic Final Exam - QBank

FISDAP Paramedic Final Exam - QBank 2023 Questions & 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?

• 800mg
• 1600mcg
• 1600mg
• 400mcg Correct Ans - A. 800 mg
• During the absolute refractory period, what happens to the cardiac cell?
• It is unable to be stimulated.
• The cell is vulnerable to partial stimulation.
• Potassium is being pumped out of the cell.
• Calcium has just rushed into the cell. Correct Ans - A. It is unable to

be stimulated.

• 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?

• Head, neck, extremities
• Head, chest, abdomen
• Abdomen, pelvis, arms
• Chest, pelvis, extremities Correct Ans - B. Head, chest, abdomen
• Unequal pupils are a result of pressure on which structure?
• Central medulla
• Trochlear membrane
• Vagus nerve
• Occulomotor nerve Correct Ans - D. Occulomotor nerve
• What is an abnormally high level of carbon dioxide in the blood called?
• Pneumonia
• Hypoxia
• Hypercapnia
• Emphysema Correct Ans - C. Hypercapnia 1 / 4

• What is oxygen deficiency in the body called?
• Hypercarbia
• Hyperoxia
• Hypoxia
• Hypoxemia Correct Ans - C. Hypoxia
• What is your initial priority at a trench collapse?
• Establishing medical command
• Maintaining control of the crowd
• Preventing a secondary collapse
• Protecting the patient's airway Correct Ans - A. Establishing

medical command

• A 23 year old male complains of neck stiffness and flu symptoms for the

past few days. He also describes a high fever with a severe headache, dizziness and blurred vision. What should you suspect?

• Hemorrhagic stroke
• Migraine
• Meningitis
• Influenza Correct Ans - C. Meningitis
• What causes an emphysema patient to have a pink appearance?
• Elevated PCO2 level
• Polycythemia
• Anemia
• Elevated PO2 level Correct Ans - B. Polycythemia
• Which of the following is a musical, squeaking or whistling sound heard in

inspiration and expiration while auscultating lung fields?

• Wheezing
• Snoring
• Stridor
• Gurgling Correct Ans - A. Wheezing
• You are treating a 82 year old male in hypovolemic shock. In order to

increase their blood pressure you should administer:

• 0.45% NaCl via IV 2 / 4

• isotonic fluids orally
• dextrose 5% in water via IO
• isotonic crystalloid via IV Correct Ans - D. isotonic crystalloid via IV
• A 35 year old man is pulseless and apneic. He was found in a lake after

falling through the ice. His wife says he left the house 3 hours ago. His is cold and rigid. What should you do?

• Perform chest compressions
• Begin active rewarming techniques
• Obtain IO access and administer a warm fluid bolus
• Contact the medical examiner Correct Ans - A. Perform chest

compressions

• What does a pulsating mass in the abdomen suggest?
• Abdominal aortic aneurysm
• Perforated ulcer
• Hernia
• Ruptured ectopic pregnancy Correct Ans - A. Abdominal aortic

aneurysm

• What is the safest and most effective landing pattern for a helicopter?
• At a slight angle like that of a jet
• Nose of the helicopter pointing up with a tail wind
• Straight up and down in a vertical motion
• Nose of the helicopter pointing down with a slow descent Correct Ans
• At a slight angle like that of a jet
• During inspiration, what happens to blood flow in the thoracic cavity?
• afterload increases
• blood flow increases to the right atrium
• blood flow through the vena cava is reduced
• pressure in the aorta increases Correct Ans - B. blood flow

increases to the right atrium

• What is the period of the cardiac cycle when stimulation will not produce

any depolarization?

• Impulse refractory period
• Absolute refractory period
• Relative refractory period 3 / 4

• Transient refractory period Correct Ans - B. Absolute refractory

period

• 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 sign of continued ischemia
• A compensatory pause
• A non-compensatory pause
• Reynaud's Pause Correct Ans - B. A compensatory pause
• 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?

• Continue CPR and ACLS drugs for another thirty minutes
• Begin termination of resuscitative efforts
• Report suspected child abuse to the police
• Wait for the coroner before stopping CPR Correct Ans - B. Begin

termination of resuscitative efforts

• Which of the following requires ATP?
• Active transport
• Osmosis
• Diffusion
• Facilitated diffusion Correct Ans - A. Active transport
• 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"?

• Patellar dislocation
• Cervical spine fracture
• Ruptured diaphragm
• Flail chest Correct Ans - C. Ruptured diaphragm
• How does the blood flow through the heart?
• Right ventricle to right atrium to lungs to left ventricle to left atrium
• Right atrium to right ventricle to lungs to left atrium to left ventricle
• / 4