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.
Q21Which of the following is not an appropriate treatment for a pediatric patient experiencing Severe Asthma Exacerbation?
✓ Correct answer: D. 20 ml/kg IV fluids
Answer: 20 ml/kg IV fluids For a pediatric patient experiencing a severe asthma exacerbation, administering 20 ml/kg IV fluids is not appropriate. Severe asthma exacerbation needs prompt bronchodilation and anti-inflammatory treatment. Standard treatments include administration of nebulized albuterol, ipratropium bromide, and possible systemic corticosteroids. IV fluids should be provided judiciously, as excessive fluid administration can exacerbate the condition by increasing the burden on the lungs. Key drugs for managing severe asthma exacerbation include albuterol to reduce bronchoconstriction, ipratropium bromide which works synergistically with albuterol, and in some refractory cases, magnesium sulfate to aid in bronchodilation. Symptoms of a severe asthma exacerbation in pediatric patients can include severe wheezing, marked chest rise, use of accessory muscles to breathe, and difficulty speaking in full sentences. The goal is to relieve bronchospasm and improve lung function rapidly.
Q22A 7-year-old boy fell off his bicycle while riding down a hill and landed on his back and head. He is crying and reports pain in his head, neck, and back. On arrival, the local EMS team has the patient secured with a cervical collar and an IV in place. What is the best approach for managing this patient’s potential spinal injury?
✓ Correct answer: B. Padding should be placed under the patient from the shoulders to the pelvis
Answer: Padding should be placed under the patient from the shoulders to the pelvis In pediatric patients, protecting the spine requires ensuring that immobilization equipment fits the child's smaller size. Padding should be applied from the shoulders to the pelvis to account for the child's larger occipital region while maintaining neutral spinal alignment. Padding only the shoulders is useful for ventilation to keep the airway open but can misalign the cervical spine. Though cervical spine injuries are rare in children, they can happen. As in adults, the risks of spinal immobilization can outweigh the benefits, but experts recommend immobilizing pediatric patients when a spinal injury is suspected or the injury mechanism suggests one. Some suggest spinal motion restriction is better, as full immobilization can be challenging in young patients.
Q23A five-year-old male presents with symptoms consistent with croup. Which of the following interventions is most appropriate during transport?
✓ Correct answer: D. EMS should administer nebulized epinephrine and keep the child calm and comfortable.
Answer: EMS should administer nebulized epinephrine and keep the child calm and comfortable. Croup is a common respiratory condition in young children caused by viral infections leading to inflammation of the larynx and trachea. It typically affects children between the ages of six months and six years. Children with croup present with a distinct barking cough, hoarseness, and stridor (a high-pitched wheezing sound caused by disrupted airflow). During transport, it is crucial to keep the child as calm and comfortable as possible. Administration of nebulized epinephrine can help reduce airway swelling, and keeping the patient calm reduces the risk of exacerbation of symptoms.
Q24Which of the following is the appropriate way to test the Babinski reflex in infants?
✓ Correct answer: D. Stroke the sole of the foot and observe toe extension
Answer: Stroke the sole of the foot and observe toe extension Neurological assessments in infants include testing reflexes that they are born with. The Babinski reflex is observed when the sole of the foot is stroked, and the infant's toes extend outwards. This reflex helps assess neurological development and function in infants. Other reflexes to test include the Moro reflex, whereby the infant is startled by a loud noise, and the sucking reflex, where the infant will suck on a gloved finger placed in their mouth.
Q25Which gas law explains why a balloon expands as it ascends to higher altitudes during flight?
✓ Correct answer: A. Boyle's Law
Answer: Boyle's Law Boyle's Law states: "The pressure and volume of a gas have an inverse relationship when temperature is constant." As a balloon ascends to higher altitudes, the atmospheric pressure decreases, causing the volume of the balloon to increase. This expansion can be observed in flight physiology as the pressure decreases with altitude. Henry's Law deals with the solubility of gases in liquids and is not relevant to the expansion of a balloon. Charles' Law relates to the volume of gas and its temperature, which also does not account for pressure changes that a balloon experiences during ascent. Fick's Law explains the diffusion of gases and does not pertain to the volume and pressure changes of a gas in a balloon.
Q26Which environmental stress encountered during high-altitude flights can lead to increased intracranial pressure, nausea, and confusion?
✓ Correct answer: C. Hypoxia
Answer: Hypoxia During high-altitude flights, a significant drop in ambient oxygen levels can lead to hypoxia. This condition can cause various symptoms including increased intracranial pressure, nausea, and confusion. Immediate intervention is necessary to prevent worsening of symptoms and potential loss of consciousness.
Q27Identify the signs and symptoms of Acute Mountain Sickness (AMS).
✓ Correct answer: A. Headache, nausea, dizziness, insomnia
Answer: Headache, nausea, dizziness, insomnia Acute Mountain Sickness (AMS) typically presents with symptoms such as headache, nausea, dizziness, and insomnia. This condition occurs due to reduced air pressure and lower oxygen levels at high altitudes. Severe symptoms may progress to High Altitude Pulmonary Edema (HAPE) or High Altitude Cerebral Edema (HACE).
Q28Epinephrine (Adrenalin) is what type of drug?
✓ Correct answer: B. Beta 1 agonist
Answer: Beta 1 agonist Epinephrine is a beta 1 agonist and is often used to increase heart rate, myocardial contractility, and conduction velocity. It is commonly indicated in cardiac arrest, severe hypotension, and anaphylaxis. Care should be taken with its use as it can increase myocardial oxygen demand and may precipitate arrhythmias in some patients. Epinephrine also has alpha and beta 2 agonist effects, contributing to its vasoconstrictive and bronchodilatory properties.
Q29Which condition is a contraindication for the administration of thrombolytic therapy in patients with acute myocardial infarction?
✓ Correct answer: C. Recent gastrointestinal bleeding
Answer: Recent gastrointestinal bleeding It is vital for critical care providers to recognize the contraindications for thrombolytic therapy to avoid serious complications. Thrombolytic therapy can be significantly beneficial in managing acute myocardial infarction by dissolving the clot causing the blockage. However, there are contraindications that must be heeded. Recent gastrointestinal bleeding, recent surgery, or hemorrhagic stroke are absolute contraindications. Acute inferior myocardial infarction, hypotension, and hypertension are not contraindications but may require careful monitoring.
Q30Which of the following safety measures is most essential for flight crew members when transitioning to aquatic transport situations?
✓ Correct answer: B. All crew members should be trained in water survival techniques.
Answer: All crew members should be trained in water survival techniques. In order to be prepared in case of an aquatic transport situation, all programs should have response plans in place for water-related emergencies. Both the patient and all crew members should be equipped with proper safety gear such as life jackets. However, training in water survival techniques is crucial to ensure all crew members can effectively respond to emergencies in such scenarios.
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