September New update REMAC 2024
Exam Questions & Answers Rated A+
For chemical eye injuries Tetracaine 0.5% can be given to patients in place of
Proparacaine. The advantage is that Tetracaine may be repeated - ANS-Once
Protocol # 529 is for patients with isolated extremity injuries. After Performing basic life
support procedures your next step is to - ANS-record and evaluate EKG
Under standing orders you may give _______________ ml of normal saline IV bolus to
a patient in cardiogenic shock - ANS-500
Your patient is experiencing substernal chest pain. He states his stomach gets upset
when he takes aspirin. Since this patient has a known GI sensitivity to aspirin you
should not give this patient the standard 162mg of aspirin under the Suspected AMI
protocol - ANS-False. (See GOP page # 22. GI complaints are not a contraindication to
aspirin administration.)
the correct dose of epinephrine for pediatric Anaphylactic reaction via the ET tube is -
ANS-0.01 mg/kg (0.1 ml/kg of a 1:10,000 solution) - ET tube administration for patients
in respiratory failure, airway obstruction or decompensated shock. Drug dose is
Epinephrine 0.01 mg/kg (0.1 ml/kg 1:10,000 solution) via ET tube. Also notes to refer to
length based dosing device. -Lower dosage also because not in Cardiac arrest
You are treating a 25 year old patient who has suffered a seizure. After beginning and
IV/Saline lock - your patient begins to seize again. Prior to starting the IV you should
have also - - ANS-Performed BLS seizure procedures and obtained an EKG - See
protocol # 513. Steps 1 and 2 require you to begin BLS seizures procedure and begin
cardiac monitoring and evaluate EKG rhythm.
You are treating a 62 year old male patient who appears lethargic, cool , pale and
diaphoretic. His blood pressure is 92/40, Pulse is 48 and respirations are 12. You place
him on the monitor and see the rhythm shown. (Rhythm is a 1st Degree Heart Block)
Your next step would be to: - ANS-Begin an IV infusion of Normal Saline (0.9% NS) to
keep vein open, or a Saline Lock. - See protocol # 505. After BLS and EKG evaluation.
Step 3 is to begin an IV of normal slaine (0.9% NS) to keep vein open or saline lock.
,Which of the following is the proper sequence for asthma patients under standing
orders. 1- BLS Resp distress procedures 2- EKG monitoring (for severe resp. distress)
3- Albuterol/Ipratropium, via nebulizer 4- IV/saline lock, 5 - Epinephrine for patients with
impending respiratory failure via IM. - ANS-1,3,5,2,4
Albuterol may be repeated _____ times under asthma patient standing orders every 5-
15 minutes. - ANS-Until patient shows improvement - See protocol # 507. Albuterol may
be "repeated" until patient shows improvement
What is the proper treatment sequence for patients with head injuries under standing
orders. 1- Begin Basic Life Support Head and Spine Injuries procedures. 2- Begin
Cardiac Monitoring, record and evaluate EKG rhythm. 3- Begin an IV infusion of NS
kvo, or a Saline Lock. 4- Perform advanced airway management in patients with a
Glasgow Coma Scale score of less than 8. - ANS-1,4.2.3
Medical control options for non traumatic cardiac arrest patents in pea/asystole are 1-
Sodium Bicarbonate 44 - 88 mEq, 2- Begin IV normal saline infusion up to 3 liters 3-
Calcium chloride 1 gm - ANS-1,3,2
Using the START/TRIAGE guidelines, an evaluation of mental status is performed on
patients whose respirations and perfusion are adequate. To test mental status, the
rescuer should ask the patient to follow a simple command, such as 'open and close
your eyes' or, 'squeeze my hands.' 3. If the patient cannot follow these commands, they
would be tagged _________ - ANS-Red
patients who have sustained burns involving 9% or more of the total body surface area
meet burn center criteria if they - ANS-are over 60 years old - See Appendices Burn
Patient Criteria page # 18. Burns over 9% total BSA meet burn center criteria over 60
and under 5 years of age.
In the START Triage system; If a child does not show any signs of life after 5 BVM
ventilations, what tag is the child designated? - ANS-Black Tag
In the START Triage system; If a child responds after 5 BVM ventilations, what tag is
the child designated? - ANS-Red Tag
,In the START Triage system; Asymptomatic Infants are designated what tag? - ANS-
Orange Tag
In the START Triage system; If patient either has No radial pulse, respirations >30/<10
or is unable to follow commands, he/she is designated what tag? - ANS-Red Tag
In the START Triage system; If patient either has a radial pulse, respirations <30/>10
and is able to follow commands, he/she is designated what tag? - ANS-Yellow
In the START Triage system; If patient has Increased work of breathing, labored
respirations, Head trauma or Chest Pain, he/she is designated what tag? - ANS-Orange
Tag
In terms of 2nd and 3rd degree cutaneous burns; What percentage of BSA is needed to
be transported to a Burn unit? - ANS-Burns involving 15% of body surface area.
What BSA percentage for third degree burns would fall under the Burn Criteria? - ANS-
5%
For burns involving 9% of the BSA, what would designate these patients into the Burn
Criteria? - ANS-A) Under 5 or over 60 years old or
B) With a pre-existing disease which may complicate or retard recovery
What other types of burns would cause patients to fall into burn criteria? - ANS-
Respiratory burns, Electrical burns, Burns involving the eyes, ears, face, hands, feet, or
genitalia. Burns with associated trauma.
For pediatric patients who are unconscious or cannot breathe, cough, speak, or cry.
Performing direct laryngoscopy __________ indicated under standing orders. - ANS-IS
Head trauma patients with a Glasgow coma scale of less than ________ should have
advanced airway techniques used. - ANS-8
, Patients who have sustained a head injury due to trauma can be treated under the ALS
Head Injury protocol if the Glasgow Coma Scale is at or below ____________ - ANS-13
the proper dose and route of Dexamethasone for a patient in ANAPHYLACTIC Reaction
is - ANS-Administer Dexamethasone 12 mg, IV Bolus, slowly over 2 mins.
New York State Social Services Law states that infants _________________ may be
abandoned by their parents or caretakers in a suitable safe location, such as a hospital,
ambulance, police station, or fire house, or with an appropriate person. - ANS-30 days
of age or younger
28. According to general operating procedures. Emergency medical personnel should
insure that the reservoir bag on a NRB mask remain at least _________ full following
inspiration for patients receiving supplemental oxygen - ANS-1/3
You are treating a 2 year old patient who is unconscious, cool, pale, with central
cyanosis, and has a heart rate of 44 BPM. Your first action after you confirm a patent
airway is to: - ANS-Initiate CPR
If the mechanism of illness/injury and/or historical/physical findings do NOT indicate
major trauma or burns or a need for these other types of specialty care, transport the
patient to the nearest New York City 911 System Ambulance Destination Emergency
Department, unless which one of the following conditions is met - ANS-The patient
remains stable or potentially unstable throughout transport, and the patient requests
treatment at an alternative destination, and the estimated transport time to the
alternative destination is less than or equal to ten minutes
True or False? You are the paramedic in charge of medical control at the scene of a
Multiple Casualty Incident. You have treated two patients complaining of shortness of
breath. These patients vital signs are stable and you have administered oxygen. No
other ALS procedures are needed and these patients can be transported to the nearest
911 hospital. You may now transfer patient care to a BLS crew - ANS-True
Under the guidelines for burn patients, hypotensive patients may be given Fentanyl. The
correct dose and route of administration is - ANS-1 mcg/kg (max 100 mcg), IV/IN/IO/IM
