FP-C Flight Paramedic Prep practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.
Q11What would be the first management priority for a patient with severe chest pain, HR 110, BP 85/55, SpO₂ of 97% and suspected myocardial infarction (MI)?
✓ Correct answer: B. Initiate immediate administration of aspirin.
Answer: Initiate immediate administration of aspirin. Administering aspirin is the initial step in managing a suspected myocardial infarction (MI) because it helps to inhibit platelet aggregation, thereby reducing the risk of further clot formation. Myocardial infarction, commonly known as a heart attack, occurs when the blood flow to a part of the heart is blocked for a long enough time that part of the heart muscle is damaged or dies. Patients typically present with severe chest pain, which may radiate, accompanied by symptoms such as nausea, sweating, and shortness of breath. Aspirin is a first-line treatment because it is easily administered and helps immediately. Nitroglycerin may be administered in acute coronary syndrome but is not the first priority. Dopamine is not appropriate initially as this patient's hypotension is not yet severe enough to warrant its use without first addressing the potential blockage in blood flow. Oxygen therapy may be initiated if SpO₂ levels fall below 93%, but the patient's current oxygen saturation is adequate.
Q12Which of the following is the most appropriate treatment for a patient experiencing acute lithium toxicity?
✓ Correct answer: A. Administration of intravenous fluids
Answer: Administration of intravenous fluids The most appropriate treatment for a patient with acute lithium toxicity is the administration of intravenous fluids to enhance renal elimination of lithium. Bicarbonate is not indicated for lithium toxicity but is used for conditions such as salicylate poisoning with metabolic acidosis. Flumazenil is used for benzodiazepine toxicity. Activated charcoal is generally ineffective for lithium as it does not bind well to lithium ions.
Q13All of the following are primary actions to take when managing a patient with severe anaphylactic shock during a flight except:
✓ Correct answer: A. Administering antiviral medication
Answer: Administering antiviral medication In the event of severe anaphylactic shock during a flight, the flight paramedic should prioritize administering intramuscular epinephrine, ensuring the patient's airway remains clear, and providing supplemental oxygen. These actions are critical to patient survival as they directly address the symptoms and underlying causes of anaphylaxis. Antiviral medications, however, are irrelevant in this context as they do not treat anaphylactic shock.
Q14Which medication can be used as an alternative to naloxone in cases of opioid overdose if naloxone is unavailable?
✓ Correct answer: C. Naltrexone
Answer: Naltrexone Naloxone and naltrexone are both opioid antagonists that can be used to reverse opioid overdoses. Naloxone is commonly used in emergency situations due to its rapid onset of action and ability to be administered intranasally or intravenously. If naloxone is unavailable, naltrexone can be administered as an alternative, though it is typically used in a different context such as maintenance therapy for opioid dependence. Flumazenil is used to treat benzodiazepine overdoses. Activated charcoal is used to absorb certain ingested toxins, particularly within a short time of ingestion. Sodium bicarbonate is used to treat acidosis, often in overdoses involving tricyclic antidepressants.
Q15A patient sustained multiple injuries from the sudden impact and debris during a high-velocity car crash. There are deep lacerations noted on the patient's face, arms, and legs due to broken glass. Which type of injury pattern is primarily responsible for these lacerations?
✓ Correct answer: D. Secondary
Answer: Secondary Traumatic injuries can be classified into different stages similar to blast injuries. Secondary injuries are caused by projectiles and debris such as broken glass during a car crash. These injuries include deep lacerations and penetration wounds. Primary injuries are typically caused by the direct impact and pressure shock waves from the collision itself, affecting gas-filled structures like the lungs. Tertiary injuries result from the sudden displacement or acceleration/deceleration of the body upon impact. Quaternary injuries are due to subsequent elements such as heat or chemical exposure from the crash.
Q16A patient is being transported by helicopter and has sustained a burn injury requiring the application of dressings. Which of the following statements about the use of dressings during air medical transport is the most accurate?
✓ Correct answer: D. Bulky dressings should be avoided as much as possible due to space limitations in the aircraft
Answer: Bulky dressings should be avoided as much as possible due to space limitations in the aircraft. During air medical transport, the confined and cramped spaces of helicopters or other aircraft pose challenges for the transport of patients with burns. Large or bulky dressings can complicate the process of loading, transporting, and unloading patients. Medical crews must ensure dressings are appropriately sized and applied without interfering with the limited space in the aircraft. Depending on the burn severity and location, different types of dressings and additional support means (such as blanket rolls, pillows, etc.) may be utilized to ensure patient safety and comfort.
Q17Which of the following scenarios best exemplifies the principles of a Just Culture in a healthcare setting?
✓ Correct answer: C. A hospital administrator implements a training program on dosage calculations after several nurses misdose a pediatric patient.
Answer: A hospital administrator implements a training program on dosage calculations after several nurses misdose a pediatric patient. The correct answer involves providing training and support to healthcare workers who made dosage errors. Just Culture is defined as "a system of shared accountability in which all contributing factors to accidents or sentinel events are considered." This approach ensures that behaviors are identified, and accountability is maintained without placing blame. The goal is to anticipate human error and plan accordingly without punishing healthcare providers for their mistakes. Just Culture involves recognition, support, training, and discipline as needed to address human error. Assigning blame does not align with Just Culture principles, nor does imposing undue discipline without altering and improving existing systems. While discipline can be part of Just Culture, it should be combined with efforts to enhance systemic processes, rather than punishment without accompanying improvements.
Q18In the context of the STAR Method for interviewing, what does the 'S' stand for?
✓ Correct answer: C. Situation
Answer: Situation The 'S' in the STAR Method stands for 'Situation.' The STAR Method is a structured manner of responding to a behavioral-based interview question by discussing the specific Situation, Task, Action, and Result of the situation you are describing. The method is broken down as follows: S: Situation. Describe the context within which you performed a task or faced a challenge at work. T: Task. Explain what your responsibility was in that situation. A: Action. Describe how you completed the task or faced the challenge. R: Result. Explain the outcomes or results of your actions.
Q19Which of the following interventions is not appropriate as an initial step in the management of neonatal respiratory distress syndrome (RDS)?
✓ Correct answer: A. Administer nitric oxide
Answer: Administer nitric oxide Neonatal respiratory distress syndrome (RDS) is commonly seen in preterm infants due to the lack of surfactant in the lungs, which leads to poor lung compliance and atelectasis. First-line treatments for RDS aim to improve lung function and oxygenation. The administration of surfactant is critical as it reduces surface tension in the alveoli, improving lung compliance and oxygenation. Delivery of 100% oxygen via CPAP (Continuous Positive Airway Pressure) helps in maintaining alveolar expansion and improving oxygenation. Mechanical ventilation may also be necessary if the neonate is unable to maintain adequate oxygenation with CPAP alone. Nitric oxide, while useful in treating Persistent Pulmonary Hypertension of the Newborn (PPHN), is not a standard initial treatment for RDS. It is not used unless there is a confirmed diagnosis of PPHN.
Q20During transport of a neonate who has been experiencing persistent vomiting and is assessed with a rapid and weak central pulse, cool extremities, a respiration rate of 50 bpm, and poor responsiveness to stimuli, you note a capillary refill time of over four seconds. Initial BP is 75/45 mm Hg, and blood glucose level is recorded at 28 mg/dL. After administering 100% oxygen through a face mask and establishing IV access, what should be the next step in management?
✓ Correct answer: D. Administer a bolus of normal saline 20 mL/kg over 15 minutes, and D25W 2 to 4 mL/kg IV
The patient likely experiences hypovolemic shock due to severe dehydration, indicated by symptoms like weak pulse, cold extremities, and low BP. Immediate action should include fluid resuscitation with 20 mL/kg isotonic crystalloid solution, administered quickly. Hypoglycemia, evident from low glucose levels, requires dextrose administration; for infants, D25W 2 to 4 mL/kg is appropriate. Capillary refill time and other vital signs should constantly be rechecked.
Use the free FP-C Flight Paramedic Prep sample, download the PDF, then unlock web-based timed mock exams for a full exam rehearsal.
Theory