Paramedic Pharmacology final Exam || Most
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You are dispatched to a local mental health facility for a 42-
year-old female who is acting inappropriately. Upon arrival, you
find the patient pacing near a chair in no apparent physical
distress. She continually blinks her eyes (excessively), is
smacking her lips, and nervously will not sit down. She informs
you that she has schizophrenia and has just started taking
Thorazine, a phenothiazine medication. You recognize this
behavior as an acute extrapyramidal reaction and decide to
administer: - ANSWER -25 mg Diphenhydramine IV
The patient is a 70 year-old male confined to a skilled nursing
facility for rehabilitation following a hip replacement. He is
restless, agitated, and acutely anxious. If considering Diazepam
to sedate the patient, the dose should be: - ANSWER -Reduced
by 50% of the typical adult dose.
Your patient is a 22 year-old woman with Hx of chronic pain
from a back injury sustained in a motor vehicle crash. She has
been taking vicodin to control the discomfort. According to her
,roommate, she allegedly ingested "a lot of pills because she
was tired of the constant pain." The patient is unresponsive
with ventilations that are barely perceptible. Her blood pressure
is mc043-1.jpg, pulse is 60, and pupils are pinpoint. After you
begin to assist ventilations, emergency care for the woman
includes: - ANSWER -Nalmefene, 0.5-1 mg and monitor
ventilation.
A 62-year-old man is complaining of chest discomfort. The
patient states his discomfort is located in the center of his
chest and radiates to his left arm. He was reading the
newspaper when his discomfort began about nar001-1.jpg
hours ago. On a 0 to 10 scale, the patient rates his discomfort a
"9." He has no significant past medical history, takes no
medications regularly, and states he has "never had anything
like this before." His father died of a heart attack at the age of
66. The patient is an investment banker and states he is under
considerable daily stress. The following questions refer to the
initial assessment and management of this patient.
Initial management of this patient should include ABCs, O2, IV,
monitor, and -
ANSWER -Aspirin and a 12-
lead ECG.
Sublingual nitroglycerin (NTG) is ordered for this patient. What
is the rationale
for giving NTG in this situation? - ANSWER -NTG relaxes
vascular smooth
, muscle, including dilation of the
coronary arteries.
The patient rates his chest discomfort a "9" despite sublingual
NTG therapy. His blood pressure is 140/70, pulse 96, and
respirations 18. Assuming the patient's vital signs remain
stable, which of the following statements is true about relieving
this patient's chest discomfort? - ANSWER -Morphine 2 to 4 mg
should be given slow IV push and additional doses given at 5-
to 15-minute intervals until the patient is pain free.
The most common medication given for "defasiculation" is
______ and is given
during the ______ phase: - ANSWER -Vecuronium,
premedication
A "wet" patient presentation that includes tearing, emesis, and
salivation would
lead you to suspect a _____ toxidrome and you would
anticipate the initial
administration of _____: - ANSWER -
Cholinergic, atropine
The absorption of toxins takes place primarily in the: -
ANSWER -Small
intestine
Specific treatment for cholinergic toxic syndrome
presentation may include: -
Recent Exam 2026-2027Actual Complete Real
Exam Questions And Correct Answers (Verified
Answers) Already Graded A+ | Guaranteed
Success!! Newest Exam | Just Released!!
You are dispatched to a local mental health facility for a 42-
year-old female who is acting inappropriately. Upon arrival, you
find the patient pacing near a chair in no apparent physical
distress. She continually blinks her eyes (excessively), is
smacking her lips, and nervously will not sit down. She informs
you that she has schizophrenia and has just started taking
Thorazine, a phenothiazine medication. You recognize this
behavior as an acute extrapyramidal reaction and decide to
administer: - ANSWER -25 mg Diphenhydramine IV
The patient is a 70 year-old male confined to a skilled nursing
facility for rehabilitation following a hip replacement. He is
restless, agitated, and acutely anxious. If considering Diazepam
to sedate the patient, the dose should be: - ANSWER -Reduced
by 50% of the typical adult dose.
Your patient is a 22 year-old woman with Hx of chronic pain
from a back injury sustained in a motor vehicle crash. She has
been taking vicodin to control the discomfort. According to her
,roommate, she allegedly ingested "a lot of pills because she
was tired of the constant pain." The patient is unresponsive
with ventilations that are barely perceptible. Her blood pressure
is mc043-1.jpg, pulse is 60, and pupils are pinpoint. After you
begin to assist ventilations, emergency care for the woman
includes: - ANSWER -Nalmefene, 0.5-1 mg and monitor
ventilation.
A 62-year-old man is complaining of chest discomfort. The
patient states his discomfort is located in the center of his
chest and radiates to his left arm. He was reading the
newspaper when his discomfort began about nar001-1.jpg
hours ago. On a 0 to 10 scale, the patient rates his discomfort a
"9." He has no significant past medical history, takes no
medications regularly, and states he has "never had anything
like this before." His father died of a heart attack at the age of
66. The patient is an investment banker and states he is under
considerable daily stress. The following questions refer to the
initial assessment and management of this patient.
Initial management of this patient should include ABCs, O2, IV,
monitor, and -
ANSWER -Aspirin and a 12-
lead ECG.
Sublingual nitroglycerin (NTG) is ordered for this patient. What
is the rationale
for giving NTG in this situation? - ANSWER -NTG relaxes
vascular smooth
, muscle, including dilation of the
coronary arteries.
The patient rates his chest discomfort a "9" despite sublingual
NTG therapy. His blood pressure is 140/70, pulse 96, and
respirations 18. Assuming the patient's vital signs remain
stable, which of the following statements is true about relieving
this patient's chest discomfort? - ANSWER -Morphine 2 to 4 mg
should be given slow IV push and additional doses given at 5-
to 15-minute intervals until the patient is pain free.
The most common medication given for "defasiculation" is
______ and is given
during the ______ phase: - ANSWER -Vecuronium,
premedication
A "wet" patient presentation that includes tearing, emesis, and
salivation would
lead you to suspect a _____ toxidrome and you would
anticipate the initial
administration of _____: - ANSWER -
Cholinergic, atropine
The absorption of toxins takes place primarily in the: -
ANSWER -Small
intestine
Specific treatment for cholinergic toxic syndrome
presentation may include: -
