CRITICAL CARE PARAMEDIC EXAM
QUESTIONS AND ANSWERS 2026
VERIFIED.
Laryngoscopy - ANS Step1-Appropriate Sniffing Position: head back, neck flexed (ear
hole/external auditory eatus is at same plane as sternal notch. Need to elevate head 5-7inches
up (once elevated, tilt head all the way back).
Step2-translate mandibular process by opening mouth, two finger technique
Step3-Insert scope, inch down tongue until you see epiglottis
Step4-Make Vallecula actual space with ELM, and with no force yet, put blade under vallecula
Step5-Lift until see posterior notch, or until head moves up
CVA HTN Tx if over Sys: 210 or Dia: 120 - ANS Start with Nicardipine, 5mg/hr and titrate up
with adding 2.5mg/hr every 5 minsnprior to dropping back down, up to 15mg
Bougie Cricothyrotomy - ANS Step1-Equipment (6cuffed, syringe,scalpel, bvm w/Etco2,
dressing, bougie)
Step2-Landmarks (between cricoid ring and thyroid cartilage)-can't find, then vertical incision
Step3-1.5-2cm incision into cricothyroid membrane, immediately placing finger into incision to
augment/keep location.
Step4-insert bougie, feel for tracheal clicks
Step5-insert 6 ETT, make have to put pressure/back&forth, and once balloon in, your good to
blow up cuff
hypotension with ACS - ANS Consider 1-2L NS, and then inotropes: dopamine/dobutamine
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 14
, For AMS and hx Alcoholism/Malnutrition - ANS Give Thiamine IV 100mg
Options for Combative Patient - ANS 1)Versed 2-5mg IV
2)Ativan 1-2mg IV, q/3mins can repeat
3)Valium 5-10mg can repeat 15min
4)Haldol same as Valium but IM also
5)Ketamine .2mg/kg
For adult anaphylaxis don't forget - ANS corticosteroid: Solumedrol, helps with late phase
200mg Anaphylaxis, 125mg Hace and Resp. Distress
History of WPW, treat like - ANS V-Tach Protocol, not Afib-RVR
so Ami 150mg in ten mins, may repeat
Afib RVR Stable vs. Unstable - ANS Dilt IV 5-10 mins =Stable (can repeat in 5-10) .25mg/kg
(repeat at .35)
Cardiovert 100J=Unstable
don't forget 12 leads
Positioning for CVA pts - ANS 20-30 degree head elevation
Cincinnati Stroke Scale - ANS Droop, Drift, Speech
On CVAs don't forget? - ANS 12-lead, over 185/110 & candidate, over 185 2x give 10mg
labetalol, titrate to effect but don't drop more than 15%
Blood Glucose should not be dropped? - ANS 50-100 mg/dl per hour
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 14
QUESTIONS AND ANSWERS 2026
VERIFIED.
Laryngoscopy - ANS Step1-Appropriate Sniffing Position: head back, neck flexed (ear
hole/external auditory eatus is at same plane as sternal notch. Need to elevate head 5-7inches
up (once elevated, tilt head all the way back).
Step2-translate mandibular process by opening mouth, two finger technique
Step3-Insert scope, inch down tongue until you see epiglottis
Step4-Make Vallecula actual space with ELM, and with no force yet, put blade under vallecula
Step5-Lift until see posterior notch, or until head moves up
CVA HTN Tx if over Sys: 210 or Dia: 120 - ANS Start with Nicardipine, 5mg/hr and titrate up
with adding 2.5mg/hr every 5 minsnprior to dropping back down, up to 15mg
Bougie Cricothyrotomy - ANS Step1-Equipment (6cuffed, syringe,scalpel, bvm w/Etco2,
dressing, bougie)
Step2-Landmarks (between cricoid ring and thyroid cartilage)-can't find, then vertical incision
Step3-1.5-2cm incision into cricothyroid membrane, immediately placing finger into incision to
augment/keep location.
Step4-insert bougie, feel for tracheal clicks
Step5-insert 6 ETT, make have to put pressure/back&forth, and once balloon in, your good to
blow up cuff
hypotension with ACS - ANS Consider 1-2L NS, and then inotropes: dopamine/dobutamine
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 14
, For AMS and hx Alcoholism/Malnutrition - ANS Give Thiamine IV 100mg
Options for Combative Patient - ANS 1)Versed 2-5mg IV
2)Ativan 1-2mg IV, q/3mins can repeat
3)Valium 5-10mg can repeat 15min
4)Haldol same as Valium but IM also
5)Ketamine .2mg/kg
For adult anaphylaxis don't forget - ANS corticosteroid: Solumedrol, helps with late phase
200mg Anaphylaxis, 125mg Hace and Resp. Distress
History of WPW, treat like - ANS V-Tach Protocol, not Afib-RVR
so Ami 150mg in ten mins, may repeat
Afib RVR Stable vs. Unstable - ANS Dilt IV 5-10 mins =Stable (can repeat in 5-10) .25mg/kg
(repeat at .35)
Cardiovert 100J=Unstable
don't forget 12 leads
Positioning for CVA pts - ANS 20-30 degree head elevation
Cincinnati Stroke Scale - ANS Droop, Drift, Speech
On CVAs don't forget? - ANS 12-lead, over 185/110 & candidate, over 185 2x give 10mg
labetalol, titrate to effect but don't drop more than 15%
Blood Glucose should not be dropped? - ANS 50-100 mg/dl per hour
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 14
