AIR METHODS PRE-HIRE EXAM Questions and
Answers 2026 | Comprehensive Review with
Detailed Rationales | Grade A+
• ST elevation is associated with. CORRECT ANSWER: myocardial injury
• ST depressions is associated with. CORRECT ANSWER: Ischemia, old infarction,
digitalis toxicity
• Q wave with ST elevation. CORRECT ANSWER: Acute injury
• Q wave with ST depression. CORRECT ANSWER: Indeterminate
• Q wave without ST changes. CORRECT ANSWER: Old infarction
• Coronary Artery Occlusion: Anterior. CORRECT ANSWER: LAD
• Coronary Artery Occlusion: Inferior. CORRECT ANSWER: RCA
• Coronary Artery Occlusion: Posterior. CORRECT ANSWER: LCX or RCA
• Coronary Artery Occlusion: Lateral. CORRECT ANSWER: LCX
• Coronary Artery Occlusion: Septal. CORRECT ANSWER: LAD
• Inferior MI: Elevation leads? Reciprocal leads?. CORRECT ANSWER: Elevation: II, III,
aVF
Reciprocal: I, aVL, V1-V4
• Anterior-septal MI: Elevation leads? Reciprocal leads?. CORRECT ANSWER:
Elevation: V1-v4
Reciprocal: II, III, aVF, aVL
• Lateral MI: Elevation leads? Reciprocal leads?. CORRECT ANSWER: Elevation: I,
aVL, V5, V5
Reciprocal: II, III, aVF
• Posterior MI: Elevation leads? Reciprocal leads?. CORRECT ANSWER: Elevation: V6
Reciprocal: V1-V4
• Junction (J) Point. CORRECT ANSWER: end of QRS & beginning of ST segment
where QRS stops and makes a sudden SHARP change of direction
,• Delta wave is associated with. CORRECT ANSWER: Wolff-Parkinson White
Syndrome
• Where is the Delta wave on EKG. CORRECT ANSWER: Bump in the beginning of the
QRS wave
• Osborne wave is associated with. CORRECT ANSWER: Hypothermia
• Peaked/tented T waves indicate. CORRECT ANSWER: Hyperkalemia
• Peaked P waves/ Flattened T waves/U waves indicate. CORRECT ANSWER:
Hypokalemia
• Wide QRS could indicate x2. CORRECT ANSWER: BBB present, TCA overdose
• Prolonged QT interval could indicate. CORRECT ANSWER: TCA overdose
• history of tricyclic antidepressant overdose can exhibit what ECG tracing. CORRECT
ANSWER: Prolonged QT interval
• What is the amount of blood in the ventricles at end-diastole. CORRECT ANSWER:
Preload (Right = CVP , Left = PAOP)
• What is the resistance the ventricles must overcome to eject blood into the pulmonary
and systemic circulation. CORRECT ANSWER: Afterload (SVR)
• Stroke volume is dependent on. CORRECT ANSWER: contractility, preload, afterload
• Sequence blood flows throughout the heart valves (Think toilet paper). CORRECT
ANSWER: Tricuspid
Pulmonic
Mitral
Aortic
• Common site affected for balloon dislodgment when treating your IABP patient.
CORRECT ANSWER: Left radial
• CONTRAINDICATION for IABP. CORRECT ANSWER: Aortic aneurysm
Aortic insufficiency
Aortic stents
AAA
• "rust-colored flakes" in IABP tubing indicates. CORRECT ANSWER: Balloon rupture
• How to determine early or late inflation in IABP. CORRECT ANSWER: Draw line from
dicrotic notch to inflation point
, • If the Inflation point (IP) is 2mm+ from the Dicrotic Notch (DN), it indicates. CORRECT
ANSWER: Early inflation
• Primary trigger used from most IABP operations is the. CORRECT ANSWER: EKG
• IABP balloon inflation on EKG starts at. CORRECT ANSWER: middle of T wave
• IABP balloon deflation on EKG prior to. CORRECT ANSWER: End of QRS complex
• IABP inflation mechanism occurs at. CORRECT ANSWER: onset of ventricular
diastole
• IABP deflation mechanism occurs at. CORRECT ANSWER: prior onset of ventricular
systole
• Which patients are not affected with altitude temperature changes. CORRECT
ANSWER: Cardiac patients
• Therapy focus for left ventricular heart failure patients. CORRECT ANSWER: Diuretics
and relief of anxiety
• Characteristics of Systolic failure (4). CORRECT ANSWER: <65 y/o
Frequent/prior MI
S3 heart tone
Cardiomegaly present
• Characteristics of Diastolic failure (5). CORRECT ANSWER: >70 y/o
common in women
frequent hx of HTN
S4 heart tone
NO cardiomegaly
• BP MAP formula. CORRECT ANSWER: (2xDBP) + SBP / 3
• Coumadin overdose antidote. CORRECT ANSWER: Vitamin K, FFP
• Medication NOT to give cardiogenic shock and CHF patients. CORRECT ANSWER:
Beta-blockers
• Medications for cardiogenic shock. CORRECT ANSWER: Vasodilator and Positive
inotropes
• Treatment of decompensating Bradydysrhythmias (FAEDE). CORRECT ANSWER:
Fluids
Atropine
Answers 2026 | Comprehensive Review with
Detailed Rationales | Grade A+
• ST elevation is associated with. CORRECT ANSWER: myocardial injury
• ST depressions is associated with. CORRECT ANSWER: Ischemia, old infarction,
digitalis toxicity
• Q wave with ST elevation. CORRECT ANSWER: Acute injury
• Q wave with ST depression. CORRECT ANSWER: Indeterminate
• Q wave without ST changes. CORRECT ANSWER: Old infarction
• Coronary Artery Occlusion: Anterior. CORRECT ANSWER: LAD
• Coronary Artery Occlusion: Inferior. CORRECT ANSWER: RCA
• Coronary Artery Occlusion: Posterior. CORRECT ANSWER: LCX or RCA
• Coronary Artery Occlusion: Lateral. CORRECT ANSWER: LCX
• Coronary Artery Occlusion: Septal. CORRECT ANSWER: LAD
• Inferior MI: Elevation leads? Reciprocal leads?. CORRECT ANSWER: Elevation: II, III,
aVF
Reciprocal: I, aVL, V1-V4
• Anterior-septal MI: Elevation leads? Reciprocal leads?. CORRECT ANSWER:
Elevation: V1-v4
Reciprocal: II, III, aVF, aVL
• Lateral MI: Elevation leads? Reciprocal leads?. CORRECT ANSWER: Elevation: I,
aVL, V5, V5
Reciprocal: II, III, aVF
• Posterior MI: Elevation leads? Reciprocal leads?. CORRECT ANSWER: Elevation: V6
Reciprocal: V1-V4
• Junction (J) Point. CORRECT ANSWER: end of QRS & beginning of ST segment
where QRS stops and makes a sudden SHARP change of direction
,• Delta wave is associated with. CORRECT ANSWER: Wolff-Parkinson White
Syndrome
• Where is the Delta wave on EKG. CORRECT ANSWER: Bump in the beginning of the
QRS wave
• Osborne wave is associated with. CORRECT ANSWER: Hypothermia
• Peaked/tented T waves indicate. CORRECT ANSWER: Hyperkalemia
• Peaked P waves/ Flattened T waves/U waves indicate. CORRECT ANSWER:
Hypokalemia
• Wide QRS could indicate x2. CORRECT ANSWER: BBB present, TCA overdose
• Prolonged QT interval could indicate. CORRECT ANSWER: TCA overdose
• history of tricyclic antidepressant overdose can exhibit what ECG tracing. CORRECT
ANSWER: Prolonged QT interval
• What is the amount of blood in the ventricles at end-diastole. CORRECT ANSWER:
Preload (Right = CVP , Left = PAOP)
• What is the resistance the ventricles must overcome to eject blood into the pulmonary
and systemic circulation. CORRECT ANSWER: Afterload (SVR)
• Stroke volume is dependent on. CORRECT ANSWER: contractility, preload, afterload
• Sequence blood flows throughout the heart valves (Think toilet paper). CORRECT
ANSWER: Tricuspid
Pulmonic
Mitral
Aortic
• Common site affected for balloon dislodgment when treating your IABP patient.
CORRECT ANSWER: Left radial
• CONTRAINDICATION for IABP. CORRECT ANSWER: Aortic aneurysm
Aortic insufficiency
Aortic stents
AAA
• "rust-colored flakes" in IABP tubing indicates. CORRECT ANSWER: Balloon rupture
• How to determine early or late inflation in IABP. CORRECT ANSWER: Draw line from
dicrotic notch to inflation point
, • If the Inflation point (IP) is 2mm+ from the Dicrotic Notch (DN), it indicates. CORRECT
ANSWER: Early inflation
• Primary trigger used from most IABP operations is the. CORRECT ANSWER: EKG
• IABP balloon inflation on EKG starts at. CORRECT ANSWER: middle of T wave
• IABP balloon deflation on EKG prior to. CORRECT ANSWER: End of QRS complex
• IABP inflation mechanism occurs at. CORRECT ANSWER: onset of ventricular
diastole
• IABP deflation mechanism occurs at. CORRECT ANSWER: prior onset of ventricular
systole
• Which patients are not affected with altitude temperature changes. CORRECT
ANSWER: Cardiac patients
• Therapy focus for left ventricular heart failure patients. CORRECT ANSWER: Diuretics
and relief of anxiety
• Characteristics of Systolic failure (4). CORRECT ANSWER: <65 y/o
Frequent/prior MI
S3 heart tone
Cardiomegaly present
• Characteristics of Diastolic failure (5). CORRECT ANSWER: >70 y/o
common in women
frequent hx of HTN
S4 heart tone
NO cardiomegaly
• BP MAP formula. CORRECT ANSWER: (2xDBP) + SBP / 3
• Coumadin overdose antidote. CORRECT ANSWER: Vitamin K, FFP
• Medication NOT to give cardiogenic shock and CHF patients. CORRECT ANSWER:
Beta-blockers
• Medications for cardiogenic shock. CORRECT ANSWER: Vasodilator and Positive
inotropes
• Treatment of decompensating Bradydysrhythmias (FAEDE). CORRECT ANSWER:
Fluids
Atropine
