MICN EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026/2027
Termination of Resuscitation (TOR) criteria - Answers *Asystole arrests of presumed cardiac
origin.
Drowning, Hypothermia, Electrocution are excluded.*
All have to be met:
1. Victim arrest was not witnessed by EMS
2. No bystander witness of collapse
3. No bystander CPR
4. Never received a rescue shock
5. Never had a return of pulses
Still asystole & no improvement in resus. <20 min: base contact for termination BHPO.
Still asystole & no improvement in resus. >20 min: cease efforts SO.
If all the above criteria are met, Base hospital contact not required even if ALS interventions
performed.
Organophosphate poisoning S/S - Answers *SLUDGE*
*S*alivation
*L*acrimation
*U*rination
*D*efecation
*G*I distress
*E*mesis
Medication given for organophosphate poisoning - Answers Atropine 2mg SO, MR x2 q 3-5 min
, *given until SLUDGE stops*
Destination for AAA - Answers Nearest Open Trauma Center with surgical capabilities
Intracerebral Hemorrhage Suspected - Answers *S*UDDEN, severe headache w/ onset in past
24 hours with any one of:
-Vomiting (repeated),
-Neurological deficit (hemeparesis or weakness, gaze to one side, or asymmetric pupils w/o
prior eye surgery)
-Altered mental status
-Marked BP elevation (diastolic >100mmhg)
CPAP: Indications - Answers - Age ≥ 15 years
- Resp. distress: CHF, COPD, Asthma, Pneumonia, Drowning
- Moderate to severe resp. distress
- Retractions / Accessory muscle use *AND*
RR ≥ 25 *OR* SpO2 <94%
When is a BHPO required for all pain meds? - Answers -Isolated head injury
-Drug/ETOH intoxication
-Suspected active labor
-Acute onset severe headache
-Major trauma with GCS <15
When is a BHO required for pain meds (Morphine, Fentanyl, Ketamine)? - Answers -BP <100
-Change in analgesic admin
-Change in admin. route
Fentanyl: Indications - Answers -Abdominal
-Burns
-Envenomation
Termination of Resuscitation (TOR) criteria - Answers *Asystole arrests of presumed cardiac
origin.
Drowning, Hypothermia, Electrocution are excluded.*
All have to be met:
1. Victim arrest was not witnessed by EMS
2. No bystander witness of collapse
3. No bystander CPR
4. Never received a rescue shock
5. Never had a return of pulses
Still asystole & no improvement in resus. <20 min: base contact for termination BHPO.
Still asystole & no improvement in resus. >20 min: cease efforts SO.
If all the above criteria are met, Base hospital contact not required even if ALS interventions
performed.
Organophosphate poisoning S/S - Answers *SLUDGE*
*S*alivation
*L*acrimation
*U*rination
*D*efecation
*G*I distress
*E*mesis
Medication given for organophosphate poisoning - Answers Atropine 2mg SO, MR x2 q 3-5 min
, *given until SLUDGE stops*
Destination for AAA - Answers Nearest Open Trauma Center with surgical capabilities
Intracerebral Hemorrhage Suspected - Answers *S*UDDEN, severe headache w/ onset in past
24 hours with any one of:
-Vomiting (repeated),
-Neurological deficit (hemeparesis or weakness, gaze to one side, or asymmetric pupils w/o
prior eye surgery)
-Altered mental status
-Marked BP elevation (diastolic >100mmhg)
CPAP: Indications - Answers - Age ≥ 15 years
- Resp. distress: CHF, COPD, Asthma, Pneumonia, Drowning
- Moderate to severe resp. distress
- Retractions / Accessory muscle use *AND*
RR ≥ 25 *OR* SpO2 <94%
When is a BHPO required for all pain meds? - Answers -Isolated head injury
-Drug/ETOH intoxication
-Suspected active labor
-Acute onset severe headache
-Major trauma with GCS <15
When is a BHO required for pain meds (Morphine, Fentanyl, Ketamine)? - Answers -BP <100
-Change in analgesic admin
-Change in admin. route
Fentanyl: Indications - Answers -Abdominal
-Burns
-Envenomation
