TCMO 2026 -- BLS (Medical) Questions And Answers 2025/2026

TCMO 2026 -- BLS (Medical) Questions And Answers
2025/2026




Abdominal/Back Pain -- ALS Upgrades - CORRECT ANSWER---Upper abdominal
pain, age greater than 35

--Lower abdominal pain, women ages 12-50 with dizziness, syncope, or heavy
vaginal bleeding

--Abdominal/back pain with syncope or near syncope if age greater than 50

--Acutely distended, rigid, or tender abdomen

--Unequal or absent femoral pulses



Abdominal/Back Pain -- Treatment - CORRECT ANSWER-1. General patient care
procedures

2. Place patient in position of comfort

3. Nothing by mouth

4. Ondansetron for nausea per protocol



Abdominal/Back Pain -- Assessment/Differential Diagnosis - CORRECT ANSWER-
Aneurysm, Ectopic pregnancy, Myocardial infarction, Kidney stones, Urinary tract
infection, Gastroenteritis, Pelvic inflammatory disease, Appendicitis, Ulcers,
Ovarian cysts, Pancreatitis, Gallbladder pain

,Allergic Reaction -- ALS Upgrades - CORRECT ANSWER---Patient is presenting with
signs and/or symptoms of an anaphylactic reaction.

--Difficulty swallowing or swelling in throat, lips, or tongue

--Severe abdominal cramps, nausea, vomiting, or diarrhea with urticaria or
flushing

--Any use of epinephrine



Allergic Reaction -- Treatment - CORRECT ANSWER-1. General patient care
procedures

2. Epinephrine administration (if indicated)

3. If patient is asthmatic, has a BP of at least 90 systolic, and is still dyspneic after
administration of epinephrine, administer albuterol via nebulizer or assist with
patient's MDI [[If blood pressure is below 90 systolic and asthmatic patient is still
presenting with signs and/or symptoms of anaphylactic reaction 5 minutes after
epinephrine administration, re-dose with epinephrine per protocol.]]

4. Remove stinger, taking care not to compress the venom sac if present



Allergic Reaction -- Assessment/Differential Diagnosis - CORRECT ANSWER-Insect
bite/sting, Food allergy, Drug reactions, Vasovagal reactions, Acute Coronary
Syndrome, Dystonic reaction, Arrhythmias, Status asthmaticus, Seizure, Epiglottis,
Foreign Body Airway Obstruction



Animal Bites/Injuries -- ALS Upgrades - CORRECT ANSWER---Bite from venomous
snakes or reptiles

--Serious injury to the face or neck

, Animal Bites/Injuries -- Treatment - CORRECT ANSWER-1. General patient care
procedures

2. Remove stinger, if present, without compressing venom sac

3. DO NOT USE constricting bands, tourniquets, or ice for venomous bites

4. Immobilize affected limbs in position of comfort

5. If venomous animal is suspected, limit physical activity, keep limb lower than
heart, and contact the Washington Poison Center at 800-709-0911



Animal Bites/Injuries -- Assessment/Differential Diagnosis - CORRECT ANSWER-
Venomous animal bite, Non-venomous animal bite, Animal bite with major
trauma



Behavioral Emergencies -- ALS Upgrades - CORRECT ANSWER---Violent/combative
patient

--Or requiring restraint for transportation from the scene to the hospital



Behavioral Emergencies -- Treatment - CORRECT ANSWER-1. General patient care
procedures

2. If altered or decreased mental status, check blood glucose

3. Restrain violent patients



Behavioral Emergencies -- Assessment/Differential Diagnosis - CORRECT ANSWER-
AEIOUTIPPS