PARAMEDIC PHARMACOLOGY FINAL ACTUAL
EXAM 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ Lidocaine MOA. Answer: inhibits Na ion channel, depresses action
potential phase 0 (class IB antiarrhythmic) there for suppressing
ventricular ectopy
◉ Lidocaine Indications. Answer: Pulsed V-Tach and shockable
rhythm Cardiac Arrest
◉ Lidocaine Contraindications. Answer: bradycardia, acute MI, 2nd
and 3rd degree heart block
◉ Lidocaine Side effects. Answer: drowsiness, hypotension,
bradycardia, seizures
◉ Lidocaine Dose. Answer: 1-1.5 mg/kg for cardiac arrest or 2-
4mg/min infused
◉ Amiodarone Class. Answer: Class III antiarrhythmic - potassium
channel blocker
,◉ Amiodarone MOA. Answer: blocks potassium, thus prolonging
cardiac action potential and repolarization, leading to slowing of the
heart rate and decreased likelihood of re-entry arrhythmias.
◉ Amiodarone Indications. Answer: Pulsed V-Tach or Cardiac Arrest
with a shockable rhythm
◉ Amiodarone Contraindications. Answer: cardiogenic shock, sick
sinus syndrome, and 2nd/3rd degree heart blocks
◉ Amiodarone side effects. Answer: dizziness, bradycardia,
hypotension, prolonged QT interval, and pulmonary toxicity
◉ Amiodarone Dose. Answer: Cardiac arrest: 300 mg IV bolus with a
repeat dose of 150 mg
V-tach with a Pulse: 150 mg IV infusion over 10 minutes
◉ Adenosine Class. Answer: Class 5 Antiarrhythmic
◉ Adenosine MOA. Answer: binds to adenosine receptors in the
heart and blood vessels inhibiting calcium and activating potassium.
Leading to the blocking of AV conduction, stopping the heart for a
short period of time.
, ◉ Adenosine Indications. Answer: SVT and PSVT
◉ Adenosine Contraindications. Answer: Sick sinus syndrome,
2nd/3rd degree blocks, a-fib, a-flutter, v-tach, & bradycardia
◉ Adenosine side effects. Answer: dizziness, dyspnea, hypotension,
bronchospasm, palpitations, arrhythmias, transient AV block, WPW
◉ Adenosine Dose. Answer: 6mg, 12mg, 12mg (with command call)
Rapid IV push
◉ Diltiazem Class. Answer: calcium channel blocker
◉ Diltiazem MOA. Answer: inhibits calcium channels and thus slows
the conduction of the AV node,
◉ Diltiazem Indications. Answer: Rapid A-fib, Rapid A-flutter
◉ Diltiazem Contraindications. Answer: hypotension, v-tach,
WPW/sick sinus syndrome, 2nd/3rd degree blocks, and cardiogenic
shock
EXAM 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ Lidocaine MOA. Answer: inhibits Na ion channel, depresses action
potential phase 0 (class IB antiarrhythmic) there for suppressing
ventricular ectopy
◉ Lidocaine Indications. Answer: Pulsed V-Tach and shockable
rhythm Cardiac Arrest
◉ Lidocaine Contraindications. Answer: bradycardia, acute MI, 2nd
and 3rd degree heart block
◉ Lidocaine Side effects. Answer: drowsiness, hypotension,
bradycardia, seizures
◉ Lidocaine Dose. Answer: 1-1.5 mg/kg for cardiac arrest or 2-
4mg/min infused
◉ Amiodarone Class. Answer: Class III antiarrhythmic - potassium
channel blocker
,◉ Amiodarone MOA. Answer: blocks potassium, thus prolonging
cardiac action potential and repolarization, leading to slowing of the
heart rate and decreased likelihood of re-entry arrhythmias.
◉ Amiodarone Indications. Answer: Pulsed V-Tach or Cardiac Arrest
with a shockable rhythm
◉ Amiodarone Contraindications. Answer: cardiogenic shock, sick
sinus syndrome, and 2nd/3rd degree heart blocks
◉ Amiodarone side effects. Answer: dizziness, bradycardia,
hypotension, prolonged QT interval, and pulmonary toxicity
◉ Amiodarone Dose. Answer: Cardiac arrest: 300 mg IV bolus with a
repeat dose of 150 mg
V-tach with a Pulse: 150 mg IV infusion over 10 minutes
◉ Adenosine Class. Answer: Class 5 Antiarrhythmic
◉ Adenosine MOA. Answer: binds to adenosine receptors in the
heart and blood vessels inhibiting calcium and activating potassium.
Leading to the blocking of AV conduction, stopping the heart for a
short period of time.
, ◉ Adenosine Indications. Answer: SVT and PSVT
◉ Adenosine Contraindications. Answer: Sick sinus syndrome,
2nd/3rd degree blocks, a-fib, a-flutter, v-tach, & bradycardia
◉ Adenosine side effects. Answer: dizziness, dyspnea, hypotension,
bronchospasm, palpitations, arrhythmias, transient AV block, WPW
◉ Adenosine Dose. Answer: 6mg, 12mg, 12mg (with command call)
Rapid IV push
◉ Diltiazem Class. Answer: calcium channel blocker
◉ Diltiazem MOA. Answer: inhibits calcium channels and thus slows
the conduction of the AV node,
◉ Diltiazem Indications. Answer: Rapid A-fib, Rapid A-flutter
◉ Diltiazem Contraindications. Answer: hypotension, v-tach,
WPW/sick sinus syndrome, 2nd/3rd degree blocks, and cardiogenic
shock
