Final Exam Paramedic AND Paramedic Final Exam
Certified for Academic Excellence Questions from
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a 70 year old man called 911 because of generalized weakness. When you arrive at the
scene you find the pt seated in a recliner. A&Ox4, breathing without difficulty, physical eval
shows tenderness to RUQ, edema to ankles, and JVD. Pt takes vasotec for hypertension
and Maxide for swollen ankles. Vitals stable, what is the appropriate treatment - -correct
ans- -12-lead ECG acquisition, an IV line at KVO rate and transport
A STEMI should be suspected in a 45 year old female if the ST segments in leads V2 and V3
are elevated by how many mm or more - -correct ans- -1.5
Cardiac related chest pain may be palliated by - -correct ans- -Nitroglycerin
In order to ensure proper electrolyte distribution and maintain the polarity of the cell
membrane, the sodium potassium pump moves - -correct ans- -Two potassium ions into
the cell for evert three sodium ions it moves out of the cell
A surgical opening into the trachea is called a - -correct ans- -tracheostomy
Indications for CPAP include - -correct ans- -acute pulmonary edema
The major advantage of ET intubation is that it - -correct ans- -protects the airway from
aspiration
In contrast to negative pressure ventilation, positive pressure ventilation - -correct ans- -Is
the forcing of air into the lungs
,Intubation of a patient with severe asthma - -correct ans- -Is often a last resort because
asthmatics are difficult to ventilate and are prone to pneumothoraces
One of the hallmarks of a pulmonary embolism is - -correct ans- -Cyanosis that does not
resolve with oxygen therapy
Reactive airway disease is characterized by - -correct ans- -bronchospasm, edema, and
mucus production
Average blood loss during the third stage of labor is approximately - -correct ans- -150mL
Gestational hypertension - -correct ans- -Mayb be an early sign of preeclampsia
Women who have had a cesarean section - -correct ans- -Can have a normal vaginal
delivery
An infant born with a pink body and blue extremities, a pulse rate of 90 beats/min, a strong
cry, and active movement should be assigned an initial APGAR of - -correct ans- -8
The correct positive pressure ventilation rate for an apneic newborn is - -correct ans- -40-
60 breaths/min
When an atrial septal defect is present - -correct ans- -deoxygenated blood is able to shift
from one atrium to the other and mix with oxygen-rich blood.
a 12 year old child with a hx of hemophilia presents with a headache and slurred speech.
What should you suspect - -correct ans- -Intracranial bleeding
,In contrast to adults, retractions in children are - -correct ans- -more evident in the
intercostal area
The preferred initial pharmacologic agent for pediatric bradycardia is - -correct ans- -
epinephrine
As intracranial pressure rises - -correct ans- -Brainstem herniation may occur
Decerebrate posturing is - -correct ans- -A more severe finding than decorticate posturing,
as it indicates damage in or near the brainstem
For any patient with an increase in intracranial pressure, the paramedic must - -correct
ans- -maintain an adequate blood pressure
In contrast to patients in shock, pts with increased intracranial pressure often experience -
-correct ans- -A widened pulse pressure
Acute kidney injury is defined as - -correct ans- -a sudden decrease in filtration through the
glomeruli
The most common acute renal disease is - -correct ans- -Nephrolithiasis
Urine output of less than 500mL per day is called - -correct ans- -oliguria
A 4 year old child presents with a deep crouplike cough, difficulty breathing, and a high
fever, you should suspect - -correct ans- -Tracheitis
, A distorted sense of smell in which a person perceives unpleasant odors when the odors
do not exist us called - -correct ans- -dysosmia
Aqueous humor: - -correct ans- -Is contained in the anterior chamber of the eye
In contrast to somatic pain, visceral pain - -correct ans- -is difficult to localize
The exocrine function of the pancreas produces - -correct ans- -Enzymes
Pts with which of the following conditions are at an increased risk for anaphylaxis - -correct
ans- -Atopic dermatitis
The most ominous respiratory sign in a patient with anaphylactic shock is - -correct ans- -
Diminished lung sounds
Hepatitis A is often described as a benign disease because - -correct ans- -lifelong
immunity occurs once the disease is acquired
In the context of a communicable disease, which of the following is a place where
organisms may live and multiply - -correct ans- -Reservoir
The avian flu - -correct ans- -Is caused by a virus that occurs naturally in the bird
population
A metallic taste in the mouth, explosive diarrhea, and a skin rash are most indicative of - -
correct ans- -arsenic poisoning
Pts with delirium tremens often experience - -correct ans- -Hallucinations
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