AEMCA Prep Comprehensive Exam || Study
Guide With Questions & Answers (Rated A+)
Conceptial Researchers
2024
, AEMCA Prep Comprehensive Exam ||
Study Guide With Questions &
Answers (Rated A+)
In the oxygen standard what is the range do we want to maintain SpO2 at -
ANSWER - 92-96%
what are some conditions that we want to administer high concentration oxygen in
the oxygen standard - ANSWER - a) suspected CO exposure b) upper airway burn
c) scuba diving disorder d) cardiopulmonary arrest e) complete airway obstruction
What calls require a cardiac monitor - ANSWER - VSA, LOA pt, syncope, SOB,
chest pain, overdose, abnormal vital signs
what is the minimum time that you can monitor vitals at - ANSWER - q 30 min
The paramedic shall carry out emergency treatment on an incapable person if: -
ANSWER - a) pt does not have capacity b) pt experiencing severe suffering c) a
delay to get consent will prolong suffering
The paramedic shall carry out emergency treatment on a capable person if: -
ANSWER - a) pt is at risk /severe suffering b) language barrier c) means taken to
communicate but ineffective
When completing a patch what information has to be included - ANSWER - unit
number, Pt age, Pt sex, CTAS level, CC, pertinent assessment findings, pt
management, abnormal vitals, ETA
If SpO2 monitor is not working what signs are we looking for to administer high
concentration oxygen - ANSWER - a) hypotension b) abnormal pregnancy c)
cynotic/pale d) respiratory distress e) altered LOA
what is the special criteria outlined in the trauma field triage standard - ANSWER - a)
age b) bleeding disorders c) burns d) pregnancy > 20 weeks
According to the spinal motion restriction standard what MOIs should you consider
SMR - ANSWER - a) trauma associated with head or neck pain b) sports accident c)
diving injury d) submersion e) falls f) electrocution i) penetrating injury to the
head,neck or torso
what does a DNR not allow us to do in an event of cardiopulmonary arrest -
ANSWER - a) CPR b) artificial ventilation c) defibrillation d) resuscitation drugs e)
trans-cutaneous pacing f) insertion of OPA g) intubation
What is deemed obviously dead - ANSWER - a) grossly charred body and VSA b)
decapitation, transection, visible decomp and putrefaction c) open head/torso with
,outpouring of contents and VSA, Dependent lividly and VSA , Gross rigor mortis and
VSA
when can a paramedic restrain a pt who is violent - ANSWER - a) under police
authority b) under Dr. authority c) pt in ambulance becomes violent en route
when should escorts be used in the IV maintenance standard - ANSWER - a) blood
products b) narcotics c) infusion rates greater then 200ml/hr d) central lines e)
potassium chloride to a pt under 18 f) pediatric pt under 2 yrs g) electronic pumps
when should an IV bag be changed - ANSWER - 150ml of solution remaining in bag
what conditions should we consider in the non traumatic abdominal standard -
ANSWER - AAA, ectopic pregnancy, testicular torsion , acute pancreatitis,
obstruction, pelvic infection, hernia
Sepsis is suspected by the fallowing : - ANSWER - a) fever of 38.5> b) potential
infection site c) presence of any of the fallowing SBP <90, RR 22 or greater, acute
confusion
Fallowing the guideline outlined in the respiratory failure standard if using ETCO2 on
a COPD or asthma pt and they have an initial ETCO2 of 50 > what should we
attempt to maintain there ENCO2 value to - ANSWER - between 50-60 mmHg
How much blood can an normal sized tampon hold - ANSWER - 5ml
what are splinting priorities - ANSWER - 1. spine 2. pelvis 3. femers 4. lower
extermities 5. upper extermities
According to the blunt / penetrating injury standard , how long are we irrigating bite
wounds for - ANSWER - 5 min
According to the head injury standard what ETO2 value should we attempt to
maintain - ANSWER - 35-40 mmHg
When should we hyperventilate a pt with signs of cerebral herniation - ANSWER - If
measures were already taken to improve hypoxemia and hypotension and to targat
ETCO2 levels between 30-35 mmHg
What are signs of cerebral herniation - ANSWER - 1. dilated not reactive pupils 2.
Asymmetric pupil response 3. Asymmetric motor response 4. posturing
According to the head injury standard if ETCO2 is not available what rate should we
hyperventilate a adult, child, and infant - ANSWER - adult 20 breaths/min, child 25
breaths/min , infant 30 breaths/min
If the pt is presenting with cerebral herniation and is on a spinal broad what can we
do - ANSWER - elevate 30 degrees
, If the presence or abstance of shivering with altered level of consciousness is
observed what should we assume the core body temp to be according to the cold
injury standard - ANSWER - below 32 degrees
According to the general geriatric standard what are activities of daily living -
ANSWER - a) bathing b) transferring c) toiling d) eating e) dressing
What are some conditions that you can consider leaving on the first analysis
according to the medical cardiac arrest standard - ANSWER - a) pregnancy of 20>
weeks b) suspected pulmonary embolism c) hypothermia d) overdose e) airway
obstruction
what is the mandatory patch point state in the medical cardiac arrest standard -
ANSWER - patch to BHP for TOR after 3rd analysis , if patch fails or TOR does not
apply transport to closest facility fallowing ROSC or 4th analysis
If a pt makes a informed refusal of service and was hypoglycemic what has to be
completed on the ACR prior to being departed - ANSWER - final set of vitals and
BGL
what is the minimum volume for nebulization - ANSWER - 2.5 ml
what are the symptoms that are consistent with the onset of acute stroke protocol -
ANSWER - a) inappropriate words or mute b) slurred speech c) unilateral arm
weakness or drift d) unilateral facial droop e) unilateral leg weakness
what are contraindications for the stroke bypass protocol - ANSWER - a) CTAS 1 b)
stroke symptoms resolved prior to paramedic arrival c) BGL under 4 d) GCS under
10 e) seizure at onset or observed by paramedics f) terminally ill palliative care pts
If stroke symptoms persist after correction of blood glucose is the pt contraindicated
out of the stroke bypass protocol - ANSWER - No
What are the fallowing indications for STEMI bypass - ANSWER - a) pt is > 18 yrs of
age b) chest pain related to cardiac ischemia c) chest pain for < 12 hours d) 12-lead
shows a STEMI ( 2mm elevation in V1 -V3 2 contagious leads ) or ( 1mm of
elevation in 2 atomically contagious leads )
What are contraindications for the STEMI bypass - ANSWER - a) 12 lead shows
LBBB b) pt is CTAS 1 c) transport time is 60 min d) PCP diversion such as CPAP ,
VSA, or become symptomatic BP under 90
Should a paramedic apply defibrillation pads once a STEMI has been confirmed -
ANSWER - Yes
If the pt is experiencing mild to moderate hypothermia what treatment should be
done - ANSWER - 1. foil rescue blanket 2. re-warm with hot packs to axillary, groin ,
and cervical region
Guide With Questions & Answers (Rated A+)
Conceptial Researchers
2024
, AEMCA Prep Comprehensive Exam ||
Study Guide With Questions &
Answers (Rated A+)
In the oxygen standard what is the range do we want to maintain SpO2 at -
ANSWER - 92-96%
what are some conditions that we want to administer high concentration oxygen in
the oxygen standard - ANSWER - a) suspected CO exposure b) upper airway burn
c) scuba diving disorder d) cardiopulmonary arrest e) complete airway obstruction
What calls require a cardiac monitor - ANSWER - VSA, LOA pt, syncope, SOB,
chest pain, overdose, abnormal vital signs
what is the minimum time that you can monitor vitals at - ANSWER - q 30 min
The paramedic shall carry out emergency treatment on an incapable person if: -
ANSWER - a) pt does not have capacity b) pt experiencing severe suffering c) a
delay to get consent will prolong suffering
The paramedic shall carry out emergency treatment on a capable person if: -
ANSWER - a) pt is at risk /severe suffering b) language barrier c) means taken to
communicate but ineffective
When completing a patch what information has to be included - ANSWER - unit
number, Pt age, Pt sex, CTAS level, CC, pertinent assessment findings, pt
management, abnormal vitals, ETA
If SpO2 monitor is not working what signs are we looking for to administer high
concentration oxygen - ANSWER - a) hypotension b) abnormal pregnancy c)
cynotic/pale d) respiratory distress e) altered LOA
what is the special criteria outlined in the trauma field triage standard - ANSWER - a)
age b) bleeding disorders c) burns d) pregnancy > 20 weeks
According to the spinal motion restriction standard what MOIs should you consider
SMR - ANSWER - a) trauma associated with head or neck pain b) sports accident c)
diving injury d) submersion e) falls f) electrocution i) penetrating injury to the
head,neck or torso
what does a DNR not allow us to do in an event of cardiopulmonary arrest -
ANSWER - a) CPR b) artificial ventilation c) defibrillation d) resuscitation drugs e)
trans-cutaneous pacing f) insertion of OPA g) intubation
What is deemed obviously dead - ANSWER - a) grossly charred body and VSA b)
decapitation, transection, visible decomp and putrefaction c) open head/torso with
,outpouring of contents and VSA, Dependent lividly and VSA , Gross rigor mortis and
VSA
when can a paramedic restrain a pt who is violent - ANSWER - a) under police
authority b) under Dr. authority c) pt in ambulance becomes violent en route
when should escorts be used in the IV maintenance standard - ANSWER - a) blood
products b) narcotics c) infusion rates greater then 200ml/hr d) central lines e)
potassium chloride to a pt under 18 f) pediatric pt under 2 yrs g) electronic pumps
when should an IV bag be changed - ANSWER - 150ml of solution remaining in bag
what conditions should we consider in the non traumatic abdominal standard -
ANSWER - AAA, ectopic pregnancy, testicular torsion , acute pancreatitis,
obstruction, pelvic infection, hernia
Sepsis is suspected by the fallowing : - ANSWER - a) fever of 38.5> b) potential
infection site c) presence of any of the fallowing SBP <90, RR 22 or greater, acute
confusion
Fallowing the guideline outlined in the respiratory failure standard if using ETCO2 on
a COPD or asthma pt and they have an initial ETCO2 of 50 > what should we
attempt to maintain there ENCO2 value to - ANSWER - between 50-60 mmHg
How much blood can an normal sized tampon hold - ANSWER - 5ml
what are splinting priorities - ANSWER - 1. spine 2. pelvis 3. femers 4. lower
extermities 5. upper extermities
According to the blunt / penetrating injury standard , how long are we irrigating bite
wounds for - ANSWER - 5 min
According to the head injury standard what ETO2 value should we attempt to
maintain - ANSWER - 35-40 mmHg
When should we hyperventilate a pt with signs of cerebral herniation - ANSWER - If
measures were already taken to improve hypoxemia and hypotension and to targat
ETCO2 levels between 30-35 mmHg
What are signs of cerebral herniation - ANSWER - 1. dilated not reactive pupils 2.
Asymmetric pupil response 3. Asymmetric motor response 4. posturing
According to the head injury standard if ETCO2 is not available what rate should we
hyperventilate a adult, child, and infant - ANSWER - adult 20 breaths/min, child 25
breaths/min , infant 30 breaths/min
If the pt is presenting with cerebral herniation and is on a spinal broad what can we
do - ANSWER - elevate 30 degrees
, If the presence or abstance of shivering with altered level of consciousness is
observed what should we assume the core body temp to be according to the cold
injury standard - ANSWER - below 32 degrees
According to the general geriatric standard what are activities of daily living -
ANSWER - a) bathing b) transferring c) toiling d) eating e) dressing
What are some conditions that you can consider leaving on the first analysis
according to the medical cardiac arrest standard - ANSWER - a) pregnancy of 20>
weeks b) suspected pulmonary embolism c) hypothermia d) overdose e) airway
obstruction
what is the mandatory patch point state in the medical cardiac arrest standard -
ANSWER - patch to BHP for TOR after 3rd analysis , if patch fails or TOR does not
apply transport to closest facility fallowing ROSC or 4th analysis
If a pt makes a informed refusal of service and was hypoglycemic what has to be
completed on the ACR prior to being departed - ANSWER - final set of vitals and
BGL
what is the minimum volume for nebulization - ANSWER - 2.5 ml
what are the symptoms that are consistent with the onset of acute stroke protocol -
ANSWER - a) inappropriate words or mute b) slurred speech c) unilateral arm
weakness or drift d) unilateral facial droop e) unilateral leg weakness
what are contraindications for the stroke bypass protocol - ANSWER - a) CTAS 1 b)
stroke symptoms resolved prior to paramedic arrival c) BGL under 4 d) GCS under
10 e) seizure at onset or observed by paramedics f) terminally ill palliative care pts
If stroke symptoms persist after correction of blood glucose is the pt contraindicated
out of the stroke bypass protocol - ANSWER - No
What are the fallowing indications for STEMI bypass - ANSWER - a) pt is > 18 yrs of
age b) chest pain related to cardiac ischemia c) chest pain for < 12 hours d) 12-lead
shows a STEMI ( 2mm elevation in V1 -V3 2 contagious leads ) or ( 1mm of
elevation in 2 atomically contagious leads )
What are contraindications for the STEMI bypass - ANSWER - a) 12 lead shows
LBBB b) pt is CTAS 1 c) transport time is 60 min d) PCP diversion such as CPAP ,
VSA, or become symptomatic BP under 90
Should a paramedic apply defibrillation pads once a STEMI has been confirmed -
ANSWER - Yes
If the pt is experiencing mild to moderate hypothermia what treatment should be
done - ANSWER - 1. foil rescue blanket 2. re-warm with hot packs to axillary, groin ,
and cervical region
