CRITICAL CARE PARAMEDIC
CERTIFICATION PAPER 2026 FULL
SOLUTION GRADED A+
● Low BUN levels can indicate. Answer: liver failure
● anterior fontanelle closes at. Answer: 12-18 months
● posterior fontanelle closes at. Answer: 2 months
● a child's primary emotion in the EMS setting is... Answer: fear
● circulating volume in the child is... Answer: 75-80 ml/kg
● fluid bolus dose for pediatric. Answer: 20cc/kg repeat as needed
● in pediatrics under 10 years old ______ is the narrowest part of the
airway. Answer: cricoid cartilage
● ETT size formula for pediatric. Answer: (age + 16) / 4
,● Ett depth of insertion formula for pediatric. Answer: Age/2 + 12, 10+
age in years
● cardioversion dose for pediatric. Answer: .5-1j/ kg
● What is Wadell's triad?. Answer: common injuries when a child is
struck by motor vehicle, injury to head trunk and extremities
● ___ is the most commonly injured organ, and ___ is the primary injury
in abuse. Answer: skin, head
● the largest cause of traumatic death in pediatrics. Answer: MVAs
● for each degree above 37c, the heart rate increases __ bpm and the RR
increases by __ breaths per minute. Answer: 20bpm, 10 breaths per
minute
● Normal PIP for infant ventilator setting. Answer: 15-20, use the lowest
pip that creates chest expansion
● normal PEEP for infant ventilator setting. Answer: 3-5cm H2O
● I:E ratio for children. Answer: 1:1
,● Tidal volume for a child on the ventilator setting. Answer: 6-10ml/kg
● If you have a sudden onset of respiratory distress, dysphagia, drooling,
and cough up blood in a child you should suspect... Answer: Epiglottitis
● X ray finding that you would expect to see on the lateral neck x-ray to
confirm Epiglottitis is.... Answer: thumbprint sign
● ____ is noted on an AP neck xray and indicates croup
(laryngotracheobronchitis). Answer: steeple sign
● appropriate site of insertion for IO in peds. Answer: medial surface of
tibia below tibial tuberosity
● If a pt develops widened QRS and goes into cardiac arrest after
administration of Succs you should suspect ___ and consider
administering ___. Answer: hyperkalemia crisis, consider calcium and
sodium bicarb
● Drug of choice to treat malignant hyperthermia. Answer: dantrolene
● Hamman's sign is. Answer: associated with tracheobronchial injury, it
is a crunching sound auscultated over anterior chest synchronized with
heart beat
, ● chest tube placement is. Answer: 5th intercostal space anterior mid
axillary line
● ___ is the single most important predictor of fetal well-being in
monitoring. Answer: variability
● Accelerations above baseline in fetal monitoring are associated with.
Answer: fetal movement or during contractions
● decreased fetal movement likely indicates. Answer: hypoxia
● variable deceleration is associated with. Answer: cord compression or
nuchal cord
● variable decelerations are normally ___ in appearance during
monitoring. Answer: V or W shaped
● late decelerations are associated with. Answer: uteroplacental
insufficiency causing fetus hypoxic bradycardia
● early deceleration causes. Answer: head compression and vagus
stimulation
CERTIFICATION PAPER 2026 FULL
SOLUTION GRADED A+
● Low BUN levels can indicate. Answer: liver failure
● anterior fontanelle closes at. Answer: 12-18 months
● posterior fontanelle closes at. Answer: 2 months
● a child's primary emotion in the EMS setting is... Answer: fear
● circulating volume in the child is... Answer: 75-80 ml/kg
● fluid bolus dose for pediatric. Answer: 20cc/kg repeat as needed
● in pediatrics under 10 years old ______ is the narrowest part of the
airway. Answer: cricoid cartilage
● ETT size formula for pediatric. Answer: (age + 16) / 4
,● Ett depth of insertion formula for pediatric. Answer: Age/2 + 12, 10+
age in years
● cardioversion dose for pediatric. Answer: .5-1j/ kg
● What is Wadell's triad?. Answer: common injuries when a child is
struck by motor vehicle, injury to head trunk and extremities
● ___ is the most commonly injured organ, and ___ is the primary injury
in abuse. Answer: skin, head
● the largest cause of traumatic death in pediatrics. Answer: MVAs
● for each degree above 37c, the heart rate increases __ bpm and the RR
increases by __ breaths per minute. Answer: 20bpm, 10 breaths per
minute
● Normal PIP for infant ventilator setting. Answer: 15-20, use the lowest
pip that creates chest expansion
● normal PEEP for infant ventilator setting. Answer: 3-5cm H2O
● I:E ratio for children. Answer: 1:1
,● Tidal volume for a child on the ventilator setting. Answer: 6-10ml/kg
● If you have a sudden onset of respiratory distress, dysphagia, drooling,
and cough up blood in a child you should suspect... Answer: Epiglottitis
● X ray finding that you would expect to see on the lateral neck x-ray to
confirm Epiglottitis is.... Answer: thumbprint sign
● ____ is noted on an AP neck xray and indicates croup
(laryngotracheobronchitis). Answer: steeple sign
● appropriate site of insertion for IO in peds. Answer: medial surface of
tibia below tibial tuberosity
● If a pt develops widened QRS and goes into cardiac arrest after
administration of Succs you should suspect ___ and consider
administering ___. Answer: hyperkalemia crisis, consider calcium and
sodium bicarb
● Drug of choice to treat malignant hyperthermia. Answer: dantrolene
● Hamman's sign is. Answer: associated with tracheobronchial injury, it
is a crunching sound auscultated over anterior chest synchronized with
heart beat
, ● chest tube placement is. Answer: 5th intercostal space anterior mid
axillary line
● ___ is the single most important predictor of fetal well-being in
monitoring. Answer: variability
● Accelerations above baseline in fetal monitoring are associated with.
Answer: fetal movement or during contractions
● decreased fetal movement likely indicates. Answer: hypoxia
● variable deceleration is associated with. Answer: cord compression or
nuchal cord
● variable decelerations are normally ___ in appearance during
monitoring. Answer: V or W shaped
● late decelerations are associated with. Answer: uteroplacental
insufficiency causing fetus hypoxic bradycardia
● early deceleration causes. Answer: head compression and vagus
stimulation
