PARAMEDIC FINAL EXAM QUESTIONS & ANSWERS 2023/2024
A protocol that is a written document signed by the EMS system's medical director that outlines specific directions, permissions, and sometimes prohibitions regarding patient care that is rendered prior to contacting medical control. - ANSWER-St...
PARAMEDIC FINAL EXAM QUESTIONS
& ANSWERS 2023/2024
A protocol that is a written document signed by the EMS system's medical director that outlines specific
directions, permissions, and sometimes prohibitions regarding patient care that is rendered prior to
contacting medical control. - ANSWER-Standing order
If a paramedic transports a patient without the patient's consent or uses restraints in a wrongful manner
- ANSWER-False Imprisonment
A treatment plan developed for a specific illness or injury. - ANSWER-Protocol
If you must deviate from your protocols because of unusual circumstances, you should FIRST: - ANSWER-
Notify Medical Control
HIPPA mandates that: - ANSWER-Patient information shall not be shared with entities or persons not
involved in the care of the patient.
HIPPA Defined: - ANSWER-a. The first standards established to protect the confidentiality of a patient's
health information.
b. Medical information can be disclosed only if it is necessary for a patient's treatment or for payment.
c. Special situations such as dog bites, gunshot wounds, and abuse require the release of patient
information without the patient's consent.
According to HIPAA, it is acceptable and permissible for hospitals to: - ANSWER-share information with
the EMS providers about patient outcome for purposes of quality assurance and education.
Wheezing that is resolved with administration of bronchodilator medication was probably caused by? -
ANSWER-constriction of smooth muscles
Wheezing is resolved with medications that? - ANSWER-Relax the smooth muscle of the bronchiole
,Difficulty with exhalation is MOST characteristic of: - ANSWER-obstructive lung disease
COPD: Emphysema: - ANSWER-Characterized by distention of the alveoli and destructive changes in the
lungs.
COPD: Chronic Bronchitis: - ANSWER-Defined as sputum production most days of month for 3 or more
months out of year for more than 2 years. Will rarely have normal oxygen saturation; (maybe less than
90%). May have another condition, including respiratory conditions
A 66-year-old man with chronic bronchitis presents with severe respiratory distress. The patient's wife
tells you that he takes medications for high blood pressure and bronchitis, is on home oxygen therapy,
and has recently been taking an over-the-counter antitussive. She further tells you that he has not been
compliant with his oxygen therapy. Auscultation of his lungs reveals diffuse rhonchi. What is the MOST
likely cause of this patient's respiratory distress? - ANSWER-Recent antitussive use
A 76-year-old woman with emphysema presents with respiratory distress that has worsened
progressively over the past 2 days. She is breathing through pursed lips and has a prolonged expiratory
phase and an oxygen saturation of 76%. She is on home oxygen at 2 L/min. Your initial action should be
to? - ANSWER-place her in a position that facilitates breathing.
Common clinical findings in patients with obstructive lung disease include all of the following, EXCEPT: -
ANSWER-a decreased expiratory phase
Chronic obstructive pulmonary disease (COPD) is characterized by: - ANSWER-changes in pulmonary
structure and function that are progressive and irreversible
The hypoxic drive is a phenomenon in which - ANSWER-bicarbonate ions migrate into the cerebrospinal
fluid of a chronically hypoventilating patient, making the brain think that acid and base are in balance
Pulmonary Embolism Characteristics - ANSWER-Sudden dyspnea & cyanosis, and perhaps, a sharp pain
in the chest. A hallmark of pulmonary embolism is that the cyanosis does not resolve with oxygen
therapy.
, You are dispatched to a residence for a young woman with difficulty breathing. When you arrive, you
find the patient sitting in a tripod position, noticeably dyspneic and tachypneic. She tells you that she
experienced a sudden sharp pain to the left side of her chest and then started having trouble breathing.
She denies any past medical history and states that she only takes birth control pills. Based on this
patient's clinical presentation, you should be MOST suspicious for: - ANSWER-acute pulmonary
embolism
One of the hallmarks of a pulmonary embolism is: - ANSWER-cyanosis that does not resolve with oxygen
therapy.
Paradoxial Respiratory Movement is - ANSWER-the inward movement of a segment of the chest during
inhalation and a outward movement of the chest during exhalation, opposite normal chest movement
and a indication of flail chest.
Paradoxical respiratory movement is characterized by: - ANSWER-the epigastrium and thorax moving in
opposite directions
Cor pulmonale is defined as: - ANSWER-right heart failure secondary to chronic lung disease
Right Side Heart Failure Characteristics: . - ANSWER-(pg. 1020)-Distention with external jugular veins,
Serum forced out producing edema (feet and/or lower back), right upper quadrant swelling
(hepatomegaly, eg. Liver), abdominal distention, (eg, Ascites),end enspiratory crackles, a progressive
increase in dyspnea over several days, greater than usual fluid intake, and improper use of diuretics
An elderly woman with COPD presents with peripheral edema. The patient is conscious but agitated. She
is breathing with slight difficulty but has adequate tidal volume. During your assessment, you note that
her jugular veins engorge when you apply pressure to her right upper abdominal quadrant. She tells you
that she takes a "water pill" and Vasotec for high blood pressure. You should: - ANSWER-suspect acute
right heart failure and administer oxygen.
Hepatomegaly and jugular venous distention are MOST suggestive of: - ANSWER-right heart failure
The movement of a solute from an area of higher concentration to an area of lower concentration is
called: - ANSWER-diffusion
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