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Paramedic Exam Study Prep - Airway and Breathing Questions and Answers 100% Pass
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Paramedic Exam Study Prep - Airway and Breathing Questions and Answers 100% Pass A child in respiratory distress may grunt as the child breathes. This is a result of (A) increase tidal volume. (B) an increased respiratory rate. (C) creating pressure to help maintain open airways. (D) an ind...

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  • December 9, 2024
  • 43
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Paramedics
  • Paramedics

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Paramedic Exam Study Prep - Airway

and Breathing Questions and Answers

100% Pass


A child in respiratory distress may grunt as the child breathes. This is a

result of



(A) increase tidal volume.

(B) an increased respiratory rate.

(C) creating pressure to help maintain open airways.

(D) an indication that the child is tired and will progress to respiratory

arrest. - ✔✔C. Grunting involves exhaling against a partially closed glottis.

This creates pressure to help maintain open lower airways similar to

pursed-lip breathing in adults with COPD. This short low-pitched sound is

often mistaken for whimpering and suggests severe hypoxia.

Respiratory acidosis is caused by



(A) an excess of bicarbonate.

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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

,(B) excess carbon dioxide retention.

(C) a loss of bicarbonate.

(D) excess carbon dioxide excretion. - ✔✔B. Respiratory acidosis is caused

by excess carbon dioxide retention.

Scenario:



You are using an end-tidal carbon dioxide detector as a tool to assist for

proper endotracheal intubation placement.



Question:



The absence of carbon dioxide in exhaled air indicates the endotracheal

tube has been



(A) placed in the right mainstem bronchus.

(B) correctly placed in the trachea.

(C) placed in the esophagus.

(D) placed in the left mainstem bronchus. - ✔✔C. The absence of carbon

dioxide likely indicates that the endotracheal tube has been placed in the



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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

,esophagus. Verifying correct endotracheal tube placement is absolutely

essential. ETCO2 is only one method to assist in verification.

Scenario:



You are using an end-tidal carbon dioxide detector as a tool to assist for

proper endotracheal intubation placement.



Question:



Your next action is to



(A) deflate the cuff, pull the endotracheal tube back 2 cm, and reassess

placement.

(B) secure the endotracheal tube and confirm correct placement by

auscultation.

(C) inflate the distal cuff with 7-10 cc of air and secure the endotracheal

tube.

(D) remove the endotracheal tube and provide several ventilations prior to

attempting intubation again. - ✔✔D. The endotracheal tube is likely placed

in the esophagus. Your next action is to remove the endotracheal tube and

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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

, provide several ventilations with supplemental oxygen prior to attempting

another intubation.

Which of the following drugs is used for rapid sequence intubation?



(A) Vecuronium

(B) Succinylcholine

(C) Lidocaine and atropine

(D) All of the above - ✔✔D. All of the above. Vecuronium is a common

nondepolarizing neuromuscular blocker. Lidocaine is commonly used in

RSI to prevent dysrhythmias associated with stimulation of the glottis

associated with intubation. Atropine is often administered to decrease the

incidence of bradycardia associated with the administration of

succinylcholine.

You are called for a 54-year-old woman who is unconscious. Your

assessment reveals the patient to be apneic and pulseless. Initial

management of this patient's airway should include



(A) assisted ventilation with a bag-valve device at 6-10 LPM.

(B) assisted ventilation with a nonrebreather mask at 10-15 LPM.



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©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.

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